Chapter 04: The Complete Health History

NURSING 123 Chapter 04: The Complete Health History MULTIPLE CHOICE 1. The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history? D. To provide a data base of subjective information about the patient’s past and 2. When the nurse is evaluating the reliability of a patient’s responses, which of these statements would be correct? The patient: B. provided consistent information and therefore is reliable. 3. A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having “black stools” for the last 24 hours. How would the nurse best document his reason for seeking care? D. J. M. is a 59-year-old male here for having “black stools” for the past 24 hours. 4. A patient tells the nurse that she has had abdominal pain for the past week. What would be the best response by the nurse? A. “Can you point to where it hurts?” 5. A 29-year-old woman tells the nurse that she has “excruciating pain” in her back. Which would be an appropriate response by the nurse to the woman’s statement? D. “How would you say the pain affects your ability to do your daily activities?” 6. In recording the childhood illnesses of a patient who denies having had any, which note by the nurse would be most accurate? D. Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat. 7. A female patient tells the nurse that she has had six pregnancies, with four live births at term and two spontaneous abortions. Her four children are still living. How would the nurse record this information? B. Grav 6, Term 4, (S)Ab-2, Living 4 8. A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information? D. “Please describe what happens to you when you take penicillin.” 9. The nurse is taking a family history. Important diseases or problems to ask the patient about specifically include: C. mental illness. 10. The review of systems provides the nurse with: B. information regarding health promotion practices. 11. Which of these statements represents subjective data the nurse obtained from the patient regarding the patient’s skin? C. Denies color change. 12. The nurse is obtaining a history from a 30-year-old male patient and is concerned about health promotion activities. Which of these questions would be appropriate to use to assess health promotion activities for this patient? A. “Do you perform testicular self-examinations?” 13. Which of these responses might the nurse expect during a functional assessment of a patient whose leg is in a cast? D. “I’m able to transfer myself from the wheelchair to the bed without help.” 14. In response to a question about stress, a 39-year-old woman tells the nurse that her husband and mother both died in the past year. Which response by the nurse is most appropriate? C. “What did you do to cope with the loss of both your husband and mother?” 15. In response to a question regarding use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information? B. Alcohol can interact with all medications and can make some diseases worse. 16. The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response? D. “Please describe what she is doing to indicate she is having pain.” 17. During an assessment of a patient’s family history, the nurse constructs a genogram. Which statement best describes a genogram? B. A graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family members