D'Amico MECN Study Questions
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The nurse is interviewing the client. The nurse states, "Can you tell me exactly how you feel when you are having difficulty catching your breath?" Which of the following types of communication techniques is the nurse utilizing specifically?
-Attending
-Focusing
-Paraphrasing
-Summarizing
Focusing
The client has been diagnosed with an early stage of wide-angle glaucoma. The nurse is performing a wellness assessment during the client's initial interview. Which of the following statements by the client may be elicited during this portion of the health history?
(Select all that apply.)
1. "Sometimes, my eyes feel very tired and sort of ache."
2. "My husband and I have 3 couples that we would classify as our very good friends."
3. "I pay attention to the foods that I eat, because I want my body to stay well."
4. "My mom was diagnosed with glaucoma when she was 60 years old."
5. "I think I do a good job of managing stress with yoga every day and running three times a week."
2. "My husband and I have 3 couples that we would classify as our very good friends."
3. "I pay attention to the foods that I eat, because I want my body to stay well."
5. "I think I do a good job of managing stress with yoga every day and running three times a week."
The nurse is obtaining a family health history when the client reports that a grandparent had type 1 diabetes. Where should the nurse document this information?
1. Present health/illness
2. Family genogram
3. Past medical history
4. Health practices
2. Family genogram
The nurse is interviewing a client who is in acute pain. Which of the following actions by the nurse must be performed first?
1. Attempt to reduce the pain and complete the interview later.
2. Interview the family for the information.
3. Document why the interview could not be completed.
4. Proceed very quickly with the interview.
1. Attempt to reduce the pain and complete the interview later.
The nurse is obtaining information about a client's past medical history. Which of the following sources would provide the nurse with this data?
1. Medication list
2. Average amount of hours of sleep each night
3. Marital status
4. Immunization records
4. Immunization records
The nurse is interviewing the client. Which of the following techniques should the nurse use to decode the client's messages?
1. Use body language to convey the message.
2. Listen actively and attentively.
3. Develop and transmit an idea.
4. Use words to convey the message.
2. Listen actively and attentively
While interviewing the client during the focused interview, the client begins to cry softly. Which of the following interventions by the nurse are appropriate? (Select all that apply.)
1. The nurse states, "I don't like these questions any more than you do, but we need to get on with the interview so you can go home and cry later."
2. The nurse states, "It's all right, I think we're done with the interview."
3. The nurse places the tissues within arm's reach of the client.
4. The nurse states, "I can see you are upset. It's all right to cry."
5. The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview.
3. The nurse places the tissues within arm's reach of the client.
4. The nurse states, "I can see you are upset. It's all right to cry."
5. The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview.
The student nurse is preparing to perform a health history interview. Which of the following statements indicate that the student nurse requires further education regarding the purpose of the health history?
(Select all that apply.)
1. "The nurse typically has a more holistic point of view regarding the client's health."
2. "The client's health history can be gathered during the initial interview."
3. "The healthcare provider's and nurse's assessments should be almost identical with the same focus."
4. "I realize that the client is sick, but I also need to perform a wellness assessment."
5. "As the nurse, I will mainly focus on the course of the client's illness."
3. "The healthcare provider's and nurse's assessments should be almost identical with the same focus."
5. "As the nurse, I will mainly focus on the course of the client's illness."
The nurse is interviewing the client. The nurse says to the client, "It sounds like you don't like your new job because it's more stressful than you anticipated." Which of the following types of communication techniques is the nurse utilizing specifically?
1. Questioning
2. Paraphrasing
3. Attending
4. Listening
2. Paraphrasing
The nurse is using a Doppler ultrasonic stethoscope to assess a client's pulse in the lower extremity and is unable to locate the pulse. What is the nurse's next
action?
1. Send the equipment for repair.
2. Check the pressure applied to the probe.
3. Add more gel to the end of the probe.
4. Immediately inform the healthcare provider.
2. Check the pressure applied to the probe.
A client is brought to the emergency department by ambulance after being found on the floor by a family member. The nurse begins the assessment of the client.
Which of the following findings would indicate, to the nurse, the need for a more detailed neurological assessment of this client?
1. Talking in a loud voice
2. Asymmetry of the client's smile
3. Inability to follow directions
4. Grimacing with movement
2. Asymmetry of the client's smile
The nurse is assessing an adult client when suddenly the client refuses to continue the examination. What is the nurse's next step?
1. Give the client a short break and then resume the assessment.
2. Document what was done and what was refused.
3. Summon another nurse to the room to serve as a witness.
4. Enlist the assistance of the client's family to encourage the rest of the assessment.
2. Document what was done and [Show Less]