CELBAN Patient Health History Taking 3

Question 1

A patient reports a family history of 'heart trouble.' Which follow-up question provides the most clinically useful information?

Accepted Answer

At what age were they diagnosed?

Answer

Age of onset is the most clinically significant detail in family history because early-onset cardiac disease (before 55 in males, 65 in females) indicates a hereditary risk factor.

Question 2

While documenting social history, which question best screens for intimate partner violence?

Accepted Answer

Do you ever feel afraid of someone at home?

Answer

Asking if the patient ever feels afraid of someone at home is a validated, direct screening question for intimate partner violence that is sensitive yet clinically effective.

Question 3

A patient's past medical history includes 'CABG x3.' When clarifying for the patient's record, the nurse should explain this means:

Accepted Answer

Coronary artery bypass graft on three vessels

Answer

CABG x3 means a triple coronary artery bypass graft, where three blocked coronary arteries were bypassed using a graft vessel.

Question 4

When taking an obstetric history, a patient states she is G4P2. What does this indicate?

Accepted Answer

Four pregnancies, two of which ended in delivery

Answer

G4P2 means gravida 4 (four total pregnancies) and para 2 (two deliveries beyond 20 weeks gestation), which implies two pregnancies ended in abortion or miscarriage.

Question 5

A patient declines to answer questions about alcohol use. The nurse's best response is:

Accepted Answer

Acknowledge the patient's right to decline and document that the information was not provided

Answer

Patients have the right to decline to answer health history questions, and the nurse must respect this while accurately documenting that information was not obtained.

(CELBAN) Canadian English Language Benchmark Assessment for Nurses Practice Test

(CELBAN) Canadian English Language Benchmark Assessment for Nurses Practice Test

CELBAN Patient Health History Taking 3