You are the emergency department nurse obtaining a health history from a patient who has earlier told r the triage nurse that she is experiencing intermittent abdominal pain. What question should you ask to elicuit the probable reason for the visit and identify her chief complaint?

Correct Answer: B

Rationale: The correct answer is B: Where exactly is your abdominal pain and when did it start? This question is specific, focused on the patient's chief complaint, and helps in understanding the location and onset of the pain. It allows for a targeted assessment and aids in determining the possible cause of the pain. A: Why do you think your abdomen is painful? - This question is vague and may not provide precise information about the location and onset of the pain. C: What brings you to the hospital today? - This question is general and may not address the specific concern of abdominal pain. D: What is wrong with you today? - This question is broad and may not help in obtaining detailed information about the abdominal pain.

Correct Answer: A

Rationale: The correct answer is A because listening to body sounds using a stethoscope is called auscultation, not palpation. Using a diaphragm is essential for hearing heart murmurs clearly. It requires a trained ear to distinguish the sounds accurately. Choice B is incorrect because palpation involves feeling with hands, not listening with a stethoscope. Choice C is incorrect because not all heart murmurs are pathologic and require surgery. It is important to provide accurate information to the patient. Choice D is incorrect because it does not mention the correct term "auscultation" and lacks the essential information about using a stethoscope with a diaphragm.

Correct Answer: B

Rationale: The correct answer is B because the question states that the nurse is performing an assessment, not determining a specific BMI value. The nurse would assess various factors to determine the patient's weight status, not just the BMI. Choice A is incorrect because it assumes the nurse has already determined the BMI, which is not specified in the question. Choice C is incorrect as it provides an extreme and definitive judgment without proper assessment. Choice D is incomplete. In summary, the correct answer is B as it aligns with the process of assessment and avoids making assumptions or extreme judgments.

Correct Answer: A

Rationale: The correct answer is A because it addresses the patient's concern about privacy and confidentiality. By stating that the information is maintained in a secure place and only accessible to healthcare professionals directly involved in the patient's care, it reassures the patient that their information is protected. Choice B is incorrect because it limits access based on current employment status, which may not necessarily ensure the confidentiality of the information. Choice C is incorrect because allowing anyone with permission from the patient to access the information may not always guarantee confidentiality. Choice D is incorrect because it includes representatives of the insurance company, which could compromise the patient's privacy.

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the importance of cultural and religious practices in dietary guidelines. By addressing cultural considerations, healthcare providers can provide more personalized and respectful care. Choice A is incorrect as it does not directly address the patient's concerns and may come off as dismissive. Choice B is incorrect as it focuses solely on foreign-born patients, neglecting the broader cultural diversity of patients. Choice C is incomplete and irrelevant. In summary, choice D is the best response as it demonstrates cultural competence and respect for the patient's beliefs and practices.