H ISTORY
MULTIPLE CHOICE
1. 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 pr omotion activities for this
patient?
a. Do you perform testicular self -examinations?
b. Have you ever noticed any pain in your testicles?
c. Have you had any problems with passing urine?
d. Do you have any history of sexuall y transmitted diseases?
ANS: A
Health promotion for a man would include the performance of
testicular self -examinations. The other questions are asking about
possible disease or illness issues.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 56
MSC: Client Needs: Safe and Effective C are Environment:
Management of Care
2. Which of these responses might the nurse expect during a functional
assessment of a patient whose leg is in a cast?
a. I broke m y right leg in a car accident 2 weeks ago.
, b. The pain is decreasing, but I still need to take ac etaminophen.
c. I check the color of my toes every evening just like I was taught.
d. Im able to transfer myself from the wheelchair to the bed without
help.
ANS: D
Functional assessment measures a persons self -care abilit y in the areas
of general physical health or absence of illness. The other statements
concern health or illness issues.
DIF: Cognitive Level: Appl ying (Application) REF: p. 56 MSC:
Client Needs: Safe and Effective Care Environment: Management of
Care
3. 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?
a. This has been a difficult year for you.
b. I dont know how anyone could handle that much stress in 1 year!
c. What did you do to cope with the loss of both your husband and
mother?
d. That is a lot of stress; now lets go on to the next section of your
history.
ANS: C
Questions about coping and stress management include questions
regarding the kinds of stress es in ones life, especiall y in the last year,