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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Victims of intimate partner violence require access to resources and support services to help them navigate their situation and make informed decisions about their safety and well-being.
A. Blaming the victim for the violent behavior of their partner is not only ineffective but also unethical.
B. While providing strategies for interacting with others in social situations may be helpful for general social skills development, it is not directly relevant to addressing the immediate needs of victims of intimate partner violence.
C. Instructing the client on ways to behave to prevent making their partner angry is not appropriate. It implies that the victim is responsible for the abusive behavior of their partner, which is not the case.
Correct Answer is ["A","C","D","E","F"]
Explanation
The client's hearing deficit can certainly present a barrier to effective communication, as it may affect their ability to hear and understand verbal instructions or information provided by the nurse.
B. The loud volume of the client's television is not a barrier in this case as the client has hearing loss.
C. Having numerous visitors in the client's room can create distractions and make it challenging for the nurse to engage in private, focused communication with the client.
D. An increase in pain after ambulation can impact the client's ability to focus and engage in effective communication. The client may be preoccupied with managing their pain, which can hinder their receptiveness to communication from the nurse.
E. Adverse effects of opioid analgesic: Adverse effects of opioid analgesics, such as drowsiness or sedation, can impair the client's cognitive function and alertness, making it difficult for them to participate actively in communication with the nurse.
F. Using earphones while listening to music may create a physical barrier to communication, as it limits the nurse's ability to speak directly to the client or gain their attention.
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