1030 Final Exam Questions with Verified
Solutions
What are the 10 components of taking a health history? - ANS-Biographical data
Chief complaint
Hx of present illness
Client's perception of health status
PMH
Family health hx
Social hx
Med hx, device use
Complementary/Alt modalities
Review body systems & assoc fxnal abilities
What is biographical data? - ANS-Patients name, address, age, gender, race, religion,
marital status, and occupation.
What is the chief complaint? - ANS-The reason the pt is seeking medical attention
What is the history of present illness? - ANS-An in depth exploration of the clients chief
complaint.
What is the client's perception of health status? - ANS-Their knowledge of the illness
and potential effects on their life.
What is the past medical history (PMH)? - ANS-Includes childhood diseases and
immunizations, precious hospitalization and surgeries.
What is family health history? - ANS-Data on first degree relatives
What is social history? - ANS-Info about family and other relationships, economic
status, occupations, exposure to toxic materials, home and neighborhood conditions,
and ethnicity.
What is medication history and device use? - ANS-Past and current medications;
medical devices such as inhalers, braces, home O2 therapy.
What is complementary/alternative modalities (CAM)? - ANS-Therapies used instead of
or in addition to the allopathic therapies recommended by physicians, i.e. PT, massage,
acupuncture, aromatherapy.
, What is review of body systems and associative functional abilities? - ANS-Subjective
data regarding body systems.
What does a comprehensive assessment include? - ANS-Nursing health history
interview
Physical observation and examination
Who is responsible for the comprehensive assessment? - ANS-Registered nurse
True or False: the LPN can perform focused and ongoing assessments to contribute to
the original comprehensive assessment. - ANS-True.
What are some techniques for taking a health history? - ANS-Establish rapport
Communicate effectively
How do you establish positive rapport? - ANS-Introduce yourself and what you are there
to do.
Address the patient by name
Communicate at eye level
Maintain eye contact
What are the 3 components of communicating effectively when taking a nursing health
history? - ANS-Use of close ended questions
Use of open ended questions
Avoid communication pitfalls
What are closed ended questions used for? - ANS-Obtaining basic, specific information.
Reserved for patients who are very anxious or who have communication difficulties.
What are open ended questions used for when taking a nursing health history? - ANS-
Patient is allowed to control the subject matter; nurse clarifies and summarizes to
promote thoughtful communication.
What are some tips for avoiding communication pitfalls? - ANS-Don't ask biased
questions, don't be judgmental, don't interrupt the patient.
What is the medical model review of body systems? - ANS-Neurological
Cardiovascular
Respiratory
Gastrointestinal
Genitourinary
Musculoskeletal
Integumentary
What are three methods of documentation? - ANS-Chart by exception (CBE)
Electronic health record (EHR)
Solutions
What are the 10 components of taking a health history? - ANS-Biographical data
Chief complaint
Hx of present illness
Client's perception of health status
PMH
Family health hx
Social hx
Med hx, device use
Complementary/Alt modalities
Review body systems & assoc fxnal abilities
What is biographical data? - ANS-Patients name, address, age, gender, race, religion,
marital status, and occupation.
What is the chief complaint? - ANS-The reason the pt is seeking medical attention
What is the history of present illness? - ANS-An in depth exploration of the clients chief
complaint.
What is the client's perception of health status? - ANS-Their knowledge of the illness
and potential effects on their life.
What is the past medical history (PMH)? - ANS-Includes childhood diseases and
immunizations, precious hospitalization and surgeries.
What is family health history? - ANS-Data on first degree relatives
What is social history? - ANS-Info about family and other relationships, economic
status, occupations, exposure to toxic materials, home and neighborhood conditions,
and ethnicity.
What is medication history and device use? - ANS-Past and current medications;
medical devices such as inhalers, braces, home O2 therapy.
What is complementary/alternative modalities (CAM)? - ANS-Therapies used instead of
or in addition to the allopathic therapies recommended by physicians, i.e. PT, massage,
acupuncture, aromatherapy.
, What is review of body systems and associative functional abilities? - ANS-Subjective
data regarding body systems.
What does a comprehensive assessment include? - ANS-Nursing health history
interview
Physical observation and examination
Who is responsible for the comprehensive assessment? - ANS-Registered nurse
True or False: the LPN can perform focused and ongoing assessments to contribute to
the original comprehensive assessment. - ANS-True.
What are some techniques for taking a health history? - ANS-Establish rapport
Communicate effectively
How do you establish positive rapport? - ANS-Introduce yourself and what you are there
to do.
Address the patient by name
Communicate at eye level
Maintain eye contact
What are the 3 components of communicating effectively when taking a nursing health
history? - ANS-Use of close ended questions
Use of open ended questions
Avoid communication pitfalls
What are closed ended questions used for? - ANS-Obtaining basic, specific information.
Reserved for patients who are very anxious or who have communication difficulties.
What are open ended questions used for when taking a nursing health history? - ANS-
Patient is allowed to control the subject matter; nurse clarifies and summarizes to
promote thoughtful communication.
What are some tips for avoiding communication pitfalls? - ANS-Don't ask biased
questions, don't be judgmental, don't interrupt the patient.
What is the medical model review of body systems? - ANS-Neurological
Cardiovascular
Respiratory
Gastrointestinal
Genitourinary
Musculoskeletal
Integumentary
What are three methods of documentation? - ANS-Chart by exception (CBE)
Electronic health record (EHR)
