History and Interview
A client admitted to the health care facility for new onset of
abdominal pain expresses to the nurse that she was treated for
gastroesophageal reflux disease in the past. In which section of
the comprehensive health assessment should the nurse document
this information? Correct Answers Personal health history
A client has just been admitted to the postsurgical unit from
postanesthetic recovery, and the nurse is in the introductory
phase of the client interview. Which of the following activities
should the nurse perform first? Correct Answers Explain the
purpose of the interview.
A client is asked to describe "something that brings the most
hope." Which functional health pattern is the nurse assessing?
Correct Answers value-belief
The value-belief health pattern describes patterns of values,
beliefs or goals that guide choices or decisions. The self-
perception-self-concept pattern describes body image, feeling
state, self-esteem, personal identity, and social identity. The
role-relationship pattern describes patterns of role interactions
and relationships including family functioning and problems,
and work and neighborhood environment. The coping-stress-
tolerance pattern describes general coping pattern and its
effectiveness in terms of stress tolerance.
A client is providing information about the history of a present
illness. What should the nurse keep in mind when documenting
, this information? Correct Answers The history of present
illness is where each symptom is described. This area includes
the client's thoughts and feelings about the illness. It also
includes medications, smoking and alcohol intake if these
actions contributed to the development of the illness. Childhood
illnesses are a part of the client's past medical history.
A client is unable to recall the last time an immunization was
received. Which part of the client's health should the nurse
realize is being the most impacted by this practice? Correct
Answers One area within health maintenance is completion of
vaccinations. If the client cannot recall when the last
immunizations were received, this would impact health
maintenance. Risk factors focus on tobacco use, environment,
safety, and substance use. Screening tests are a subcategory
within health maintenance. It is possible that the client is
unaware of which vaccinations should be obtained. If this is the
case, the client should not be labeled as not being compliant
with treatment.
A client with a foot wound returns to the outpatient wound clinic
for a weekly appointment and treatment. Which type of
assessment should the nurse complete with this client? Correct
Answers Follow-up
A comprehensive health history includes which components?
Select all that apply. Correct Answers Usually the nurse
collects demographical data first and then elicits from clients a
complete description of their reason for seeking care, because
that information usually is most important. The nurse collects
information about the present illness by beginning with open-