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A nurse is preparing to conduct a health history for a patient who is confined to bed. How should the nurse position herself?
- A. standing at the end of the bed
- B. standing at the side of the bed
- C. sitting at least 6 feet from the beside
- D. sitting at a 45-degree angle to the bed
Correct Answer: D
Rationale: Sitting at a 45-degree angle facilitates eye contact and communication with a bedridden patient.
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Which of the following questions or statements would be appropriate in eliciting further information when conducting a health history interview?
- A. Why didnt you go to the doctor when you began to have this pain?
- B. Are you feeling better now than you did during the night?
- C. Tell me more about what caused your pain.
- D. If I were you, I would not wait to get medical help next time.
Correct Answer: C
Rationale: Open-ended questions like 'Tell me more' encourage detailed patient responses.
Which theoretical framework is being used when a nurse organizes a nursing history according to functional health patterns?
- A. Body Systems Model
- B. Functional Health Patterns
- C. Maslows Hierarchy of Needs
- D. Orem's Self-Care Model
Correct Answer: A
Rationale: Functional Health Patterns is a framework for organizing nursing history data.
A nurse who collected and organized data during a patient history realizes that there is not enough information to plan interventions. Which of the following would be the best remedy to prevent this from happening in the future?
- A. The nurse should practice interviewing strategies.
- B. The nurse should modify data collection tool.
- C. The nurse should determine specific purpose of data collection.
- D. The nurse should review and practice communication techniques.
Correct Answer: A
Rationale: Practicing interviewing strategies improves data collection thoroughness.
A nurse is collecting information from Mr. Koeppe, a patient with dementia. The patients daughter, Sarah, accompanies the patient. Which of the following statements by the nurse would recognize the patients value as an individual?
- A. Sarah, can you tell me how long your father has been this way?
- B. Sarah, I have to go and read your fathers old charts before we talk.
- C. Mr. Koeppe, tell me what you do to take care of yourself.
- D. Mr. Koeppe, I know you cant answer my questions, but its okay.
Correct Answer: C
Rationale: Addressing the patient directly respects their individuality and encourages their participation.
Mrs. James comes to her healthcare providers office because she is having abdominal pain. She has been seen for this problem before. What type of assessment would the nurse do?
- A. initial assessment
- B. focused assessment
- C. emergency assessment
- D. time-lapsed assessment
Correct Answer: B
Rationale: A focused assessment targets a specific problem, such as abdominal pain, especially when the patient has a history of the issue.