A nurse is taking a new client's health history at a clinic. Which question should the nurse begin with to obtain the health history?

"Is your health insurance adequate?"

"What is your major health concern at this time?"

"How is your general health?

"The doctor cannot see you today if you did not bring all of your medications."

Answer and Explanation

The Correct Answer is B

A.   This is not be the most appropriate question to start with as it does not directly address the client's health concerns or reasons for seeking care.
B.   This question It allows the client to identify their primary reason for seeking care and provides the nurse with essential information to guide the health history assessment. Starting with the client's major health concern helps to prioritize the assessment and address the client's immediate needs.
C.   This question is broad and open-ended, which may lead to a vague or general response. Starting with a more focused question about the client's specific health concerns can provide more relevant information.
D.   This is not appropriate for initiating the health history assessment. It may come across as confrontational or directive, which is not conducive to establishing rapport or gathering information about the client's health concerns.

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Correct Answer is D

Explanation

Identifying the client's primary health issue or reason for seeking care, the nurse can prioritize the assessment and subsequent care interventions accordingly. This approach ensures that urgent or important health issues are addressed promptly, contributing to patient safety and satisfaction.

A. Blood pressure B. Cyanosis C. Nausea D. Petechiae

Correct Answer is C

Explanation

Nausea refers to the sensation of feeling sick to the stomach, and it is a symptom that is reported by the client. Since it is based on the client's perception and cannot be directly observed by the nurse, it is considered subjective data.

A. Blood pressure is a measurable vital sign that can be obtained using a blood pressure cuff and stethoscope.

B. Cyanosis is a bluish discoloration of the skin or mucous membranes due to insufficient oxygenation of the blood.

D. Petechiae are small, pinpoint-sized red or purple spots on the skin that result from bleeding under the skin.

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A nurse is taking a new client's health history at a clinic. Which question should the nurse begin with to obtain the health history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing the intake health assessment at a clinic. Which of the following is the priority action for the nurse to take?

Correct Answer is D

Explanation

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

Correct Answer is C

Explanation

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

A nurse manager in a community clinic is explaining the concept of culture to a newly licensed nurse. Which of the following statements should the nurse manager use to describe a subculture?

A nurse is providing care to a client who asks, "What is the meaning of holistic nursing care?" The nurse should give which of the following responses?

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding?

A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?