Obtaining A Health History

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Question 1

Free

Multiple Choice

Which statement or question does the nurse use during the introduction phase of the interview?

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"I'm here to learn more about the pain you're experiencing."

"Can you describe the pain that you're experiencing?"

"I heard you say that the pain is 'all over' your body."

"What relieves the pain you are having?"

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Question 2

Free

Multiple Choice

Which statement is appropriate to use when beginning an interview with a new patient?

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"Have you ever been a patient in this clinic before?"

"What is your purpose for coming to the clinic today?"

"Tell me a little about yourself and your family."

"Did you have any difficulty finding the clinic?"

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Question 3

Free

Multiple Choice

Which statement by the nurse demonstrates a patient-centered interview?

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"I need to complete this questionnaire about your medical and family history."

"The hospital requires me to complete this assessment as soon as possible."

"Tell me about the symptoms you've been having."

"I've had the same symptoms that you've described."

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Question 4

Free

Multiple Choice

Which question is an example of an open-ended question?

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"Have you experienced this pain before?"

"Do you have someone to help you at home?"

"How many times a day do you use your inhaler?"

"What were you doing when you felt the pain?"

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Question 5

Free

Multiple Choice

A nurse suspects a female patient is a victim of physical abuse. Which response is most likely to encourage the patient to confide in the nurse?

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"You've got a huge bruise on your face. Did your husband hit you?"

"That bruise looks tender. I don't know how people can do that to one another."

"If your boyfriend hit you, you can get a restraining order against him."

"I've seen women who have been hurt by boyfriends or husbands. Does anyone hit you?"

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Question 6

Multiple Choice

Which technique used by the nurse encourages a patient to continue talking during an interview?

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Laughing and smiling during conversation

Using phrases such as "Go on," and "Then?"

Repeating what the patient said, but using different words

Asking the patient to clarify a point

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Question 7

Multiple Choice

During the history, the patient states that she does not use many drugs. What is the nurse's appropriate response to this statement?

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"Tell me about the drugs you are using currently."

"To some people six or seven is not many."

"Do you mean prescription drugs or illicit drugs?"

"How often are you using these drugs?"

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Question 8

Multiple Choice

A nurse is interviewing a patient who was diagnosed with type 2 diabetes mellitus 6 months ago. Since that time, the patient has gained weight and her blood glucose levels remain high. The nurse suspects that the patient is noncompliant with her diet. Which response by the nurse enhances data collection in this situation?

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"Tell me about what foods you eat and the frequency of your meals."

"What symptoms do you notice when your blood sugar levels are high?"

"You need to follow what the doctor has prescribed to manage your disease."

"Tell me what you know about the cause of type 2 diabetes."

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Question 9

Multiple Choice

A male patient tells the nurse that he rarely sleeps more than 4 hours a night and has not experienced any problems because of the lack of sleep. Which response by the nurse is most appropriate?

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"That is interesting."

"Only 4 hours of sleep? How do you stay awake during the day?"

"Really? Everyone needs more sleep than that."

"Did I understand that you sleep 4 hours every night?"

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Question 10

Multiple Choice

Which technique should the nurse use to obtain more data about a patient's vague or ambiguous statement?

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Laughing and smiling during conversation

Using phrases such as "Go on," and "Then?"

Repeating what the patient has said, but using different words

Asking the patient to explain a point

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Question 11

Multiple Choice

What does the nurse say to obtain more data about a patient's vague statement about diet such as, "My diet's okay"?

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"Eating a variety of meats, fruits, and vegetables each day is important."

"Give me an example of the foods you eat in a typical day."

"Go on."

"Does your diet meet your needs or does it need improvement?"

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Question 12

Multiple Choice

While giving a history, a male patient describes several events out of order that occurred in different decades in his life. What technique does the nurse use to understand the timeline of these events?

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State the order of events as understood and ask the patient to verify the order.

Draw conclusions about the order of events from data given.

Ask the patient to elaborate about these events.

Ask the patient to repeat what he said about these events.

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Question 13

Multiple Choice

A male patient is very talkative and shares much information that is not relevant to his history or the reason for his admission. Which action by the nurse improves data collection in this situation?

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Terminate the interview.

Use closed-ended questions.

Ask the patient to stay on the subject.

Ask another nurse to complete the interview.

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Question 14

Multiple Choice

A patient answers questions quietly and appears sad. While answering questions about her marriage, she begins to cry. Which response by the nurse is appropriate in this situation?

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"Don't cry! I'll come back when you've settled down."

"I only have a few more questions to ask, and then I'll leave you alone for a while."

"Everyone has ups and downs in their marriage. What problems are you having?"

"I see that you are upset. Is there something you'd like to discuss?"

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Question 15

Multiple Choice

During an interview, a patient begins to cry and appears angry. Which response by the nurse is most therapeutic?

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"This topic prompted an emotional response, tell me what you are feeling."

"This topic does not usually cause such an emotional response."

"Calm down and tell me what is wrong."

"I will leave you alone for a few minutes so you can pull yourself together."

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Question 16

Multiple Choice

In which situation is the nurse's use of closed-ended questions most appropriate?

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When clarifying vague or conflicting data

When obtaining a history from an overly talkative patient

When encouraging a patient to elaborate on details of his or her history

When collecting data about the current health problem

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Question 17

Multiple Choice

The nurse is interviewing a woman with her husband present. The husband answers the questions for the wife most of the time. What is the most appropriate therapeutic nursing action to hear the patient's viewpoint?

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Continue the interview.

Ask the husband to step out of the room.

Ask another nurse to complete the interview.

Tell the woman to speak up for herself.

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Question 18

Multiple Choice

A female Korean patient accompanied by her husband and son comes to the emergency department (ED) complaining of abdominal pain. The patient speaks and understands Korean only. Which person is the appropriate choice for the nurse to use to get a history from this patient?

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The patient's husband who speaks Korean and English

The patient's son who speaks Korean and English

A male technician who works in the ED who speaks Korean and English

A female interpreter who speaks Korean and English and is available by phone

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Question 19

Multiple Choice

Which nurse demonstrates culturally competent care for a female patient from Russia?

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Nurse A who asks the patient about cultural factors that influence health care

Nurse B who interacts with every patient from Russia in the same manner

Nurse C who learns the cultural variables of every culture, including Russia

Nurse D who relies on her previous experience with patients from Russia

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Question 20

Multiple Choice

For which patient is a focused health history most appropriate?

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A new patient at the health clinic for an annual examination

A patient admitted to the hospital with vomiting and abdominal pain

A patient at the health care provider's office for a sport physical

A patient discharged 11 months ago who is being readmitted today

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