Jarvis: Physical Examination and Health
Assessment Chapter 4
D - Answers -The nurse is preparing to conduct a health history. Which of these
statements best describes the purpose of a health history?
a.
To provide an opportunity for interaction between the patient and the nurse
b.
To provide a form for obtaining the patients biographic information
c.
To document the normal and abnormal findings of a physical assessment
d.
To provide a database of subjective information about the patients past and current
health
B - Answers -When the nurse is evaluating the reliability of a patients responses, which
of these statements would be correct? The patient:
a.
Has a history of drug abuse and therefore is not reliable.
b.
Provided consistent information and therefore is reliable.
c.
Smiled throughout interview and therefore is assumed reliable.
d.
Would not answer questions concerning stress and therefore is not reliable.
D - Answers -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?
a.
J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
b.
J.M. came into the clinic complaining of having black stools for the past 24 hours.
c.
J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
, d.
J.M. is a 59-year-old man who states that he has been having black stools for the past
24 hours.
A - Answers -A patient tells the nurse that she has had abdominal pain for the past
week. What would be the nurses best response?
a.
Can you point to where it hurts?
b.
Well talk more about that later in the interview.
c.
What have you had to eat in the last 24 hours?
d.
Have you ever had any surgeries on your abdomen?
D - Answers -A 29-year-old woman tells the nurse that she has excruciating pain in her
back. Which would be the nurses appropriate response to the womans statement?
a.
How does your family react to your pain?
b.
The pain must be terrible. You probably pinched a nerve.
c.
Ive had back pain myself, and it can be excruciating.
d.
How would you say the pain affects your ability to do your daily activities?
D - Answers -In recording the childhood illnesses of a patient who denies having had
any, which note by the nurse would be most accurate?
a.
Patient denies usual childhood illnesses.
b.
Patient states he was a very healthy child.
c.
Patient states his sister had measles, but he didnt.
d.
Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
B - Answers -A female patient tells the nurse that she has had six pregnancies, with four
live births at term and two spontaneous abortions. Her four children are still living. How
would the nurse record this information?
Assessment Chapter 4
D - Answers -The nurse is preparing to conduct a health history. Which of these
statements best describes the purpose of a health history?
a.
To provide an opportunity for interaction between the patient and the nurse
b.
To provide a form for obtaining the patients biographic information
c.
To document the normal and abnormal findings of a physical assessment
d.
To provide a database of subjective information about the patients past and current
health
B - Answers -When the nurse is evaluating the reliability of a patients responses, which
of these statements would be correct? The patient:
a.
Has a history of drug abuse and therefore is not reliable.
b.
Provided consistent information and therefore is reliable.
c.
Smiled throughout interview and therefore is assumed reliable.
d.
Would not answer questions concerning stress and therefore is not reliable.
D - Answers -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?
a.
J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
b.
J.M. came into the clinic complaining of having black stools for the past 24 hours.
c.
J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
, d.
J.M. is a 59-year-old man who states that he has been having black stools for the past
24 hours.
A - Answers -A patient tells the nurse that she has had abdominal pain for the past
week. What would be the nurses best response?
a.
Can you point to where it hurts?
b.
Well talk more about that later in the interview.
c.
What have you had to eat in the last 24 hours?
d.
Have you ever had any surgeries on your abdomen?
D - Answers -A 29-year-old woman tells the nurse that she has excruciating pain in her
back. Which would be the nurses appropriate response to the womans statement?
a.
How does your family react to your pain?
b.
The pain must be terrible. You probably pinched a nerve.
c.
Ive had back pain myself, and it can be excruciating.
d.
How would you say the pain affects your ability to do your daily activities?
D - Answers -In recording the childhood illnesses of a patient who denies having had
any, which note by the nurse would be most accurate?
a.
Patient denies usual childhood illnesses.
b.
Patient states he was a very healthy child.
c.
Patient states his sister had measles, but he didnt.
d.
Patient denies measles, mumps, rubella, chickenpox, pertussis, and strep throat.
B - Answers -A female patient tells the nurse that she has had six pregnancies, with four
live births at term and two spontaneous abortions. Her four children are still living. How
would the nurse record this information?
