The Complete Health History Questions With Complete
Solutions
A patient presents to the urgent care center reporting onset of
lower back pain. Which question should the nurse ask to obtain
information about aggravating factors?
"Which activities make the lower back pain worse?"
"How long have you experienced these symptoms?"
"When did you first experience the lower back pain?"
"Have these symptoms affected your ability to work?" Correct
Answers Aggravating factors are what make the symptoms
worse. Therefore the nurse should ask which activities make the
pain worse. Length of time the patient has experienced the
symptoms would be duration. When the patient first experienced
the symptoms would be the onset or timing. The patient's
perception of the symptoms is how their ability to work is
affected.
A patient tells the nurse, "I've had a terrible headache since
Monday morning." Under which section of the health history
will the nurse record this information?
Past health history
Functional assessment
Reason for seeking care
,Medication reconciliation Correct Answers "Reason for
seeking care" is a section of the patient's health history. The
nurse asks the reason for consulting the primary health care
provider and documents the patient's response under this section.
The past health history will include the patient's past illnesses
and therapies. The "functional assessment" section will contain
data about the patient's daily activities. "Medication
reconciliation" is a section that contains a list of current
medications and those the patient has used in the past.
A patient with a viral upper respiratory infection says, "I've been
drinking ginger tea for three days, but I've still got this cold." In
which section will the nurse record this information?
Review of systems
Functional assessment
History of present illness
Medication reconciliation Correct Answers While recording a
patient's health history, the nurse records the previous
medication history under the medical reconciliation section. This
section also includes information about the over-the-counter
medications and herbal remedies that the patient has used for
relief. Drinking a cup of ginger tea is an herbal remedy to get
relief from the cold and would be recorded under the medication
reconciliation section. Under the review of systems section, the
nurse records the health status of each body system. Under the
functional assessment section, the nurse records the patient's
,daily activities. The patient's present health status is included
under the history of present illness section.
During the patient interview, the nurse should ask about the
ability to perform daily living activities (toileting, dressing, and
personal hygiene) to caregivers of patients with which
disability?
Mild cognitive impairment
Hearing deficit
Inability to speak
Severe cognitive impairment Correct Answers Mild cognitive
impairment
Patients with mild cognitive impairment typically can perform
daily living activities.
Hearing deficit
Hearing does not have a direct impact on grooming and hygiene
practices.
Inability to speak
Inability to speak does not have a direct impact on grooming and
hygiene practices.
Severe cognitive impairment
, A patient with severe impairment may have difficulty with tasks
of hygiene and grooming.
Correct
During the review of systems, which would the nurse assess?
Select all that apply.
Sociologic system
History of skin disease
Physical assessment findings
Appetite and food intolerances
Usual daily activities Correct Answers The review of systems
refers to the act of evaluating each body system, which would
include the skin (e.g., a history of skin disease) and
gastrointestinal system (e.g., appetite and food intolerances).
The nurse evaluates the patient's sociologic system to
understand the patient's interpersonal relationships, family
support, and role in the family. The review of systems is not
used to record the physical assessment findings; it is used to
understand the patient's body systems. Usual daily activities are
part of the functional assessment not the review of systems.
How would the nurse record a patient's reason for seeking care?
Use the North American Nursing Diagnosis Association
(NANDA) list.
Solutions
A patient presents to the urgent care center reporting onset of
lower back pain. Which question should the nurse ask to obtain
information about aggravating factors?
"Which activities make the lower back pain worse?"
"How long have you experienced these symptoms?"
"When did you first experience the lower back pain?"
"Have these symptoms affected your ability to work?" Correct
Answers Aggravating factors are what make the symptoms
worse. Therefore the nurse should ask which activities make the
pain worse. Length of time the patient has experienced the
symptoms would be duration. When the patient first experienced
the symptoms would be the onset or timing. The patient's
perception of the symptoms is how their ability to work is
affected.
A patient tells the nurse, "I've had a terrible headache since
Monday morning." Under which section of the health history
will the nurse record this information?
Past health history
Functional assessment
Reason for seeking care
,Medication reconciliation Correct Answers "Reason for
seeking care" is a section of the patient's health history. The
nurse asks the reason for consulting the primary health care
provider and documents the patient's response under this section.
The past health history will include the patient's past illnesses
and therapies. The "functional assessment" section will contain
data about the patient's daily activities. "Medication
reconciliation" is a section that contains a list of current
medications and those the patient has used in the past.
A patient with a viral upper respiratory infection says, "I've been
drinking ginger tea for three days, but I've still got this cold." In
which section will the nurse record this information?
Review of systems
Functional assessment
History of present illness
Medication reconciliation Correct Answers While recording a
patient's health history, the nurse records the previous
medication history under the medical reconciliation section. This
section also includes information about the over-the-counter
medications and herbal remedies that the patient has used for
relief. Drinking a cup of ginger tea is an herbal remedy to get
relief from the cold and would be recorded under the medication
reconciliation section. Under the review of systems section, the
nurse records the health status of each body system. Under the
functional assessment section, the nurse records the patient's
,daily activities. The patient's present health status is included
under the history of present illness section.
During the patient interview, the nurse should ask about the
ability to perform daily living activities (toileting, dressing, and
personal hygiene) to caregivers of patients with which
disability?
Mild cognitive impairment
Hearing deficit
Inability to speak
Severe cognitive impairment Correct Answers Mild cognitive
impairment
Patients with mild cognitive impairment typically can perform
daily living activities.
Hearing deficit
Hearing does not have a direct impact on grooming and hygiene
practices.
Inability to speak
Inability to speak does not have a direct impact on grooming and
hygiene practices.
Severe cognitive impairment
, A patient with severe impairment may have difficulty with tasks
of hygiene and grooming.
Correct
During the review of systems, which would the nurse assess?
Select all that apply.
Sociologic system
History of skin disease
Physical assessment findings
Appetite and food intolerances
Usual daily activities Correct Answers The review of systems
refers to the act of evaluating each body system, which would
include the skin (e.g., a history of skin disease) and
gastrointestinal system (e.g., appetite and food intolerances).
The nurse evaluates the patient's sociologic system to
understand the patient's interpersonal relationships, family
support, and role in the family. The review of systems is not
used to record the physical assessment findings; it is used to
understand the patient's body systems. Usual daily activities are
part of the functional assessment not the review of systems.
How would the nurse record a patient's reason for seeking care?
Use the North American Nursing Diagnosis Association
(NANDA) list.
