Patient Interview Flashcards

1
Q

During which phase of the patient interview would the nurse state the purpose of the interview?

  • Working
  • Transition
  • Orientation
  • Termination
A

orientation

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2
Q

During which phase of the patient interview would the nurse ask the patient about allergies and medications?

  • Working
  • Transition
  • Orientation
  • Termination
A

working

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3
Q

Which phase of the patient interview occurs when the nurse notifies the patient that the interview is complete and the health care provider will be in the room shortly?

  • Working
  • Transition
  • Orientation
  • Termination
A

termination

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4
Q

Which attribute applies to the general patient survey?

  • Incorporates variables related to specific body systems
  • Begins after the nurse completes the physical examination
  • Includes a focused review based on the patient’s presenting problem
  • Allows the nurse to make observations about patient characteristics
A

Allows the nurse to make observations about patient characteristics

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5
Q

Which findings documented by the nurse during the general survey support observations about the patient’s behavior?

  • Age
  • Affect
  • Dress
  • Stature
  • Hygiene
A
  • Affect
  • Dress
  • Hygiene
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6
Q

Which questions would the nurse consider while visually observing the patient during the general survey?

  • Is the patient clean and well-groomed?
  • What is the patient’s affect and mood?
  • What is the patient’s ethnic background?
  • Are family members present and supportive?
  • Is clothing up-to-date and in newer condition?
A
  • Is the patient clean and well-groomed?
  • What is the patient’s affect and mood?
  • What is the patient’s ethnic background?
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7
Q

What attributes would the nurse associate with the health history?

  • Includes prior health status
  • Collects subjective information
  • Addresses current health status
  • Encompasses patient coping skills
  • Occurs after the physical examination
A
  • Includes prior health status
  • Collects subjective information
  • Addresses current health status
  • Encompasses patient coping skills
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8
Q

In which situations would a nurse collect a full health history?

  • A new patient is admitted to the hospital.
  • A new patient comes to the clinic for a procedure.
  • A new patient comes to the emergency department for treatment of a broken arm.
  • An established patient with known heart failure requires evaluation of cardiac status.
  • An established patient with known asthma requires evaluation of respiratory status.
A
  • A new patient is admitted to the hospital.
  • A new patient comes to the clinic for a procedure.
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9
Q

Which topics are components of the full health history?

  • Prior surgeries
  • Medical history
  • Biographic data
  • Cardiac history
  • Respiratory history
A
  • Prior surgeries
  • Medical history
  • Biographic data
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10
Q

Which characteristics describe the review of systems?

  • Incorporates focused questions
  • Takes place before the health history is completed
  • Encompasses questions about each body system
  • Includes questions about the patient’s general health
  • Validates information collected during the physical examination
A
  • Incorporates focused questions
  • Encompasses questions about each body system
  • Includes questions about the patient’s general health
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11
Q

When conducting a patient’s review of systems, which question would the nurse ask first?

  • Have you had seizures?
  • Do you have chest pain?
  • When was your last cold?
  • How is your general health?
A

How is your general health?

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12
Q

Which statements explain the purpose of the review of systems?

  • Collect objective data.
  • Evaluate each body system.
  • Validate health history information.
  • Evaluate health-promotion practices.
  • Determine the presence of health-related issues.
A
  • Evaluate each body system.
  • Validate health history information.
  • Evaluate health-promotion practices.
  • Determine the presence of health-related issues.
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13
Q

When the nurse enters the patient’s room and says, “Hi, my name is Barbara. I am your nurse. Let’s discuss why you have been admitted to the hospital,” which phase of the patient interview is taking place?

  • Working
  • Transition
  • Orientation
  • Termination
A

orientation

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14
Q

Which patient interview phase would the nurse implement when obtaining the patient’s prior medical history?

  • Working
  • Transition
  • Orientation
  • Termination
A

working

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15
Q

The nurse states, “You have a long history of asthma, and the symptoms have been much worse lately; do you have anything else to share with me before you see the health care provider?” Which patient interview phase is taking place?

  • Working
  • Transition
  • Orientation
  • Termination
A

termination

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16
Q

Which categories comprise the primary components of the general survey?

  • Mobility
  • Behavior
  • Body structure
  • Emotional health
  • Physical appearance
A
  • Mobility
  • Behavior
  • Body structure
  • Physical appearance
17
Q

Which unexpected findings require further evaluation if noted during the general survey of a patient’s gait?

  • Tremor
  • Smooth
  • Shuffling
  • Balanced
  • Symmetric
A
  • Tremor
  • Shuffling
18
Q

During the general survey, which body structure findings would the nurse document?

  • Stature
  • Symmetry
  • Skin color
  • Fat distribution
  • Facial features
A
  • Stature
  • Symmetry
  • Fat distribution
19
Q

Which situation describes an appropriate time for the nurse to obtain a focused health history instead of a full health history?

  • Patient admission 5 years ago
  • Clinic visit following hospitalization
  • Emergency department visit for chest pain
  • New patient on hospital admission
  • Initial visit to a new health care provider
A
  • Clinic visit following hospitalization
  • Emergency department visit for chest pain
20
Q

Which potential statement would the nurse document in a patient’s focused health history?

  • Is a Hispanic male appearing to be the stated age
  • Reports allergies to shellfish and peanuts
  • Has a family history of type 2 diabetes mellitus
  • Denies chest pain or rapid heart rate over the past week
A

Denies chest pain or rapid heart rate over the past week

21
Q

Which areas would the nurse address when obtaining a full health history?

  • Primary language
  • Past health events
  • Data from past pulmonary function tests
  • Patient statement describing reason for visit
  • comparison of current medication with previous medication
A
  • Primary language
  • Past health events
  • Patient statement describing reason for visit
  • comparison of current medication with previous medication
22
Q

During the review of systems, which action would the nurse take when a patient voices heart disease concerns secondary to a strong family history?

  • Ask a focused question about the patient’s concerns.
  • Investigate the patient’s desire for diagnostic testing.
  • Gather more information about the patient’s family history.
  • Continue reviewing systems to identify additional health concerns.
A

Ask a focused question about the patient’s concerns.

23
Q

Which characteristics describe documentation of findings from a patient’s review of systems?

  • Contains objective data
  • Is concise and accurate
  • Is performed according to agency policy
  • Includes health-promotion activities
  • Is completed after the physical examination
A
  • Is concise and accurate
  • Is performed according to agency policy
  • Includes health-promotion activities
24
Q

Which component would the nurse include when documenting findings from the review of systems?

  • Patient statements
  • Physical appearance
  • Objective patient cues
  • Physical examination findings
A

Patient statements