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Health Assessment Bates chapter 1-5 All Answers Correct

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Health Assessment Bates chapter 1-5 All Answers Correct 1. Who would benefit from a comprehensive health history, and why? Answer: A new patient establishing care would benefit from a comprehensive health history because it is an opportunity to gather information about their overall health and medical history. 2. What is excluded from the comprehensive health history? Answer: The thorax and lungs are part of the physical examination, not the comprehensive health history. 3. What type of data is the following statement? Answer: The statement "Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest" is subjective data because it is based on the patient's self reported symptoms. 4. What type of data is the following statement? Answer: The statement "Mr. M. has a respiratory rate of 32 and a pulse rate of 120" is objective data because it is a measurable physiological parameter recorded by the examiner. 5. Where does the following information belong in the comprehensive health history? Answer: The information "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 mid-epigastric area" belongs to the present illness category, which focuses on the patient's current symptoms and medical issues. 6. The following information is recorded 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." Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems ️C; Ans: C Chapter: 01 Page and Header: 6, The Comprehensive Adult Health History 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. 7. The following information is recorded in the health history: "I feel really tired." Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems ️A; Ans: A Chapter: 01 Page and Header: 6, The Comprehensive Adult Health History Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they are suitable to print. It is brief, like a headline, and further details should be sought in the present illness section. The above information is a chief complaint. 8. The following information is recorded in the health history: "Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea." Which category does it belong to? A) Chief complaint B) Present illness C) Personal and social history D) Review of systems ️D; Ans: D Chapter: 01 Page and Header: 6, The Comprehensive Adult Health History Feedback: Review of systems documents the presence or absence of common symptoms related to each major body system. The absence of cardiac symptoms is listed in the above example. 9. The following information is best placed in which category? "The patient has had three cesarean sections." A) Adult illnesses B) Surgeries C) Obstetrics/gynecology D) Psychiatric ️B; Ans: B Chapter: 01 Page and Header: 9, Past History Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the patient at the time of the surgery should also be recorded. 10. The following information is best placed in which category? "The patient had a stent placed in the left anterior descending artery (LAD) in 1999." A) Adult illnesses B) Surgeries C) Obstetrics/gynecology ️A; Ans: A Chapter: 01 Page and Header: 9, Past History Feedback: The adult illnesses category is reserved for chronic illnesses, significant hospitalizations, significant injuries, and significant procedures. A stent is a major procedure but does not involve a surgeon. 11. The following information is best placed in which category? "The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been intubated." A) Adult illnesses B) Surgeries C) Obstetrics/gynecology D) Psychiatric ️A; Ans: A Chapter: 01 Page and Header: 9, Past History 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 placing this information in the present illness section, because it relates to the chief complaint at that visit. 1. A patient presents for evaluation of a sharp, aching chest pain which increases with breathing

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Health Assessment Bates chapter 1-5 All Answers Correct
1. Who would benefit from a comprehensive health history, and why?



Answer: A new patient establishing care would benefit from a comprehensive health history because it
is an opportunity to gather information about their overall health and medical history.



2. What is excluded from the comprehensive health history?



Answer: The thorax and lungs are part of the physical examination, not the comprehensive health
history.



3. What type of data is the following statement?



Answer: The statement "Mr. M. has shortness of breath that has persisted for the past 10 days; it is
worse with activity and relieved by rest" is subjective data because it is based on the patient's self-
reported symptoms.



4. What type of data is the following statement?



Answer: The statement "Mr. M. has a respiratory rate of 32 and a pulse rate of 120" is objective data
because it is a measurable physiological parameter recorded by the examiner.



5. Where does the following information belong in the comprehensive health history?



Answer: The information "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 mid-epigastric area" belongs to the present illness category, which focuses
on the patient's current symptoms and medical issues.



6. The following information is recorded 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."

Which category does it belong to?

A) Chief complaint

B) Present illness

C) Personal and social history

D) Review of systems ✔️C; Ans: C

Chapter: 01

Page and Header: 6, The Comprehensive Adult Health History

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.



7. The following information is recorded in the health history: "I feel really tired."

Which category does it belong to?

A) Chief complaint

B) Present illness

C) Personal and social history

D) Review of systems ✔️A; Ans: A

Chapter: 01

Page and Header: 6, The Comprehensive Adult Health History

Feedback: The chief complaint is an attempt to quote the patient's own words, as long as they are
suitable

to print. It is brief, like a headline, and further details should be sought in the present illness section. The

above information is a chief complaint.



8. The following information is recorded in the health history: "Patient denies chest pain, palpitations,

orthopnea, and paroxysmal nocturnal dyspnea."

Which category does it belong to?

,A) Chief complaint

B) Present illness

C) Personal and social history

D) Review of systems ✔️D; Ans: D

Chapter: 01

Page and Header: 6, The Comprehensive Adult Health History

Feedback: Review of systems documents the presence or absence of common symptoms related to each

major body system. The absence of cardiac symptoms is listed in the above example.



9. The following information is best placed in which category?

"The patient has had three cesarean sections."

A) Adult illnesses

B) Surgeries

C) Obstetrics/gynecology

D) Psychiatric ✔️B; Ans: B

Chapter: 01

Page and Header: 9, Past History

Feedback: A cesarean section is a surgical procedure. Approximate dates or the age of the patient at the

time of the surgery should also be recorded.



10. The following information is best placed in which category?

"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."

A) Adult illnesses

B) Surgeries

C) Obstetrics/gynecology ✔️A; Ans: A

Chapter: 01

Page and Header: 9, Past History

Feedback: The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,

significant injuries, and significant procedures. A stent is a major procedure but does not involve a

, surgeon.



11. The following information is best placed in which category?

"The patient was treated for an asthma exacerbation in the hospital last year; the patient has never
been

intubated."

A) Adult illnesses

B) Surgeries

C) Obstetrics/gynecology

D) Psychiatric ✔️A; Ans: A

Chapter: 01

Page and Header: 9, Past History

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 placing this

information in the present illness section, because it relates to the chief complaint at that visit.



1. A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which

anatomic area would you localize the symptom to?

A) Musculoskeletal

B) Reproductive

C) Urinary

D) Endocrine ✔️A; Ans: A

Chapter: 02

Page and Header: 27, Assessment and Plan: The Process of Clinical Reasoning

Feedback: Chest pain may be due to a musculoskeletal condition, such as costochondritis or intercostal

muscle cramp. This would be worsened by motion of the chest wall. Pleuritic chest pain is also a sharp

chest pain which increases with a deep breath. This type of pain can occur with inflammation of the

pleura from pneumonia or other conditions and pulmonary embolus.

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