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 the nurse
To provide a form for obtaining the patient’s biographic
To document the normal and abnormal findings of a physical
To provide a database of subjective information about the
patient’s past and current health
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?
J.M. is a 59-year-old man seeking treatment for ulcerative
J.M. came into the clinic complaining of having black stools
for the past 24 hours.
J.M. is a 59-year-old man who states that he has ulcerative
colitis and wants it checked.
J.M. is a 59-year-old man who states that he has been having
“black stools” for the past 24 hours.
A 29-year-old woman tells the nurse that she has
“excruciating pain” in her back. Which would be the nurse’s appropriate
response to the woman’s statement?
“How does your family react to your pain?”
“The pain must be terrible. You probably pinched a nerve.”
“I’ve had back pain myself, and it can be excruciating.”
“How would you say the pain affects your ability to do your
A patient tells the nurse that he is allergic to penicillin.
What would be the nurse’s best response to this information?
“Are you allergic to any other drugs?”
“How often have you received penicillin?”
“I’ll write your allergy on your chart so you won’t receive
“Describe what happens to you when you take penicillin.”
The nurse is taking a family history. Important diseases or
problems about which the patient should be specifically asked include:
The nurse is obtaining a history from a 30-year-old male
patient and is concerned about health promotion activities. Which of these
questions would be appropriate to use to assess health promotion activities for
“Do you perform testicular self-examinations?”
“Have you ever noticed any pain in your testicles?”
“Have you had any problems with passing urine?”
“Do you have any history of sexually transmitted diseases?”
The mother of a 16-month-old toddler tells the nurse that
her daughter has an earache. What would be an appropriate response?
“Maybe she is just teething.”
“I will check her ear for an ear infection.”
“Are you sure she is really having pain?”
“Describe what she is doing to indicate she is having pain.”
During an assessment of a patient’s family history, the
nurse constructs a genogram. Which statement best describes a genogram?
List of diseases present in a person’s near relatives
Graphic family tree that uses symbols to depict the gender,
relationship, and age of immediate family members
Drawing that depicts the patient’s family members up to five
Description of the health of a person’s children and
A 5-year-old boy is being admitted to the hospital to have
his tonsils removed. Which information should the nurse collect before this procedure?
Child’s birth weight
Age at which he crawled
Whether the child has had the measles
Child’s reactions to previous hospitalizations
The nurse is obtaining a health history on an 87-year-old
woman. Which of the following areas of questioning would be most useful at this
General health for the past 20 years
Current health promotion activities