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Advanced Health Assessment and Diagnostic Reasoning
Questions with Detailed Verified Answers (100% Correct
Answers) /Already Graded A+
Subjective Data
Ans: Things the pt tells you
Objective data
Ans: What your seeing, observing, or examining
The chief compliant should use the ____
Ans: Patient's own words
History of present illness nomics
Ans: -OLDCARTS (onset, location, duration, characteristics,
aggravating/alleviating, radiation, timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings
Ans: -Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
Concerning health history findings: changes in weight
Ans: -Rapid or gradual - rapid changes over a few days suggest changes in
fluid, not tissue
-Weight gain: nutrition vs. medical causes
-Weight loss: medical vs. psychosocial causes
Concerning health history findings: fatigue and weakness
Ans: Medical vs. psychosocial
Approved By:
vPretest - Stuvia US
,2
Fatigue
Ans: A sense of weariness or loss of energy
Weakness
Ans: A demonstrable loss of muscle muscle power
Concerning health history findings: fever, chills, and night sweats
Ans: -Ask about exposure to illness or any recent travel
-Some medications may cause elevated temperature
What are the types of pain?
Ans: -Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
-Chronic
Nociceptive (somatic)
Ans: -Damage to tissue or viscera but sensory nerves intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
Neuropathic
Ans: -Direct trauma to the peripheral or central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic
Ans: No identifiable etiology
Psychogenic
Approved By:
vPretest - Stuvia US
,3
Ans: Related to factors that influence the patient's report of pain (psychiatric
conditions, personality and coping style, cultural norms, social support
systems)
ChronicN
Ans: -Not due to cancer or illness lasting > 3-6 months
-Lasting > 1 month beyond the course of an illness
-Recurring at intervals over months or years
All notes should start with the following documentation:
Ans: -Date of encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format
Ans: -Subjective
-Objective
-Assessment
-Plan
BMI
Ans: -Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight
Ans: < 18.5
BMI: normal
Ans: 18.5 - 24.9
BMI: overweight
Approved By:
vPretest - Stuvia US
, 4
Ans: 25-29.9
BMI: obesity
Ans: -I: 30 - 34.9
-II: 35 - 39.9
BMI: extreme obesity
Ans: III: > (or equal to) 40
Orthostasis
Ans: Systolic BP drops >20 mm Hg or diastolic BP drops >10 mm Hg
Heart rate and rhythm
Ans: -Count 30 seconds (if rate is 50-90 and rhythm regular)
-Count 60 seconds (if rate is <50 or >90 and/or rhythm is irregular)
Respiratory rate
Ans: -Normal rate: 12-20 breaths/minute
-Count for a full 60 seconds
-Observe
Rhythm: regular, irregular
Depth: shallow, gasping
Effort: normal, labored
A patient presents with a 6-day history of rapid weight gain. The most likely
explanation is:
-A. Dysphagia
-B. Excessive absorption of nutrients
-C. Diabetes mellitus
-D. Accumulation of body fluids
Approved By:
vPretest - Stuvia US
Advanced Health Assessment and Diagnostic Reasoning
Questions with Detailed Verified Answers (100% Correct
Answers) /Already Graded A+
Subjective Data
Ans: Things the pt tells you
Objective data
Ans: What your seeing, observing, or examining
The chief compliant should use the ____
Ans: Patient's own words
History of present illness nomics
Ans: -OLDCARTS (onset, location, duration, characteristics,
aggravating/alleviating, radiation, timing, severity)
-OPQRST (onset, provocation, quality, radiation, severity, timing)
Concerning health history findings
Ans: -Changes in weight
-Fatigue or weakness
-Fever, chills, and night sweats
Concerning health history findings: changes in weight
Ans: -Rapid or gradual - rapid changes over a few days suggest changes in
fluid, not tissue
-Weight gain: nutrition vs. medical causes
-Weight loss: medical vs. psychosocial causes
Concerning health history findings: fatigue and weakness
Ans: Medical vs. psychosocial
Approved By:
vPretest - Stuvia US
,2
Fatigue
Ans: A sense of weariness or loss of energy
Weakness
Ans: A demonstrable loss of muscle muscle power
Concerning health history findings: fever, chills, and night sweats
Ans: -Ask about exposure to illness or any recent travel
-Some medications may cause elevated temperature
What are the types of pain?
Ans: -Nociceptive (somatic)
-Neuropathic
-Idiopathic
-Psychogenic
-Chronic
Nociceptive (somatic)
Ans: -Damage to tissue or viscera but sensory nerves intact
-Described as dull, pressing, pulling, throbbing, boring, spasmodic, or colicky
Neuropathic
Ans: -Direct trauma to the peripheral or central nervous system
-Described as shock like, stabbing, burning, pins and needles
Idiopathic
Ans: No identifiable etiology
Psychogenic
Approved By:
vPretest - Stuvia US
,3
Ans: Related to factors that influence the patient's report of pain (psychiatric
conditions, personality and coping style, cultural norms, social support
systems)
ChronicN
Ans: -Not due to cancer or illness lasting > 3-6 months
-Lasting > 1 month beyond the course of an illness
-Recurring at intervals over months or years
All notes should start with the following documentation:
Ans: -Date of encounter
-Patient name (age is also important)
-Informant and reliability
SOAP format
Ans: -Subjective
-Objective
-Assessment
-Plan
BMI
Ans: -Weight (lbs) x 700/height (inches)
-Weight (kgs)/height (m^2)
BMI: underweight
Ans: < 18.5
BMI: normal
Ans: 18.5 - 24.9
BMI: overweight
Approved By:
vPretest - Stuvia US
, 4
Ans: 25-29.9
BMI: obesity
Ans: -I: 30 - 34.9
-II: 35 - 39.9
BMI: extreme obesity
Ans: III: > (or equal to) 40
Orthostasis
Ans: Systolic BP drops >20 mm Hg or diastolic BP drops >10 mm Hg
Heart rate and rhythm
Ans: -Count 30 seconds (if rate is 50-90 and rhythm regular)
-Count 60 seconds (if rate is <50 or >90 and/or rhythm is irregular)
Respiratory rate
Ans: -Normal rate: 12-20 breaths/minute
-Count for a full 60 seconds
-Observe
Rhythm: regular, irregular
Depth: shallow, gasping
Effort: normal, labored
A patient presents with a 6-day history of rapid weight gain. The most likely
explanation is:
-A. Dysphagia
-B. Excessive absorption of nutrients
-C. Diabetes mellitus
-D. Accumulation of body fluids
Approved By:
vPretest - Stuvia US
