Jarvis Chapter 4 (The Complete Health History)

a

Assessment of self-esteem and self-concept is part of the functional assessment. Areas covered under self-esteem and self-concept include

a. education, financial status, and value-belief system.

b. family role, interpersonal relations, social support, and time spent alone.

c. stressors, coping mechanisms, and change in past year.

d. exercise and activity, leisure activities, and level of independence.

b

The nurse questions the reliability of the history provided by the patient. One method to verify information within the context of the interview is to

a. ask the patient if there is someone who could verify information.

b. rephrase the same questions later in the interview.

c. call a family member to confirm information.

d. review previous medical records.

c

What information is included in greater detail when taking a health history on an infant?

a. Environmental hazards

b. History of present illness

c. Nutritional data

d. Family history

c

Which of the following is included in documenting a history source?

a. Appearance, dress, and hygiene

b. Documented relationship of support systems

c. Reliability of informant

d. Cognition and literacy level

d

A patient seeks care for "debilitating headaches that cause excessive absences at work." On further exploration, the nurse asks, "What makes the headaches worse?" With this question, the nurse is seeking information about

a. the patient's perception of pain.

b. the nature or character of the headache.

c. relieving factors.

d. aggravating factors.

b

The CAGE test is a screening questionnaire that helps to identify

a. depression.

b. excessive or uncontrollable drinking.

c. unhealthy lifestyle behaviors.

d. personal response to stress.

b

The "review of systems" in the health history is

a. a short statement of general health status.

b. an evaluation of past and present health state of each body system.

c. a documentation of the problem as perceived by the patient.

d. a record of objective findings.

b

When recording information for the review of systems, the interviewer must document

a. "negative" under the system heading.

b. the presence or absence of all symptoms under the system heading.

c. objective data that support the history of present illness.

d. physical findings, such as skin appearance, to support historic data.

c

PQRSTU is a mnemonic that helps the clinician to remember to address characteristics specific to

a. the ability to perform activities of daily living (ADLs).

b. substance use and abuse.

c. pain presentation.

d. severity of dementia.

d

When taking a health history from an adolescent, the interviewer should

a. ask every youth about the use of condoms.

b. have at least one parent present during the interview.

c. ask about violence and abuse before asking about alcohol and drug use.

d. interview the youth alone with a parent in the waiting area.

c

Which of the following will is most likely to elicit the most information?

a. How often do you brush your teeth?

b. Has your sense of taste changed?

c. Tell me about your daily dental care.

d. Do you have any problems with your dentures?

b

The nurse is completing a review of systems (ROS) during a health assessment. The nurse knows that the ROS is considered:

a. a systematic approach to obtaining objective information.

b. a systematic approach to obtaining subjective information.

c. an important component of the social history.

d. actual information that incorporates objective information.

d

The nursing process is a sequential method of problem solving that includes which of the 5 steps?

a. Assessment, treatment, evaluation, discharge, follow up

b. Admission, assessment, diagnosis, treatment, discharge planning.

c. Admission, diagnosis, treatment, evaluation, discharge planning.

d. Assessment, diagnosis, planning, implementation, evaluation.

a

Which of the following would be the best way to refer to an adult patient when initiating the interview?

a. Hello Mr. Jones, what brought you to the emergency department today?

b. Hello James, what brought you to the emergency department today?

c. Hi, I'm nurse John, what brought you into the hospital today Jim?

d. Hi Mr. J., what's up? Why are you here today?

d

When reading a medical record, you see the following notation: Patient states, "I have had a cold for about a week, and now I am having difficulty breathing." This is an example of:

a. A past health history

b. A review of systems

c. A functional assessment

d. A reason for seeking care

a

You have reason to question the reliability of the information being provided by a patient. One way to verify the reliability within the context of the interview is to:

a. Rephrase the same questions later in the interview

b. Review the patient's previous medical records

c. Call the person identified as the emergency contact to verify the data provided

d. Provide the patient with a printed history to complete and then compare the data provided.

c

The statement "Reason for seeking care" has replaced the "chief complaint." This change is significant because:

a. The "chief complaint" is really a diagnostic statement.

b. The newer term allows another individual to supply the necessary information.

c. The newer term incorporates wellness needs.

d. The "reason for seeking care" can incorporate the history of the present illness.

b

During the initial interview, the examiner says, "Mrs. J., tell me what you do when your headaches occur?" This is an example of which type of information?

a. The patient's perception of the problem

b. Aggravating or relieving factors

c. The frequency of the problem

d. The severity of the problem

c

Which is an appropriate recording of a patient's reason for seeking health care?

a. Angina pectoris, duration 2 hours

b. Substernal pain radiating to left axilla, 1 hour duration

c. "Grabbing" chest pain for 2 hours

d. Pleurisy, 2 days' duration

c

A genogram is used for which reasons?

a. past history

b. past history, specifically hospitalizations

c. family history

d. the 8 characteristics of presenting symptoms.

a

What is the best description of "review of systems" as part of the health history?

a. The evaluation of the past and present health state of each body system

b. A documentation of the problem as described by the patient

c. The recording of the objective findings of the practitioner

d. A statement that describes the overall health of the patient.

d

Which finding is considered to be subjective?

a. Temperature of 101.2

b. Pulse rate of 96 beats/min

c. Measured weight loss of 20 lbs since previous measurement

d. Pain lasting 2 hours

b

When taking a health history for a child, what information, in addition to that for an adult, is usually obtained?

a. Coping and stress management

b. A review of immunizations recieved

c. Environmental hazards

d. Hospitalization history

d

Functional assessment measures how a person manages day to day activities. The impact of adoption on the daily activities of a child is referred to as:

a. Developmental history

b. Instrumental activities of daily living

c. Reason for seeking care

d. Interpersonal relationship assessment

c

Which two sections of the child's health history become separate sections because of their importance to the child's current health status?

a. play activities and rest patterns

b. prenatal and postnatal status

c. developmental and nutritional history

d. accidents, injuries, and immunizations

d

Which statement best describes the purpose of a health history?

a. To provide an opportunity for interaction between the patient and examiner

b. to provide a form for obtaining the patient's biographic information

c. to document the normal and abnormal findings of a physical assessment

d. to provide a database of subjective information about the patient's past and present health

d

While assessing a man for allergies, he states he is allergic to penicillin. Which response is best?

a. "Are you allergic to any other drugs?"

b. "How often have you received penicillin?"

c. "I'll write your allergy on your chart so you won't receive any."

d. "Please describe what happens to you when you take penicillin."