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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Malnutrition typically leads to muscle wasting and weakness, including respiratory muscles. As a result, it is more common to see a decrease in vital capacity rather than an increase.
B. Malnutrition can lead to cognitive impairment and decreased mental status due to inadequate nutrient supply to the brain. Deficiencies in essential nutrients such as vitamins and minerals can affect cognitive function, memory, and concentration.
C. Malnutrition is more commonly associated with dry, rough, and scaly skin due to deficiencies in essential fatty acids and vitamins. Moist skin is not typically a finding associated with malnutrition.
D. Heat intolerance is a feature of hyperthyroidism that is not typically seen in malnutrition.
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