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.

Answer and Explanation

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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Correct Answer is B

Explanation

The client on Digitalis has a low potassium level of 3.0 mEq/L, below the normal range of 3.5-5.0 mEq/L. Low potassium levels can increase the risk of digitalis toxicity, which can cause nausea, abdominal discomfort, visual changes, and cardiac arrhythmias.

The nurse would instruct the client to eat foods high in potassium, such as cantaloupe, to prevent or correct hypokalemia.

Choice A. Asparagus is wrong because asparagus is a low-potassium food that contains only 202 mg of potassium per cup.

Eating asparagus would not help to raise the client’s potassium level.

Choice C. Blackberries are wrong because blackberries are also a low-potassium food that contains only 233 mg of potassium per cup.

Eating blackberries would not help to raise the client’s potassium level.

Choice D. Cucumbers is wrong because cucumbers are a very low-potassium food that contains only 76 mg of potassium per cup.

Eating cucumbers would not help to raise the client’s potassium level and may even lower it further.

A. Palpation, relationship, inspection, and evaluation. B. Inspection, palpation, percussion, and auscultation. C. Vital signs, health history, general survey, and height and weight. D. Auscultation, general survey, vital signs, and color.

Correct Answer is B

Explanation

Inspection, palpation, percussion, and auscultation are the four techniques used to perform a physical assessment.

Inspection involves observing the patient’s appearance, posture, movement, and behavior. Palpation involves feeling the patient’s skin, organs and pulses with the hands.

Percussion involves tapping the patient’s body with the fingers or a small hammer to elicit sounds or vibrations.

Auscultation involves listening to the patient’s heart, lungs, and bowel sounds with a stethoscope.

Choice A is wrong because relationship and evaluation are not techniques of physical assessment.

Relationship refers to the rapport and trust established between the nurse and the patient.

Evaluation refers to the process of comparing the expected outcomes with the actual outcomes of the nursing interventions.

Choice C is wrong because vital signs, health history, general survey, and height and weight are not techniques of physical assessment.

They are components of a health assessment, which is a broader term that includes physical assessment as well as other aspects of the patient’s health status.

Choice D is wrong because color is not a technique of physical assessment.

Color is an aspect of inspection, which is one of the techniques of physical assessment.

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A nurse is performing a health history. What communication techniques should the nurse use? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client on digitalis has a lab report of potassium 3.0 mEq/L. The nurse would instruct the client to eat which of these foods?

Correct Answer is B

Explanation

The nurse is preparing to perform a physical assessment. What are the four techniques used?

Correct Answer is B

Explanation

A client with terminal cancer is admitted to hospice care. The daughter is documented as the client’s health care proxy agent. Which statement made by the nurse demonstrates an understanding of health care proxy and care?

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A nurse is reluctant to pray when a client requests to pray together. Which statement by the nurse would best meet the client’s spiritual needs?

Which technique is the proper method to administer otic drops to an adult client?

The nurse has developed a pain management plan for a client who has a history of opioid drug abuse. Which of the following statements by the client demonstrates understanding of the pain management plan?

The nurse is educating a client with insomnia how to promote better sleep. Which interventions should she include for this client? (Select all that apply).

A nurse is teaching a client with newly diagnosed hemophilia about home care practices. What statements by the client indicate that teaching has been effective? Select all that apply.

A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.