Deck 5: Interviewing and Health History: Subjective Data

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.

A) "As the nurse, I will mainly focus on the course of the client's illness."
B) "The client's health history can be gathered during the initial interview."
C) "I realize that the client is sick but I also need to perform a wellness assessment."
D) "The healthcare provider's and nurse's assessments should be almost identical with the same focus."
E) "The nurse typically has a more holistic point of view regarding the client's health."

Answer 1

"As the nurse, I will mainly focus on the course of the client's illness."
"The healthcare provider's and nurse's assessments should be almost identical with the same focus."

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.

A) Known genetic conditions.
B) Multiple family members with the same disease.
C) Late age of disease onset.
D) Death from chronic illness.
E) Multiple pregnancy losses.

Answer 2

Known genetic conditions.
Multiple family members with the same disease.
Multiple pregnancy losses.

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.

A) Health practices.
B) Family history.
C) Past medical history.
D) History of present illness.
E) Psychosocial information.

Answer 3

Health practices.
Family history.
History of present illness.
Psychosocial information.

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?

A) Call the client's healthcare provider.
B) Obtain the patient's records from the Medical Records department.
C) Discuss the situation with the family member who brought the client to the hospital.
D) Conduct a thorough physical assessment and document the health history as "unable to obtain."

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.

A) The client begins to wiggle their foot back and forth.
B) The client frequently moves around in their chair.
C) The client crosses his arms and becomes very quiet.
D) The client leans forward in the chair making eye contact.
E) The client expresses anger when answering the questions.

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?

A) Initial.
B) Focused.
C) Preinteraction.
D) Psychosocial.

Question 7

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

A) "How did your father die?"
B) "Have you had any major surgeries?"
C) "Have you noticed any change in your vision?"
D) "How long have you worked for your current employer?"

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?

A) "Can you tell me how much the co-pay is for your medications?"
B) "Do you carry health insurance?"
C) "Can you tell me about any over-the-counter or prescription medications that you take?"
D) "Where do you store your medications in your home?"

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?

A) The nurse should remain approximately a foot away from the client.
B) After the client changes into a gown, provide a blanket for warmth.
C) The client can be interviewed in the backyard of their home.
D) The nurse should use a laptop to immediately record the client's information.

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.

A) "Do you have a family history of glaucoma?"
B) "Do you consume a healthy diet?"
C) "How many hours do you sleep at night?"
D) "How frequently do you exercise?"
E) "Do you take any routine medications?"

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?

A) Medication list.
B) Immunization records.
C) Biographic data.
D) Family information.

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?

A) Provide additional education to the client.
B) Evaluate the accuracy of the information.
C) Instruct the client to discuss the information with the healthcare provider.
D) Encourage the patient to avoid seeking healthcare information on the internet.

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.

A) Medical records.
B) Patient.
C) History and physical.
D) Physical therapist.
E) Spouse.

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?

A) "Were you exposed to pesticides?"
B) "How long did you live there?"
C) "Have you lived anywhere else?"
D) "Was the area you were born in a farming community?"

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?

A) Preinteraction.
B) The initial interview.
C) The focused interview.
D) Closure of the interview.

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?

A) Paper.
B) In-person.
C) Telephone.
D) Online questionnaire.

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?

A) Genogram.
B) Health practices.
C) Past medical history.
D) Present health/illness.

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?

A) Establish trust.
B) Exhibit positive regard.
C) Display genuineness.
D) Demonstrate empathy.

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?

A) Documenting the client's response to health concerns.
B) Documenting the client's medication history.
C) Documenting the client's physical activity level.
D) Documenting the client's educational level.

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?"

Question 21

The nurse is obtaining a health history interview. Which question should the nurse ask that will set the direction for the rest of the health history interview?

A) "Have you ever had any surgeries?"
B) "Are you currently taking any medications?"
C) "Do you have any medical problems?"
D) "Can you tell me why you are seeking care today?"

Question 22

The nurse is obtaining the psychosocial history of a client. Which component of the history should the nurse recognize is most important to determine prior to discussing health problems with the client?

A) Income.
B) Living situation.
C) Education.
D) Self-concept.

Question 23

The nurse is obtaining a health history from a client. Which should the nurse recognize is the most efficient and low-cost method of providing individualized care?

A) Obtaining a family history.
B) Obtaining a psychosocial history.
C) Obtaining a past medical history.
D) Obtaining a history of present illness.

Question 24

The nurse is preparing to use a direct leading technique for a client that is experiencing pain. Which question should the nurse ask the client?

A) "Can you go over what you said about nothing relieving the pain?
B) "Do you think you know what caused the pain?
C) "Can you describe your pain?"
D) "When did your symptoms begin?"

Question 25

The nurse is summarizing the information obtained after a health history with a client. Which should the nurse recognize is a benefit of summary? Select all that apply.

A) Encourages open communication.
B) Shows the nurse has listened.
C) Indicates the nurse has understood the concerns.
D) Allows time for the patient to process information.
E) Signals closure of the interview.

Question 26

The nurse is conducting a review of systems assessment during a health history. Which question should the nurse ask the client?

A) "Have you ever had a surgical procedure?"
B) "What is your level of education?"
C) "Are you currently taking any medication?"
D) "Do you have a history of respiratory issues?"

Question 27

The nurse is assessing a client's past medical history. Which information should the nurse obtain during the assessment?

A) Allergies.
B) Marital status.
C) Health beliefs and practices.
D) Reason for seeking care.

Question 28

The nurse is using several interactional skills during a health history assessment. Which should the nurse recognize reflects the skill of attending?

A) Tell the client what you want to discuss.
B) Slightly lean toward the client.
C) Ask questions to help the client gain insight.
D) Listen for the client's basic message.

Question 29

A client tells the nurse they are worried that they have cancer. Which response should the nurse provide the client that demonstrates reflection?

A) "Everything will be all right."
B) "You may be over reacting."
C) "It sounds like you are worried about having cancer."
D) "You must be angry that this is happening to you."

Question 30

The nurse is obtaining the subjective data for a health history. Which components should the nurse include? Select all that apply.

A) General survey.
B) Family medical history.
C) Description of ambulation.
D) History of present illness.
E) Review of body systems.