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. "Come and get me if Mr. Jones has a high heart rate." This statement lacks specificity, as “high heart rate” is vague. The assistant may not know what range constitutes “high.”

B. "I need to know if Mr. Jones' blood pressure is elevated."
This statement is also too vague, as the assistant may not understand what is considered "elevated."

C. "If Mr. Jones' heart rate is greater than 100, let me know."
This direction is clear and specific, providing a measurable parameter for the assistant to follow, making it the best option.

D. "Let me know if Mr. Jones' temperature is high."
"High" is vague, as it does not provide a specific value or range for temperature.

A. confuses the patient by giving information. B. shows a judgmental attitude on the part of the nurse. C. summarizes the patient's concerns and closes communication. D. discounts the patient's stated concerns.

Correct Answer is D

Explanation

A. Confuses the patient by giving information. False reassurance does not typically involve the giving of information; instead, it involves providing comforting statements that may not be truthful or realistic.

B. Shows a judgmental attitude on the part of the nurse.
False reassurance is not necessarily judgmental but is dismissive, offering unrealistic comfort rather than addressing the patient’s actual concerns.

C. Summarizes the patient's concerns and closes communication.
False reassurance does not summarize concerns; it usually bypasses them altogether, offering hollow comfort instead of genuine acknowledgment of the patient’s feelings.

D. Discounts the patient's stated concerns.
False reassurance can harm communication because it dismisses or minimizes the patient’s concerns rather than validating them, making the patient feel unheard or misunderstood.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

Correct Answer is C

Explanation

The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:

Correct Answer is D

Explanation

The nurse will plan to offer the patient education session in a quiet area in order to:

To enhance the establishment of rapport with a patient, the nurse should:

When educating an older adult patient about changing his dressing, the nurse would most appropriately:

The nurse is caring for a patient who is concerned about living alone. The best response by the nurse is:

When an office nurse asks the patient to repeat information that he has just given to the patient over the telephone, the nurse is:

When communicating with a hearing-impaired patient, the nurse appropriately:

The nurse will choose the best time to continue postoperative education regarding wound care and dressings, which would be:

Patient education for an 82-year-old patient to perform a dressing change to be done at home after discharge, the nurse would adjust the teaching session to: