TEST BANK Bates' Nursing Guide to Physical Examination and History Taking Beth Hogan-Quigley, and Mary Louis Palm

TEST BANK Bates' Nursing Guide to Physical Examination and History Taking Beth Hogan-Quigley, and Mary Louis Palm Table of Contents Chapter 1. Intro to Health Assessment and Social Determinants of Health Chapter 2 Critical Thinking and Clinical Judgement in Health Assessment Chapter 3 Interviewing and Communication 1 4 10 Chapter 4 The Health History 17 Chapter 5 Cultural and Spiritual Assessment 24 Chapter 6 Physical Examination-Let's Get Started 30 Chapter 7 Beginning the Physical Examination-General Survey, Vital Signs, and Pain Chapter 8 Nutrition and Hydration 36 41 Chapter 9 The Integumentary System 47 Chapter 10 The Head and Neck 53 Chapter 11 The Eyes 62 Chapter 12 Ears, Nose, Mouth, and Throat 69 Chapter 13 The Respiratory System 74 Chapter 14 The Cardiovascular System 84 Chapter 15 The Peripheral Vascular System 90 Chapter 16 The Gastrointestinal and Renal Systems 96 Chapter 17 The Breasts and Axillae 107 Chapter 18 The Musculoskeletal System 114 Chapter 19 Mental Status and Mental Health Assessment 122 Chapter 20 The Nervous System 129 Chapter 21 Reproductive Systems 138 Chapter 22 Putting the Physical Examination All Together 148 Chapter 23 Assessing Children-Infancy Through Adolescence Chapter 24 Assessing Older Adults MULTIPLE CHOICE 1. For which of the following patients would a comprehensive health history be appropriate? A) A new patient with the chief complaint of ―Isprained my ankle‖ B) An established patient with the chief complaint of ―I have an upper respiratory infection‖ C) A new patient with the chief complaint 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 appropriate. 2. The components of the health history include all of the following except 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 part of the physical examination, not part of the health history. The others answers are all part of a complete 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 Ans: A Chapter: 01 Feedback: This is information about a significant hospitalization and should be placed in the adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider lOMoAR cPSD| Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank Ans: B Chapter: 01 Feedback: This is a measurement obtained by the examiner, so it is considered objective data. The patient is unlikely to be able to give this information to the examiner. 5. The following information is recorded in the health history: ―The patient has had abdominal pain for 1 week. The pain 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 midepigastric area.‖ Which of these categories does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems Ans: B Chapter: 01 Feedback: This information describes the problem 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 pertinent review of systems, but because it relates directly to the complaint, it is included in the history of present illness. 6. The following information isrecorded 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.