The nurse is assessing a client's level of pain. Which open-ended ...

[sabina]

The nurse is assessing a client's level of pain. Which open-ended question should the nurse use for this situation?
 
  1. Is your pain worse at night?
  2. What brought you to the clinic?
  3. How has the pain impacted your life?
  4. You're feeling down about having pain, aren't you?

Question 2

A client in the emergency department has a non-life-threatening wound. The unit is busy with other clients, families, and people in the waiting room. How should the nurse conduct an interview with this client?
 
  1. Have the client wait until the department quiets down, as the wound is not too serious.
  2. Tell the client to wait in the waiting room and fill out the paperwork.
  3. Draw curtains around the client and nurse to provide as much privacy as possible.
  4. Make sure the client's back is to the rest of the room so as not to be heard by passersby.

[Hikerman221]

Answer to Question 1

Correct Answer: 3
Rationale 1: Closed questions can be answered with one or two words.
Rationale 2: A neutral question is open-ended and is used in nondirective interviews, which is what would be used if the nurse didn't understand the reason for the client's visit.
Rationale 3: An open-ended question would be beneficial to explore more about the client's experience and should be asked with a how or what.
Rationale 4: A leading question is usually closed and directs the client's answer (the nurse stating how the client is feeling, for example).

Answer to Question 2

Correct Answer: 3
Rationale 1: Having the client wait may cause an unnecessary delay in treatment.
Rationale 2: Having the client wait and fill out paperwork may cause an unnecessary delay in treatment.
Rationale 3: The interview setting should be in a well-lighted, well-ventilated room that is relatively free of noise, movements, and distractions in order to encourage communication. The interview should also take place in an area where others cannot overhear or see the client if possible. In this situation, at least pulling a privacy curtain will help keep the client from view of others in the department.
Rationale 4: Making sure the client's back is to the rest of the room is not acceptable.