Deck 10: The Health History

Question 1

The nurse is interviewing the client.The nurse says to the client,"It sounds like you don't like your new job because it's more stressful than you anticipated." Which of the following types of communication techniques is the nurse utilizing specifically?
1)Listening
2)Attending
3)Questioning
4)Paraphrasing

Answer 1

4

Question 2

The nurse recently gave birth to a stillborn infant.During the preinteraction stage,the nurse learns that the client has had 5 elective abortions performed while she was in high school and college.Which of the following nursing actions are appropriate to help the nurse prepare emotionally for the initial interview with this client?
1)The nurse speaks with one of her nursing peers and sets up a time to role-play the interview.
2)The nurse writes in her journal regarding her fears about meeting with the client.
3)The nurse makes an appointment to meet with her counselor prior to the interview.
4)The nurse should remain very quiet during the interview so that the initial interview will only last for a brief time.
5)The nurse creates a list of her own goals to accomplish during the interview with this client.

Answer 2

1,2,3,5

Question 3

A client tells the nurse about two abortions she had while in college.The nurse responds,"What did you major in while you were in college?" This response is evidence of which type of barrier to communication?
1)Changing the subject
2)False reassurance
3)Cross-examination
4)Use of technical terms

Answer 3

1

Question 4

The student nurse is preparing to perform a health history interview.Which of the following statements indicate that the student nurse requires further education regarding the purpose of the health history?
1)"As the nurse,I will mainly focus on the course of the client's illness."
2)"The client's health history can be gathered during the initial interview."
3)"I realize that the client is sick,but I also need to perform a wellness assessment."
4)"The healthcare provider's and nurse's assessments should be almost identical with the same focus."
5)"The nurse typically has a more holistic point of view regarding the client's health."

Question 5

The nurse is interviewing the client.Which of the following techniques should the nurse use to decode the client's messages?
1)Listen actively and attentively.
2)Develop and transmit an idea.
3)Use words to convey the message.
4)Use body language to convey the message.

Question 6

The nurse is interviewing a client who is in acute pain.Which of the following actions by the nurse must be performed first?
1)Interview the family for the information.
2)Attempt to reduce the pain and complete the interview later.
3)Proceed very quickly with the interview.
4)Document why the interview could not be completed.

Question 7

The nurse says to the client,"Before the healthcare provider comes in to see you,we will need to spend about 30 minutes talking about your current problem and any other health issues that might impact how you are feeling right now." The nurse is participating in which phase of the health assessment interview?
1)Preinteraction
2)The initial interview
3)The focused interview
4)Closure of the interview

Question 8

The student nurse and the experienced nurse are meeting with an elderly Vietnamese client who is unable to speak English.Which of the following actions indicate that the student nurse requires further education?
1)The student nurse looks intently at the translator during the interview.
2)The student nurse is sitting directly beside the client and both of them are facing the translator.
3)The student nurse asks one question at a time.
4)The student nurse has requested that the client bring his daughter to the interview to translate for him.
5)The student nurse states,"Please tell him to void in this specimen container and to use a clean-catch technique when acquiring the urine."

Question 9

The nurse is gathering information regarding the client's psychosocial history.Which of the following questions would be included in this assessment?
1)"How did your father die?"
2)"Have you had any major surgeries?"
3)"Have you noticed any change in your vision?"
4)"How long have you worked for your current employer?"

Question 10

The nurse is preparing to interview the hospitalized client.Which of the following statements by the client's nurse indicates that the interview should be postponed?
1)"I can't seem to get her pain under control this morning."
2)"I just gave her morphine sulfate through her IV for pain about 20 minutes ago."
3)"She was anxious earlier and received some lorazepam."
4)"She's been oriented to 'self' only since admission."
5)"I gave her some ibuprofen about 1 hour ago."

Question 11

The nurse is preparing to interview the client during the initial interview.Rank the following nursing statements in order of their most likely occurrence.
1)"We're almost done;do you have any questions for me?" Choice
2)"May I call you Anne?" Choice
3)"When you said you had been having trouble with your belly,what did you mean?" Choice
4)"So,can you tell me about what's been going on with your health?"

Question 12

While interviewing the client during the focused interview,the client begins to cry softly.Which of the following interventions by the nurse are appropriate?
1)The nurse states,"It's all right,I think we're done with the interview."
2)The nurse places the tissues within arm's reach of the client.
3)The nurse remains quiet until the nurse feels that the client is prepared to proceed with the interview.
4)The nurse states,"I don't like these questions any more than you do,but we need to get on with the interview so you can go home and cry later."
5)The nurse states,"I can see you are upset.It's all right to cry."

Question 13

The nurse is performing a focused interview with the client.Which of the following behaviors indicate that the client may be feeling anxious?
1)While seated,the client begins to wiggle his foot back and forth quickly.
2)The client leans back in his chair and seems to move away from the nurse.
3)The client crosses his arms and becomes very quiet.
4)The client leans forward in the chair and uncrosses his legs.
5)The client seems to be distracted and is no longer making direct eye contact with the nurse.

Question 14

The nurse is obtaining information about a client's past medical history.Which of the following sources would provide the nurse with this data?
1)Medication list
2)Immunization records
3)Average amount of hours of sleep each night
4)Marital status

Question 15

The nurse is completing a focused interview.Which of the following pieces of information would the nurse include during this interaction?
1)Identify new nursing diagnoses after clarifying previously obtained data.
2)Review information collected during client's previous health screening activities.
3)Obtain biographic data about the client.
4)Review data from previous medical records.

Question 16

The client has been diagnosed with an early stage of wide-angle glaucoma.The nurse is performing a wellness assessment during the client's initial interview.Which of the following statements by the client may be elicited during this portion of the health history?
1)"My mom was diagnosed with glaucoma when she was 60 years old."
2)"I pay attention to the foods that I eat,because I want my body to stay well."
3)"I think I do a good job of managing stress with yoga every day and running three times a week."
4)"My husband and I have 3 couples that we would classify as our very good friends."
5)"Sometimes,my eyes feel very tired and sort of ache."

Question 17

During the preinteraction stage,the nurse is preparing for the initial interview.Which of the following settings is the least appropriate setting for the initial interview?
1)The client has been admitted to the hospital with pneumonia.The nurse is preparing to interview the client in the client's private hospital room.
2)The client lives at home.The nurse is preparing to interview the client in the client's living room.
3)The client lives at home.The nurse is preparing to interview the client at a small coffee shop not far from the client's home.
4)The client lives at home.The nurse is preparing to interview the client in the client's backyard.

Question 18

While conducting the client's health history,the nurse makes little eye contact with the client and focuses intently upon the computer while documenting the client's information.The nurse faces the computer with legs crossed.Of the following types of nursing behaviors,which is most appropriate way to describe this situation?
1)A lack of empathy
2)A lack of genuineness
3)A lack of concreteness
4)A lack of positive regard

Question 19

The nurse is interviewing the client.The nurse states,"Can you tell me exactly how you feel when you are having difficulty catching your breath?" Which of the following types of communication techniques is the nurse utilizing specifically?
1)Focusing
2)Attending
3)Paraphrasing
4)Summarizing

Question 20

The nurse is admitting a young client of Cuban descent to the hospital.The nurse responds in a culturally sensitive manner by choosing which of the following actions?
1)Allowing all family members to be present during the admission
2)Ensuring that the father of the young client is provided with adequate amounts of information regarding the young client's care
3)Requesting that all family members wait in the waiting room
4)Ensuring that the mother of the young client is provided with adequate amounts of information regarding the young client's care

Question 21

The nurse is gathering client data from secondary sources.Which of the following sources would the nurse utilize to collect this data?
1)The client's past medical records
2)The client
3)The history and physical
4)The client's physical therapist
5)The client's spouse

Question 22

The nurse is creating a family genogram with the client's family history information.Draw an arrow indicating that there are two individuals whom the client is unable to provide any information about for the nurse.[Please insert the genogram from the chapter 10 spec sheet,figure 10-7,only include the bottom portion,do not include any directions regarding how to read or make a genogram.]

Question 23

The nurse is obtaining a family health history when the client reports that a grandparent had type 1 diabetes.Where should the nurse document this information?
1)Family genogram
2)Health practices
3)Past medical history
4)Present health/illness

Question 24

The nurse is interviewing a client who has been admitted to the hospital with severe abdominal pain.The nurse is assessing the client's pain using the acronym OLDCART & ICE.Rank the following the statements by the nurse in order of the way they are normally assessed.
1)"How long have you had this pain?" Choice
2)"Would you please point to the location of your pain?" Choice
3)"How would you describe your pain? Is it sharp,dull,stabbing?" Choice
4)"Can you tell me when your pain first began?"

Question 25

The nurse has created a genogram for the client using the client's family history information.Draw an arrow pointing to the individual who is still alive,a male,and a widower.[Please insert the genogram from the chapter 10 spec sheet,figure 10-7,only include the bottom portion,do not include any directions regarding how to read or make a genogram.]

Question 26

The nurse is interviewing an older African American client and determines that a teaching plan should be implemented.Based on the client's race,which statement by the client may prompt the nurse to plan develop a teaching plan?
1)"My hands and feet are always cold."
2)"I do not take calcium replacements."
3)"My blood pressure is high most of the time."
4)"I'm worried that my bones may be weak."

Question 27

A client has been brought to the emergency room by a family member.The client is speaking incoherently.To obtain information about the client's current health status,what should the nurse do?
1)Call the client's healthcare provider.
2)Call the Medical Records department to obtain other records for the client.
3)Discuss the situation with the family member who brought the client to the hospital.
4)Conduct a thorough physical assessment and document the health history as "unable to obtain."

Question 28

During the course of a health history the nurse would like to review a client's medications.Which of the following questions is most important to ask when gathering the medication history?
1)"Can you tell me how much the co-pay is for your medications?"
2)"Do you carry health insurance?"
3)"Can you tell me about any over-the-counter or prescription medications that you take?"
4)"Where do you store your medications in your home?"

Question 29

The nurse is developing a genogram.Which of the following pieces of information can be used to help identify the widowed female?
1)A square is used to denote the female.
2)A circle is used to denote the male.
3)A horizontal line connects the circle and the square in the middle.
4)A line above the circle and square that is linked on the top of each shape.
5)The square has a diagonal line through the square from bottom left to upper right corner.