chapter 2: collecting subjective data
Learning about the effects of the illness does what for the nurse and the patient? Gives them the ability to communicate better Gives them each a better understanding of the other Gives them the basis to establish a trusting relationship Gives them the opportunity to create a complete and congruent picture of the problem
Gives them the opportunity to create a complete and congruent picture of the problem
A nurse collects data about a client's family health history. Which family members' health problems should the nurse include when documenting this information in the database? As many genetic relatives as the client can recall Only the members with health problems that relate to the client's gender Those with illnesses that resulted in death or disablement Those with diseases that are known to have a genetic link
As many genetic relatives as the client can recall
A nurse assesses a client with regard to nutritional habits, use of substances, education, and work and stress levels. The nurse recognizes this as what type of information? Personal health history Lifestyle and health practices profile Family health history History of present health concern
Lifestyle and health practices profile
What is an appropriate action by a nurse when providing care for an 18-year-old with respiratory problems caused by excessive smoking? Keep a neutral expression and avoid display of surprise Suggest methods and provide resources to assist with smoking cessation
Suggest methods and provide resources to assist with smoking cessation
An elderly client with Parkinson's disease and his wife, who appears to be much younger than he, are being interviewed by the nurse to update the client's health history. The nurse also has the client's electronic health record on her tablet computer. Earlier in the day, the nurse had spoken with the client's primary care physician, who had relayed some concerns to the nurse regarding the progression of the client's disease. Which source of biographic information should the nurse view as primary? The physician The client The client's wife The client's medical record
The client
The nurse learns that a client is unable to sleep because of high anxiety. On which category of health patterns should the nurse focus? self-perception/self-concept sleep-rest coping-stress-tolerance activity-exercise
coping-stress-tolerance
During an assessment the client says "I've been having bad pain in my left leg for a week." In which section should the nurse document this information? health patterns review of systems history of present illness chief complaint
chief complaint
Which action should a nurse implement when assessing a nonnative client to facilitate collection of subjective data? Speak to the client using local slang. Maintain a professional distance during assessment. Ask one of the client's children to interpret. Avoid any eye contact with the client.
Maintain a professional distance during assessment.
A client is unable to recall the last time an immunization was received. Which part of the client's health should the nurse realize is being the most impacted by this practice? compliance with treatment screening test completion risk factors health maintenance
health maintenance
A client plays doubles tennis every Saturday and golfs on Wednesday afternoons. In which part of the comprehensive health history is this information utilized? health maintenance health patterns
health patterns
A client is asked to describe "something that brings the most hope." Which functional health pattern is the nurse assessing? self-perception coping-stress-tolerance role-relationship value-belief
value-belief
When a nurse conducts an interview with a client, what is the underlying purpose? To gather subjective information To provide therapeutic communication when indicated
To provide therapeutic communication when indicated
While interviewing a client for the first time, the nurse is using a standardized nursing history form. The nurse should maintain eye contact while asking the questions from the form ask leading questions throughout the interview.
maintain eye contact while asking the questions from the form
A client has a 10-year history of being treated for hypertension. Where should the nurse document this information? health patterns review of systems past medical history health maintenance
medical history