Answer to Question 1
Correct Answer: 2
This nurse is conducting the initial interview with this client. The health assessment interview has three phases. Pre-interaction is when the nurse prepares to meet the client and reviews any available background information. The initial interview occurs when the nurse uses a period of time to talk with the client and document any information that would aid in care for the current health issue. The focused interview occurs during the physical assessment, while providing treatment, and while providing care to the client. Closure of the interview techniques can be used at the end of the initial interview or the focused interview.
Answer to Question 2
Correct Answer: 1, 2, 3, 4
The nurse should postpone the interview if the client is in pain. The interview should be postponed if the client received opioid pain medications because it may alter the ability for the client to adequately answer the nurse's questions. The nurse should postpone the interview if the client was given lorazepam because it can sedate the client. The nurse should postpone the interview if the client is confused. Ibuprofen will not impact the client's ability to answer questions adequately, so the interview does not need to be postponed.
The nurse needs to note the source of the patient health history
The nurse is using Standard Precautions to draw blood.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Weber test: Place the base of the tuning fork on top of the client’s head.
Client files are kept in alphabetical order in locked file cabinets.
Approaching the client for the ophthalmoscopic exam