HNG 515: Quiz 1 with complete
solutions rated A+
D. Obtain more detailed history
rationale: you want to get the most information you can in order to guide your assessment, next
steps and plan; yes you can perform a pelvic exam, prescribe a sleeping pill and give emotional
support, however, that is not getting to the root of what is causing the patients problems; you
want to make sure those are the appropriate decisions before doing so - ANS ✔A patient
complains of pelvic pain, having trouble sleeping, and thinking of leaving her job. What should
you do next?
A. Perform pelvic exam
B. Prescribe sleeping pill
C. Give emotional support
D. Obtain more detailed history
C. Be factual and use active listening skills
Rationale: active listening is extrememly important in order to communicate that you are aware
of the patients emotional state and using verbals and nonverbals to make them comfortable;
you would never ask close ended questions; and yes you could show empathy and ask open
ended quesitons but that is skimming over the patients statement; ensure you are actively
listening - ANS ✔The same patient with pelvic pain and trouble sleeping reported that she has
experienced a dismissal of her complaints because of her high level of physical fitness and
conditioning. What should you do next?
A. Show empathy and ask open ended questions
B. Reassure her and ask close-ended questions
, C. Be factual and use active listening skills
B. A comprehensive health history
rationale: the patient is new to the practice so you must establish somewhat of a baseline
before considering going to a problem-focused health history or a review of systems - ANS ✔A
young homeless male with a history of drug abuse, hepatitis B, bipolar disorder, and active
cigarette smoking came to the clinic c/o an abscess in his forearm at a heroin injection site. He is
new to the practice. How should you approach?
A. A problem-focused health history
B. A comprehensive health history
C. A review of systems (ROS) only
A. Head and Neck
Rationale: in a head to toe assessment you begin with head and neck; neuro is either at the end
or throughout the whole assessment - ANS ✔A 63-year-old unemployed female c/o feeling tired
and hungry despite getting sufficient rest and having sufficient food presents to the clinical.
Despite the warm weather outside, she is wearing thermal socks because her feet are always
cold. With which body system should the clinician begin the examination?
A. Head and Neck
B. Lower Extremity
C. Nervous system
D. Abdomen
B. GI system
solutions rated A+
D. Obtain more detailed history
rationale: you want to get the most information you can in order to guide your assessment, next
steps and plan; yes you can perform a pelvic exam, prescribe a sleeping pill and give emotional
support, however, that is not getting to the root of what is causing the patients problems; you
want to make sure those are the appropriate decisions before doing so - ANS ✔A patient
complains of pelvic pain, having trouble sleeping, and thinking of leaving her job. What should
you do next?
A. Perform pelvic exam
B. Prescribe sleeping pill
C. Give emotional support
D. Obtain more detailed history
C. Be factual and use active listening skills
Rationale: active listening is extrememly important in order to communicate that you are aware
of the patients emotional state and using verbals and nonverbals to make them comfortable;
you would never ask close ended questions; and yes you could show empathy and ask open
ended quesitons but that is skimming over the patients statement; ensure you are actively
listening - ANS ✔The same patient with pelvic pain and trouble sleeping reported that she has
experienced a dismissal of her complaints because of her high level of physical fitness and
conditioning. What should you do next?
A. Show empathy and ask open ended questions
B. Reassure her and ask close-ended questions
, C. Be factual and use active listening skills
B. A comprehensive health history
rationale: the patient is new to the practice so you must establish somewhat of a baseline
before considering going to a problem-focused health history or a review of systems - ANS ✔A
young homeless male with a history of drug abuse, hepatitis B, bipolar disorder, and active
cigarette smoking came to the clinic c/o an abscess in his forearm at a heroin injection site. He is
new to the practice. How should you approach?
A. A problem-focused health history
B. A comprehensive health history
C. A review of systems (ROS) only
A. Head and Neck
Rationale: in a head to toe assessment you begin with head and neck; neuro is either at the end
or throughout the whole assessment - ANS ✔A 63-year-old unemployed female c/o feeling tired
and hungry despite getting sufficient rest and having sufficient food presents to the clinical.
Despite the warm weather outside, she is wearing thermal socks because her feet are always
cold. With which body system should the clinician begin the examination?
A. Head and Neck
B. Lower Extremity
C. Nervous system
D. Abdomen
B. GI system
