Quiz 1 NRSE 2122

when completing a family history, it is important to ask about what?

mental health, alcohol/ drug addictions, cancer, high blood pressure, diabetes

if a patient says he is allergic to penicillin what should your response be?

"Please describe what happens to you when you take penicillin"

a nurse asks a patient for his reason of seeking care and asks about signs and symptoms, which are examples of symptoms?

chest pain, fatigue, numbness in fingers

mother of a 2-year old toddler tells he nurse her son as an ear infections what is your response?

"describe what he is doing that makes you think he has an ear infection"

when fully accessing pain, what following factors should be including in the assessment?

onset, frequency, and duration, alleviating and aggravating factors, meaning of the pain according to the patient, severity of pain (pain scale rating)

when a patient appears nervous and avoids eye contact as you complete health history how should you check to make sure the patient is a reliable source?

continue with the interview but ask the same question in a different way to determine reliability

which health history information is only collected on children?

perinatal history and developmental milestones

what is an example of the reason a patient is seeking care?

"shortness of breath after climbing stairs"

what are signs that may appear from a patient complaining of shortness of breath?

pale, clammy, and hands are cold to the touch

In the statement from a practitioner regarding aspects of the interview contract what is forgotten? "Hello, Im M.M, and Im here to gather some information from you and to perform your examination. This will take about 30 minutes. D.D is a student working with me. If its alright with you, she will remain during the examination."

a statement regarding confidentiality, patient costs, and the expectations of each person

which are open-ended questions?

tell me about your headache, describe your chest pain, what do you expect fro me as your nurse

which is a therapeutic response as a nurse to a patient who asks "am i going to die?"

tell me what prompted that question

when teaching a client how to effectively manage their new medication regimen, what is the best method of therapeutically communicating to the patient?

face the client while slightly leaning forward

what are important factors during an interview?

equal status setting, active listening, providing privacy

In order to establish rapport with a 15-year-old patient, how should you begin the interview?

begin interview by asking open, friendly questions about school and hobbies. adolescents appreciate the opportunity to discuss themselves

which statements should be avoided/ rewritten to avoid heterosexist language?

what type of birth control do you use?, what is your marital status?, please circle your gender: male or female

Working in the ED with an 88 year-old spanish speaking patient while an interpreter is unavailable, how should you ensure communication is understood?

leverage technology to ensure communication. your hospital recently invested in video interpreter services

what are examples of therapeutic statements?

you sound upset. Please tell me more about what happened today, what are the proc and cons of surgery?, you must not eat or drink anything after midnight except for small sips of water to take your morning pills

what are examples of negative behaviors?

tapping a pen rhythmically on the table, frequently crossing and uncrossing legs, arms crossed over chest, standing by the client's bed