Question 1

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?

Accepted Answer

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

Question 2

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

Accepted Answer

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 3

The nurse is preparing to review a client's current medications. Which question is the most important for the nurse to ask the client?

Accepted Answer

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 4

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?

Accepted Answer

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

Question 5

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.

Accepted Answer

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 6

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?"

Accepted Answer

The answer of The nurse is assessing the client's pain...

Question 7

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

Accepted Answer

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 8

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

Accepted Answer

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 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?

Accepted Answer

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 preparing to obtain a health history on a client. Which phase of the health history should the nurse recognize is occurring?

Accepted Answer

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

Exam 5: Interviewing and Health History: Subjective Data