Under which section in the health history will the nurse include the patients name and primary language quizlet?

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Terms in this set (20)

While documenting a complete health history, under which section would the nurse record a patient's activities of daily living?

a. Family history
b. Review of systems
c. Functional assessment
d. Reason for seeking care

c

Which tools in the electronic and print format can be used to collect the family history? Select all that apply.

a. My Family Health Portrait
b. Personal health record
c. Electronic health record
d. Utah Health Family Tree
e. Activities of daily living records

a & d

How many hours of sleep are recommended for teenagers?

a. 5
b. 7
c. 9
d. 12

c

Under which section in the health history will the nurse include the patient's name and primary language?

a. Past history
b. Family history
c. Biographic data
d. Functional assessment

c

Under which section in the review of body systems would the nurse document a history of back pain?

a. Endocrine system
b. Neurologic system
c. Musculoskeletal system
d. Peripheral vascular system

c

Which information should the nurse obtain when conducting a health history for a patient during an annual exam? Select all that apply.

a. Current insurance
b. Level of education
c. Family medical history
d. Reason for current visit
e. Presence of chronic illnesses

c, d, & e

Under which section would the nurse record information about hearing aid use?

a. Present health
b. Review of systems
c. Biographic data
d. Functional assessment

b

Why would the nurse analyze the patient's symptoms?

a. Separates actual from imaginary symptoms
b. Puts the patient at ease about the symptoms
c. Focuses on the patient's chief health concern
d. Determines whether the patient is reporting accurately

c

Which documentation would the nursing instructor strike from the information entered by a nursing student under the past history?

a. Allergies
b. Immunization history
c. Physical findings
d. Statements given by the patient

c

While obtaining a health history from a patient, which information should the nurse obtain? Select all that apply.

a. Operations
b. Family health
c. Immunizations
d. Hospitalizations
e. Current symptoms

a, c, & d

Which characteristic would the nurse expect to find in a patient with anorexia nervosa?

a. Uses food for comfort
b. Has low body mass index
c. Eats to relieve stress
d. Intensely fears losing weight

b

Which finding would be seen in a patient with aphasia?

a. Cannot smell any fragrances, odors, or aromas
b. Inability to comprehend or express verbal language
c. Inappropriate attention span and impulsiveness
d. Unable to perform a purposeful act on command

b

Which mental health disorder causes a gradual deterioration in the patient's cognitive functioning?

a. Delirium
b. Dementia
c. Depression
d. Anxiety

b

During a mental status assessment, the nurse asks about the patient's first job. Which cognitive function is the nurse assessing?

a. Orientation
b. Attention span
c. Recent memory
d. Remote memory

d

The patient tells the nurse, "I am the almighty and your creator. You all must do as I say; I am your ruler." Which thought content abnormality would the patient exhibit?

a. Delusions
b. Obsessions
c. Compulsions
d. Hypochondriasis

a

Which cognitive function is the nurse assessing when asking the patient to describe childhood teachers and important dates in life, such as an anniversary date?

a. Orientation
b. Attention span
c. Recent memory
d. Remote memory

d

Which parameter is the nurse assessing when the patient is asked about the date and time?

a. Orientation
b. Thought process
c. Thought content
d. Remote memory

a

Which finding from a mental status assessment is considered normal after a patient loses a job?

a. Feels worthless
b. Feels suicidal
c. Is delusional
d. Is tearful

d

Which mental health disorder is characterized by intrusive thoughts and ritualistic behaviors?

a. Social anxiety disorder
b. Generalized anxiety disorder
c. Posttraumatic stress disorder
d. Obsessive-compulsive disorder

d

The patient visits the hospital for a routine health checkup, claims to be extremely sick, and expresses the desire to be admitted to the hospital. The test results of the patient are all normal. Which thought abnormality is the patient exhibiting?

a. Hallucination
b. Perseveration
c. Circumlocution
d. Hypochondriasis

d - feeling sick with no actual basis for the assumption

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Under which section of the health history will the nurse document the following patient statement I haven't felt well lately I just had to come in for a checkup?

Under which section of the health history will the nurse document the following patient statement: "I haven't felt well lately. I just had to come in for a checkup"? The patient is not sure about the cause of the illness. Therefore the nurse will record these spontaneous statements as the reason for seeking care.

Which documentation would the nurse include in the history of present illness section of the record?

The severity, location, onset, duration, and frequency of pain are the components that the nurse should include in the history of present illness section.

What kind of information is included in a health history form quizlet?

Includes name, address, phone number, age and birth date, birthplace, gender, marital status, race, ethnic origin, and occupation. A brief, spontaneous statement in the person's own words that describes the reason for the visit.

Under which section in the review of body systems would the nurse document a history of back pain?

Under which section in the review of body systems would the nurse document a history of back pain? musculoskeletal system. (muscle pain, cramps, gait problems and back pain are included in this section.)