04 Feb indicate she is

Question 1 The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history? To provide an opportunity for interaction between the patient and the nurse To provide a form for obtaining the patient’s biographic information To document the normal and abnormal findings of a physical assessment To provide a database of subjective information about the patient’s past and current health Question 2 A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having “black stools” for the last 24 hours. How would the nurse best document his reason for seeking care? J.M. is a 59-year-old man seeking treatment for ulcerative colitis. J.M. came into the clinic complaining of having black stools for the past 24 hours. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked. J.M. is a 59-year-old man who states that he has been having “black stools” for the past 24 hours. Question 3 A 29-year-old woman tells the nurse that she has “excruciating pain” in her back. Which would be the nurse’s appropriate response to the woman’s statement? “How does your family react to your pain?” “The pain must be terrible. You probably pinched a nerve.” “I’ve had back pain myself, and it can be excruciating.” “How would you say the pain affects your ability to do your daily activities?” Question 4 A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information? “Are you allergic to any other drugs?” “How often have you received penicillin?” “I’ll write your allergy on your chart so you won’t receive any penicillin.” “Describe what happens to you when you take penicillin.” Question 5 The nurse is taking a family history. Important diseases or problems about which the patient should be specifically asked include: Emphysema. Head trauma. Mental illness. Fractured bones. Question 6 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 promotion activities for this patient? “Do you perform testicular self-examinations?” “Have you ever noticed any pain in your testicles?” “Have you had any problems with passing urine?” “Do you have any history of sexually transmitted diseases?” Question 7 The mother of a 16-month-old toddler tells the nurse that her daughter has an earache. What would be an appropriate response? “Maybe she is just teething.” “I will check her ear for an ear infection.” “Are you sure she is really having pain?” “Describe what she is doing to indicate she is having pain.” Question 8 During an assessment of a patient’s family history, the nurse constructs a genogram. Which statement best describes a genogram? List of diseases present in a person’s near relatives Graphic family tree that uses symbols to depict the gender, relationship, and age of immediate family members Drawing that depicts the patient’s family members up to five generations back Description of the health of a person’s children and grandchildren Question 9 A 5-year-old boy is being admitted to the hospital to have his tonsils removed. Which information should the nurse collect before this procedure? Child’s birth weight Age at which he crawled Whether the child has had the measles Child’s reactions to previous hospitalizations Question 10 The nurse is obtaining a health history on an 87-year-old woman. Which of the following areas of questioning would be most useful at this time? Obstetric history Childhood illnesses General health for the past 20 years Current health promotion activities

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