Question 1

The nursing instructor is teaching a group of students the components of the health history interview. Which principles of behavior should the student remember when conducting a health assessment history? Select all that apply.

Accepted Answer

The student should remember to remain sensitive, be nonjudgmental, and demonstrate professional behaviors when conducting a health assessment history.

Question 2

In order to conduct effective assessments and health histories, the nurse must use a patient-centered approach using therapeutic communication. Which dimensions of patient-centered care should the nurse include? Select all that apply.

Accepted Answer

Empathy and compassion, genuineness, respect, and caring are essential dimensions of patient-centered care that facilitate effective communication and build trust between the nurse and the patient. Conditional regard is not typically associated with patient-centered care.

Question 3

A patient comes to the clinic for an annual examination. To prepare for the health history interview the nurse knows to include all of the following components EXCEPT (Select all that apply):

Accepted Answer

Reading the patient record during the interview can be distracting. Allowing limited time can rush the process. Standing can be intimidating and uncomfortable for the patient.

Question 4

The nurse is preparing to conduct a complete health history on a new patient who has just arrived at the walk-in clinic. The nurse is going to use the CLEAR mnemonic to collect information. What does CLEAR stand for? Select all that apply.

Accepted Answer

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

Question 5

You are taking a health history on a patient who has not seen a health-care provider in many years. He states, "I do not want to be here, but my wife is forcing me to see this doctor. All doctors want to do is put patients on drugs!" You know that communication skills will be very important during this patient encounter. What is the purpose of communication? Select all that apply.

Accepted Answer

The purpose of communication, especially in a healthcare setting, involves sharing information (A) and the exchange of thoughts and feelings (B) between the patient and the healthcare provider. This exchange is crucial for understanding the patient's condition, concerns, and preferences, which aids in providing appropriate care and treatment.

Question 6

Communication is both verbal and nonverbal. The following are nonverbal visual cues to be aware of during an interview. Select all that apply.

Accepted Answer

The answer of Communication is both verbal and nonverbal. The...

Question 7

A patient and her husband arrive at the community health center for a follow-up assessment. The patient has recently had a stroke and is aphasiac. She understands what you are saying but is unable to talk. Which of the following nursing interventions should be followed? Select all that apply.

Accepted Answer

These interventions facilitate communication with an aphasic patient by providing alternative methods of expression (white board or paper and pen) and ensuring clear and concise communication (speaking slowly, one question or sentence at a time).

Question 8

As the nurse prepares for a patient interview he or she recalls that effective communication includes which of the following? Select all that apply.

Accepted Answer

Effective communication involves avoiding medical jargon to ensure understanding, keeping questions simple and clear to facilitate responses, and avoiding excessive note taking to maintain engagement and rapport with the patient. Being authoritative and standing over the patient can create a power imbalance and hinder open communication.

Question 9

The mnemonic CLEAR is foundational for successful interviewing. The student nurse recognizes that this stands for which of the following terms?

Accepted Answer

The mnemonic CLEAR stands for Center, Listen, Empathy, Attention, and Respect, which are key components for effective communication and interviewing.

Question 10

The nurse is conducting a health history interview and suspects that the patient may have a hearing deficit. Which consideration is most appropriate for the nurse to make?

Accepted Answer

Reducing background noise in the room is the most appropriate consideration because it helps minimize distractions and makes it easier for the patient to hear and understand the nurse, especially if the patient has a hearing deficit. Writing down all questions may be helpful but is not the primary action, speaking quickly can actually hinder understanding, and completing the health history quickly does not address the hearing deficit issue directly.

Question 11

The patient has disclosed a visual impairment to the nurse. Which is the priority action for the nurse to remember before starting the physical assessment?

Accepted Answer

Asking the patient about the extent of their visual impairment is crucial for tailoring the assessment and communication approach to their specific needs, ensuring safety and effective interaction.

Question 12

A patient's culture can influence the interview process. The nursing student recognizes that which of the following is true about how culture can influence the interview process?

Accepted Answer

A patient's culture can significantly influence their definitions and perceptions of health and illness, affecting how they communicate about these topics during the interview process.

Question 13

When conducting the interview, the nurse needs to determine the reliability of the data collected. Which primary source would be considered the most reliable for the health history information?

Accepted Answer

The patient who is alert and oriented to person, place, and time is considered the most reliable source for health history information because they can provide firsthand, current information about their health status and history.

Question 14

The nurse is preparing to conduct a health history on a patient and organizes the interview in a head-to-toe sequence. Which type of health history is the nurse going to conduct?

Accepted Answer

A comprehensive health history involves a thorough and detailed collection of information, often organized in a systematic manner such as head-to-toe to cover all body systems and aspects of the patient's health.

Question 15

The nurse is preparing to conduct a health history on a patient seen in the health clinic 2 days ago. Which type of health history is the nurse going to conduct?

Accepted Answer

Since the patient was seen in the health clinic 2 days ago, the nurse is likely conducting a Follow-up health history to assess changes in the patient's condition or to evaluate the outcomes of treatment.

Question 16

The nurse is preparing to conduct a health history on a patient being seen in the emergency room. Which type of health history is the nurse going to conduct?

Accepted Answer

In an emergency room setting, the nurse is most likely to conduct a focused health history, which is targeted towards the patient's immediate problem or concern, rather than a comprehensive or follow-up health history.

Question 17

While conducting a health history during admission to the medical floor, the nurse asks the patient "Have you ever had surgery?" This question is an example of which type of communication technique?

Accepted Answer

The question "Have you ever had surgery?" is a closed question because it is designed to elicit a short, specific answer, typically "yes" or "no," rather than an extended response or discussion.

Question 18

The nursing student is learning how to use various therapeutic communication techniques. The student recognizes which of these as an example of confrontation?

Accepted Answer

Confrontation in therapeutic communication involves directly addressing the patient's behavior, feelings, or thoughts in a way that encourages them to examine their actions or responses. Saying "You look angry" directly addresses the patient's emotional state, inviting them to acknowledge and discuss their feelings.

Question 19

You are completing a health history on a 32-year-old woman who is reporting that "she may have a problem using heroin and other drugs." You are being attentive to the patient's report and nonverbal cues. The patient is looking down as she is telling her story. What communication technique is the nurse demonstrating?

Accepted Answer

Active listening is demonstrated by the nurse's attentiveness to the patient's verbal and nonverbal cues, such as noticing the patient looking down while sharing her concerns. This involves listening carefully to what the patient is saying without immediately responding or interrupting, showing that the nurse is fully engaged in understanding the patient's situation.

Question 20

A home health nurse is assessing a 94-year-old patient with a severe cognitive impairment. The daughter with whom the patient lives states that her mom only eats less than half of all her meals. What will you document?

Accepted Answer

The correct choice is C because it accurately reflects the situation: the patient, due to severe cognitive impairment, cannot reliably report on her own health or eating habits, making the daughter's report crucial. It also correctly notes that the patient is eating less than 50% of each meal, as reported by the daughter.

Quiz 2: Interviewing the Patient for the Health History