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No history of thyroid problems or goiter. The patient should be asked about any changes in the appearance of lesions that have been present for a period of time. Questioning is a key communication skill used by nurses during the health history interview. As examples, the interviewer will expect the confused patient to give a confused history; the emotionally reactive patient to embellish and exaggerate symptoms or reactions; and the depressed patient to be withdrawn and require considerable support.

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