Advanced Health Assessment Midterm Review
Study online at https://quizlet.com/_4yxm0z
1. For which of the following patients would a A new patient with the chief complaint
comprehensive health history be appropri- of "I am here to establish care"
ate?
This patient is here to establish care,
A new patient with the chief complaint of "I and because she is new to you, a com-
sprained my ankle" prehensive health history is appropri-
ate.
An established patient with the chief com-
plaint of "I have an upper respiratory infec-
tion"
A new patient with the chief complaint of "I am
here to establish care"
A new patient with the chief complaint of "I cut
my hand"
2. The components of the health history include Thorax and lungs
all of the following except which one?
The thorax and lungs are part of the
Review of systems physical examination, not part of the
health history. The others answers are
Thorax and lungs all part of a complete health history.
Present illness
Personal and social items
3. Is the following information subjective or ob- Subjective
jective?
Mr. M. has shortness of breath that has per- This is information given by the patient
sisted for the past 10 days; it is worse with about the circumstances of his chief
activity and relieved by rest. complaint. It does not represent an
objective observation by the examiner.
, Advanced Health Assessment Midterm Review
Study online at https://quizlet.com/_4yxm0z
4. Is the following information subjective or ob- Objective
jective?
Mr. M. has a respiratory rate of 32 and a pulse This is a measurement obtained by the
rate of 120. examiner, so it is considered objective
data. The patient is unlikely to be able
to give this information to the examin-
er.
5. The following information is recorded in the Present illness
health history: "The patient has had abdomi-
nal pain for 1 week. The pain lasts for 30 min- This information describes the prob-
utes at a time; it comes and goes. The severity lem of abdominal pain, which is the
is 7 to 9 on a scale of 1 to 10. It is accompanied present illness. The interviewer has
by nausea and vomiting. It is located in the obtained the location, timing, sever-
mid-epigastric area." ity, and associated manifestations of
Which of these categories does it belong to? the pain. The interviewer will still need
to obtain information concerning the
Chief complaint quality of the pain, the setting in which
it occurred, and the factors that ag-
Present illness gravate and alleviate the pain. You will
notice that it does include portions of
Personal and social history
the pertinent review of systems, but
because it relates directly to the com-
Review of systems
plaint, it is included in the history of
present illness.
6. The following information is recorded in the Personal and social history
health history: "The patient completed 8th
grade. He currently lives with his wife and two Personal and social history informa-
children. He works on old cars on the week- tion includes educational level, fam-
end. He works in a glass factory during the ily of origin, current household sta-
week." tus, personal interests, employment,
, Advanced Health Assessment Midterm Review
Study online at https://quizlet.com/_4yxm0z
Which category does it belong to? religious beliefs, military history, and
lifestyle (including diet and exercise
Chief complaint habits; use of alcohol, tobacco, and/or
drugs; and sexual preferences and
Present illness
history). All of this information is doc-
umented in this example.
Personal and social history
Review of systems
7. The following information is recorded in the Chief complaint
health history: "I feel really tired."
Which category does it belong to? The chief complaint is an attempt to
quote the patient's own words, as long
Chief complaint as they are suitable to print. It is brief,
like a headline, and further details
Present illness should be sought in the present ill-
ness section. The above information is
Personal and social history
a chief complaint.
Review of systems
8. The following information is recorded in the Review of systems
health history: "Patient denies chest pain, pal-
pitations, orthopnea, and paroxysmal noctur- Review of systems documents the
nal dyspnea." presence or absence of common
Which category does it belong to? symptoms related to each major body
system. The absence of cardiac symp-
Chief complaint toms is listed in the above example.
Present illness
Personal and social history
, Advanced Health Assessment Midterm Review
Study online at https://quizlet.com/_4yxm0z
Review of systems
9. The following information is best placed in Surgeries
which category?
"The patient has had three cesarean sec- A cesarean section is a surgical proce-
tions." dure. Approximate dates or the age of
the patient at the time of the surgery
Adult illnesses should also be recorded.
Surgeries
Obstetrics/gynecology
Psychiatric
10. The following information is best placed in Adult illnesses
which category?
"The patient had a stent placed in the left an- The adult illnesses category is reserved
terior descending artery (LAD) in 1999." for chronic illnesses, significant hospi-
talizations, significant injuries, and sig-
Adult illnesses nificant procedures. A stent is a major
procedure but does not involve a sur-
Surgeries geon.
Obstetrics/gynecology
Psychiatric
11. The following information is best placed in Adult illnesses
which category?
"The patient was treated for an asthma exac- This is information about a significant
erbation in the hospital last year; the patient hospitalization and should be placed
has never been intubated." in the adult illnesses section. If the pa-
Study online at https://quizlet.com/_4yxm0z
1. For which of the following patients would a A new patient with the chief complaint
comprehensive health history be appropri- of "I am here to establish care"
ate?
This patient is here to establish care,
A new patient with the chief complaint of "I and because she is new to you, a com-
sprained my ankle" prehensive health history is appropri-
ate.
An established patient with the chief com-
plaint of "I have an upper respiratory infec-
tion"
A new patient with the chief complaint of "I am
here to establish care"
A new patient with the chief complaint of "I cut
my hand"
2. The components of the health history include Thorax and lungs
all of the following except which one?
The thorax and lungs are part of the
Review of systems physical examination, not part of the
health history. The others answers are
Thorax and lungs all part of a complete health history.
Present illness
Personal and social items
3. Is the following information subjective or ob- Subjective
jective?
Mr. M. has shortness of breath that has per- This is information given by the patient
sisted for the past 10 days; it is worse with about the circumstances of his chief
activity and relieved by rest. complaint. It does not represent an
objective observation by the examiner.
, Advanced Health Assessment Midterm Review
Study online at https://quizlet.com/_4yxm0z
4. Is the following information subjective or ob- Objective
jective?
Mr. M. has a respiratory rate of 32 and a pulse This is a measurement obtained by the
rate of 120. examiner, so it is considered objective
data. The patient is unlikely to be able
to give this information to the examin-
er.
5. The following information is recorded in the Present illness
health history: "The patient has had abdomi-
nal pain for 1 week. The pain lasts for 30 min- This information describes the prob-
utes at a time; it comes and goes. The severity lem of abdominal pain, which is the
is 7 to 9 on a scale of 1 to 10. It is accompanied present illness. The interviewer has
by nausea and vomiting. It is located in the obtained the location, timing, sever-
mid-epigastric area." ity, and associated manifestations of
Which of these categories does it belong to? the pain. The interviewer will still need
to obtain information concerning the
Chief complaint quality of the pain, the setting in which
it occurred, and the factors that ag-
Present illness gravate and alleviate the pain. You will
notice that it does include portions of
Personal and social history
the pertinent review of systems, but
because it relates directly to the com-
Review of systems
plaint, it is included in the history of
present illness.
6. The following information is recorded in the Personal and social history
health history: "The patient completed 8th
grade. He currently lives with his wife and two Personal and social history informa-
children. He works on old cars on the week- tion includes educational level, fam-
end. He works in a glass factory during the ily of origin, current household sta-
week." tus, personal interests, employment,
, Advanced Health Assessment Midterm Review
Study online at https://quizlet.com/_4yxm0z
Which category does it belong to? religious beliefs, military history, and
lifestyle (including diet and exercise
Chief complaint habits; use of alcohol, tobacco, and/or
drugs; and sexual preferences and
Present illness
history). All of this information is doc-
umented in this example.
Personal and social history
Review of systems
7. The following information is recorded in the Chief complaint
health history: "I feel really tired."
Which category does it belong to? The chief complaint is an attempt to
quote the patient's own words, as long
Chief complaint as they are suitable to print. It is brief,
like a headline, and further details
Present illness should be sought in the present ill-
ness section. The above information is
Personal and social history
a chief complaint.
Review of systems
8. The following information is recorded in the Review of systems
health history: "Patient denies chest pain, pal-
pitations, orthopnea, and paroxysmal noctur- Review of systems documents the
nal dyspnea." presence or absence of common
Which category does it belong to? symptoms related to each major body
system. The absence of cardiac symp-
Chief complaint toms is listed in the above example.
Present illness
Personal and social history
, Advanced Health Assessment Midterm Review
Study online at https://quizlet.com/_4yxm0z
Review of systems
9. The following information is best placed in Surgeries
which category?
"The patient has had three cesarean sec- A cesarean section is a surgical proce-
tions." dure. Approximate dates or the age of
the patient at the time of the surgery
Adult illnesses should also be recorded.
Surgeries
Obstetrics/gynecology
Psychiatric
10. The following information is best placed in Adult illnesses
which category?
"The patient had a stent placed in the left an- The adult illnesses category is reserved
terior descending artery (LAD) in 1999." for chronic illnesses, significant hospi-
talizations, significant injuries, and sig-
Adult illnesses nificant procedures. A stent is a major
procedure but does not involve a sur-
Surgeries geon.
Obstetrics/gynecology
Psychiatric
11. The following information is best placed in Adult illnesses
which category?
"The patient was treated for an asthma exac- This is information about a significant
erbation in the hospital last year; the patient hospitalization and should be placed
has never been intubated." in the adult illnesses section. If the pa-
