OM oARc hh PSD|117 hh 00591
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,Chapter 1 hh
MULTIPLE CHOICE h h
1. For which of the following patients would a comprehensive health history be appropriate?
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A) A new patient with the chief complaint of ―I sprained my ankle‖
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B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
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C) A new patient with the chief complaint of ―I am here to establish care‖
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D) A new patient with the chief complaint of ―I cut my hand‖
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Ans: C hh
Chapter: 01 h h
Page and Header: 4, Patient Assessment: Comprehensive or Focused
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Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
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health history is appropriate.
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2. The components of the health history include all of the following except which one?
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A) Review of systems hh hh
B) Thorax and lungs hh hh
C) Present illness hh
D) Personal and social items hh h h hh
Ans: B hh
Chapter: 01 h h
Feedback: The thorax and lungs are part of the physical examination, not part of the health
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history. The others answers are all part of a complete health history.
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3. Is the following information subjective or objective?
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Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
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and relieved by rest.
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A) Subjective
B) Objective
Ans: A hh
Chapter: 01 h h
4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
, l hh h hOM oARc hh PSD|117 hh 00591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
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Ans: B hh
Chapter: 01 h h
Feedback: This is a measurement obtained by the examiner, so it is considered objective data.
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The patient is unlikely to be able to give this information to the examiner.
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5. The following information is recorded in the health history: ―The patient has had abdominal
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pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to
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9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
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epigastric area.‖
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Which of these categories does it belong to?
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A) Chief complaint hh
B) Present illness hh
C) Personal and social history hh hh hh
D) Review of systems hh hh
Ans: B hh
Chapter: 01 h h
Feedback: This information describes the problem of abdominal pain, which is the present
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illness. The interviewer has obtained the location, timing, severity, and associated
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manifestations of the pain. The interviewer will still need to obtain information concerning
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the quality of the pain, the setting in which it occurred, and the factors that aggravate and
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alleviate the pain. You will notice that it does include portions of the pertinent review of
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systems, but because it relates directly to the complaint, it is included in the history of
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present illness.
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6. The following information is recorded in the health history: ―The patient completed 8th
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grade. He currently lives with his wife and two children. He works on old cars on the
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weekend. He works in a glass factory during the week.‖
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Ans: C hh
Chapter: 01 h h
Feedback: Personal and social history information includes educational level, family of origin,
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current household status, personal interests, employment, religious beliefs, military history, and
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lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
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preferences and history). All of this information is documented in this example.
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7. The following information is recorded in the health history: ―I feel really
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tired.‖ Which category does it belong to?
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A) Chief complaint hh
B) Present illness hh
C) Personal and social history hh hh hh
D) Review of systems hh hh