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NUR 3066C: Health Assessment Chapter 2: The Health History and Interview | UPDATED Questions with 100% Verified Answers

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NUR 3066C: Health Assessment Chapter 2: The Health History and Interview | UPDATED Questions with 100% Verified Answers

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NUR 3066C: Health Assessment Chapter 2: The Health
History and Interview | UPDATED Questions with 100%
Verified Answers
Q1: During an initial health history, a client states, "I haven't slept in
weeks." The nurse asks, "You are saying that you have not had
any sleep in weeks?" What communication technique is the
nurse using to obtain accurate subjective data from the client?
A: rephrasing; The nurse is using a communication technique referred to as rephrasing to
better understand subjective data. Rephrasing helps to clarify information. Well-placed
phrases such as "uh-huh, go ahead, I see" are useful in keeping a conversation going and
letting the client know that the nurse is listening. Closed-ended questions limit the client's
response to one or two words, for example, either yes or no or something specific such
as a date of birth.


Q2: When beginning the collection of the client data base, which
of the following would be most important for the nurse to do?
A: Establish a trusting relationship; It is essential for the nurse to develop trust and rapport
with the client to elicit accurate and meaningful information. This trust is the focus of the
interview and must be developed in the initial phase of the interview. Determining the
client's strengths, identifying health problems, and making inferences occur during the
working phase of the interview.


Q3: A nurse is interviewing an adult client who had a miscarriage 3
weeks ago. The woman is crying and is having difficulty talking.
The nurse moves closer and places a hand on the woman's
hand. What type of communication is this?
A: Active listening; is the ability to focus on the client and their perspectives. It requires the
nurse to constantly decode messages including thoughts, words, opinions, and emotions.
For example, if a client is sad, it is appropriate for a nurse to place a hand over the client's
and to show a facial expression of compassion. The purpose of restatement is to have the
client elaborate on what was originally stated by the client. Reflection uses summarizing
by the nurse to find the true meaning of a client's words. Encouraging elaboration
encourages the client to explain or go into more detail in the client's responses.


Q4: When interviewing a client who does not speak English, the
nurse enlists the assistance of a "culture broker," based on the
understanding of what as this person's primary function?
A: to interpret the language and culture
If misunderstanding or difficulty in communicating is evident, the nurse will seek help
from an expert who is thoroughly familiar not only with the client's language, culture, and
related health care practices but also with the health care setting and system of the
dominant culture, often called a culture broker. The role of a culture broker is not to
evaluate the client's health practices, teach the client about health care, or make the

, client feel comfortable and safe.


Q5: When recording the client's chief concerns during the health
history, it is recommended that the interviewer do which of the
following?
A: Quote the client's words.
When recording the client's chief concern, it is preferable to quote the client's exact
words whenever possible.


Q6: Prior to a client interview, the nurse collects information from
the client's medical record, such as prior surgeries, home
medications, allergies, and past treatments. What phase of the
interview process is this?
A: Pre-interaction
Before meeting with the client, the nurse collects data from the medical record, including
the previous history of medical illnesses or surgeries, current medication list, and
problem list. The nurse uses this information to conduct an interview, already knowing
about some of the past problems and responses to treatments. The beginning phase of
the interview process is when introductions are exchanged and the nurse explains the
purpose of the interview process. The working phase of the interview process is when
data is collected from the client, either in subjective or objective form. The closing phase
of the interview process is when the nurse summarizes the interview, assessing for any
issues or concerns that need to be addressed either at that time, or in the future.


Q7: When recording the client's chief concerns during the health
history, it is recommended that the interviewer do which of the
following?
A: Quote the client's words


Q8: To assess the client's self-concept and self-care
responsibilities, the nurse will ask which of the following
question(s)?
A: The nurse is aware that how clients perceive themselves, their self-concept and self-care,
includes an investigation of all behaviors attempted by the client to promote health.
Questions about family problems and what gives the family hope during times of trouble
are not directly related to the client's perception of self or what actions the client takes to
promote health.


Q9: During a health history, a client states "I want to know why my
feet are swelling" whereas the primary diagnosis is arthritis.
What should the nurse do with the client's statement?
A: Write is as the chief complaint

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