A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

"Would you tell me about all of your medical issues?"

"What brought you to the hospital?"

"Would it help to discuss your feelings about this hospitalization?"

"Do you want to talk about your health concerns?"

Answer and Explanation

The Correct Answer is B

This question is more focused and directly addresses the reason for the client's current admission. It prompts the client to discuss their chief complaint or presenting symptoms, which is essential information for the nurse to gather during the health history interview.
A.   This question is too broad and may overwhelm the client, especially during the initial stages of the health history interview.
C.   While discussing the client's feelings about hospitalization is important for providing emotional support and understanding their perspective, this question may not directly promote the discussion of health history data.
D.   This question invites the client to share their perspective and provides an opportunity for them to express any immediate health issues or worries they may have. However, it is too broad.

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Correct Answer is ["C","D","E"]

Explanation

A. In cases of dehydration, urine output may decrease, resulting in a more concentrated urine that appears darker in color. Therefore, the nurse may expect the urine to be darker in color.
B. Tachycardia is more commonly observed due to dehydration and the body's compensatory mechanisms.
C. Poor skin turgor is a classic sign of dehydration and may be observed in clients with vomiting and diarrhea.
D. Flat neck veins aretypically associated with dehydration. This occurs due to reduced intravascular volume leading to collapse of the veins.
E. Hypotension is commonly associated with dehydration resulting from vomiting and diarrhea. Loss of fluids and electrolytes can lead to decreased blood volume and subsequent hypotension.

A. Begins to discuss how their partner and children are important to them B. Asks to change the topic during the interview process C. Discusses reasons for making a behavior change D. Requests more information about treatment options

Correct Answer is C

Explanation

Discussing the client's reasons for change is a key component of eliciting and strengthening motivation. When the client voluntarily discusses their reasons for making a behavior change, it suggests that they are beginning to articulate and explore their motivations.

A. This behavior indicates successful engagement with the client.

B. This behavior may indicate resistance or ambivalence toward discussing the target behavior change.

D. This behavior may indicate a readiness to explore treatment options but does not necessarily indicate successful engagement with the client in MI.

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A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is C

Explanation

A nurse in the emergency department is caring for a client who was sexually assaulted. Which of the following resources will provide the most effective support immediately following the incident?

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

A nurse is precepting a student nurse interviewing a client with a different cultural background. Which nonverbal behavior by the student indicates that the nurse should intervene? (Select all that apply)

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A nurse is providing care to a client who asks, "What is the meaning of holistic nursing care?" The nurse should give which of the following responses?

A community health nurse is reflecting on unconscious feelings they may have toward some of the clients they care for. The nurse should identify this as which of the following concepts of cultural competence?

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A community health nurse is making efforts to expand their cultural competence when working with clients. To develop cultural competence, the nurse must appreciate understand which of the following characteristics of their clients?