NURS 251: Quiz ? Compilation #1
When setting the stage and then managing the interview, which of the following is it imperative
to do? - ANS Introduce yourself and your role, usually before the client undresses
What action would best promote accurate translations and confidentiality for the patient when
the caregiver does not speak the patient's language? - ANS Use a trained medical interpreter
(as opposed to a relative or friend of the patient)
Which type of question would be the most effective in obtaining a patient's perceptions of his or
her problem? - ANS Open-ended questions
During which part of the interview would the nurse ask a patient questions about a current
illness? - ANS Working phase
What type of response establishes rapport with the patient by identifying feelings of the patient?
- ANS Emotional responses
Clarifying inconsistent information - ANS Confrontation
Echoing the patient's own words to encourage expression of facts and feelings. - ANS
Reflection
An inference about feelings or concerns that is used to clarify data already collected. - ANS
Interpretation
Cueing a patient to continue by saying "mm-mm, using silence, etc. - ANS Facilitation
What is the behavior of active listening? - ANS Assuming a calm, relaxed position
Normal diastolic blood pressure range - ANS Less than 80 mmHg
Diastolic Blood Pressure - ANS Lowest pressure exerted on the arterial walls
Normal Oral Temperature - ANS 35.8-37.3 C
96.4-99.1 F
Normal systolic blood pressure range - ANS Less than 120 mmHg
Normal respiratory rate - ANS 10-20 breaths per minute
Normal pulse - ANS 60-100 beats per minute
Systolic Blood Pressure - ANS Highest pressure exerted on the arterial walls
Pulse deficit - ANS difference between apical and peripheral pulse
Overall impression - ANS skin color, hygiene, posture, gait, physical build, and development
Fifth vital sign - ANS Pain
The nurse is preparing to assess the respirations of an alert adult client. The nurse should... -
ANS unobtrusively observe for the equal bilateral chest expansion while continuing to palpate
the radial pulse site
How is Acute Pain Different from Chronic pain? - ANS Acute pain is often associated with
tissue damage and lasts less than 6 months in duration
Visceral pain - ANS Pain which originates from large internal organs
Referred pain - ANS Pain which is felt at a particular site but originates from another location
Deep somatic pain - ANS Originates in muscles, joints or bone
What does blood pressure measure? - ANS The force of blood against the artery walls
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