Question 1

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.

Accepted Answer

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

Question 2

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?

Accepted Answer

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

Question 3

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

Accepted Answer

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." D

Question 4

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.

Accepted Answer

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 5

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?

Accepted Answer

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

Question 6

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?

Accepted Answer

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 7

The nurse is gathering patient data from secondary sources. Which sources would the nurse utilize to collect this data? Select all that apply.

Accepted Answer

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

Question 8

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?

Accepted Answer

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 9

The nurse is obtaining information about a client's past medical history. Which source should the nurse anticipate using to obtain this data?

Accepted Answer

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

Question 10

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?

Accepted Answer

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 11

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

Accepted Answer

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

Question 12

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?

Accepted Answer

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 13

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.

Accepted Answer

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."

Question 14

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

Accepted Answer

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

Question 15

The nurse is performing a focused interview with the client. Which behaviors indicate that the client may be feeling threatened? Select all that apply.

Accepted Answer

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 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?

Accepted Answer

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

Question 17

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?

Accepted Answer

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

Question 18

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?

Accepted Answer

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 19

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?

Accepted Answer

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 20

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.

Accepted Answer

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.

Exam 5: Interviewing and Health History: Subjective Data