Exam 4: The Complete Health History

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The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history?

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D

A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having "black stools" for the last 24 hours. How would the nurse best document his reason for seeking care?

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D

The nurse is conducting a developmental history on a 5-year-old child. Which questions are appropriate to ask the parents for this part of the assessment? (Select all that apply.)

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A, C, F

The nurse is assessing a patient's headache pain. Which questions reflect one or more of the critical characteristics of symptoms that should be assessed? (Select all that apply.)

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A 29-year-old woman tells the nurse that she has "excruciating pain" in her back. Which response by the nurse would be appropriate?

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When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct?

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The nurse is incorporating a person's spiritual values into the health history. Which of these questions illustrates the "community" portion of the FICA (faith and belief, importance and influence, community, and addressing or applying in care) questions?

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When the nurse asks for a description of who lives with a child, the method of discipline, and the support system of the child, what part of the assessment is being performed?

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In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate?

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Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast?

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The nurse is preparing to complete a health assessment on a 16-year-old girl whose parents have brought her to the clinic. Which instruction would be appropriate for the parents before the interview begins?

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A patient tells the nurse that he is allergic to penicillin. What is the best response by the nurse?

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A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse's best response?

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The nurse is assessing a new patient who has recently immigrated to the United States. Which question is appropriate to add to the health history?

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The nurse is preparing to do a functional assessment. Which statement best describes the purpose of a functional assessment?

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As part of the health history of a 6-year-old boy at a clinic for a sports physical examination, the nurse reviews his immunization record and notes that his last measles-mumps-rubella (MMR) vaccination was at 15 months of age. What should the nurse recommend?

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A patient is describing his symptoms to the nurse. Which of these statements reflects a description of the setting of his symptoms?

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The nurse is performing a functional assessment on an 82-year-old patient who recently had a stroke. Which of these questions would be most important to ask?

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The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient?

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The nurse is asking a patient for his reason for seeking care and asks about the signs and symptoms he is experiencing. Which of these is an example of a symptom?

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