How should the nurse begin the health interview in order to most effectively build rapport with the patient?
a. Focus on the problems that the patient sees as important.
b. Explain the importance of health maintenance.
c. Inform the patient of the number of questions that will be asked.
d. Reassure the patient that the interview is private.
ANS: A
Focusing on the patient's concerns gives the patient the perception that the nurse is concerned about him or her as a person.
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A client who has a heart murmur due to vegetative growth on the leaflets of the heart valves asks the nurse what caused this condition. The best reply is:
1. "Alcohol and nicotine abuse use over many years." 2. "A residual virus following a bout of childhood chickenpox." 3. "Strep throat or respiratory infection, resulting in rheumatic fever." 4. "Uncontrolled triglycerides and cholesterol."
Evidence-based practice (EBP), a decision-making model, is best described as which?
a. Using information in textbooks to guide care b. Combining knowledge with clinical experience and intuition c. Using a professional code of ethics as a means for decision making d. Gathering all evidence that applies to the child's health and family situation
The nurse is instructing a patient about the symptoms of hyperparathyroidism. Which symptoms should the nurse include in this discussion?
Select all that apply. 1. abdominal pain 2. dysrhythmias 3. hypertension 4. diarrhea 5. reduced urine output
A hospital is using a computer system that allows all health care providers to use a protocol system to document the care they provide. Which type of system/design will the nurse be using?
a. Clinical decision support system b. Nursing process design c. Critical pathway design d. Computerized provider order entry system