Health assessment week 1 prepu
A client reports pain as being 7 on a scale from 1 to 10. In which area of the symptom should the nurse document this information?
Characteristic
A nurse is creating a genogram of a client's family health history. The nurse should use which of the following symbols to denote the client's female relatives?
Circle
When beginning the collection of the client data base, which of the following would be most important for the nurse to do?
Establish a trusting relationship
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?
Establishing a trusting relationship
During a health history, a client reports drinking bloody Mary's several mornings a week before going to work. In which part of the CAGE questionnaire should the nurse document this information?
Eye-openers
A client with a foot wound returns to the outpatient wound clinic for a weekly appointment and treatment. Which type of assessment should the nurse complete with this client?
Follow-up
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
When caring for a client, what aspect is important in conducting a conversation?
Keep the conversation at the knowledge level of the client
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?
Lifestyle and health practices profile
Which item would be included in a review of the neurological system? Select all that apply.
Memory loss Loss of coordination Numbness
During a comprehensive health history, a client reports smoking cigarettes for 20 years. The nurse will document this information in which of the following sections?
Past history
Prior to a client interview, the nurse collects information from the client's medical record, such as prior surgeries, home medications, allergies, and past treatments. What phase of the interview process is this?
Preinteraction
An older client arrives for an appointment in the community clinic. Which approach should the nurse use when communicating with this client? Select all that apply.
Show respect Use simpler terms Speak clearly Avoid jargon
Syncope
fainting
A client reports experiencing chest pain after eating. Which category within the review of systems should the nurse document this information?
gastrointestinal
During a client interview, the nurse asks questions about the client's past health history. The primary purpose of asking about past health problems is to
identify risk factors to the client and his or her significant others.
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 symptoms followed by
location duration characteristic symptoms associated manifestations relieving/exacerbating factors treatment
A client has a 10-year history of being treated for hypertension. Where should the nurse document this information?
past medical history
The nurse is preparing to complete a comprehensive assessment of a newly admitted client. Why is the nurse completing this type of assessment?
provides a baseline for future assessments
During the client interview, the nurse asks specific questions such as "What were you doing when the pain started?" or "Was the pain relieved when you rested?" In what phase of the interview is the nurse involved?
working
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?"
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?
"Have you ever had a problem with mental or emotional illness?"
A client reports feeling depressed for several months since being fired from a long-term job. Which question should the nurse include when assessing this client?
"Have you thought of hurting yourself?"
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?"
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?
"How does that make you feel right now?"
Which of the following questions would be most important for the nurse to ask first when obtaining the health history?
"What is your major health concern at this time?"
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?"
The nurse recognizes that an example of subjective data would include:
A pain rating of 7
A nurse is interviewing an adult client who had a miscarriage 3 weeks ago. The woman is crying and is having difficulty talking. The nurse moves closer and places a hand on the woman's hand. What type of communication is this?
Active listening
Mrs. T. comes for her regular visit to the clinic. Her regular provider is on vacation, but the client did not want to wait. The nurse has heard about this client many times from colleagues and is aware that she is very talkative. Which of the following is a helpful technique to improve the quality of the interview for both provider and client?
Briefly summarize what the client says in the first 5 minutes and then try to have her focus on one aspect of what she discussed.
