The nurse completes the assessment for a patient who has just been admitted to the hospital.
The nurse carefully documents the patient's current drug list and asks about the use of any herbal supplements or over-the-counter medications.
Which phase of the interview does this occur in?

Orientation.

Termination.

Working.

Pre-interaction.

Evaluation.

Answer and Explanation

The Correct Answer is C

Choice A rationale

The orientation phase of the interview typically involves introducing oneself, explaining the purpose of the interview, and establishing rapport with the patient. Asking about the drug list occurs after this initial introduction.

Choice B rationale

The termination phase is the concluding part of the interview, where the nurse summarizes key information and discusses the plan of care. Medication history is gathered much earlier in the assessment.

Choice C rationale

The working phase is where the nurse actively collects data about the patient's health history, current condition, medications, and other relevant information. Asking about the drug list, including herbal supplements and over-the-counter medications, is a key component of this data gathering process.

Choice D rationale

The pre-interaction phase occurs before meeting the patient and involves the nurse reviewing available information such as the patient's chart. The actual questioning of the patient happens later.

Choice E rationale

The evaluation phase occurs after interventions have been implemented to assess their effectiveness. It is not the phase where the initial assessment and data collection, including medication history, take place. .

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Correct Answer is A

Explanation

Choice A rationale

To convert 12: am to military time, for any time between 12: am and 12: am, the 12 is replaced with 00. Therefore, 12: am becomes 0018 in military time.

Choice B rationale

2418 is not a valid representation of time in either standard or military format. Military time ranges from 0000 to 2359.

Choice C rationale

1218 in military time represents 12: pm in standard time, not 12: am. In the afternoon and evening, 12 is added to the standard hour to convert to military time (e.g., 1 pm is 1300).

Choice D rationale

0118 in military time represents 1: am in standard time. The hour remains the same for times between 1: am and 9: am, with a leading zero added to the hour. .

A. Physician. B. Patient. C. Nurse. D. Therapist.

Correct Answer is C

Explanation

Choice A rationale

The physician is responsible for medical diagnoses, which identify diseases or medical conditions based on the patient's signs, symptoms, and diagnostic test results. While nurses use medical diagnoses to inform their care, they do not analyze data to arrive at them.

Choice B rationale

The patient provides subjective data about their health status, which is crucial information for the nurse's assessment. However, the patient does not have the clinical knowledge and expertise to analyze and interpret this data in the context of other findings to formulate a nursing diagnosis.

Choice C rationale

The nurse is responsible for collecting, analyzing, and interpreting patient data (both subjective and objective) to identify patterns, draw conclusions about the patient's health status, and formulate nursing diagnoses. Nursing diagnoses describe the patient's responses to actual or potential health problems that nurses are qualified and licensed to treat.

Choice D rationale

Therapists, such as physical therapists, occupational therapists, or respiratory therapists, focus on specific aspects of the patient's rehabilitation and treatment based on their area of expertise. While they contribute valuable data to the patient's overall care, they are not primarily responsible for formulating nursing diagnoses.

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The nurse completes the assessment for a patient who has just been admitted to the hospital.The nurse carefully documents the patient's current drug list and asks about the use of any herbal supplements or over-the-counter medications.Which phase of the interview does this occur in?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Convert 12:18 am to military time:

Correct Answer is A

Explanation

The person responsible for analyzing and interpreting data to arrive at a nursing diagnosis is the:

Correct Answer is C

Explanation

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The nurse completes the assessment for a patient who has just been admitted to the hospital.
The nurse carefully documents the patient's current drug list and asks about the use of any herbal supplements or over-the-counter medications.
Which phase of the interview does this occur in?