ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 4 : Interviewing and Physical Assessment Questions
Question 1 of 5
The nurse at the clinic asks the client about what brought them in to see the health care provider today. What is the purpose of asking the client about their primary health concern?
Correct Answer: A
Rationale: The purpose of asking the client about their primary health concern is to discover what the client perceives as the health problem that needs treatment. Recording information in the client's own words is best. The nurse cannot determine if the client should see the health care provider today and whether the client should be denied treatment based on the insurance company's willingness to pay. The client can opt to pay for the visit out of pocket. Health care providers do not generally give prescriptions any longer without seeing the clients.
Question 2 of 5
The nurse is interviewing a client whose chief complaint is abdominal pain. What information requested by the nurse is part of a focused assessment?
Correct Answer: B
Rationale: Asking for more detailed information about one body system or problem is called a focused assessment because it adds depth to the original data. For example, a client may reveal having experienced abdominal pain for the past several weeks. Further questioning then addresses what causes the pain, how long it lasts, what the quality of the pain is, and what makes it better or worse. The questions related to breathing, smoking, and swelling in the feet or ankles do not have anything to do with the client's chief complaint.
Question 3 of 5
The nurse is performing a functional assessment for a client who has had a mild stroke and will be discharged in 2 days from the hospital. What question would be important to ask when conducting this assessment?
Correct Answer: C
Rationale: A functional assessment determines how well the client can manage activities of daily living (ADLs). ADLs include self-care activities, such as walking moderate distances, bathing, and toileting, and instrumental activities, such as preparing meals, obtaining transportation, and dialing the phone. This assessment component is particularly important when assessing older adults or physically challenged clients of any age. The ability to pay for medications or socialize and the side effects of the medication do not pertain to ADLs.
Question 4 of 5
The nurse is interviewing a client who is being placed on medication for the treatment of depression. What question would be essential for the nurse to ask the client to avoid complications related to drug therapy?
Correct Answer: A
Rationale: During client interviews, nurses identify any current and past use of prescription and nonprescription drugs or herbal products. They ask about clients' use of alcohol and tobacco because these drugs can create or contribute to other health problems. If clients are using herbal preparations for the treatment of depression, this can cause complications with the medication that the physician is prescribing. The other questions do not relate to the past or present prescription and nonprescription drug use.
Question 5 of 5
The nurse is ending an interview with a client who has been admitted to the hospital for pneumonia. What statement made by the nurse would be an effective way to end the interview?
Correct Answer: A
Rationale: An effective way of ending the interview is to summarize what occurred and thank the client for cooperating. Referring questions to the physician without attempting to answer any is not an effective means of communication and does not end the summary phase adequately, and the client has not been thanked for cooperating. A question is not a summarization. The orientation of the client's room is not related to the interview.