Question 1

Which of the following are statements the client makes about how he or she feels?&#10;A) Objective data&#10;B) Cultural data&#10;C) Signs&#10;D) Subjective data

Accepted Answer

Subjective data refers to information provided by the client about how he or she feels or experiences something. Objective data refers to measurable or observable information such as vital signs or lab results. Cultural data refers to information about the client's cultural background or beliefs. Signs refer to observable indications of a health problem, such as a rash or swelling.

Question 2

When asking questions about the client's marital status, the nurse is gathering information about which of the following?&#10;A) Present illness&#10;B) Functional assessment&#10;C) Chief complaint&#10;D) Psychosocial history

Accepted Answer

Asking about the client's marital status gives the nurse information about the client's psychosocial history, including their family life and support system.

Question 3

Which of the following should a nurse do to add depth to the original data of the client?&#10;A) Confirm the data with the family members.&#10;B) Obtain information from the client's workplace.&#10;C) Ask for more detailed information about one body system.&#10;D) Inquire confidentially about the client's background.

Accepted Answer

Asking for more detailed information about one body system allows the nurse to gather more specific and in-depth data related to the client's health, thereby adding depth to the original data.

Question 4

Which of the following should the nurse do during the interview?&#10;A) Give the client suggestions for the answers and avoid making eye contact during the interview.&#10;B) Give the client ample time to answer each question and maintain eye contact.&#10;C) Set a time limit to answer each question and proceed to the next question if the client fails to do so.&#10;D) Give the client a self-help guide to look for answers and maintain eye contact occasionally.

Accepted Answer

It is important for the nurse to give the client ample time to answer each question and maintain eye contact to establish a trusting and therapeutic relationship. Giving suggestions for answers and setting time limits can cause the client to feel pressured or uncomfortable. Giving a self-help guide is not appropriate during an interview, as the nurse should be actively engaged and present to provide support and answer any questions or concerns the client may have.

Question 5

A client is complaining of nausea and pain. This type of data can be described as which of the following?&#10;A) Signs&#10;B) Subjective&#10;C) Observational&#10;D) Objective

Accepted Answer

Nausea and pain are symptoms that the client is experiencing and are subjective in nature because they are based on the client's individual perception and report of their own experiences. This type of data cannot be observed or measured objectively by a healthcare provider.

Question 6

Which assessment technique involves a systematic observation of the client?&#10;A) Auscultation&#10;B) Inspection&#10;C) Palpation&#10;D) Percussion

Accepted Answer

Inspection involves a systematic observation of the client, which makes it the most appropriate choice for this question. Auscultation involves listening to body sounds (e.g. heart sounds) with a stethoscope, palpation involves using touch to feel for abnormalities (e.g. a lump or tenderness), and percussion involves tapping the body to assess underlying structures (e.g. to assess for fluid in the lungs).

Question 7

Which of the following are components of the client interview?&#10;A) Use of medical terminology&#10;B) Use of closed-ended questions&#10;C) Frequent eye contact&#10;D) Time limits on question answers

Accepted Answer

The components of the client interview include active listening, open-ended questions, empathetic responses, and frequent eye contact. The use of medical terminology and closed-ended questions may be necessary in certain situations, but they are not necessarily components of a standard client interview. Time limits on question answers may also vary based on the purpose and context of the interview.

Question 8

Establishment of rapport is part of which area of the nursing process?&#10;A) Data gathering&#10;B) Preinterview&#10;C) Interview&#10;D) Postinterview

Accepted Answer

The answer of Establishment of rapport is part of which...

Question 9

A client diagnosed with asthma has audible wheezes. Which assessment technique is used when the nurse listens with a stethoscope for abnormal lung sounds?&#10;A) Inspection&#10;B) Palpation&#10;C) Auscultation&#10;D) Percussion

Accepted Answer

Auscultation is the assessment technique used when the nurse listens with a stethoscope for abnormal lung sounds such as wheezes. Inspection is visual examination, palpation is examining with touch or pressure, and percussion is tapping the patient's body to elicit sounds that can indicate abnormalities in underlying tissue.

Question 10

Which portion of the interview determines how well the client can perform activities of daily living (ADLs)?&#10;A) Cultural history&#10;B) Functional assessment&#10;C) Chief complaint&#10;D) Psychosocial history

Accepted Answer

The functional assessment portion of the interview focuses specifically on the client's ability to perform ADLs, such as bathing, dressing, and meal preparation.

Question 11

Which of the following should a nurse do when giving a client a physical examination?&#10;A) Inform the client's family members and friends about the findings.&#10;B) Avoid showing surprise or concern at any of the findings during examination.&#10;C) Avoid any conversation with the client during the examination.&#10;D) Avoid eye contact with the client while discussing the findings of the examination.

Accepted Answer

The answer of Which of the following should a nurse...

Question 12

The primary purpose of the interview is gathering information about which of the following?&#10;A) Past health history&#10;B) Cultural history&#10;C) Chief complaint&#10;D) Family history

Accepted Answer

The answer of The primary purpose of the interview is...

Question 13

When the nurse asks for more detailed information about one body system, he or she is using which of the following?&#10;A) Focused assessment&#10;B) Chief complaint&#10;C) Functional assessment&#10;D) Past health history

Accepted Answer

The answer of When the nurse asks for more detailed...

Question 14

The nurse identifies jaundice in an assigned client. Which assessment technique is the nurse using?&#10;A) Inspection&#10;B) Palpation&#10;C) Auscultation&#10;D) Percussion

Accepted Answer

The answer of The nurse identifies jaundice in an assigned...

Question 15

The nurse is completing a physical examination on a client complaining of abdominal pain. Which of the following are facts obtained during the physical examination?&#10;A) Symptoms&#10;B) Objective data&#10;C) Subjective data&#10;D) Complaints

Accepted Answer

The answer of The nurse is completing a physical examination...

Question 16

Which of the following is important to do at the end of an interview with the client?&#10;A) Call the client's family members to give them information.&#10;B) Call the physician for further consultation.&#10;C) Conduct a physical examination immediately after the interview.&#10;D) Summarize the information obtained with the client.

Accepted Answer

The answer of Which of the following is important to...

Question 17

What should the nurse do before the interview to facilitate the exchange of information?&#10;A) Make the client physically and emotionally comfortable.&#10;B) Bring in a client's family member to sit beside the client.&#10;C) Take the client to an open environment.&#10;D) Give the client a questionnaire to fill out.

Accepted Answer

The answer of What should the nurse do before the...

Question 18

The nurse is preparing to interview a client. Which of the following are variables involved in determining the length of the interview?&#10;A) Financial status&#10;B) Mental state&#10;C) Social status&#10;D) Relationships

Accepted Answer

The answer of The nurse is preparing to interview a...

Question 19

Questions about current and past use of prescription medications would probably be part of which of the following?&#10;A) The client's past health history&#10;B) The client's history of present illness&#10;C) The client's chief complaint&#10;D) The functional assessment

Accepted Answer

The answer of Questions about current and past use of...

Question 20

Which technique involves assessing an organ or body part by touching and feeling it with hands or fingertips?&#10;A) Inspection&#10;B) Palpation&#10;C) Percussion&#10;D) Auscultation

Accepted Answer

The answer of Which technique involves assessing an organ or...

Deck 4: Interviewing and Physical Assessment