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Chapter 04: The Complete Health History Jarvis: Physical Examination...

Chapter 04: The Complete Health History Jarvis: Physical Examination...

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Chapter 04: The Complete Health History Jarvis: Physical Examination & Health Assessment, 7th Edition

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Chapter 04: The Complete Health History
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1.   The nurse is preparing to conduct a health history. Which of these statements best describes the purpose of a health history?
a.

To provide an opportunity for interaction between the patient and the nurse

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 current health

2.   When the nurse is evaluating the reliability of a patient’s responses, which of these statements would be correct? The patient:
a.

Has a history of drug abuse and therefore is not reliable.

b.

Provided consistent information and therefore is reliable.

c.

Smiled throughout interview and therefore is assumed reliable.

d.

Would not answer questions concerning stress and therefore is not reliable.

3.   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?
a.

J.M. is a 59-year-old man seeking treatment for ulcerative colitis.

b.

J.M. came into the clinic complaining of having black stools for the past 24 hours.

c.

J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.

d.

J.M. is a 59-year-old man who states that he has been having “black stools” for the past 24 hours.

4.   A patient tells the nurse that she has had abdominal pain for the past week. What would be the nurse’s best response?
a.

“Can you point to where it hurts?”

b.

“We’ll talk more about that later in the interview.”

c.

“What have you had to eat in the last 24 hours?”

d.

“Have you ever had any surgeries on your abdomen?”

5.   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?
a.

“How does your family react to your pain?”

b.

“The pain must be terrible. You probably pinched a nerve.”

c.

“I’ve had back pain myself, and it can be excruciating.”

d.

“How would you say the pain affects your ability to do your daily activities?”

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