Health ASSESSMENT11

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Sample questions from Health ASSESSMENT11

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a school health visit, a 15-year-old asks to speak with the nurse without a parent present. Which response best supports an effective health history interview?

   • A.Explain that the parent must remain because the client is a minor.
   • B.Offer private time and explain the limits of confidentiality before asking sensitive questions.
   • C.Promise that everything discussed will remain confidential under all circumstances.
   • D.Ask the parent to answer sensitive questions while the client listens.

   Rationale: Offering private time can help an adolescent disclose sensitive information, and explaining confidentiality limits establishes realistic expectations. Requiring the parent to stay may inhibit disclosure, while having the parent answer prevents the adolescent from giving their own history. An unconditional promise of confidentiality is inappropriate because safety concerns and legal requirements may require disclosure.

2. 2.A client states, "I get short of breath when I climb stairs." Which follow-up question best obtains focused information about this symptom?

   • A.When did the shortness of breath begin, and what makes it better or worse?
   • B.Why do you think you are short of breath?
   • C.You are not having chest pain, are you?
   • D.Do you have any other health problems?

   Rationale: Asking about onset and aggravating or relieving factors gathers focused symptom details without suggesting an answer. Asking why invites speculation, and a broad question about other problems does not clarify the current symptom. A leading question about chest pain may bias the client's response; ask about associated symptoms neutrally.

3. 3.At a prenatal clinic visit, a client at 28 weeks of gestation reports taking several nonprescription products. Which questions are appropriate to include when obtaining a medication history? Select all that apply.

   • A.What dose do you take, how often do you take it, and when did you last take it?
   • B.Which products have you stopped taking recently, and why?
   • C.Which prescription medicines, over-the-counter products, vitamins, and herbal remedies do you take?
   • D.You do not use herbal products because they are natural, correct?
   • E.Have you had any reactions or unwanted effects from medicines or other products?

   Rationale: A complete medication history includes prescription and nonprescription products, supplements, doses, frequency, last use, adverse effects, and recently discontinued products. These details are especially important during pregnancy because products may affect the pregnant client or fetus. The leading assumption that the client does not use herbal products can suppress accurate disclosure and incorrectly equates natural products with safety.

4. 4.Refer to the client's chart. Which interview actions are appropriate to obtain a more reliable symptom history? Select all that apply.

   • A.Ask whether the pain began before or after the new cough noted at 0900.
   • B.Ask the client to describe the pain in their own words before offering descriptors.
   • C.Clarify what the client means by "tight" using a neutral follow-up question.
   • D.Ask the family member to answer because the client is breathing rapidly.
   • E.Tell the client that the pain is probably caused by the cough to reduce concern.

   Answer and rationale are in the full material.

5. 5.Which opening question is most appropriate when beginning a health history with a client who has come to a community clinic?

   • A.You are here because your blood pressure has been high, correct?
   • B.Why did you wait so long to seek care?
   • C.You have been taking your medicine as prescribed, haven't you?
   • D.What brings you to the clinic today?

   Answer and rationale are in the full material.