HEALTH ASSESSMENT I
The nurse is interviewing the client. The nurse states, "Can you tell me exactly
how you feel when you are having difficulty catching your breath?" Which of the
following types of communication techniques is the nurse utilizing specifically?
-Attending
-Focusing
-Paraphrasing
-Summarizing
Focusing
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 of the following statements by the client may be elicited during this
portion of the health history?
(Select all that apply.)
1. "Sometimes, my eyes feel very tired and sort of ache."
2. "My husband and I have 3 couples that we would classify as our very good
friends."
3. "I pay attention to the foods that I eat, because I want my body to stay well."
4. "My mom was diagnosed with glaucoma when she was 60 years old."
5. "I think I do a good job of managing stress with yoga every day and running
three times a week."
2. "My husband and I have 3 couples that we would classify as our very good friends."
3. "I pay attention to the foods that I eat, because I want my body to stay well."
5. "I think I do a good job of managing stress with yoga every day and running three times
a week."
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?
1. Present health/illness
2. Family genogram
,3. Past medical history
4. Health practices
2. Family genogram
The nurse is interviewing a client who is in acute pain. Which of the following
actions by the nurse must be performed first?
1. Attempt to reduce the pain and complete the interview later.
2. Interview the family for the information.
3. Document why the interview could not be completed.
4. Proceed very quickly with the interview.
1. Attempt to reduce the pain and complete the interview later.
The nurse is obtaining information about a client's past medical history. Which
of the following sources would provide the nurse with this data?
1. Medication list
2. Average amount of hours of sleep each night
3. Marital status
4. Immunization records
4. Immunization records
The nurse is interviewing the client. Which of the following techniques should the
nurse use to decode the client's messages?
1. Use body language to convey the message.
2. Listen actively and attentively.
3. Develop and transmit an idea.
4. Use words to convey the message.
2. Listen actively and attentively
While interviewing the client during the focused interview, the client begins to
cry softly. Which of the following interventions by the nurse are appropriate?
(Select all that apply.)
1. The nurse states, "I don't like these questions any more than you do, but we
need to get on with the interview so you can go home and cry later."
2. The nurse states, "It's all right, I think we're done with the interview."
3. The nurse places the tissues within arm's reach of the client.
4. The nurse states, "I can see you are upset. It's all right to cry."
5. The nurse remains quiet until the nurse feels that the client is prepared to
proceed with the interview.
, 3. The nurse places the tissues within arm's reach of the client.
4. The nurse states, "I can see you are upset. It's all right to cry."
5. The nurse remains quiet until the nurse feels that the client is prepared to proceed with
the interview.
The student nurse is preparing to perform a health history interview. Which of
the following statements indicate that the student nurse requires further
education regarding the purpose of the health history?
(Select all that apply.)
1. "The nurse typically has a more holistic point of view regarding the client's
health."
2. "The client's health history can be gathered during the initial interview."
3. "The healthcare provider's and nurse's assessments should be almost identical
with the same focus."
4. "I realize that the client is sick, but I also need to perform a wellness
assessment."
5. "As the nurse, I will mainly focus on the course of the client's illness."
3. "The healthcare provider's and nurse's assessments should be almost identical with the
same focus."
5. "As the nurse, I will mainly focus on the course of the client's illness."
The nurse is interviewing the client. The nurse says to the client, "It sounds like
you don't like your new job because it's more stressful than you anticipated."
Which of the following types of communication techniques is the nurse utilizing
specifically?
1. Questioning
2. Paraphrasing
3. Attending
4. Listening
2. Paraphrasing
The nurse is using a Doppler ultrasonic stethoscope to assess a client's pulse in
the lower extremity and is unable to locate the pulse. What is the nurse's next
action?
1. Send the equipment for repair.
2. Check the pressure applied to the probe.
3. Add more gel to the end of the probe.
4. Immediately inform the healthcare provider.
2. Check the pressure applied to the probe.