Author Question: When conducting an assessment interview, which of the following is the best communication technique ... (Read 21 times)

jhjkgdfhk · **on:** Jul 8, 2018

When conducting an assessment interview, which of the following is the best communication technique for the nurse to use?

a. Ask multiple questions at the same time
b. Offer limited time for the client to respond to each question that is asked
c. Use short, unambiguous listening responses focused on current health issues and client concerns
d. Ensure that all questions are answered immediately in order to avoid the need for related follow-up questions to clarify

Question 2

The nurse enters a client's room with the intent of allowing the client to express feelings in relation to her new cancer diagnosis.

The nurse notices that the client is crying and guarding her incision site. After validating physical discomfort, the nurse should

a. administer an analgesic and postpone the interaction.
b. sit with the client and hold her hand.
c. explain that pain is expected following surgery but that it is important to increase activity to avoid complications.
d. acknowledge the physical pain but state that it is a priority to immediately address the emotional pain.

blazinlyss · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
A client-centered interview begins with encouraging clients to tell the story of their illness. This format helps nurses integrate personal with medical perspectives. Using short, unambiguous listening responses focused on current health issues and client concerns is the best means of helping clients tell their story. With relevant queries you will get a better idea of how the client communicates and what clients consider most important about their clinical situation. In addition to using a here and now approach, avoid asking more than one question at a time, and allow enough time for the client to fully answer. Related follow-up questions to clarify or help clients expand on what has been introduced can be helpful.

Answer to Question 2

ANS: A
Communication breaks down when the nurse and client do not share the same understanding of messages. Barriers to effective communication occur in clients when they are preoccupied with pain, physical discomfort, worry, or contradictory personal beliefs. The client's pain must be a priority for the nurse before other needs are addressed.