While obtaining the health history of a client, the nurse learns the client's father was diagnosed with schizophrenia in his twenties, the same age the client is now. The client hesitates to discuss the topic and answer questions about the father. Which approach is best for the nurse to use to interview the client about mental health concerns?

Ask questions in a vague, nonspecific format.

Share personal values to put the client at ease.

Begin with questions that are less sensitive in nature.

Get the most difficult questions over with first.

Answer and Explanation

The Correct Answer is C

A.   While this approach may seem less intrusive, it can create confusion and may prevent the client from feeling fully understood. Asking vague questions could make it more difficult to get useful information about the client's health concerns.
B.   Sharing personal values is generally not appropriate in a clinical interview, as it could create boundaries that compromise the professional relationship. The nurse should maintain objectivity and empathy without sharing personal beliefs.
C.   Starting with less sensitive questions allows the nurse to build rapport and trust with the client before delving into more personal or difficult topics. This approach is helpful in easing the client into more sensitive discussions.
D.   Asking the most difficult questions right away can overwhelm the client, especially if they are hesitant or uncomfortable. It is better to establish a trusting relationship first and allow the client to open up at their own pace.

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Correct Answer is C

Explanation

A. While vaginal discharge, genital warts, and abdominal tenderness may indicate other concerns, they are not as directly related to menstrual irregularity without further investigation.
B. Breast tenderness, tremors, and high blood pressure are less likely to be connected to missed periods in this context.
C. Body weight changes, hirsutism, and thyroid enlargement could indicate thyroid dysfunction, such as hypothyroidism or polycystic ovary syndrome (PCOS), both of which can cause irregular periods.
D. Urinary frequency, unsteady gait, and dental erosion are more indicative of a metabolic or neurological issue, which is less likely to explain missed periods.

A. Bronchitis. B. Asthma. C. Pneumonia. D. Pneumothorax.

Correct Answer is B

Explanation

A. Bronchitis may cause wheezing, but it typically presents with a productive cough and can be associated with fever, which this client does not have. The absence of a productive cough and the degree of difficulty breathing suggest another condition.
B. Asthma is the most likely diagnosis. The client’s wheezing, decreased tactile fremitus, prolonged expirations, and history of exercise-induced symptoms are consistent with an asthma exacerbation. Asthma often presents with wheezing and difficulty breathing, especially during or after physical exertion.
C. Pneumonia typically presents with fever, chills, productive cough, and localized lung findings, which are not present in this client. The lack of fever and the presence of wheezing make pneumonia unlikely.
D. Pneumothorax may cause dyspnea and decreased breath sounds, but the wheezing, prolonged expirations, and history of exertion suggest asthma as the primary concern. A pneumothorax would typically present with more abrupt onset and significant breath sounds asymmetry, which is not seen in this case.

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Correct Answer is B

Explanation

When assessing an older adult client, which finding is most indicative of dehydration?

While completing an admission assessment for a client with fatigue, weakness, and unexplained weight loss, the nurse notes scleral jaundice. Which finding during percussion of the abdomen should the nurse document indicating hepatomegaly?

The college health clinic nurse is preparing a seminar on testicular self-examination (TSE). Which instruction should be included in the content for this seminar?

While assessing a client who is obese, the nurse is unable to locate the gallbladder when palpating below the liver margin at the lateral border of the rectus abdominal muscle. Which is the most likely explanation for failure to locate the gallbladder by palpation?

Which finding, obtained during a skin assessment, should the school nurse report to the healthcare provider?

The nurse is doing a health assessment of a client who smoked three packs of cigarettes every day for the last twenty years before quitting two years ago. How should the nurse document the client's pack-years? (Enter the numerical value only.)