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Chapter 4, Interviewing and Physical Assessment

Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim

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Chapter 4, Interviewing and Physical Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following should the nurse use during an admission interview?
  A) Give the client suggestions for the answers and avoid making eye contact during the interview.
  B) Allow the client ample time to answer each question and maintain eye contact.
  C) Set a time limit to answer each question and proceed to the next question if the client fails to do so.
  D) Provide the client with a self-help guide to look for answers and maintain eye contact occasionally.
  Ans: B
  Feedback:
  The nurse should give the client ample time to answer each question and maintain eye contact to facilitate the interview. Giving the client suggestions for answers and avoiding eye contact during the interview might make the client uncomfortable. Giving the client a time limit to answer each question and proceeding to the next question if the client fails to do so might make the client anxious. Giving the client a self-help guide may hinder interaction between the nurse and the client.

 

 

2. Which of the following is important to do at the end of an interview with the client?
  A) Call the client’s family members to give them information.
  B) Call the physician to discuss findings and establish a plan of care.
  C) Conduct a physical examination immediately after the interview.
  D) Summarize the information and thank the client for cooperating.
  Ans: D
  Feedback:
  A nurse should end an interview with the client by summarizing what occurred and thanking the client for cooperating. The nurse should not discuss the information obtained through the interview with the client’s family. It may not be necessary to call the doctor for further consultation or to conduct a physical examination immediately after the interview.

 

 

3. Which portion of the interview determines how well the client can perform activities of daily living (ADLs)?
  A) Cultural history
  B) Functional assessment
  C) Chief complaint
  D) Psychosocial history
  Ans: B
  Feedback:
  A functional assessment determines how well the client can perform ADLs. The psychosocial history and cultural history include the client’s age, occupation, religious affiliation, cultural background, and health beliefs. The chief complaint is the current reason the client is seeking care.

 

 

4. When asking questions about the client’s marital status, the nurse is gathering information about which of the following?
  A) Present illness
  B) Functional assessment
  C) Chief complaint
  D) Psychosocial history
  Ans: D
  Feedback:
  The psychosocial history and cultural history include the client’s age, occupation, religious affiliation, cultural background, health beliefs, marital status, and home and working environments. When gathering information about the history of the present illness, the nurse asks the client to describe all present problems, including the onset, frequency, and duration of symptoms. A functional assessment determines how well the client can perform activities of daily living. The chief complaint is the current reason the client is seeking care.

 

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