Chapter1 InterviewandHistoryTakingStrategies MULTIPLECHOICE
Thenurseisconductinganinterviewwithawomanwhohasrecentlylearnedthatsheis
... [Show More] pregnantandwhohascometotheclinictodaytobeginprenatalcare.Thewomanstatesthatshe andherhusbandareexcitedabouthepregnancybuthaveafewquestions.Shelooksnervously atherhandsduringtheinterviewandsighsloudly.Consideringtheconceptofcommunication, whichstatementdoesthenurseknowtobemostacurate?Thewomanis: a.Excitedaboutherpregnancybutnervousabouthelabor. b.Exhibitingverbalandnonverbalbehaviorsthatdonotmatch. c.Excitedaboutherpregnancy,butherhusbandisnotandthisisupsetingtoher.
d. Notexcitedaboutherpregnancybutbelievesthenursewilnegatively respondtoherifshestatesthis.
ANS:B
Communicationisalbehaviors,consciousandunconscious,verbalandnonverbal.Albehaviors havemeaning.Herbehaviordoesnotimplythatsheisnervousaboutlabor,upsetbyher husband,orworiedabouthenursesresponse.
Receivingisapartofthecommunicationproces.Whichreceiverismostlikelyt o misinterpretamesagesentbyahealthcareprofesional?
a.Wel-adjustedadolescentwhocameinforasportsphysical b.Recoveringalcoholicwhocameinforabasicphysicalexamination c.Manwhosewifehasjustbendiagnosedwithlungcancer
d. Manwithahearingimpairmentwhousesignlanguagetocommunicateandwhohasan interpreterwithhim
ANS:C
Thereceiveratachesmeaningdeterminedbyhisorherexperiences,culture,self-concept,and curentphysicalandemotionalstates.Themanwhosewifehasjustbendiagnosedwithlung cancermaybeexperiencingemotionsthataffecthisreceiving.
Thenursemakeswhichadjustmentinthephysicalenvironmentopromotethesucesofa n interview?
a.Reducesnoisebyturningofftelevisionsandradios b.Reducesthedistancebetwentheinterviewerandthepatiento2fetorles c.Providesadimlighthatmakestheroomcozyandhelpsthepatientrelax d.Arangeseatingacrosadeskortabletoalowthepatientsomepersonalspace ANS:A
Thenurseshouldreducenoisebyturningoffthetelevision,radio,andotherunnecesary equipment,becausemultiplestimuliareconfusing.Theinterviewerandpatientshouldbe approximately4to5fetapart;theroomshouldbewel-lit,enablingtheinterviewerandpatient tose eachotherclearly.Havingatableordeskinbetwenthetwopeoplecreatestheideaofa barier;equal-statuseating,ateyelevel,isbeter.
Inaninterview,thenursemayfinditnecesarytotakenotestoaidhisorhermemorylater. Whichstatementistrueregardingnote-taking?
a.Note-takingmayimpedethenursesobservationofthepatientsnonverbalbehaviors. b.
Note-takingalowsthepatientocontinueathisorherownpaceasthenurse recordswhatisaid.
c.
Note-takingalowsthenursetoshiftatentionawayfromthepatient,resulting inanincreasedcomfortlevel.
d.
Note-takingalowsthenursetobreakeyecontactwiththepatient,whichmay increasehisorherlevelofcomfort.
ANS:A
Theuseofhistoryformsandnote-takingmaybeunavoidable.However,thenursemustbeaware thatnote-takingduringtheinterviewhasdisadvantages.Itbreakseyecontactoooftenandshifts theatentionawayfromthepatient,whichdiminisheshisorhersenseofimportance.Notetaking mayalsointerupthepatientsnarativeflow,anditimpedestheobservationofthe patientsnonverbalbehavior.
Thenurseasks,Iwouldliketoaskyousomequestionsaboutyourhealthandyourusualdail y activitiesothatwecanbeterplanyourstayhere.Thisquestionisfoundathe phaseoftheinterviewproces.
a.Summary b.Closing c.Body
d.Openingorintroduction ANS:D
Whengatheringacompletehistory,thenurseshouldgivethereasonfortheinterviewduringthe openingorintroductionphaseoftheinterview,notduringoratheendoftheinterview.
Awomanhasjustenteredtheemergencydepartmentafterbeingbateredbyherhusband.Th e nursenedstogetsomeinformationfromhertobegintreatment.Whatisthebestchoiceforan openingphaseoftheinterviewwiththispatient?
a.Helo,Nancy,mynameisMrs.C. b.Helo,Mrs.H.,mynameisMrs.C.Itsureiscoldtoday! c.Mrs.H.,mynameisMrs.C.Howareyou? d.Mrs.H.,mynameisMrs.C.Ilnedtoaskyouafewquestionsaboutwhathappened. ANS:D
Addresthepersonbyusinghisorhersurname.Thenurseshouldintroducehimorherselfand givethereasonfortheinterview.Friendlysmaltalkisnotnededtobuildrapport.
Duringaninterview,thenursestates,Youmentionedhavingshortnesofbreath.Telm e moreabouthat.Whichverbalskilisusedwiththistatement?
a.Reflection b.Facilitation c.Directquestion d.Open-endedquestion ANS:D
Theopen-endedquestionasksfornarativeinformation.Itstatesthetopictobediscusedbut onlyingeneralterms.Thenurseshoulduseitobegintheinterview,tointroduceanewsection ofquestions,andwheneverthepersonintroducesanewtopic. [Show Less]