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,Chapter 1 z
MULTIPLE CHOICE z
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 z
Chapter: 01 z
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 health hi
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story 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 z z
B) Thorax and lungs z z
C) Present illness z
D) Personal and social items z z z
Ans: B z
Chapter: 01 z
Feedback: The thorax and lungs are part of the physical examination, not part of the health history.
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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 and reli
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eved by rest.
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A) Subjective
B) Objective
Ans: A z
Chapter: 01 z
4. Is the following information subjective or objective? M
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r. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
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l OM oARc PSD|117 00591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
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Ans: B z
Chapter: 01 z
Feedback: This is a measurement obtained by the examiner, so it is considered objective data. The p
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atient 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 pai
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n for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scal
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e of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid- epigastric area.‖
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Which of these categories does it belong to?
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A) Chief complaint z
B) Present illness z
C) Personal and social history z z z
D) Review of systems z z
Ans: B z
Chapter: 01 z
Feedback: This information describes the problem of abdominal pain, which is the present illness.
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The interviewer has obtained the location, timing, severity, and associated manifestations of the pain.
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zThe interviewer will still need to obtain information concerning the quality of the pain, the setting i
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n which it occurred, and the factors that aggravate and alleviate the pain. You will notice that it does
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include portions of the pertinent review of systems, but because it relates directly to the complaint,
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it is included in the history of present illness.
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6. The following information is recorded in the health history: ―The patient completed 8th grade. He c
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urrently lives with his wife and two children. He works on old cars on the weekend. He works in a gl
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ass factory during the week.‖
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Ans: C z
Chapter: 01 z
Feedback: Personal and social history information includes educational level, family of origin, current h
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ousehold status, personal interests, employment, religious beliefs, military history, and lifestyle (includi
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ng diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual preferences and history). A
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ll 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 tired.‖ Wh
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ich category does it belong to?
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A) Chief complaint z
B) Present illness z
C) Personal and social history z z z
D) Review of systems z z