,
,Chapter1
MULTIPLECHOICE
1. Forwhichofthefollowingpatientswouldacomprehensivehealthhistorybeappropriate?
A) Anewpatientwiththechiefcomplaintof―Isprainedmyankle‖
B) Anestablishedpatientwiththechiefcomplaintof―Ihaveanupperrespiratoryinfection‖
C) Anewpatientwiththechiefcomplaintof―Iamheretoestablishcare‖
D) Anewpatientwiththechiefcomplaintof―Icutmyhand‖
Ans:C
Chapter:01
PageandHeader:4,PatientAssessment:ComprehensiveorFocused
Feedback:Thispatientisheretoestablishcare,andbecausesheisnewtoyou,acomprehensivehealth
historyisappropriate.
2. Thecomponentsofthehealthhistoryincludeallofthefollowingexceptwhichone?
A) Reviewofsystems
B) Thoraxandlungs
C) Presentillness
D) Personalandsocialitems
Ans:B
Chapter:01
Feedback:Thethoraxandlungsarepartofthephysicalexamination,notpartofthehealthhistory.The
othersanswersareallpartofacompletehealthhistory.
3. Isthefollowinginformationsubjectiveorobjective?
Mr.M.hasshortnessofbreaththathaspersistedforthepast10days;itisworsewithactivityandrelieve
dbyrest.
A) Subjective
B) Objective
Ans:A
Chapter:01
4. Isthefollowinginformationsubjectiveorobjective?Mr.
M.hasarespiratoryrateof32andapulserateof120.
A) Subjective
B) Objective
, lOMoARcPSD|11700591
Bates'NursingGuidetoPhysicalExaminationandHistoryTaking/Edition3Testbank
Ans:B
Ans:AChapter:
Chapter:01
01
Feedback:Thisisameasurementobtainedbytheexaminer,soitisconsideredobjectivedata.Thepati
Feedback:Thisisinformationaboutasignificanthospitalizationandshouldbeplacedintheadultillness
entisunlikelytobeabletogivethisinformationtotheexaminer.
essection.Ifthepatientisbeingseenforanasthmaexacerbation,youmayconsider
5. Thefollowinginformationisrecordedinthehealthhistory:―Thepatienthashadabdominalpainf
or1week.Thepainlastsfor30minutesatatime;itcomesandgoes.Theseverityis7to9onascaleof1to1
0.Itisaccompaniedbynauseaandvomiting.Itislocatedinthemid-epigastricarea.‖
Whichofthesecategoriesdoesitbelongto?
A) Chiefcomplaint
B) Presentillness
C) Personalandsocialhistory
D) Reviewofsystems
Ans:B
Chapter:01
Feedback:Thisinformationdescribestheproblemofabdominalpain,whichisthepresentillness.Thei
nterviewerhasobtainedthelocation,timing,severity,andassociatedmanifestationsofthepain.Thei
nterviewerwillstillneedtoobtaininformationconcerningthequalityofthepain,thesettinginwhichit
occurred,andthefactorsthataggravateandalleviatethepain.Youwillnoticethatitdoesincludeportio
nsofthepertinentreviewofsystems,butbecauseitrelatesdirectlytothecomplaint,itisincludedinthe
historyofpresentillness.
6. Thefollowinginformationisrecordedinthehealthhistory:―Thepatientcompleted8thgrade.Hec
urrentlyliveswithhiswifeandtwochildren.Heworksonoldcarsontheweekend.Heworksinaglassfact
oryduringtheweek.‖
Ans:C
Chapter:01
Feedback:Personalandsocialhistoryinformationincludeseducationallevel,familyoforigin,current
householdstatus,personalinterests,employment,religiousbeliefs,militaryhistory,andlifestyle(inc
ludingdietandexercisehabits;useofalcohol,tobacco,and/ordrugs;andsexualpreferencesandhisto
ry).Allofthisinformationisdocumentedinthisexample.
7. Thefollowinginformationisrecordedinthehealthhistory:―Ifeelreallytired.‖Whic
hcategorydoesitbelongto?
A) Chiefcomplaint
B) Presentillness
C) Personalandsocialhistory