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 C

Explanation

Assessing the client's ability to function is crucial for understanding the impact of grief and depression on their daily life and functioning. Evaluating functional status helps determine the severity of the client's condition and guides interventions to promote recovery and improve quality of life.
A. Spiritual assessment is valuable for understanding the client's beliefs, values, and sources of strength, but it may not directly address the client's current symptoms of grief, depression, and associated sleep disturbances, weight loss, anger, and irritability.
B. While assessing cultural factors is important for providing culturally sensitive care, it may not be the immediate priority compared to addressing the client's symptoms and functional status.
D. Social support plays a significant role in coping with grief and depression. However, while social support is important, the immediate priority may be to address the client's symptoms and functional status.

A. The client explains they are not planning to leave their home. B. The client thinks their home will be safer now that there is a baby in the house C. The client thanks the nurse for the information. D. The client puts the number of the crisis center into their phone.

Correct Answer is D

Explanation

It indicates that the client acknowledges the importance of having a safety plan and is willing to take proactive measures to ensure their well-being and that of their child. This response suggests a positive engagement with the safety plan provided by the nurse.
A. This response indicates that the client may not perceive their current situation as unsafe or may not be ready to take action to address potential safety concerns.
B. This response suggests that the client may have misconceptions about how the presence of a baby in the home affects safety, especially in the context of intimate partner violence.
C. While expressing gratitude for the information provided is a positive response, it does not necessarily indicate whether the client understands the seriousness of the situation or plans to utilize the resources provided.

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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 caring for a client who is grieving and has experienced sleep disturbances, weight loss, and often feels angry and irritable. The client also states that they feel depressed. Which of the following assessments is the nurse's priority?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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