The student nurse is preparing to perform a health history interview. Which of the following statements indicate that the student nurse requires further education regarding the purpose of the health history? Standard Text: Select all that apply

Question

1. "As the nurse, I will mainly focus on the course of the client's illness."
2. "The client's health history can be gathered during the initial interview."
3. "I realize that the client is sick, but I also need to perform a wellness assessment."
4. "The healthcare provider's and nurse's assessments should be almost identical with the same focus."
5. "The nurse typically has a more holistic point of view regarding the client's health."

Answer 1

1,4
Rationale 1: "As the nurse, I will mainly focus on the course of the client's illness." The healthcare provider will typically focus on the client's illness, while the nurse will focus on the client.
Rationale 2: "The client's health history can be gathered during the initial interview." The nurse can gather the health history during the initial interview.
Rationale 3: "I realize that the client is sick, but I also need to perform a wellness assessment." The nurse should perform a wellness assessment as part of the health history.
Rationale 4: "The healthcare provider's and nurse's assessments should be almost identical with the same focus." The healthcare provider's focus and the nurse's focus regarding the client's health differ significantly. The nurse's health history may produce information about a medical diagnosis, but the focus is on the client's response to the health concern as a whole person. The healthcare provider focuses on specific body systems or body parts of the client.
Rationale 5: "The nurse typically has a more holistic point of view regarding the client's health." The nurse does typically have a more holistic view of the client when compared to the healthcare provider's point of view.