A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.

Avoiding silences so the client won’t feel anxious.

Clarifying points made by the patient that are unclear.

Listening attentively while speaking slowly and clearly.

Sitting approximately two feet away from the client.

Asking the family member to complete the written form.

Answer and Explanation

Correct Answer : B,C

The nurse should use clarifying points made by the patient that are unclear and listening attentively while speaking slowly and clearly as communication techniques when performing a health history.

These techniques help the nurse to gather accurate and comprehensive information from the patient and to establish rapport and trust.

Choice A is wrong because avoiding silences can make the patient feel rushed or interrupted. Silences can be useful to allow the patient to think or express emotions.

Choice D is wrong because sitting approximately two feet away from the client may be too close and invade the personal space of the client. The nurse should maintain a comfortable distance of about 4 to 5 feet from the client, depending on the cultural norms and preferences of the client.

Choice E is wrong because asking the family member to complete the written form may not reflect the true health history of the client. The nurse should obtain the information directly from the client whenever possible, unless the client is unable or unwilling to provide it.

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Correct Answer is C

Explanation

On a regular schedule around the clock. This is because when pain is present for more than 12 hours a day, analgesic dosages are best administered around the clock rather than on an as-needed basis.

Choice A is wrong because waiting for the client to exhibit physiologic symptoms of pain may delay the administration of analgesics and cause unnecessary suffering. Physiologic symptoms of pain are not always reliable indicators of pain intensity or quality.

Choice B is wrong because administering analgesics prior to painful activities may not provide adequate pain relief throughout the day. Painful activities may vary depending on the client’s condition and preferences.

Choice D is wrong because relying on the client’s request may not ensure optimal pain management. Some clients may be reluctant to ask for analgesics due to fear of addiction, side effects, or being perceived as weak.

A. Formed stool two times per day, every day, for one week. B. Use of soap sud enemas weekly to promote elimination. C. Continued use of laxatives at half of the prescribed dose. D. A formed, soft stool at regular intervals without the use of a laxative.

Correct Answer is A

Explanation

Formed stool two times per day, every day, for one week. This indicates that bowel training is attaining the desired outcome because it shows regularity and consistency of bowel movements without the use of laxatives or enemas.

Choice B is wrong because soap sud enemas are not recommended for bowel training as they can irritate the bowel and cause fluid and electrolyte imbalance.

Choice C is wrong because continued use of laxatives can inhibit the natural defecation reflexes and cause dependency.

Choice D is wrong because a formed, soft stool at regular intervals without the use of a laxative is a normal defecation pattern, not an indication of fecal incontinence.

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A nurse is performing a health history. What communication techniques should the nurse use? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For optimal pain management, when is the best time to administer prescribed analgesics for a client who had abdominal surgery 12 hours ago?

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Which finding, if identified in a client who is being treated for fecal incontinence would indicate that the bowel training is attaining the desired outcome?

Correct Answer is A

Explanation

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A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.