10/16/24, 12:24 Test Bank Chapter 04- The Complete Health
PM History
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?
To provide an opportunity for interaction between the patient and
a. the nurse
b. To provide a form for obtaining the patients biographic
information To document the normal and abnormal findings of a
physical
c. assessment
To provide a database of subjective information about the patients
d. past and current health
ANS: D
The purpose of the health history is to collect subjective
datawhat the person says about him or herself. The other
options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 49
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
2. When the nurse is evaluating the reliability of a patients
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. Would not answer questions concerning stress and
therefore is not
d. reliable.
ANS: B
A reliable person always gives the same answers, even when
questions are rephrased or are repeated later in the interview.
The other statements are not correct.
DIF: Cognitive Level: Applying (Application) REF: p. 49
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
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.
about:bl 1/
, 10/16/24, 12:24 Test Bank Chapter 04- The Complete Health
PM History
J.M. came into the clinic complaining of having black stools for the
b. past 24 hours.
J.M. is a 59-year-old man who states that he has ulcerative colitis
c. and wants it checked.
J.M. is a 59-year-old man who states that he has been having black
d. stools for the past 24 hours.
ANS: D
The reason for seeking care is a brief spontaneous statement in
the persons own words that describes the reason for the visit. It
states one (possibly two) signs or symptoms and their duration.
It is enclosed in quotation marks to indicate the persons exact
words. DIF: Cognitive Level: Applying (Application) REF: p. 50
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
4. A patient tells the nurse that she has had abdominal pain for
the past week. What would be the nurses best response?
a. Can you point to where it hurts?
b. Well 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?
ANS: A
A final summary of any symptom the person has should include,
along with seven other critical characteristics, Location: specific.
The person is asked to point to the location.
DIF: Cognitive Level: Applying (Application) REF: p. 50
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
5. A 29-year-old woman tells the nurse that she has excruciating
pain in her back. Which would be the nurses appropriate response
to the womans statement?
a. How does your family react to your pain?
b. The pain must be terrible. You probably pinched a nerve.
c. Ive had back pain myself, and it can be excruciating.
How would you say the pain affects your ability to do your daily
d. activities?
ANS: D
The symptom of pain is difficult to quantify because of individual
interpretation. With pain, adjectives should be avoided and the
about:bl 2/
PM History
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?
To provide an opportunity for interaction between the patient and
a. the nurse
b. To provide a form for obtaining the patients biographic
information To document the normal and abnormal findings of a
physical
c. assessment
To provide a database of subjective information about the patients
d. past and current health
ANS: D
The purpose of the health history is to collect subjective
datawhat the person says about him or herself. The other
options are not correct.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 49
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
2. When the nurse is evaluating the reliability of a patients
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. Would not answer questions concerning stress and
therefore is not
d. reliable.
ANS: B
A reliable person always gives the same answers, even when
questions are rephrased or are repeated later in the interview.
The other statements are not correct.
DIF: Cognitive Level: Applying (Application) REF: p. 49
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
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.
about:bl 1/
, 10/16/24, 12:24 Test Bank Chapter 04- The Complete Health
PM History
J.M. came into the clinic complaining of having black stools for the
b. past 24 hours.
J.M. is a 59-year-old man who states that he has ulcerative colitis
c. and wants it checked.
J.M. is a 59-year-old man who states that he has been having black
d. stools for the past 24 hours.
ANS: D
The reason for seeking care is a brief spontaneous statement in
the persons own words that describes the reason for the visit. It
states one (possibly two) signs or symptoms and their duration.
It is enclosed in quotation marks to indicate the persons exact
words. DIF: Cognitive Level: Applying (Application) REF: p. 50
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
4. A patient tells the nurse that she has had abdominal pain for
the past week. What would be the nurses best response?
a. Can you point to where it hurts?
b. Well 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?
ANS: A
A final summary of any symptom the person has should include,
along with seven other critical characteristics, Location: specific.
The person is asked to point to the location.
DIF: Cognitive Level: Applying (Application) REF: p. 50
MSC: Client Needs: Safe and Effective Care Environment: Management of
Care
5. A 29-year-old woman tells the nurse that she has excruciating
pain in her back. Which would be the nurses appropriate response
to the womans statement?
a. How does your family react to your pain?
b. The pain must be terrible. You probably pinched a nerve.
c. Ive had back pain myself, and it can be excruciating.
How would you say the pain affects your ability to do your daily
d. activities?
ANS: D
The symptom of pain is difficult to quantify because of individual
interpretation. With pain, adjectives should be avoided and the
about:bl 2/
