HEALTH ASS NR 302 CHAPTER 3 PRACTICE QUESTION AND ANSWERS 100%CORRECT/VERIFIED NEW UPDATE, Exams of Nursing

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HEALTH ASS NR 302 CHAPTER 3 PRACTICE

QUESTION AND ANSWERS

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GRADED A+

. .ID: 4340040070

Receiving is a part of the communication process. Which receiver is most likely to misinterpret a message sent by a health care professional? ▪ Well-adjusted adolescent who came in for a sports physical ▪ Recovering alcoholic who came in for a basic physical examination ▪ Man whose wife has just been diagnosed with lung cancer Correct ▪ communicate and who has an interpreter with him

HEALTH ASS NR 302 CHAPTER 3 PRACTICE

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HEALTH ASS NR 302 CHAPTER 3 PRACTICE▪^ Man^ with^ a^ hearing^ impairment^ who^ uses^ sign^ language^ to

QUESTION AND ANSWERS

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GRADED A+

 .ID: 4340041559

The nurse makes which adjustment in the physical environment to promote the success of an interview? ▪ Reduces noise by turning off televisions and radios Correct ▪ Reduces the distance between the interviewer and the patient to 2 feet or less ▪ Provides a dim light that makes the room cozy and helps

HEALTH ASS NR 302 CHAPTER 3 PRACTICE

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HEALTH ASS NR 302 CHAPTER 3 PRACTICE▪^ Man^ with^ a^ hearing^ impairment^ who^ uses^ sign^ language^ to

QUESTION AND ANSWERS

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GRADED A+

the patient relax ▪ Arranges seating across a desk or table to allow the patient some personal space .ID: 4340041505 In an interview, the nurse may find it necessary to take notes to aid his or her memory later. Which statement is true regarding note- taking? ▪ Note-taking may impede the nurse’s observation of the patient’s nonverbal behaviors. Correct

HEALTH ASS NR 302 CHAPTER 3 PRACTICE

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HEALTH ASS NR 302 CHAPTER 3 PRACTICE▪^ Man^ with^ a^ hearing^ impairment^ who^ uses^ sign^ language^ to

QUESTION AND ANSWERS

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GRADED A+

▪ Note-taking allows the patient to continue at his or her own pace as the nurse records what is said.  The nurse is conducting an interview with a woman who has recently learned that she is pregnant and who has come to the clinic today to begin prenatal care. The woman states that she and her husband are excited about the pregnancy but have a few questions. She looks nervously at her hands during the interview and sighs loudly. Considering the concept of communication, which statement does the nurse know to be most accurate? The woman is: ▪ Excited about her pregnancy but nervous about the labor. ▪ Exhibiting verbal and nonverbal behaviors that do not match. Correct

HEALTH ASS NR 302 CHAPTER 3 PRACTICE

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HEALTH ASS NR 302 CHAPTER 3 PRACTICE▪^ Man^ with^ a^ hearing^ impairment^ who^ uses^ sign^ language^ to

QUESTION AND ANSWERS

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GRADED A+

▪ Excited about her pregnancy, but her husband is not and this is upsetting to her. ▪ Not excited about her pregnancy but believes the nurse will negatively respond to her if she states this.

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▪ Note-taking allows the nurse to shift attention away from the patient, resulting in an increased comfort level. ▪ Note-taking allows the nurse to break eye contact with the patient, which may increase his or her level of comfort. .ID: 4340041511 The nurse asks, “I would like to ask you some questions about your health and your usual daily activities so that we can better plan your stay here.” This question is found at the phase of the interview process. ▪ Summary ▪ Closing

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▪ Note-taking allows the nurse to shift attention away from the patient, ▪ Body ▪ Opening or introduction Correct

6. 6.ID: 4340040083 A woman has just entered the emergency department after being battered by her husband. The nurse needs to get some information from her to begin treatment. What is the best choice for an opening phase of the interview with this patient? ▪ “Hello, Nancy, my name is Mrs. C.” ▪ “Hello, Mrs. H., my name is Mrs. C. It sure is cold today!”

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▪ “Mrs. H., my name is Mrs. C. How are you?” ▪ “Mrs. H., my name is Mrs. C. I’ll need to ask you a few questions about what happened.” Correct 7. 7.ID: 4340040068 During an interview, the nurse states, “You mentioned having shortness of breath. Tell me more about that.” Which verbal skill is used with this statement? ▪ Reflection ▪ Facilitation ▪ Direct question ▪ Open-ended question Correct

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▪ “Mrs. H., my name is Mrs. C. How are you?”

8. 8.ID: 4340040078 A patient has finished giving the nurse information about the reason he is seeking care. When reviewing the data, the nurse finds that some information about past hospitalizations is missing. At this point, which statement by the nurse would be most appropriate to gather these data? ▪ “Mr. Y., at your age, surely you have been hospitalized before!” ▪ “Mr. Y., I just need permission to get your medical records from County Medical.”

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▪ “Mr. Y., you mentioned that you have been hospitalized on several occasions. Would you tell me more about that?” ▪ “Mr. Y., I just need to get some additional information about your past hospitalizations. When was the last time you were admitted for chest pain?” Correct

9. 9.ID: 4340040089 In using verbal responses to assist the patient’s narrative, some responses focus on the patient’s frame of reference and some focus on the health care provider’s perspective. An example of a verbal response that focuses on the health care provider’s perspective would be: ▪ Empathy. ▪ Reflection.

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▪ “Mr. Y., you mentioned that you have been hospitalized on several ▪ Facilitation. ▪ Confrontation. Correct

10. 10.ID: 4340040097 When taking a history from a newly admitted patient, the nurse notices that he often pauses and expectantly looks at the nurse. What would be the nurse’s best response to this behavior? ▪ Be silent, and allow him to continue when he is ready. Correct

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▪ Smile at him and say, “Don’t worry about all of this. I’m sure we can find out why you’re having these pains.” ▪ Lean back in the chair and ask, “You are looking at me kind of funny; there isn’t anything wrong, is there?” ▪ Stand up and say, “I can see that this interview is uncomfortable for you. We can continue it another time.” 11. 11.ID: 4340041515 A woman is discussing the problems she is having with her 2- year-old son. She says, “He won’t go to sleep at night, and during the day he has several fits. I get so upset when that happens.” The nurse’s best verbal response would be: ▪ “Go on, I’m listening.”

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▪ Smile at him and say, “Don’t worry about all of this. I’m sure we can ▪ “Fits? Tell me what you mean by this.” Correct ▪ “Yes, it can be upsetting when a child has a fit.” ▪ “Don’t be upset when he has a fit; every 2 year old has fits.”

12. 12.ID: 4340040095 A 17-year-old single mother is describing how difficult it is to raise a 3-year-old child by herself. During the course of the interview she states, “I can’t believe my boyfriend left me to do this by myself! What a terrible thing to do to me!” Which of these responses by the nurse uses empathy? ▪ “You feel alone.”

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▪ “You can’t believe he left you alone?” ▪ “It must be so hard to face this all alone.” Correct ▪ “I would be angry, too; raising a child alone is no picnic.”

13. 13.ID: 4340041596 A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use. When the nurse asks him about tobacco use, he states, “I quit smoking after my wife died 7 years ago.” However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say: ▪ “Mr. K., I know that you are lying.”

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▪ “You can’t believe he left you alone?” ▪ “Mr. K., come on, tell me how much you smoke.” ▪ “Mr. K., I didn’t realize your wife had died. It must be difficult for you at this time. Please tell me more about that.” ▪ “Mr. K., you have said that you don’t smoke, but I see that you have an open pack of cigarettes in your pocket.” Correct 14. 14.ID: 4340041517 The nurse has used interpretation regarding a patient’s statement or actions. After using this technique, it would be best for the nurse to:

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▪ Apologize, because using interpretation can be demeaning for the patient. ▪ Allow time for the patient to confirm or correct the inference. Correct ▪ Continue with the interview as though nothing has happened. ▪ Immediately restate the nurse’s conclusion on the basis of the patient’s nonverbal response.

15. 15.ID: 4340040099 During an interview, a woman says, “I have decided that I can no longer allow my children to live with their father’s violence, but I just can’t seem to leave him.” Using interpretation, the nurse’s best response would be: ▪ “You are going to leave him?”

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▪ Apologize, because using interpretation can be demeaning for the ▪ “If you are afraid for your children, then why can’t you leave?” ▪ “It sounds as if you might be afraid of how your husband will respond.” Correct ▪ “It sounds as though you have made your decision. I think it is a good one.”

16. 16.ID: 4340041582 A pregnant woman states, “I just know labor will be so painful that I won’t be able to stand it. I know it sounds awful, but I really dread going into labor.” The nurse responds by stating, “Oh, don’t worry about labor so much. I have been

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through it, and although it is painful, many good medications are available to decrease the pain.” Which statement is true regarding this response? The nurse’s reply was a: ▪ Therapeutic response. By sharing something personal, the nurse gives hope to this woman. ▪ Nontherapeutic response. By providing false reassurance, the nurse actually cut off further discussion of the woman’s fears. Correct ▪ Therapeutic response. By providing information about the medications available, the nurse is giving information to the woman. ▪ Nontherapeutic response. The nurse is essentially giving the message

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to the woman that labor cannot be tolerated without medication.

17. 17.ID: 4340041521 During a visit to the clinic, a patient states, “The doctor just told me he thought I ought to stop smoking. He doesn’t understand how hard I’ve tried. I just don’t know the best way to do it. What should I do?” The nurse’s most appropriate response in this case would be: ▪ “I’d quit if I were you. The doctor really knows what he is talking about.” ▪ “Would you like some information about the different ways a person can quit smoking?” Correct ▪ “Stopping your dependence on cigarettes can be very difficult. I understand how you feel.”

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▪ “Why are you confused? Didn’t the doctor give you the information about the smoking cessation program we offer?” 18. 18.ID: 4340040076 As the nurse enters a patient’s room, the nurse finds her crying. The patient states that she has just found out that the lump in her breast is cancer and says, “I’m so afraid of, um, you know.” The nurse’s most therapeutic response would be to say in a gentle manner: ▪ “You’re afraid you might lose your breast?” Correct ▪ “No, I’m not sure what you are talking about.” ▪ “I’ll wait here until you get yourself under control, and then we can talk.” ▪ “I can see that you are very upset. Perhaps we should discuss this later.”

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▪ “Why are you confused? Didn’t the doctor give you the information

19. 19.ID: 4340040080 A nurse is taking complete health histories on all of the patients attending a wellness workshop. On the history form, one of the written questions asks, “You don’t smoke, drink, or take drugs, do you?” This question is an example of: ▪ Talking too much. ▪ Using confrontation. ▪ Using biased or leading questions. Correct

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▪ Using blunt language to deal with distasteful topics.

20. 20.ID: 4340041548 When observing a patient’s verbal and nonverbal communication, the nurse notices a discrepancy. Which statement is true regarding this situation? The nurse should: ▪ Ask someone who knows the patient well to help interpret this discrepancy. ▪ Focus on the patient’s verbal message, and try to ignore the nonverbal behaviors. ▪ Try to integrate the verbal and nonverbal messages and then interpret them as an average.

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▪ Using blunt language to deal with distasteful topics. ▪ Focus on the patient’s nonverbal behaviors, because these are often more reflective of a patient’s true feelings. Correct 21. 21.ID: 4340041543 During an interview, a parent of a hospitalized child is sitting in an open position. As the interviewer begins to discuss his son’s treatment, however, he suddenly crosses his arms against his chest and crosses his legs. This changed posture would suggest that the parent is: ▪ Simply changing positions. ▪ More comfortable in this position.

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▪ Tired and needs a break from the interview. ▪ Uncomfortable talking about his son’s treatment. Correct

22. 22.ID: 4340041503 A mother brings her 28-month-old daughter into the clinic for a well-child visit. At the beginning of the visit, the nurse focuses attention away from the toddler, but as the interview progresses, the toddler begins to “warm up” and is smiling shyly at the nurse. The nurse will be most successful in interacting with the toddler if which is done next? ▪ Tickle the toddler, and get her to laugh. ▪ Stoop down to her level, and ask her about the toy she is holding. Correct

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▪ Tired and needs a break from the interview. ▪ Continue to ignore her until it is time for the physical examination. ▪ Ask the mother to leave during the examination of the toddler, because toddlers often fuss less if their parent is not in view.

23. 23.ID: 4340041529 During an examination of a 3-year-old child, the nurse will need to take her blood pressure. What might the nurse do to try to gain the child’s full cooperation? ▪ Tell the child that the blood pressure cuff is going to give her arm a big hug.

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