CELBAN Patient Health History Taking 2

Question 1

A patient reports taking 'a water pill' every morning. What is the nurse's most appropriate follow-up question?

Accepted Answer

Can you tell me the name of the medication?

Answer

How long have you been taking it?

Answer

Who prescribed it for you?

Answer

Do you take it with food?

Question 2

During history taking, a patient says her pain is '8 out of 10' but she is smiling and chatting comfortably. How should the nurse document this finding?

Accepted Answer

Document pain as 8/10 as reported by the patient and note the observed discrepancy

Answer

Document pain as 2/10 based on observed behavior

Answer

Ask the patient to reassess her pain score

Answer

Disregard the pain score and rely on observation only

Question 3

A patient is asked about allergies and states, 'Penicillin makes me nauseous.' How should the nurse classify this response?

Accepted Answer

Adverse drug reaction — document separately from true allergies

Answer

True drug allergy — document and apply allergy band

Answer

Intolerance — note it but no allergy band is required

Answer

No clinical significance — omit from the record

Question 4

Which question uses the most therapeutic open-ended technique when beginning a patient history?

Accepted Answer

What brings you in to see us today?

Answer

Do you have any chest pain today?

Answer

Is your pain sharp or dull?

Answer

Have you had this problem before?

Question 5

A patient mentions she recently traveled to Southeast Asia. Which history component makes this information clinically significant?

Accepted Answer

Travel and exposure history

Answer

Surgical history

Answer

Occupational history

Answer

Immunization history

Question 6

When asking a male patient about reproductive health history, the nurse should:

Accepted Answer

Include it as a standard component of the review of systems

Answer

Skip this section as it is not relevant to male patients

Answer

Ask only if the patient volunteers the information

Answer

Delegate the question to the physician

Question 7

A patient with limited English says 'I have sugar' when describing a chronic condition. What should the nurse do first?

Accepted Answer

Ask a clarifying question to confirm the meaning

Answer

Document 'diabetes mellitus' immediately

Answer

Request a professional interpreter before continuing

Answer

Proceed with the physical assessment