Q&A Hero

Q: During morning rounds, the nurse asks a patient, "How are you today?" The patient responds, "You today, you today, you today!" and mumbles the words. This speech pattern is an example of: a. Echolalia b. Clanging c. Word salad d. Perseveration

Q: The nurse is administering a Mini-Cog test to an older adult woman. When asked to draw a clock showing the time of 10:45, the patient drew a clock with the numbers out of order and with an incorrect time. This result indicates which finding? a. Cognitive impairment b. Amnesia c. Delirium d. Attention-deficit disorder

Q: During an interview, the nurse notes that the patient gets up several times to wash her hands even though they are not dirty. This behavior is an example of: a. Social phobia b. Compulsive disorder c. Generalized anxiety disorder d. Posttraumatic stress disorder

Q: A patient repeats, "I feel hot. Hot, cot, rot, tot, got. I"m a spot." The nurse documents this as an illustration of: a. Blocking b. Clanging c. Echolalia d. Neologism

Q: The nurse discovers speech problems in a patient during an assessment. The patient has spontaneous speech, but it is mostly absent or is reduced to a few stereotypical words or sounds. This finding reflects which type of aphasia? a. Global b. Broca's c. Dysphonic d. Wernicke's

Q: The nurse is providing instructions to newly hired graduates for the mini"mental state examination (MMSE). Which statement best describes this examination? a. Scores below 30 indicate cognitive impairment. b. The MMSE is a good tool to evaluate mood and thought processes. c. This examination is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness. d. The MMSE is useful tool for an initial evaluation of mental status. Additional tools are needed to evaluate cognition changes over time.

Q: A 30-year-old female patient is describing feelings of hopelessness and depression. She has attempted self-mutilation and has a history of suicide attempts. She describes difficulty sleeping at night and has lost 10 pounds in the past month. Which of these statements or questions is the nurse's best response in this situation? a. "Do you have a weapon?" b. "How do other people treat you?" c. "Are you feeling so hopeless that you feel like hurting yourself now?" d. "People often feel hopeless, but the feelings resolve within a few weeks."

Q: The nurse is planning health teaching for a 65-year-old woman who has had a cerebrovascular accident (stroke) and has aphasia. Which of these questions is most important to use when assessing mental status in this patient? a. "Please count backward from 100 by seven." b. "I will name three items and ask you to repeat them in a few minutes." c. "Please point to articles in the room and parts of the body as I name them." d. "What would you do if you found a stamped, addressed envelope on the sidewalk?"

Q: A 23-year-old patient in the clinic appears anxious. Her speech is rapid, and she is fidgety and in constant motion. Which of these questions or statements would be most appropriate for the nurse to use in this situation to assess attention span? a. "How do you usually feel? Is this normal behavior for you?" b. "I am going to say four words. In a few minutes, I will ask you to recall them." c. "Describe the meaning of the phrase, "Looking through rose-colored glasses."" d. "Pick up the pencil in your left hand, move it to your right hand, and place it on the table."

Q: The nurse is performing a mental status examination. Which statement is true regarding the assessment of mental status? a. Mental status assessment diagnoses specific psychiatric disorders. b. Mental disorders occur in response to everyday life stressors. c. Mental status functioning is inferred through the assessment of an individual's behaviors. d. Mental status can be directly assessed, similar to other systems of the body (e.g., heart sounds, breath sounds).

Q: A 26-year-old woman was robbed and beaten a month ago. She is returning to the clinic today for a follow-up assessment. The nurse will want to ask her which one of these questions? a. "How are things going with the trial?" b. "How are things going with your job?" c. "Tell me about your recent engagement!" d. "Are you having any disturbing dreams?"

Q: A patient states, "I feel so sad all of the time. I can"t feel happy even doing things I used to like to do." He also states that he is tired, sleeps poorly, and has no energy. To differentiate between a dysthymic disorder and a major depressive disorder, the nurse should ask which question? a. "Have you had any weight changes?" b. "Are you having any thoughts of suicide?" c. "How long have you been feeling this way?" d. "Are you having feelings of worthlessness?"

Q: A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of a fluid and electrolyte imbalance. For the mental status examination, the nurse should first assess the patient's: a. Affect and mood b. Memory and affect c. Language abilities d. Level of consciousness and cognitive abilities

Q: During reporting, the nurse hears that a patient is experiencing hallucinations. Which is an example of a hallucination? a. Man believes that his dead wife is talking to him. b. Woman hears the doorbell ring and goes to answer it, but no one is there. c. Child sees a man standing in his closet. When the lights are turned on, it is only a dry cleaning bag. d. Man believes that the dog has curled up on the bed, but when he gets closer he sees that it is a blanket.

Q: A patient has been diagnosed with schizophrenia. During a recent interview, he shows the nurse a picture of a man holding a decapitated head. He describes this picture as horrifying but then laughs loudly at the content. This behavior is a display of: a. Confusion b. Ambivalence c. Depersonalization d. Inappropriate affect

Q: A patient describes feeling an unreasonable, irrational fear of snakes. His fear is so persistent that he can no longer comfortably look at even pictures of snakes and has made an effort to identify all the places he might encounter a snake and avoids them. The nurse recognizes that he: a. Has a snake phobia. b. Is a hypochondriac; snakes are usually harmless. c. Has an obsession with snakes. d. Has a delusion that snakes are harmful, which must stem from an early traumatic incident involving snakes.

Q: During an examination, the nurse notes that a patient is exhibiting flight of ideas. Which statement by the patient is an example of flight of ideas? a. "My stomach hurts. Hurts, spurts, burts." b. "Kiss, wood, reading, ducks, onto, maybe." c. "Take this pill? The pill is red. I see red. Red velvet is soft, soft as a baby's bottom." d. "I wash my hands, wash them, wash them. I usually go to the sink and wash my hands."

Q: A patient repeatedly seems to have difficulty coming up with a word. He says, "I was on my way to work, and when I got there, the thing that you step into that goes up in the air was so full that I decided to take the stairs." The nurse will note on his chart that he is using or experiencing: a. Blocking b. Neologism c. Circumlocution d. Circumstantiality

Q: A patient has had a cerebrovascular accident (stroke). He is trying very hard to communicate. He seems driven to speak and says, "I buy obie get spirding and take my train." What is the best description of this patient's problem? a. Global aphasia b. Broca's aphasia c. Echolalia d. Wernicke's aphasia

Q: A patient drifts off to sleep when she is not being stimulated. The nurse can easily arouse her by calling her name, but the patient remains drowsy during the conversation. The best description of this patient's level of consciousness would be: a. Lethargic b. Obtunded c. Stuporous d. Semialert

Q: The nurse is performing the Denver II screening test on a 12-month-old infant during a routine well-child visit. The nurse should tell the infant's parents that the Denver II: a. Tests three areas of development: cognitive, physical, and psychological b. Will indicate whether the child has a speech disorder so that treatment can begin. c. Is a screening instrument designed to detect children who are slow in development. d. Is a test to determine intellectual ability and may indicate whether problems will develop later in school.

Q: The nurse is assessing orientation in a 79-year-old patient. Which of these responses would lead the nurse to conclude that this patient is oriented? a. "I know my name is John. I couldn"t tell you where I am. I think it is 2010, though." b. "I know my name is John, but to tell you the truth, I get kind of confused about the date." c. "I know my name is John; I guess I"m at the hospital in Spokane. No, I don"t know the date." d. "I know my name is John. I am at the hospital in Spokane. I couldn"t tell you what date it is, but I know that it is February of a new year2010."

Q: The nurse is performing a mental status assessment on a 5-year-old girl. Her parents are undergoing a bitter divorce and are worried about the effect it is having on their daughter. Which action or statement might lead the nurse to be concerned about the girl's mental status? a. She clings to her mother whenever the nurse is in the room. b. She appears angry and will not make eye contact with the nurse. c. Her mother states that she has begun to ride a tricycle around their yard. d. Her mother states that her daughter prefers to play with toddlers instead of kids her own age while in daycare.

Q: Which of these individuals would the nurse consider at highest risk for a suicide attempt? a. Man who jokes about death b. Woman who, during a past episode of major depression, attempted suicide c. Adolescent who just broke up with her boyfriend and states that she would like to kill herself d. Older adult man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun

Q: During a mental status assessment, which question by the nurse would best assess a person's judgment? a. "Do you feel that you are being watched, followed, or controlled?" b. "Tell me what you plan to do once you are discharged from the hospital." c. "What does the statement, "People in glass houses shouldn"t throw stones," mean to you?" d. "What would you do if you found a stamped, addressed envelope lying on the sidewalk?"

Q: A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not ____ four unrelated words ____. a. Invent; within 5 minutes b. Invent; within 30 seconds c. Recall; after a 30-minute delay d. Recall; after a 60-minute delay

Q: The nurse is planning to assess new memory with a patient. The best way for the nurse to do this would be to: a. Administer the FACT test. b. Ask him to describe his first job. c. Give him the Four Unrelated Words Test. d. Ask him to describe what television show he was watching before coming to the clinic.

Q: During a mental status examination, the nurse wants to assess a patient's affect. The nurse should ask the patient which question? a. "How do you feel today?" b. "Would you please repeat the following words?" c. "Have these medications had any effect on your pain?" d. "Has this pain affected your ability to get dressed by yourself?"

Q: A patient has been in the intensive care unit for 10 days. He has just been moved to the medical-surgical unit, and the admitting nurse is planning to perform a mental status examination. During the tests of cognitive function, the nurse would expect that he: a. May display some disruption in thought content. b. Will state, "I am so relieved to be out of intensive care." c. Will be oriented to place and person, but the patient may not be certain of the date. d. May show evidence of some clouding of his level of consciousness.

Q: A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black combat boots and a black lace nightgown over the top of her other clothes. Her hair is dyed pink with black streaks throughout. She has several pierced holes in her nares and ears and is wearing an earring through her eyebrow and heavy black makeup. The nurse concludes that: a. She probably does not have any problems. b. She is only trying to shock people and that her dress should be ignored. c. She has a manic syndrome because of her abnormal dress and grooming. d. More information should be gathered to decide whether her dress is appropriate.

Q: A patient is admitted to the unit after an automobile accident. The nurse begins the mental status examination and finds that the patient has dysarthric speech and is lethargic. The nurse's best approach regarding this examination is to: a. Plan to defer the rest of the mental status examination. b. Skip the language portion of the examination, and proceed onto assessing mood and affect. c. Conduct an in-depth speech evaluation, and defer the mental status examination to another time. d. Proceed with the examination, and assess the patient for suicidal thoughts because dysarthria is often accompanied by severe depression.

Q: The nurse is conducting a patient interview. Which statement made by the patient should the nurse more fully explore during the interview? a. "I sleep like a baby." b. "I have no health problems." c. "I never did too good in school." d. "I am not currently taking any medications."

Q: A woman brings her husband to the clinic for an examination. She is particularly worried because after a recent fall, he seems to have lost a great deal of his memory of recent events. Which statement reflects the nurse's best course of action? a. Perform a complete mental status examination. b. Refer him to a psychometrician. c. Plan to integrate the mental status examination into the history and physical examination. d. Reassure his wife that memory loss after a physical shock is normal and will soon subside.

Q: The nurse is preparing to conduct a mental status examination. Which statement is true regarding the mental status examination? a. A patient's family is the best resource for information about the patient's coping skills. b. Gathering mental status information during the health history interview is usually sufficient. c. Integrating the mental status examination into the health history interview takes an enormous amount of extra time. d. To get a good idea of the patient's level of functioning, performing a complete mental status examination is usually necessary.

Q: When assessing aging adults, the nurse knows that one of the first things that should be assessed before making judgments about their mental status is: a. Presence of phobias b. General intelligence c. Presence of irrational thinking patterns d. Sensory-perceptive abilities

Q: The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient: a. Will have no decrease in any of his abilities, including response time. b. Will have difficulty on tests of remote memory because this ability typically decreases with age. c. May take a little longer to respond, but his general knowledge and abilities should not have declined. d. Will exhibit had a decrease in his response time because of the loss of language and a decrease in general knowledge.

Q: The nurse is assessing the mental status of a child. Which statement about children and mental status is true? a. All aspects of mental status in children are interdependent. b. Children are highly labile and unstable until the age of 2 years. c. Children's mental status is largely a function of their parents' level of functioning until the age of 7 years. d. A child's mental status is impossible to assess until the child develops the ability to concentrate.

Q: During an examination, the nurse can assess mental status by which activity? a. Examining the patient's electroencephalogram b. Observing the patient as he or she performs an intelligence quotient (IQ) test c. Observing the patient and inferring health or dysfunction d. Examining the patient's response to a specific set of questions

Q: The nurse is conducting a developmental history on a 5-year-old child. Which questions are appropriate to ask the parents for this part of the assessment? Select all that apply.a. "How much junk food does your child eat?"b. "How many teeth has he lost, and when did he lose them?"c. "Is he able to tie his shoelaces?"d. "Does he take a children's vitamin?"e. "Can he tell time?"f. "Does he have any food allergies?"

Q: The nurse is assessing a patient's headache pain. Which questions reflect one or more of the critical characteristics of symptoms that should be assessed? Select all that apply.a. "Where is the headache pain?"b. "Did you have these headaches as a child?"c. "On a scale of 1 to 10, how bad is the pain?"d. "How often do the headaches occur?"e. "What makes the headaches feel better?"f. "Do you have any family history of headaches?"

Q: The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history?a. "Why did you come to the United States?"b. "When did you come to the United States and from what country?"c. "What made you leave your native country?"d. "Are you planning to return to your home?"

Q: The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?a. "Please stay during the interview; you can answer for her if she does not know the answer."b. "It would help to interview the three of you together."c. "While I interview your daughter, will you please stay in the room and complete these family health history questionnaires?"d. "While I interview your daughter, will you step out to the waiting room and complete these family health history questionnaires?"

Q: The nurse is incorporating a person's spiritual values into the health history. Which of these questions illustrates the "community" portion of the FICA (faith and belief, importance and influence, community, and addressing or applying in care) questions?a. "Do you believe in God?"b. "Are you a part of any religious or spiritual congregation?"c. "Do you consider yourself to be a religious or spiritual person?"d. "How does your religious faith influence the way you think about your health?"

Q: During an assessment, the nurse uses the CAGE test. The patient answers "yes" to two of the questions. What could this be indicating?a. The patient is an alcoholic.b. The patient is annoyed at the questions.c. The patient should be thoroughly examined for possible alcohol withdrawal symptoms.d. The nurse should suspect alcohol abuse and continue with a more thorough substance abuse assessment.

Q: A patient is describing his symptoms to the nurse. Which of these statements reflects a description of the setting of his symptoms?a. "It is a sharp, burning pain in my stomach."b. "I also have the sweats and nausea when I feel this pain."c. "I think this pain is telling me that something bad is wrong with me."d. "This pain happens every time I sit down to use the computer."

Q: The nurse is asking a patient for his reason for seeking care and asks about the signs and symptoms he is experiencing. Which of these is an example of a symptom?a. Chest painb. Clammy skinc. Serum potassium level at 4.2 mEq/Ld. Body temperature of 100oF

Q: The nurse is preparing to do a functional assessment. Which statement best describes the purpose of a functional assessment?a. The functional assessment assesses how the individual is coping with life at home.b. It determines how children are meeting developmental milestones.c. The functional assessment can identify any problems with memory the individual may be experiencing.d. It helps determine how a person is managing day-to-day activities.

Q: The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which of these questions would be most important to ask?a. "Do you wear glasses?"b. "Are you able to dress yourself?"c. "Do you have any thyroid problems?"d. "How many times a day do you have a bowel movement?"

Q: A 90-year-old patient tells the nurse that he cannot remember the names of the medications he is taking or for what reason he is taking them. An appropriate response from the nurse would be:a. "Can you tell me what they look like?"b. "Don"t worry about it. You are only taking two medications."c. "How long have you been taking each of the pills?"d. "Would you have a family member bring in your medications?"

Q: The nurse is performing a review of systems on a 76-year-old patient. Which of these statements is correctfor this situation?a. The questions asked are identical for all ages.b. The interviewer will start incorporating different questions for patients 70 years of age and older.c. Questions that are reflective of the normal effects of aging are added.d. At this age, a review of systems is not necessarythe focus should be on current problems.

Q: The nurse is obtaining a health history on an 87-year-old woman. Which of the following areas of questioning would be most useful at this time?a. Obstetric historyb. Childhood illnessesc. General health for the past 20 yearsd. Current health promotion activities

Q: When the nurse asks for a description of who lives with a child, the method of discipline, and the support system of the child, what part of the assessment is being performed?a. Family historyb. Review of systemsc. Functional assessmentd. Reason for seeking care

Q: In obtaining a review of systems on a "healthy" 7-year-old girl, the health care provider knows that it would be important to include the:a. Last glaucoma examination.b. Frequency of breast self-examinations.c. Date of her last electrocardiogram.d. Limitations related to her involvement in sports activities.

Q: As part of the health history of a 6-year-old boy at a clinic for a sports physical examination, the nurse reviews his immunization record and notes that his last measles-mumps-rubella (MMR) vaccination was at 15 months of age. What recommendation should the nurse make?a. No further MMR immunizations are needed.b. MMR vaccination needs to be repeated at 4 to 6 years of age.c. MMR immunization needs to be repeated every 4 years until age 21 years.d. A recommendation cannot be made until the physician is consulted.

Q: A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure?a. Child's birth weightb. Age at which he crawledc. Whether the child has had the measlesd. Child's reactions to previous hospitalizations

Q: During an assessment of a patient's family history, the nurse constructs a genogram. Which statement best describes a genogram?a. List of diseases present in a person's near relativesb. Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family membersc. Drawing that depicts the patient's family members up to five generations backd. Description of the health of a person's children and grandchildren

Q: The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response?a. "Maybe she is just teething."b. "I will check her ear for an ear infection."c. "Are you sure she is really having pain?"d. "Describe what she is doing to indicate she is having pain."

Q: In response to a question regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information?a. This information is necessary to determine the patient's reliability.b. Alcohol can interact with all medications and can make some diseases worse.c. The nurse needs to be able to teach the patient about the dangers of alcohol use.d. This information is not necessary unless a drinking problem is obvious.

Q: In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate?a. "This has been a difficult year for you."b. "I don"t know how anyone could handle that much stress in 1 year!"c. "What did you do to cope with the loss of both your husband and mother?"d. "That is a lot of stress; now let's go on to the next section of your history."

Q: Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast?a. "I broke my right leg in a car accident 2 weeks ago."b. "The pain is decreasing, but I still need to take acetaminophen."c. "I check the color of my toes every evening just like I was taught."d. "I"m able to transfer myself from the wheelchair to the bed without help."

Q: The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?a. "Do you perform testicular self-examinations?"b. "Have you ever noticed any pain in your testicles?"c. "Have you had any problems with passing urine?"d. "Do you have any history of sexually transmitted diseases?"

Q: Which of these statements represents subjective data the nurse obtained from the patient regarding the patient's skin?a. Skin appears dry.b. No lesions are obvious.c. Patient denies any color change.d. Lesion is noted on the lateral aspect of the right arm.

Q: The review of systems provides the nurse with:a. Physical findings related to each system.b. Information regarding health promotion practices.c. An opportunity to teach the patient medical terms.d. Information necessary for the nurse to diagnose the patient's medical problem.

Q: The nurse is taking a family history. Important diseases or problems about which the patient should be specifically asked include:a. Emphysema.b. Head trauma.c. Mental illness.d. Fractured bones.

Q: A patient tells the nurse that he is allergic to penicillin. What would be the nurse's best response to this information?a. "Are you allergic to any other drugs?"b. "How often have you received penicillin?"c. "I"ll write your allergy on your chart so you won"t receive any penicillin."d. "Describe what happens to you when you take penicillin."

Q: A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information?a. P-6, B-4, (S)Ab-2b. Grav 6, Term 4, (S)Ab-2, Living 4c. Patient has had four living babies.d. Patient has been pregnant six times.

Q: In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?a. Patient denies usual childhood illnesses.b. Patient states he was a "very healthy" child.c. Patient states his sister had measles, but he didn"t.d. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.

Q: A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which would be the nurse's appropriate response to the woman's statement?a. "How does your family react to your pain?"b. "The pain must be terrible. You probably pinched a nerve."c. "I"ve had back pain myself, and it can be excruciating."d. "How would you say the pain affects your ability to do your daily activities?"

Q: A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse's best response?a. "Can you point to where it hurts?"b. "We"ll talk more about that later in the interview."c. "What have you had to eat in the last 24 hours?"d. "Have you ever had any surgeries on your abdomen?"

Q: A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having "black stools" for the last 24 hours. How would the nurse best document his reason for seeking care?a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.b. J.M. came into the clinic complaining of having black stools for the past 24 hours.c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.d. J.M. is a 59-year-old man who states that he has been having "black stools" for the past 24 hours.

Q: When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient:a. Has a history of drug abuse and therefore is not reliable.b. Provided consistent information and therefore is reliable.c. Smiled throughout interview and therefore is assumed reliable.d. Would not answer questions concerning stress and therefore is not reliable.

Q: The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history?a. To provide an opportunity for interaction between the patient and the nurseb. To provide a form for obtaining the patient's biographic informationc. To document the normal and abnormal findings of a physical assessmentd. To provide a database of subjective information about the patient's past and current health

Q: The nurse is conducting an interview in an outpatient clinic and is using a computer to record data. Which are the best uses of the computer in this situation? Select all that apply. a. Collect the patient's data in a direct, face-to-face manner. b. Enter all the data as the patient states them. c. Ask the patient to wait as the nurse enters the data. d. Type the data into the computer after the narrative is fully explored. e. Allow the patient to see the monitor during typing.

Q: The nurse is conducting an interview. Which of these statements is true regarding open-ended questions? Select all that apply. a. Open-ended questions elicit cold facts. b. They allow for self-expression. c. Open-ended questions build and enhance rapport. d. They leave interactions neutral. e. Open-ended questions call for short one- to two-word answers. f. They are used when narrative information is needed.

Q: A female nurse is interviewing a male patient who is near the same age as the nurse. During the interview, the patient makes an overtly sexual comment. The nurse's best reaction would be: a. "Stop that immediately!" b. "Oh, you are too funny. Let's keep going with the interview." c. "Do you really think I would be interested?" d. "It makes me uncomfortable when you talk that way. Please stop."

Q: During an interview, the nurse would expect that most of the interview will take place at what distance? a. Intimate zone b. Personal distance c. Social distance d. Public distance

Q: During the interview portion of data collection, the nurse collects __________ data. a. Physical b. Historical c. Objective d. Subjective

Q: The nurse is nearing the end of an interview. Which statement is appropriate at this time? a. "Did we forget something?" b. "Is there anything else you would like to mention?" c. "I need to go on to the next patient. I"ll be back." d. "While I"m here, let's talk about your upcoming surgery."

Q: During a follow-up visit, the nurse discovers that a patient has not been taking his insulin on a regular basis. The nurse asks, "Why haven"t you taken your insulin?" Which statement is an appropriate evaluation of this question? a. This question may place the patient on the defensive. b. This question is an innocent search for information. c. Discussing his behavior with his wife would have been better. d. A direct question is the best way to discover the reasons for his behavior.

Q: A female patient does not speak English well, and the nurse needs to choose an interpreter. Which of the following would be the most appropriate choice? a. Trained interpreter b. Male family member c. Female family member d. Volunteer college student from the foreign language studies department