Question 1

The student nurse is preparing to perform a health history interview. Which statements indicate that the student nurse requires further education regarding the purpose of the health history? Select all that apply.

Accepted Answer

- A health history is comprehensive and not solely focused on the course of the client's illness. It includes past medical history, family history, social history, and more.- The healthcare provider's and nurse's assessments may have different focuses. The healthcare provider may concentrate more on the diagnosis and treatment of medical conditions, while the nurse's assessment is broader, including the patient's response to illness and their holistic needs.

Question 2

The nurse is creating a genogram for a client. Which information should the nurse consider as critical in forming a plan of care for the client? Select all that apply.

Accepted Answer

A genogram is a graphical representation of a patient's family medical history and relationships. Known genetic conditions (A), multiple family members with the same disease (B), and multiple pregnancy losses (E) are critical in assessing genetic risks, patterns of inheritance, and potential health issues in the client. These factors can significantly influence the plan of care by identifying increased risks for certain conditions and informing preventative measures or specific monitoring.

Question 3

The nurse is assessing a client's religious beliefs and practices. Which segments of the health history should the nurse recognize can provide opportunities to obtain information about the role of religion? Select all that apply.

Accepted Answer

A,B,D,E

Question 4

An incoherent client has been brought to the emergency department (ED)by a family member. Which resource should the nurse initially use to obtain information about the client's current state of health?

Accepted Answer

Discussing the situation with the family member who brought the client to the hospital is the most immediate and accessible source of information about the client's current state of health, especially when the client is incoherent and unable to provide information themselves.

Question 5

The nurse is performing a focused interview with the client. Which behaviors indicate that the client may be feeling threatened? Select all that apply.

Accepted Answer

The answer of The nurse is performing a focused interview...

Question 6

The nurse is preparing to reassess a client admitted for congestive heart failure. Which part of the interview should the nurse use to update the diagnostic cues of the client?

Accepted Answer

Focused interviews are used to gather more detailed and specific information about a particular issue or concern, such as changes in a patient's condition or symptoms related to congestive heart failure. This allows the nurse to update diagnostic cues and tailor care to the client's current needs.

Question 7

The nurse is gathering information regarding the client's psychosocial history. Which question would be included in this assessment?

Accepted Answer

The question about the client's employment history is relevant to understanding their psychosocial background, as it provides insight into their social and occupational environment.

Question 8

The nurse is preparing to review a client's current medications. Which question is the most important for the nurse to ask the client?

Accepted Answer

The most important question for the nurse to ask is about any over-the-counter or prescription medications the client takes. This information is crucial for understanding the client's current medication regimen, potential drug interactions, and ensuring the safety and effectiveness of any additional prescribed medications.

Question 9

The nurse is preparing to interview a client in their home. Which environmental factor should the nurse recognize will facilitate the client's comfort during the interview?

Accepted Answer

The answer of The nurse is preparing to interview a...

Question 10

The nurse is assessing the health patterns of a client. Which questions by the nurse are appropriate for this during this portion of the health history? Select all that apply.

Accepted Answer

These questions (B, C, D) are appropriate for assessing the client's health patterns as they inquire about diet, sleep, and exercise, which are key components of health patterns. A and E are more related to medical history and current treatments rather than health patterns.

Question 11

The nurse is obtaining information about a client's past medical history. Which source should the nurse anticipate using to obtain this data?

Accepted Answer

The answer of The nurse is obtaining information about a...

Question 12

A client tells the nurse that they do not need any information about skin cancer screening because they obtained the information on the internet. Which should the nurse do to ensure the client receives accurate information?

Accepted Answer

The nurse should evaluate the accuracy of the information the client obtained to ensure it is correct and reliable, as internet sources can vary in accuracy.

Question 13

The nurse is gathering patient data from secondary sources. Which sources would the nurse utilize to collect this data? Select all that apply.

Accepted Answer

The answer of The nurse is gathering patient data from...

Question 14

A client tells the nurse they were born in a rural area of the state. Which question should the nurse ask based on the information?

Accepted Answer

The answer of A client tells the nurse they were...

Question 15

The nurse is preparing to obtain a health history on a client. Which phase of the health history should the nurse recognize is occurring?

Accepted Answer

The initial interview is the phase of the health history where the nurse first interacts with the client to gather comprehensive information about the client's health status, medical history, and any current concerns. This phase is crucial for establishing rapport and collecting baseline data for care planning.

Question 16

The nurse is reviewing ways to obtain data for a client's sexual history. Which method should the nurse recognize would provide the most sensitivity?

Accepted Answer

In-person interviews provide the most sensitivity because they allow for non-verbal cues to be observed and for the nurse to build rapport with the client.

Question 17

A patient tells the nurse a maternal grandparent had type I diabetes. Which part of the client's record should the nurse document the information in?

Accepted Answer

A genogram is a graphical representation of a patient's family medical history and relationships, which is the appropriate section to document a family member's medical condition such as type I diabetes.

Question 18

The nurse is preparing to gather the biographical data from a client. Which should be the nurse's priority immediately prior to obtaining the information?

Accepted Answer

Establishing trust is crucial before gathering biographical data from a client, as it helps in creating a safe and open environment for the client to share personal information.

Question 19

The nurse is obtaining a health history for a client admitted to the unit. Which should the nurse understand is the purpose for obtaining the health history?

Accepted Answer

Obtaining a health history is crucial for understanding how the client perceives and responds to their health concerns. This information helps in planning appropriate care and interventions tailored to the client's needs and experiences.

Question 20

The nurse is assessing the client's pain using the acronym OLDCART & ICE. Rank the questions asked by the nurse following the order of the acronym OLDCART & ICE. 
A) "How long have you had this pain?"
B) "Would you please point to the location of your pain?"
C) "How would you describe your pain? Is it sharp, dull, stabbing?"
D) "Can you tell me when your pain first began?"

Accepted Answer

The answer of The nurse is assessing the client's pain...

Quiz 5: Interviewing and Health History: Subjective Data