A 59-year-old patient tells the nurse that he has ulcerative ...

[littleanan]

A 59-year-old patient tells the nurse that he has ulcerative colitis. He has been having black stools for the last 24 hours. How would the nurse best document his reason for seeking care?
 
  a. J.M. is a 59-year-old man seeking treatment for ulcerative colitis.
  b. J.M. came into the clinic complaining of having black stools for the past 24 hours.
  c. J.M. is a 59-year-old man who states that he has ulcerative colitis and wants it checked.
  d. J.M. is a 59-year-old man who states that he has been having black stools for the past 24 hours.

Question 2

When the nurse is evaluating the reliability of a patient's responses, which of these statements would be correct? The patient:
 
  a. Has a history of drug abuse and therefore is not reliable.
  b. Provided consistent information and therefore is reliable.
  c. Smiled throughout interview and therefore is assumed reliable.
  d. Would not answer questions concerning stress and therefore is not reliable.

[meganmoser117]

Answer to Question 1

ANS: D
The reason for seeking care is a brief spontaneous statement in the person's own words that describes the reason for the visit. It states one (possibly two) signs or symptoms and their duration. It is enclosed in quotation marks to indicate the person's exact words.

Answer to Question 2

ANS: B
A reliable person always gives the same answers, even when questions are rephrased or are repeated later in the interview. The other statements are not correct.

[littleanan]

Excellent

[LVPMS]

TYSM