nosis gEssentialsgforgClinicalgPracticeg1stgEditiongMyrick
4g AdvancedgHealthgAssessmentgandgDifferentialgDiagno
sis
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nosisgEssentialsgforgClinicalgPracticeg1stgEditiongMyrick
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dgasgangaidgforgstudentglearning.gNogpartgofgthisgpublicationgmaygbegsold,greproduced,gstoredgingagretrievalgsystem,gorgtrans
mittedginganygformgorgbyganygmeans,gelectronic,gmechanical,gphotocopying,grecording,gorgotherwise,gwithoutgthegpriorgperm
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nosisgEssentialsgforgClinicalgPracticeg1stgEditiongMyrick
CHAPTERg1:gHEALTHgHISTORY,gTHEgPATIENTgINTERVIEW,g
ANDgMOTIVATIONALgINTERVIEWING
1. Whichgstatement,gifgsaidgbygthegnursinggstudent,gindicatesgagcorrectgunderstandinggofgthegheal
thghistory?
a. “Theghealthghistorygisgagminorgpartgofgevaluatinggagpatient’sghealthgstatus.”
b. “Theghealthghistorygprovidesgagsnapshotgofgthegpatientgandgtheirgdailyglife.”
c. “Theghealthghistorygdoesgnotgrevealgthegpatient’sgunderstandinggaboutghealth.”
*d.g g “Theghealthghistorygisgagholisticgpicturegofgthegpatient,gtheirgsupportgsystems,gandghabits.”
Rationale:gTheghealthghistorygisgagcrucialgpartgofgevaluatinggagpatient’sghealthgstatus.gItgestablishesgagbas
elinegforgthegpatientgandgcangrevealgthegpatient’sgunderstandinggaboutghealthgandgthegfactorsgthatginfluen
cegtheirghealth.gFinally,gitgalsogprovidesgagcomprehensive,gholisticgpicturegofgthegpatient,gtheirgsupportgsy
stems,ghabits,gandgdailyglife.
2. Thegcliniciangisggettinggreadygtogperformgaghealthghistorygbutgwantsgtogensuregthegpatientgcangcom
municategbeforegbeginning.gWhichgofgthegfollowinggareasgshouldgthegcliniciangassess?gSelectgallgt
hatgapply.
*a. Mentalgstatus
*b.g g Memory
c. Stressors
*d.g g Reasoning
e. Hygiene
Rationale:gAgquickgassessmentgofgwhethergthegpatientgisgcapablegofgprovidinggaccurateginformationgisgc
rucialgtogthegentiregprocess.gThegpatientgmustgbegablegtogcommunicate,galthoughgnotgnecessarilygorally,gi
ngordergtogconveyginformation.gMentalgstatusgplaysgagroleginghistorygtaking.gAnyonegwhosegmentalgstatu
sgisgalteredgmaygnotgprovidegaccurateginformation.gMemorygandgreasoninggmustgbegintactgtogbegablegtogr
elaygpastgeventsgandghowgtheygmayghavegledgtogthegpatient’sgcondition.gStressorsgandghygienegaregassess
edgasgpartgofgthegpatientgassessment,gnotgtheirghealthghistory.
3. ThegcliniciangisgperforminggaghealthghistorygongagpatientgwhogdoesgnotgspeakgEnglish.gInglightgofgt
heglanguagegbarrier,gwhichgofgthegfollowinggconsiderationsgaregimportantgforgthisgpatient?gSelectgal
lgthatgapply.
*a. Addressgthegpatient,gevengifgtheginterpretergisgingthegroom.
b.g g Focusgongtheginterpreter.
*c. Focusgongthegpatient.
d.g g Askgthegpatientgtogbringgagfamilygmembergtogthegvisitgtoginterpret.
*e. Usegangin-personginterpretergwhengavailable.
Rationale:gInterpretersgmaygbegusedgingpersongorgviagangappgwhichggivesgyougthegtranslationgforgagphra
segorgviagphone.gThegprovidergstillgaddressesgthegpatientgalthoughgtheginterpretergtranslatesgtheglanguage
gspoken.gThegprovidergshouldgnotgbegfocusedgongtheginterpreter,gbutgrather,gthegpatientgremainsgthegfocus
gofgthegconversation.gFamilygmembersgcangbegusedgasginterpreters,galthoughgthisgmaygnotgbegthegbestgop
tiongbecausegthegpatientgmaygnotgwantgagfamilygtogaccompanygthemgingthegroom.gAlso,gagfamilygmembe
rgmayganswergwithgtheirgperspectivegversusgthegpatient’sgperspective,gorgmaygnotgfullygtranslategwhatgth
egpatientgsays.
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