Test Bank Myrick ch.1 Health History, the Patient Interview

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CHAPTER 1: HEALTH HISTORY, THE PATIENT INTERVIEW, AND MOTIVATIONAL INTERVIEWING

1. Which statement, if said by the nursing student, indicates a correct understanding of the health history?

a. “The health history is a minor part of evaluating a patient’s health status.”

b. “The health history provides a snapshot of the patient and their daily life.”

c. “The health history does not reveal the patient’s understanding about health.”

d. “The health history is a holistic picture of the patient, their support systems, and habits.”

2. The clinician is getting ready to perform a health history but wants to ensure the patient can communicate before beginning. Which of the following areas should the clinician assess? Select all that apply.

a. Mental status

b. Memory

c. Stressors

d. Reasoning

e. Hygiene

3. The clinician is performing a health history on a patient who does not speak English. In light of the language barrier, which of the following considerations are important for this patient? Select all that apply.

a. Address the patient, even if the interpreter is in the room.

b. Focus on the interpreter.

c. Focus on the patient.

d. Ask the patient to bring a family member to the visit to interpret.

e. Use an in-person interpreter when available.

4. Clinicians try to ask open-ended questions to get patients to answer more fully. Which of the following questions is an example of an open-ended question?

a. “Do you smoke?”

b. “How much alcohol do you drink?”

c. “Are you in pain?”

d. “Do you want to eat lunch?”

5. What information gathered by the clinician would be classified as the history of the present illness (HPI)?

a. Age, gender, and occupation

b. Support system, profession, and dietary habits

c. Onset, location, duration, frequency, intensity, and alleviating and exacerbating factors surrounding the patient’s symptom(s)

d. The reason for the visit. It may be a direct quote or brief summary of patent’s comments.

6. What information should the clinician include in the allergy section of the health history? Select all that apply.

a. When the allergy occurred

b. The use of over-the-counter medications

c. The type of reaction experienced

d. The name of the offending substance

e. Any reaction related to eating shellfish

7. Why is the social history important for the clinician to document?

a. The social history addresses patient’s habits, such as smoking.

b. The social history addresses only patient information.

c. The social history should take place with family members in the room.

d. The social history should include the habits of parents and children.

8. Identify the components of the Review of Systems (ROS) as done by the clinician. Select all that apply.

a. Skin

b. Neurological

c. Allergies

d. Musculoskeletal

e. Smoking

9. A clinician engages with a patient who presents with a chief complaint of a sore throat. Which areas should be included in the assessment of this patient?

a. Dietary concerns

b. Ears, nose, and throat

c. Respiratory and cardiac

d. Family history

10. The clinician is attempting to identify a patient’s differential diagnosis. Which of the following is a component of differential diagnosis?

a. It is not necessary to use the health history in determining the differential diagnosis.

b. The differential diagnosis can be made during the physical examination.

c. The provider must maintain a wide focus during the physical examination.

d. A differential diagnosis cannot be made until after both the health history and physical examination.

11. Which information gathered by the clinician would be classified as the chief complaint (CC)?

a. Age, gender, and occupation

b. Support system, profession, and dietary habits

c. The onset, location, duration, frequency, intensity, and alleviating and exacerbating factors surrounding the patient’s symptom(s)

d. The reason for the visit. It may be a direct quote or brief summary of the patient’s comments.

12. A patient with a diagnosis of congestive heart failure (CHF) is seen in the medical office by the clinician. Which question should be included in the review of systems (ROS) for this patient?

a. “Do you have any difficulty swallowing?”

b. “Are you experiencing any trouble speaking words?”

c. “Are you short of breath when walking short distances?”

d. “Do you have any double vision?”

13. Name the seven attributes of a symptom, which may be recalled with the mnemonic OLD CART.

OL: Onset Location

D: Duration

C: Characteristics

A: Aggravating factors

R: Relieving factors

T: Treatment

14. Describe how to document a patient’s family history.

15. Describe the purpose of doing a motivational interview.

16. Discuss the role of the focused health history.

17. Identify some considerations a clinician should consider caring for special populations of patients.

18. Why is it important to differentiate between subjective and objective information obtained during the taking of health history of a patient?

19. What information should be included under the allergies section of the health history?

20. State why the social history is such an important part of the health history.