NUR 550 Drexel Health Assessment Midterm (graded
a+)
What are the seven attributes of every symptom? - Answer 1).Location
2).Quality
3).Quantity or severity
4).Timing: including onset, duration, and frequency
5).Setting in which it occurs
6).Aggravating and relieving factors
7).Associated manifestation
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
relieved by rest.
A.Subjective
B.Objective - Answer A.Subjective
The following information is recorded in the health history: "I feel really tired." Which category
does it belong to?
A. Present illness
B. Review of systems
C. Personal and social history
D. Chief complaint - Answer D. Chief complaint
The following information is best placed in which category? "The patient has had three cesarean
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sections."
A. Surgeries
B. Obstetrics/gynecology
C. Psychiatric
D. Adult illnesses - Answer A. Surgeries
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located
in the wrists and fingers bilaterally, with some subjective fever. The patient denies a rash; she also
denies recent travel or camping activities. She has a family history significant for rheumatoid
arthritis. Based on this information, which of the following pathologic processes would be the
most correct?
A. Traumatic
B. Hematologic
C. Inflammatory
D. Infectious - Answer C. Inflammatory
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales
office to support his family. Recently he has injured his back and you are thinking he would
benefit from physical therapy, three times a week, for an hour per session. What would be your
next step?
A. Write the physical therapy prescription.
B. Discuss the plan with Mr. Larson.
C. Have your office staff explain directions to the physical therapy center.
D. Tell Mr. Larson that he will be going to physical therapy three times a week. - Answer B.
Discuss the plan with Mr. Larson.
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When you enter your patient's examination room, his wife is waiting there with him. Which of the
following is most appropriate?
A. Ask if it's okay to carry out the visit with both people in the room.
B. Carry on as you would ordinarily. The permission is implied because his wife is in the room
with him.
C. First ask his wife what she thinks is going on.
D. Ask his wife to leave the room for reasons of confidentiality. - Answer A. Ask if it's okay to carry
out the visit with both people in the room.
Alexandra is a 28-year-old editor who presents to the clinic with abdominal pain. The pain is a dull
ache, located in the right upper quadrant, that she rates as a 3 at the least and an 8 at the worst.
The pain started a few weeks ago, it lasts for 2 to 3 hours at a time, it comes and goes, and it seems
to be worse a couple of hours after eating. She has noticed that it starts after eating greasy foods,
so she has cut down on these as much as she can. Initially it occurred once a week, but now it is
occurring every other day. Nothing makes it better. From this description, which of the seven
attributes of a symptom has been omitted?
A. Setting in which the symptom occurs
B. Quality
C. Associated manifestations
D. Timing - Answer C. Associated manifestations
A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0
kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel
for the patient during the visit?
A. Give the patient information about reduction of fat and cholesterol because he is obese.
B. Give the patient information about reduction of fat, cholesterol, and calories because he is
overweight.
C. Reassure the patient that he has a normal body weight.
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