A client describes events that occurred in their life out of order. What should you do?

State the known order of events & ask the client to verify.

What question is not necessary to ask the mother regarding the past health of their neonate?

What is your socioeconomic status?

How should you obtain a history from a Korean, non-English speaking/understanding client?

Utilize a female interpreter who speaks Korean and English

While interviewing a pre-op client, they state they have a latex allergy. What do you do first?

Question the client about S&S with past latex exposures

What information would not be documented under past health history?

Drinks three to four beers each day

Which statement or question does the nurse use during the introduction phase of the interview?

“I’m here to learn more about the pain you’re experiencing.”

You suspect that a diabetic client is noncompliant with her diet. What response is appropriate?

“Tell me about what foods you eat and your meal frequency”

Client says "I feel tired and sad every day." Where in their chart would you record this data?

Reason for seeking care (chief complaint)

A nurse in collecting health history data from a client who is deaf. What should the nurse do?

Enlist the aid of an interpreter

For which patient is a focused health history most appropriate?

A client at the clinic with vomiting and abdominal pain

While answering questions about her marriage, the client begins to cry. What should you say?

"I'm can see you're upset. Anything you’d like to discuss?”

The nurse is interviewing a 14-year-old. Which action taken by the nurse would be appropriate?

Accept the client's account as accurate.

In which situation is the nurse’s use of closed-ended questions most appropriate?

When obtaining a history from a client who is very talkative

A client who is actively bleeding is admitted to the ER. How would you obtain a health history?

Briefly, interview the patient while obtaining vital signs

You are getting a history from a disabled client with RA. Which Q gauges functional ability?

“How has your arthritis affected your daily life?”

Which statement would be the best way to end a health history interview?

“Is there anything else you would like to tell me?

Client's husband answers the questions for the client most of the time. What should you do?

Ask the husband to step out of the room.

An example of a health promotion question included in the health history is:

“How often are you exercising?”

Client asks to take you out for coffee. Which of the following responses is appropriate?

“I must maintain a professional relationship with clients”

During the history, the patient states that she doesn't use many drugs. How should you respond?

“Tell me about the drugs you are using currently.”

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Duplicate of Heath History Assessment

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Refresh the basics of the health history aspect of assessment.

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Questions 21

Answers

1
A client describes events that occurred in their life out of order. What should you do?
Draw conclusions about the order of events from data given.
Ask the client to elaborate about these events.
Ask the client to repeat what they said about these events.
State the known order of events & ask the client to verify.
2
What question is not necessary to ask the mother regarding the past health of their neonate?
What was the neonate’s health status shortly after birth?
What was your health status during pregnancy?
What is your socioeconomic status?
Tell me how labor and delivery went?
3
How should you obtain a history from a Korean, non-English speaking/understanding client?
Utilize a female interpreter who speaks Korean and English
Utilize male tech on your unit who speaks Korean and English
Utilize patient’s son who speaks Korean and English
Utilize patient’s husband who speaks Korean and English
4
While interviewing a pre-op client, they state they have a latex allergy. What do you do first?
Question the client about S&S with past latex exposures
Tell surgeon the client has type I hypersensitivity to latex
Remove all latex products from the client’s room
Use non-latex gloves when providing care to this client
5
What information would not be documented under past health history?
Had chicken pox as a child
Most recent tetanus immunization in 2009
Drinks three to four beers each day
Had a dental examination 6 months ago
6
Which statement or question does the nurse use during the introduction phase of the interview?
“I heard you say that the pain is ‘all over’ your body.”
“What relieves the pain you are having?”
“Can you describe the pain that you’re experiencing?”
“I’m here to learn more about the pain you’re experiencing.”
7
You suspect that a diabetic client is noncompliant with her diet. What response is appropriate?
“You need to follow the diet your doctor prescribed"
“Tell me what you know about the cause of type 2 diabetes.”
“What symptoms do you notice when your blood sugar is high?”
“Tell me about what foods you eat and your meal frequency”
8
Client says "I feel tired and sad every day." Where in their chart would you record this data?
Past health history
Present health status
Reason for seeking care (chief complaint)
Subjective assessment data
9
A nurse in collecting health history data from a client who is deaf. What should the nurse do?
Ask the client’s family the rest of the questions
Face the client while speaking
Write the questions so the client can read them
Enlist the aid of an interpreter
10
For which patient is a focused health history most appropriate?
A client discharged 11 mo. ago who is now being readmitted
A new client at the clinic for an annual examination
A client at the clinic with vomiting and abdominal pain
A client at the clinic for a sports physical
11
While answering questions about her marriage, the client begins to cry. What should you say?
“Don’t cry! I’ll come back when you’ve settled down.”
"I'm can see you're upset. Anything you’d like to discuss?”
“What problems in your marriage are causing you to cry?”
“I have a few more questions to ask, then I’ll leave.”
12
The nurse is interviewing a 14-year-old. Which action taken by the nurse would be appropriate?
Conduct the physical assessment with the parent in the room.
Assume the client is embellishing or lying.
Obtain supplementary information from the parents.
Accept the client's account as accurate.
13
In which situation is the nurse’s use of closed-ended questions most appropriate?
When obtaining a history from a client who is very talkative
When clarifying vague or conflicting data
When trying to stay on schedule so you can get off on time.
When encouraging client to share details of their health hx.
14
A client who is actively bleeding is admitted to the ER. How would you obtain a health history?
Omit subjective data Q's, obtain the physical examination
Use client's medical history to obtain subjective data.
Briefly, interview the patient while obtaining vital signs
Obtain subjective data about the patient from family members
15
You are getting a history from a disabled client with RA. Which Q gauges functional ability?
“When did your arthritis symptoms begin?”
”How do you feel about your rheumatoid arthritis diagnosis?”
“Why did you come to the clinic today?”
“How has your arthritis affected your daily life?”
16
Which statement would be the best way to end a health history interview?
“Is there anything else you would like to tell me?
“What brought you to the clinic today?”
“Do you understand what is happening?”
“Would you describe your overall health as good?”
17
Client's husband answers the questions for the client most of the time. What should you do?
Ask the husband to step out of the room.
Continue the interview.
Tell husband you're interviewing the client, not him.
Tell the woman to speak up for herself.
18
An example of a health promotion question included in the health history is:
“What are you doing to relieve your leg pain?”
“How often are you exercising?”
“Do you have any allergies?”
“What kind of herbs are you using?”
19
A client is talkative and shares info that is irrelevant. Which action by the nurse is best?
Use closed-ended questions.
Terminate the interview.
Ask another more skilled nurse to complete the interview.
Ask the patient to stay on the subject.
20
Client asks to take you out for coffee. Which of the following responses is appropriate?
“I must maintain a professional relationship with clients”
"You're just not my type, sorry"
“I am married, and I am not interested in dating”
“It’s against agency policy for me to date clients”
21
During the history, the patient states that she doesn't use many drugs. How should you respond?
“How often are you using these drugs?”
“Do you mean prescription drugs or illicit drugs?”
“To some people, six or seven is not many.”
“Tell me about the drugs you are using currently.”

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