The nurse is initiating a history and physical assessment on a patient who reports intermittent right-sided abdomen pain, especially after eating fatty foods
How should the nurse conduct the history? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Encourage the patient to express his or her concerns.
2. Include documentation of the patient's own words.
3. Direct questions toward ruling out a gallbladder problem
4. Use direct questioning so the interview remains nurse-driven.
5. Establish the nurse–patient relationship.
1,2,5
Rationale 1: It is important to allow the patient to express concerns and explain the problem in his or her own words during the history interview.
Rationale 2: Direct patient quotes should be documented as a part of the interview process.
Rationale 3: The nurse should keep an open mind, because sometimes information that is initially thought of as trivial can be the answer to the problem.
Rationale 4: It is important to allow the patient to direct the history interview by expressing concerns and explaining the problem in his or her own words. Interruptions should be kept to a minimum, but clarifying questions should be asked.
Rationale 5: Taking a history is a very important encounter with a patient. This is when the relationship with a patient begins.
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