Which of the following occurs during the working stage of the interview process?
a. Goals are established.
b. The bulk of the patient data is collected.
c. Information is summarized and validated.
d. Progress toward goals is evaluated.
B
During this stage of the interview process the bulk of the patient data is collected. It is a nursing responsibility to keep the interview goal-directed, including refocusing the patient and redefining the goals established in the joining stage. Information is summarized and validated in the termination stage. Progress toward goals is evaluated in the evaluation stage.
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An older adult who has heart failure (HF) complains of increasing dyspnea over 2 days. Which should the nurse assess to help determine if the patient has adhered to his therapy?
a. Check for peripheral edema. b. Ask about his bowel pattern. c. Auscultate the lungs bilaterally. d. Compare his weight to baseline. e. Determine coughing frequency. f. Assess his diet over last 48 hours.
A 23-year-old male patient with hemophilia A says, "How can I keep my children from having hemophilia A?" Which of the following is the most informative response?
a. "You need to select a very dependable mode of birth control." b. "You can only pass hemophilia B to your sons." c. "Your daughter may be a carrier and her children may have hemophilia A. Your son is not at risk." d. "Your sons should have coagulation studies."
Seven important features have been identified as benefits of primary care. Which of the following is not one of these seven benefits?
a. care that is continuous b. care that began at first contact with the patient c. care that is integral d. care that is community oriented
The unit milieu most likely to have a low incidence of violent behavior is one that has
a. a rigid and authoritarian structure. b. little structure and haphazard unit routines. c. unpredictable routines and allows clients to vent anger at staff. d. predictable routines and high client autonomy.