Exam 8: The Health History

During the pre-interaction stage, the nurse is preparing for the initial interview. Which setting is the least appropriate setting for the initial interview?

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. Standard Text: Click on the down arrow for each response in the right column and select the correct choice from the list. Response A) "How long have you had this pain?" Response B) "Would you please point to the location of your pain?" Response C) "How would you describe your pain? Is it sharp, dull, stabbing?" Response D) "Can you tell me when your pain first began?"

The nurse is preparing to interview the hospitalized client. Which statements by the client's nurse indicate that the interview should be postponed?

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?

The nurse is completing a focused interview. Which piece of information would the nurse include during this interaction?

The nurse is constructing a pedigree for a client. Which symbol designates the client's biological parents?

A client has been brought to the emergency department (ED) by a family member. The client is speaking incoherently. To obtain information about the client's current health status, what should the nurse do?

While conducting a review of systems assessment during a health history, which question is appropriate?

Which are appropriate focuses for the health history collected by the nurse?

During the course of a health history the nurse would like to review a client's medications. Which question is most important to ask when gathering the medication history?

When creating a pedigree, which items would the nurse consider as red flags?

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?

The nurse is obtaining information about a client's past medical history. Which source would provide the nurse with this data?

Which is the priority when assessing the client's sexual history?

Which documentation is appropriate after assessing head, neck, and lymphatics?

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?

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

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?

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 statements by the client may be elicited during this portion of the health history?

The nurse is gathering client data from secondary sources. Which sources would the nurse utilize to collect this data?