,
,Chapter
̣ 1
MULTIPLE CHOICE
1. For which of the following patients
̣ would a comprehensive
̣ health history be app̣ rop
̣ riate?
̣
A) A new patient
̣ with the chief comp laint
̣ of ―I sp rained
̣ my ankle‖
B) An established patient
̣ with the chief complainṭ of ―I have an upp̣ eṛ respiratory
̣ infection‖
C) A new patient
̣ with the chief comp laint
̣ of ―I am here to establish care‖
D) A new patient
̣ with the chief complaint ̣ of ―I cut my hand‖
Ans: C
Chapter:
̣ 01
Page and Header: 4, Patient Assessment: Comprehensive ̣ or Focused
Feedback: This patient
̣ is here to establish care, and because she is new to you, a comprehensive
̣
health history is app̣ rop
̣ ̣ riate.
2. The components
̣ of the health history include all of the following excepṭ which one?
A) Review of systems
B) Thorax and lungs
C) Present illness
D) Personal and social items
Ans: B
Chapter:
̣ 01
Feedback: The thorax and lungs are parṭ of the physical
̣ examination, not part
̣ of the health
history. The others answers are all part
̣ of a comp lete
̣ health history.
3. 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
Ans: A
Chapter:
̣ 01
4. Is the following information subjective or objective?
Mr. M. has a respiratory
̣ rate of 32 and a pulse
̣ rate of 120.
A) Subjective
B) Objective
, lOMoAR cPSD| 11700591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
Ans:
Ans: AB
Chap ter: 01
̣̣ 01
Chapter:
Feedback: This is
Feedback: This is information
a measurement obtained
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a significant examiner, so it and
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̣ ̣
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The atient
̣ is unlikely
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̣ is this seen
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5. The following information is recorded in the health history: ―The patient ̣ has had abdominal
pain
̣ for 1 week. The p ain
̣ lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
on a scale of 1 to 10. It is accompanied
̣ by nausea and vomiting. It is located in the mid-
epigastric
̣ area.‖
Which of these categories does it belong to?
A) Chief complainṭ
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B
Chapter:
̣ 01
Feedback: This information describes the probleṃ of abdominal pain,
̣ which is the present
̣
illness. The interviewer has obtained the location, timing, severity, and associated manifestations
of the pain.
̣ The interviewer will still need to obtain information concerning the quality of the
pain,
̣ the setting in which it occurred, and the factors that aggravate and alleviate the pain.̣ You
will notice that it does include portions
̣ of the p ertinent
̣ review of systems, but because it relates
directly to the complaint,
̣ it is included in the history of present
̣ illness.
6. The following information is recorded in the health history: ―The patient
̣ completed
̣ 8th grade.
He currently lives with his wife and two children. He works on old cars on the weekend. He
works in a glass factory during the week.‖
Ans: C
Chapter:
̣ 01
Feedback: Personal and social history information includes educational level, family of origin,
current household status, personal
̣ interests, employment,
̣ religious beliefs, military history, and
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
preferences
̣ and history). All of this information is documented in this example.̣
7. The following information is recorded in the health history: ―I feel really tired.‖
Which category does it belong to?
A) Chief complaint
̣
B) Present illness
C) Personal and social history
D) Review of systems