HA Prep U: Chapter 2: Collecting Subjective Data: The Interview and Health History
While interviewing an adult client about the client's stress levels and coping responses, an appropriate question by the nurse is
"How do you manage your stress?"
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?
"What diseases did you have as a child?"
Which of the following questions is most useful in the assessment of a client's diabetes management?
"What is your routine for checking your blood sugar these days?"
Learning about the effects of the illness does what for the nurse and the patient?
Gives them the opportunity to create a complete and congruent picture of the problem
During a health history interview, a nurse asks a client about childhood illnesses, past surgeries, and allergies. The nurse knows that this information will be charted in what section of the initial comprehensive assessment database?
Personal health history
What is an appropriate action by a nurse when providing care for an 18-year-old with respiratory problems caused by excessive smoking?
Suggest methods and provide resources to assist with smoking cessation
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?
To clarify
The nurse is preparing to interview a client with a history of sexual abuse. What technique should the nurse use when conducting this interview?
be nonjudgmental
The nurse is planning to interview a client who is being treated for depression. When the nurse enters the examination room, the client is sitting on the table with shoulders slumped. The nurse should plan to approach this client by
expressing interest in a neutral manner.
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 patterns
A nurse is interviewing a man complaining of a pain in his shoulder. The nurse asks him where exactly the pain is, and he points to a spot on the lateral, posterior upper arm. The nurse has seen similar cases in other clients and recognizes that is likely from prolonged work at a computer, particularly using a mouse. Which of the following is the most effective use of inferring that the nurse might implement in this situation?
"Do you perform any sustained or continually repetitive motions with that arm?"
Nonverbal communication is a very important aspect in nurse-client relationships. What can the nurse do to help gain trust in clients? Select all that apply.
-Make sure that dress and appearance are professional - Do not use facial expressions such as rolling the eyes or looking bored or disgusted -Use gestures intentionally to illustrate points, especially for clients who cannot communicate
The principle of confidentiality is of paramount importance in the nurse-patient relationship. When should you inform the patient of whom his or her information will be shared?
At the beginning of the interview
The nurse is focusing an interview on a patient's respiratory status. Which question should the nurse ask first to begin this interview?
Describe how you breathe for me?
A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is an appropriate action by the nurse when interacting with this client?
Provide simple and organized information.
In interviewing a client about substance use, a nurse asks her whether she takes any herbal supplements. Which of the following is the best rationale for asking this question?
Some herbal supplements may interact with prescribed medications.
An older client cannot recall the date of a surgical procedure but the adult daughter interjects with the exact date because it occurred a week before her wedding. How should the nurse document this information?
last surgery date validated by adult daughter
Which type of question is asked first by the nurse in order to attain a full description of the client's symptoms and to generate and test diagnostic hypotheses? You Selected:
open-ended questions to encourage the client to tell his or her story
A client's spouse answers the interview questions and will not leave the examination room. What should the nurse suspect be occurring with the client?
physical abuse
During a health history a client recalls the date when being first diagnosed with hypertension. Which term should the nurse use to categorize the quality of the client's data?
reliable
