Prep U: Ch. 2; Health History and Interview

A client reports difficulty sleeping. Which question would be the most effective way for the nurse to open the interview?

"Can you tell ma about your sleep problem from when it started until now?

The nurse is preparing to interview a client with a documented history of mental illness. Which question should the nurse use to begin this interview? pg. 35

"Have you ever had a problem with mental or emotional illness?"

While interviewing an adult client about the client's stress levels and coping responses, an appropriate question by the nurse is? pg 33

"How do you manage your stress?"

During the interview, the client states, "Is today the 12th? My wife died 2 months ago today." Which of the following responses would be most appropriate? pg. 18

"How does that make you feel right now?"

A nurse is discussing with a client the client's personal health history. Which of the following would be an appropriate question to ask at this time? pg. 30

"What diseases did you have as a child?"

A clinic nurse has reviewed a new client's available health record and will now begin taking the client's health history. Which of the following questions should the nurse ask first when obtaining the health history? pg. 18

"What is your major health concern at this time?"

Which of the following are aspects of the comprehensive health history? (Mark all that apply.) pg. 29

-Strengthens the nurse-patient relationship -Provides baselines for future assessments -Creates platform for health promotion through education and counseling

During the comprehensive health assessment, the nurse asks several questions relating to the client's family history of illnesses, such as diabetes and cancer. Why does the nurse do this? Select all that apply. pg. 29

-To provide counseling and health teaching in high-risk areas. -To identify genetic family trends for which the client is at risk. -To help identify those diseases for which the client may be at risk.

The nurse is assessing a client's lifestyle and habits. At which time should the nurse assess the client for alcohol use? pg. 35

After assessing for cigarette use

A nurse draws a genogram to help organize and illustrate a client's family history. Which shape is a standard format for representing a deceased female relative? pg. 32

Circle with a cross

A middle-aged client has an appointment for a routine physical. Which type of assessment is the most appropriate for the nurse to complete? pg. 29

Comprehensive

A nurse is preparing to assess a client who is new to the clinic. When beginning the collection of the client database, which of the following actions should the nurse prioritize? pg. 20

Establishing a trusting relationship

The nurse is preparing to interview an adult client for the first time. The nurse observes that the client appears very anxious. The nurse should: pg. 20

Explain the role and purpose of the nurse.

A nurse is collecting subjective data from a client as part of the assessment process. Which behavior is most appropriate for the nurse to display in this situation? pg. 28

Explaining the reason for taking down notes.

Learning about the effects of the illness does what for the nurse and the patient? pg. 30-40

Gives them the opportunity to create a complete and congruent picture of the problem.

The nurse is assessing the seven attributes of a client's symptom using the mnemonic OLD CART. In which section of the comprehensive health history will the nurse document this information? pg. 29

History of Present Illness

Ability to perform self-care activities (or activities of daily living; ADLs) is a component of the health history that reveals the patient's quality of life. When assessing ADLs, the nurse asks if the patient can grasp small objects and open jars. This is an example of assessing the patient's: pg. 33

Mobility

During a health history, a client lists the most recent immunizations received and the date and reason for surgeries. In which area of the history should the nurse document this information? pg. 30-31

Past history

A client admitted to the health care facility for new onset of abdominal pain expresses to the nurse that she was treated for gastroesophageal reflux disease in the past. In which section of the comprehensive health assessment should the nurse document this information? pg. 18

Personal health history.

During an interview with an adult client for the first time, the nurse can clarify the client's statements by: pg. 23

Rephrasing the client's statements

A patient has come to the physician's office several times in the last month with a black eye, bruises, and lacerations on the lower extremities. The patient always explains having fallen and tripped. The nurse suspects abuse. The next step should be to: Pg. 35

Report the findings to a supervisor

The nurse is completing the past medical history information with a client. Which part of the health maintenance information can the nurse assess during the review of systems? pg. 31

Screening Tests

During the review of systems, a client reports having difficulty with urination and with establishing an erection. Which additional information should the nurse recognize as the highest priority to assess at this time? Pg. 35-36

Sexual history. This a part of "expanding and clarifying" the client's story.

While interviewing a patient, the nurse asks, "What happens when you have low blood glucose?" This type of response to the patient is used for what purpose? pg. 22

To clarify

The nurse is taking a comprehensive health history on a new patient. Why would it be essential for the nurse to obtain a complete description of the present illness? pg. 29

To establish an accurate diagnosis.

When assessing the gastrointestinal system, the nurse correctly asks, "Do you have any trouble swallowing?" pg. 24

True

The nurse documents information about a client's activity-exercise health pattern. Which information did the nurse most likely document? pg. 33

Unable to go to the gym since having back surgery.

The nurse learns that a client is unable to sleep because of high anxiety. On which category of health patterns should the nurse focus? pg. 33

coping-stress-tolerance

The nurse takes a patient's family history to identify diseases for which she is at risk. A common tool used by nurses to understand family patterns is what? pg. 31-32

genogram

A client is asked to describe "something that brings the most hope." Which functional health pattern is the nurse assessing? pg. 19

value-belief