Nokea
Priority Decision: The nurse prepares to interview a patient for a nursing history but finds the patient in obvious pain. Which action by the nurse is the best at this time?
- A. Delay the interview until the patient is free of pain.
- B. Administer pain medication before initiating the interview.
- C. Gather as much information as quickly as possible by using closed questions that require brief answers.
- D. Ask only those questions pertinent to the specific problem and complete the interview when the patient is more comfortable.
Correct Answer: A
Rationale: The correct answer is 'Delay the interview until the patient is free of pain.' Pain can interfere with concentration and communication, making it difficult for the patient to provide accurate information. Delaying the interview ensures better quality data collection once the patient is comfortable.
You may also like to solve these questions
Which verbal and nonverbal communication techniques are effective with most American clients?
- A. Maintaining eye contact and using clear language.
- B. Using technical jargon and formal language.
- C. Avoiding physical proximity altogether.
- D. Speaking loudly and using gestures.
Correct Answer: A
Rationale: Maintaining eye contact and using clear, concise language aligns with cultural norms in America, enhancing communication effectiveness.
What is the most common cause of conductive hearing loss?
- A. Earwax buildup
- B. Eardrum perforation
- C. Middle ear effusion
- D. All of the above
Correct Answer: D
Rationale: Conductive hearing loss can result from any obstruction or damage in the outer or middle ear.
After administering injections of penicillin, the nurse should ask the client to wait at least __ minutes before allowing the client to leave the healthcare facility.
- A. 12
- B. 15
- C. 5
- D. 30
Correct Answer: B
Rationale: The rationale is that waiting 15 minutes allows time to observe for any adverse reactions to the medication.
What is the definition of substance abuse?
- A. A compulsive need to experience pleasure
- B. Behavior associated with maintaining an addiction
- C. Absence of a substance will cause withdrawal symptoms
- D. Overuse and dependence on a substance that negatively affects functioning.
Correct Answer: D
Rationale: Substance abuse involves overuse and dependence on a substance leading to negative impacts on one's life, encompassing both physical and social consequences.
Tom has Guillain-Barré syndrome and asks what causes his burning, prickling feeling. You respond by saying
- A. You are lying too long on the affected side.
- B. This is in response to your medication.
- C. The myelin cover of the nerve endings is absent.
- D. This is secondary to dysphagia.
Correct Answer: C
Rationale: Guillain-Barré syndrome damages the myelin sheath, leading to abnormal sensations.