ANSWER RATIONALE

The Kristinelou
Name : REYNA, Health History Format
Marie N. is a structured framework for organizing patient
1. C. information in written, electronic, and verbal form to communicate
effectively
SAS 3 Interviewing andwith other health care providers.
Communication

Inviting the patient’s story, Identifying and responding to emotional clues

2. B. and expanding and clarifying the patient’s story are included in Working
phase of interview.

During termination phase in the interview, summarizing the important

points, discussing plan of care to the patient as well as addressing any
3. D.
related concerns or questions that the patient raises are all included in
this phase of interview.

When providing guided questioning the nurse must move from open-
ended to focused questions, use questioning that elicits a graded
4. D. response, ask a series of questions, one at a time, offer multiple choices
for answers, clarify what the patient means, encourage with continuers
and use reflection to the patient.

In providing empathic responses, the nurse must first identify the patient’s
feelings whether in verbal cues such as: “I understand,” “That sounds
5. C.
upsetting,” or “You seem sad.” and in non-verbal cues: offering a tissue to
a crying patient or gently placing your hand on the patient’s arm.

In adapting the interview for silent patients, the nurse may need to ask the
6. C. patient directly, like “You seem very quiet. Have I done something to
upset you?”

In adapting the interview for confusing patients, the nurse may shift to the
7. A. mental status examination, focusing on level of consciousness,
orientation, memory, and capacity to understand.

When dealing with a talkative patient, the nurse must give the patient free
8. B. rein for the first 5 or 10 minutes, listening closely to the conversation.

In dealing with a crying patient, the nurse can offer a tissue and wait for
9. C. the patient to recover and make a supportive remark like “I am glad you
were able to express your feelings.”

In dealing with an angry or disruptive patient, the nurse must allow them
to express such emotions without getting angry in return, alert the security
staff before approaching such patients to maintain a safe environment and
10. D. staying calm, appear accepting, and avoid being confrontational in return.
Keeping the posture relaxed and nonthreatening and the hands loosely
open. Avoid patting the patient’s back as it may trigger some violent