During the initial interview of a patient, the nurse should: (Select all that apply.)

assess the language capabilities of the patient.

limit the interview to approximately 30 minutes.

assess comprehension abilities of the patient.

make the patient as comfortable as possible.

use open-ended questions.

obtain the patient's medical history from the primary care provider.

Answer and Explanation

Correct Answer : A,B,C,D,E

A. Asking probing questions. Probing questions can feel invasive, leading to discomfort or defensiveness from the patient.

B. Using nonjudgmental remarks. Nonjudgmental remarks foster open communication, so this is not a communication block.

C. Changing the subject. Changing the subject shows disregard for the patient’s thoughts or feelings, which can block effective communication.

D. Using clichés. Clichés can make patients feel as though their concerns are not truly heard or understood.

E. Giving advice. Giving advice without patient input can make the patient feel undervalued and less autonomous.

F. Offering hope. Offering realistic hope and encouragement can actually facilitate communication, as long as it’s not false reassurance.

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Correct Answer is C

Explanation

A. Speaking slowly and clearly in the patient's native language. While speaking clearly in the patient’s native language is helpful, it does not verify understanding. Feedback from the patient is necessary to confirm comprehension.

B. Asking the family members whether the patient understands. Relying on family members may not be accurate, as they may not fully understand the patient's level of comprehension.

C. Obtaining feedback from the patient that indicates accurate comprehension. Having the patient repeat the information back or summarize it in their own words ensures they have understood the communication.

D. Checking for signs of hearing loss or aphasia before communicating. Assessing for hearing loss or aphasia can be part of the process but does not confirm that communication was understood.

A. "Blood not drawn because tests are no longer desired by patient." B. "Refuses to have blood drawn; says tests are 'useless. Doctor notified." C. "Doctor notified of failure to draw ordered blood work." D. "Refuses to have blood drawn. Doctor notified."

Correct Answer is B

Explanation

A. "Blood not drawn because tests are no longer desired by patient."
This statement is vague and lacks specific details regarding the patient's exact refusal and the communication with the doctor.

B. "Refuses to have blood drawn; says tests are 'useless.' Doctor notified."
This response documents the patient's refusal with their exact words ("useless") and also notes that the doctor has been informed, which is essential for clear, complete documentation.

C. "Doctor notified of failure to draw ordered blood work."
This documentation lacks the reason for the blood draw failure (patient refusal) and omits the patient’s specific wording.

D. "Refuses to have blood drawn. Doctor notified."
Although this documents the refusal and the doctor’s notification, it omits the patient’s exact words, which can provide additional context for the healthcare team.

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During the initial interview of a patient, the nurse should: (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

The nurse can best ensure that communication is understood by:

Correct Answer is C

Explanation

Correct Answer is B

Explanation

The nurse is aware that the major modes of learning are: (Select all that apply.)

The nurse uses a syringe and vial of insulin to show how to draw up the correct dose while she explains the procedure to the patient. To best promote learning, her next step should be to:

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

Because a person may learn best in a particular manner, to improve patient education, the nurse should:

The nurse can assess her patient's ability to read and comprehend written instructions by doing which of the following?

A clinic nurse is documenting in a patient medical record about the pain that brought the patient to seek medical attention. The best description is:

To convey the intervention of active listening, the nurse would:

When interacting with an older adult patient, the nurse would enhance communication by: