A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.
Avoiding silences so the client won’t feel anxious.
Clarifying points made by the patient that are unclear.
Listening attentively while speaking slowly and clearly.
Sitting approximately two feet away from the client.
Asking the family member to complete the written form.
Correct Answer : B,C
The nurse should use clarifying points made by the patient that are unclear and listening attentively while speaking slowly and clearly as communication techniques when performing a health history.
These techniques help the nurse to gather accurate and comprehensive information from the patient and to establish rapport and trust.
Choice A is wrong because avoiding silences can make the patient feel rushed or interrupted. Silences can be useful to allow the patient to think or express emotions.
Choice D is wrong because sitting approximately two feet away from the client may be too close and invade the personal space of the client. The nurse should maintain a comfortable distance of about 4 to 5 feet from the client, depending on the cultural norms and preferences of the client.
Choice E is wrong because asking the family member to complete the written form may not reflect the true health history of the client. The nurse should obtain the information directly from the client whenever possible, unless the client is unable or unwilling to provide it.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
I should always have my breakfast ready to eat before injecting my morning insulin. This statement confirms that the client understands the importance of matching insulin administration with food intake to prevent hypoglycemia.
Choice A is wrong because hemoglobin A1C should be checked every 3 months, not monthly, to monitor long-term glycemic control.
Choice C is wrong because eating early and taking extra insulin later can cause fluctuations in blood glucose levels and increase the risk of complications.
Choice D is wrong because on sick days, the client should check blood sugar more
often and eat small amounts of carbohydrates to prevent hyperglycemia and ketoacidosis.
Correct Answer is D
Explanation
You need to speak to the designated hospital contact. This is because the nurse has a duty to protect the client’s privacy and confidentiality, and cannot disclose any information about the client’s diagnosis or condition to the reporter without the client’s consent.
The nurse should refer the reporter to the hospital’s public relations department or spokesperson, who is authorized to handle such inquiries.
Choice A is wrong because it implies that the client’s healthcare provider can release the information without the client’s consent, which is not true.
Choice B is wrong because it confirms that the client is on the unit, which is a violation of the client’s privacy.
Choice C is wrong because it gives false information about the client’s status, which is unethical and unprofessional.
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