NUR 310: Health History Chapters 1, 3-4 Questions With
Complete Solutions
1st level priority problems Correct Answer High priority or
immediate priorities. ABC's plus V. -Airway problems,
-Breathing problems
-Cardiac/Circulation problems,
-Vital Sign concerns
-e.g. high fever
2nd level priority problems Correct Answer -Mental status
changes such as confusion, decreased alertness
-Untreated medical problems requiring immediate attention
(diabetic who has not had insulin).
-Acute pain.
-Acute urinary elimination problems.
-Abnormal laboratory values.
-Risks of infection, safety, or security.
3rd level priority problems Correct Answer Late priorities.
-Health problems that do not fit into other categories
-Problems with lack of knowledge
-Activity
-Rest
-Family coping.
a successful interview will allow the nurse to: Correct Answer -
gather complete and accurate data
-establish trust
-teach about health state -build rapport.
,activity and exercise Correct Answer ADL's; Assistive devices;
Exercise; Assess patterns of activities that require energy
expenditure;
ADL's (activities of daily living) Correct Answer personal
daily care tasks, including
bathing
skin
nail
hair care
walking
eating
drinking
mouth care
dressing transferring, and toileting
aggravating and relieving factors Correct Answer what makes
the pain worse?
what makes the pain better?
is it aggravated by weather, activity, food, meds, standing bent
over, etc.?
alcohol Correct Answer CAGE
cut down: have you ever thought you should cut down your
drinking?
annoyed: have you ever been annoyed by criticism of your
drinking?
guilty: have you ever felt guilty about your drinking?
eye opener: do you drink in the morning?
, assessment Correct Answer the collection of data about an
individual's health state; subjective data vs. objective date
associated factors Correct Answer is the primary symptom
associated with any others?
side effects of medicine
review body systems related to this symptom
biographic data Correct Answer name, address, phone number,
age, birth date, birthplace, sex, marital status, race, ethnic origin,
occupation: usual and present, and language and
communications
collaborative problems Correct Answer problems in which the
approach to treatment involves multiple disciplines; bring in
help such as nutritionist , OT or PT
collecting data Correct Answer every examiner needs to
establish four different types of databases, depending on the
clinical situation:
-complete
-focused or problem-centered
-follow up
-emergency
communication techniques with acutely ill people Correct
Answer focus on pertinent info only
identify main areas of distress
focus on providing comfort first
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