chapter 4-health ass

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A nurse is performing a patient assessment in an urgent care clinic. The most likely tool being used is the

focused assessment

A __________ __________ is the most appropriate tool to use when the nurse is evaluating a previously implemented treatment plan for a patient who is in the clinic for a second appointment.

follow up history

While discussing family history with a patient who is healthy except for a current UTI requiring IV antibiotics, the patient tells the nurse that he has three sisters and two brothers. Two of his sisters have died and one brother is in a nursing home after a stroke. The nurse would include the sibling group in a genogram in what manner?

3 circles and 3 squares, with lines through 2 of the circles

A past history is being taken by the nurse for a patient with COPD. The nurse includes which elements in this part of the health history? Select all that apply.

childhood illnesses allergies health maintenance

A patient is being admitted to a medical unit with an acute illness. The nurse would plan to gather information using which tool?

comprehensive health history

When using the CAGE questionnaire, the nurse elicits three affirmative responses when asking the patient about alcohol use. The question most appropriate to ask next would be

do you ever drink then drive

A patient with acute onset of shoulder pain is answering questions during a health history. The nurse is utilizing a mnemonic specific to the attributes of a symptom. The nurse first asks about the onset of

location duration characteristic symptoms associated manifestations relieving/exacerbating factors treatment

The nurse is preparing to discuss sexual abuse with a patient. When asking questions, the nurse should remember to keep personal feelings out of the questions and to remain __________.

nonjudgmental

The nurse is asking the patient about the history of the present illness (HPI). The narrative should include onset of the problem, the setting in which it developed, its manifestations, and __________ __________.

treatments used

When assessing the gastrointestinal system, the nurse correctly asks, "Do you have any trouble swallowing?"

true


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