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 B
Explanation
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.
Correct Answer is B
Explanation
Sitting with the client during meals and snacks provides support, encouragement, and supervision to ensure that the client is consuming an adequate amount of food. It also offers an opportunity for the nurse to monitor the client's eating habits, aid if needed.
A. Enrolling the client in a nutritional class may not be the most appropriate action in this situation.
C. While monitoring the client's weight is important for assessing nutritional status and detecting changes over time, weighing the client at the same time every morning may not directly address the underlying issues contributing to malnutrition.
D. While spiritual and emotional support can be beneficial for clients with major depressive disorder, arranging a consultation with the facility chaplain may not directly address the client's nutritional needs or contribute to improving their nutritional status.
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