NSG 464 Physical Assessment for Advanced Practice Midterm Exam 2026 |
Complete Study Guide, Verified Questions & Answers, Advanced Health
Assessment Review, Differential Diagnosis & Clinical Assessment Success Bundle
A 19 Y/O College Student, Todd, Is Brought To Your Clinic By His Mother. She Is Concerned That
There Is Something Seriously Wrong With Him. She States For The Past 6 Months His Behavior
Has Become Peculiar And He Has Flunked Out Of College. Todd Denies Any Recent Illness Or
Injuries. His Past Medical History Is Remarkable Only For A Broken Foot. His Parents Are Both
Healthy. He Has A Paternal Uncle Who Had Similar Symptoms In College. The Patient Admits To
Smoking Cigarettes And Drinking Alcohol. He Also Admits To Marijuana Use But None In The
Last Week. He Denies Using Any Other Substances. He Denies Any Feelings Of Depression Or
Anxiety. While Speaking With Todd And His Mother You Do A Complete Physical Examination,
Which Is Essentially Normal. When You Question Him On How He Is Feeling, He Says That He Is
Very Worried That Microsoft Has Stolen His Software For Creating A Better Browser. He Tells You
He Has Seen A Black Van In His Neighborhood At Night And He Is Sure That It Is Full Of
Computer Tech Workers Stealing His Work Through Special Gamma Waves. You Ask Him Why He
Believes They Are Trying To Steal His Programs. He Replies That The Technicians Have Been
Telepathing Their Intents Directly Into His Head. He Says He Hears These Conversations At Night
So He Knows This Is Happening. Todd's Mother Tell You, "See, I Told You...He's Crazy". What Do I
Do About It? While Arranging For A Psychiatry Consult, What Psychotic Disorder Do You Think
Todd Has?
A. Schizoaffective Disorder
B. Psychotic Disorder Due To A Medical Illness
C. Substance-Induced Psychotic Disorder
D. Schizophrenia
ANSWER: D. Schizophrenia
Rationale: Schizophrenia Generally Occurs In The Late Teens To Early 20s. It Often Is Seen In
Other Family Members, As In This Case. Symptoms Must Be Present For At Least 6 Months And
Must Have At Least Two Features Of 1. Delusions (E.G. Microsoft Is After His Programs); 2.
Hallucinations (E.G. Technicians Sending Telepathic Signals); 3. Disorganized Speech, 4.
Disorganized Behavior, And 5. Negative Symptoms Such As Flat Affect
, For Which Of The Following Patients Would A Comprehensive Health History Be Appropriate?
A. A New Patient With The Chief Complaint Of "I Sprained My Ankle"
B. An Established Patient With The Chief Complaint Of "I Have An Upper Respiratory Infection"
C. A New Patient With Chief Complaint Of "I Am Here To Establish Care"
D. A New Patient With The Chief Complaint Of "I Cut My Hand"
ANSWER: C. A New Patient With Chief Complaint Of "I Am Here To Establish Care"
Rationale: This Patient Is Here To Establish Care, And Because She Is New To You, A
Comprehensive Health History Is Appropriate
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
ANSWER: B. Thorax And Lungs
Rationale: The Thorax And Lungs Are Part Of The Physical Examination, Not Part Of The Health
History. The Other Answers Are All Part Of A Complete Health History
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
ANSWER: A. Subjective
Complete Study Guide, Verified Questions & Answers, Advanced Health
Assessment Review, Differential Diagnosis & Clinical Assessment Success Bundle
A 19 Y/O College Student, Todd, Is Brought To Your Clinic By His Mother. She Is Concerned That
There Is Something Seriously Wrong With Him. She States For The Past 6 Months His Behavior
Has Become Peculiar And He Has Flunked Out Of College. Todd Denies Any Recent Illness Or
Injuries. His Past Medical History Is Remarkable Only For A Broken Foot. His Parents Are Both
Healthy. He Has A Paternal Uncle Who Had Similar Symptoms In College. The Patient Admits To
Smoking Cigarettes And Drinking Alcohol. He Also Admits To Marijuana Use But None In The
Last Week. He Denies Using Any Other Substances. He Denies Any Feelings Of Depression Or
Anxiety. While Speaking With Todd And His Mother You Do A Complete Physical Examination,
Which Is Essentially Normal. When You Question Him On How He Is Feeling, He Says That He Is
Very Worried That Microsoft Has Stolen His Software For Creating A Better Browser. He Tells You
He Has Seen A Black Van In His Neighborhood At Night And He Is Sure That It Is Full Of
Computer Tech Workers Stealing His Work Through Special Gamma Waves. You Ask Him Why He
Believes They Are Trying To Steal His Programs. He Replies That The Technicians Have Been
Telepathing Their Intents Directly Into His Head. He Says He Hears These Conversations At Night
So He Knows This Is Happening. Todd's Mother Tell You, "See, I Told You...He's Crazy". What Do I
Do About It? While Arranging For A Psychiatry Consult, What Psychotic Disorder Do You Think
Todd Has?
A. Schizoaffective Disorder
B. Psychotic Disorder Due To A Medical Illness
C. Substance-Induced Psychotic Disorder
D. Schizophrenia
ANSWER: D. Schizophrenia
Rationale: Schizophrenia Generally Occurs In The Late Teens To Early 20s. It Often Is Seen In
Other Family Members, As In This Case. Symptoms Must Be Present For At Least 6 Months And
Must Have At Least Two Features Of 1. Delusions (E.G. Microsoft Is After His Programs); 2.
Hallucinations (E.G. Technicians Sending Telepathic Signals); 3. Disorganized Speech, 4.
Disorganized Behavior, And 5. Negative Symptoms Such As Flat Affect
, For Which Of The Following Patients Would A Comprehensive Health History Be Appropriate?
A. A New Patient With The Chief Complaint Of "I Sprained My Ankle"
B. An Established Patient With The Chief Complaint Of "I Have An Upper Respiratory Infection"
C. A New Patient With Chief Complaint Of "I Am Here To Establish Care"
D. A New Patient With The Chief Complaint Of "I Cut My Hand"
ANSWER: C. A New Patient With Chief Complaint Of "I Am Here To Establish Care"
Rationale: This Patient Is Here To Establish Care, And Because She Is New To You, A
Comprehensive Health History Is Appropriate
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
ANSWER: B. Thorax And Lungs
Rationale: The Thorax And Lungs Are Part Of The Physical Examination, Not Part Of The Health
History. The Other Answers Are All Part Of A Complete Health History
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
ANSWER: A. Subjective
