64 UNIT III THE NURSING PROCESS
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:6.Give two examples of closed questions, open-
ended questions, and reflective questions that
could be used to elicit information from your
patient, a 42-year-old mother of three young
children who has recently been diagnosed
with diabetes; she is admitted to the hospital
overnight for observation.
a.Closed questions:b.Open-ended questions:c. Reflective questions:7.Explain how the following factors affect
assessment priorities when collecting patient
data.
a.Patient’s health orientation:b.Patient’s developmental stage:c. Patient’s need for nursing:8.Give two examples of when data need to be
validated.
a.
b.
9.Explain when the immediate communication
of data is indicated.APPLYING YOUR KNOWLEDGE
CRITICAL THINKING QUESTIONS
1.Role-play the following nursing interviews
with your classmates:
a.A 50-year-old woman with diabetes and
diabetic foot ulcers is admitted to the emer-
gency room for observation after she expe-
rienced a blackout.b.An 85-year-old African American man is
admitted to the coronary care unit after
experiencing a possible stroke.
c.A teenage boy is admitted to the hospital
with severe stomach pains and a possible
ruptured appendix.
Talk about which approaches and types of
questions (closed, open-ended, reflective,
direct) resulted in the best interviews.
2.Recall the last time you went to a doctor’s
office for a checkup or medical problem. How
were you treated by the doctor’s staff? Did they
do anything to make you feel comfortable or
uncomfortable? What did they do to include
you in the process? How did it feel to be a
patient at the mercy of others? What would
you do to incorporate this learning into your
own nursing practice?REFLECTIVE PRACTICE USING CRITICAL
THINKING SKILLS
Use the following expanded scenario from
Chapter 12 in your textbook to answer the
questions below.
Scenario:Susan Morgan is a 34-year-old
woman newly diagnosed with multiple sclero-
sis. She was recently married to a man she
met while hiking the Appalachian Trail. While
educating Ms. Morgan about her disease, the
nurse notices that she appears distressed and
angry. Ms. Morgan says, “How am I going to
tell my husband? We were just married last
year and planned to do lots of hiking and
outdoor sports. It’s not fair for him to be tied
down to me if I can’t be the wife and partner
that he thought he married.”
1.How might the nurse facilitate Ms. Morgan’s
ability to cope with disability?2.What would be a successful outcome for this
patient?LWBK696-C12_p60-65.qxd 9/2/10 9:25 AM Page 64 Aptara Inc