A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.

Avoiding silences so the client won’t feel anxious.

Clarifying points made by the patient that are unclear.

Listening attentively while speaking slowly and clearly.

Sitting approximately two feet away from the client.

Asking the family member to complete the written form.

Answer and Explanation

Correct Answer : B,C

The nurse should use clarifying points made by the patient that are unclear and listening attentively while speaking slowly and clearly as communication techniques when performing a health history.

These techniques help the nurse to gather accurate and comprehensive information from the patient and to establish rapport and trust.

Choice A is wrong because avoiding silences can make the patient feel rushed or interrupted. Silences can be useful to allow the patient to think or express emotions.

Choice D is wrong because sitting approximately two feet away from the client may be too close and invade the personal space of the client. The nurse should maintain a comfortable distance of about 4 to 5 feet from the client, depending on the cultural norms and preferences of the client.

Choice E is wrong because asking the family member to complete the written form may not reflect the true health history of the client. The nurse should obtain the information directly from the client whenever possible, unless the client is unable or unwilling to provide it.

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Correct Answer is B

Explanation

This is because itching is a subjective assessment finding, which means it is based on the personal experience, view or feeling of the

patient. The other choices are objective assessment findings, which means they are based on observable or measurable data that the nurse can collect.

For example:

Choice A is wrong because hives are a visible skin reaction that can be seen and measured by the nurse.

Choice C is wrong because vomiting is an observable action that can be verified and recorded by the nurse.

Choice D is wrong because abdominal distension is a measurable change in the size or shape of the abdomen that can be assessed by the nurse.

Normal ranges for objective assessment findings may vary depending on the source and context, but some possible examples are:

Hives: No hives or rashes on the skin are normal.
Vomiting: No vomiting or nausea are normal.
Abdominal distension: Normal abdominal girth for adults ranges from 68 to 100 cm (27 to 40 inches).

A. I should have my hemoglobin A1C checked monthly. B. I should always have my breakfast ready to eat before injecting my morning insulin. C. If I feel hungry I can eat early and take a little extra insulin next time it is due. D. On sick days I don’t have to check my blood sugar or eat, just get plenty of fluids.

Correct Answer is B

Explanation

I should always have my breakfast ready to eat before injecting my morning insulin. This statement confirms that the client understands the importance of matching insulin administration with food intake to prevent hypoglycemia.

Choice A is wrong because hemoglobin A1C should be checked every 3 months, not monthly, to monitor long-term glycemic control.

Choice C is wrong because eating early and taking extra insulin later can cause fluctuations in blood glucose levels and increase the risk of complications.

Choice D is wrong because on sick days, the client should check blood sugar more

often and eat small amounts of carbohydrates to prevent hyperglycemia and ketoacidosis.

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A nurse is performing a health history. What communication techniques should the nurse use? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of these assessment findings should a nurse record as subjective?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A nurse is performing a health history.
What communication techniques should the nurse use? Select all that apply.