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BSN 346 – Shadow Health Case Study: John Larsen's Anxiety Overview
100 Practice Questions with Verified Answers
Section 1: Patient Demographics & Chief Complaint (Questions 1–15)
1. What is John Larsen's age?
A. 42 years old
B. 45 years old
C. 48 years old
D. 52 years old
Answer: C – 48 years old
Rationale: Mr. Larsen is a 48-year-old White man who presented to the ED at 6 AM .
2. What time did Mr. Larsen present to the Emergency Department?
A. 3 AM
B. 4 AM
C. 6 AM
D. 8 AM
Answer: C – 6 AM
Rationale: Mr. Larsen presented to the ED at 6 AM with a perceived cardiac complaint .
3. What is Mr. Larsen's chief complaint upon arrival?
A. "I feel like I'm having a heart attack"
B. "I have a terrible headache"
C. "I can't breathe at all"
D. "My knee is killing me"
Answer: A – "I feel like I'm having a heart attack"
Rationale: He reports being exhausted, scared, and unable to relax, and states he came to
the ED because he thought he was having a heart attack from his hypertension .
4. What did Mr. Larsen report feeling in his chest?
A. Sharp stabbing pain
B. A sense of "smothering" or chest pressure
C. Burning sensation
D. Numbness
Answer: B – A sense of "smothering" or chest pressure
Rationale: The chief complaint finding states: "Reports that he felt like he was 'smothering' -
sense of chest pressure" .
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5. What is Mr. Larsen's occupation?
A. Teacher
B. Postal clerk
C. Construction worker
D. Retail manager
Answer: B – Postal clerk
Rationale: Mr. Larsen is currently employed as a postal clerk .
6. What is Mr. Larsen's marital status?
A. Married
B. Divorced
C. Single, living alone
D. Widowed
Answer: C – Single, living alone
Rationale: He is single, has no children, and lives alone .
7. Does Mr. Larsen have any children?
A. Yes, one son
B. Yes, two daughters
C. No children
D. Yes, one daughter
Answer: C – No children
Rationale: He is single, has no children, and lives alone .
8. What is Mr. Larsen's attitude toward medical staff?
A. Hostile and uncooperative
B. Warm and cooperative
C. Indifferent
D. Anxious and defensive
Answer: B – Warm and cooperative
Rationale: Mr. Larsen displays a warm and cooperative attitude towards medical staff .
9. What symptoms did Mr. Larsen report upon arrival at the ED?
A. Only chest pain
B. Exhaustion, anxiety, terror, and tachycardia
C. Headache and nausea
D. Abdominal pain and vomiting
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Answer: B – Exhaustion, anxiety, terror, and tachycardia
Rationale: Mr. Larsen complained of exhaustion, anxiety, terror, and tachycardia .
10. When did Mr. Larsen's symptoms begin?
A. Last night at 3 AM
B. This morning at 6 AM
C. Yesterday afternoon
D. Two days ago
Answer: A – Last night at 3 AM
Rationale: His symptoms started last night at 3 AM .
11. What does Mr. Larsen believe is causing his symptoms?
A. A heart attack from his hypertension
B. A cold
C. His knee replacement
D. Food poisoning
Answer: A – A heart attack from his hypertension
Rationale: He states that he came to the ED because he thought he was having a heart attack
from his hypertension .
12. Does Mr. Larsen have a family history of mental illness?
A. Yes, his mother had anxiety
B. Yes, his father had depression
C. No known family history of mental illness
D. Yes, his brother had panic disorder
Answer: C – No known family history of mental illness
Rationale: There is no known family history of mental illness .
13. What is Mr. Larsen's perception of his anxiety?
A. He fully understands he has anxiety
B. He denies any anxiety
C. He displays a partial or unclear awareness of his anxiety, but is beginning to come around
to the idea
D. He believes anxiety is causing all his physical problems
Answer: C – He displays a partial or unclear awareness of his anxiety, but is beginning to
come around to the idea
Rationale: Mr. Larsen displays a partial or unclear awareness of his anxiety, but is beginning
to come around to the idea of having anxiety .
14. What symptoms is Mr. Larsen positive for in the review of relevant systems?
BSN 346 – Shadow Health Case Study: John Larsen's Anxiety Overview
100 Practice Questions with Verified Answers
Section 1: Patient Demographics & Chief Complaint (Questions 1–15)
1. What is John Larsen's age?
A. 42 years old
B. 45 years old
C. 48 years old
D. 52 years old
Answer: C – 48 years old
Rationale: Mr. Larsen is a 48-year-old White man who presented to the ED at 6 AM .
2. What time did Mr. Larsen present to the Emergency Department?
A. 3 AM
B. 4 AM
C. 6 AM
D. 8 AM
Answer: C – 6 AM
Rationale: Mr. Larsen presented to the ED at 6 AM with a perceived cardiac complaint .
3. What is Mr. Larsen's chief complaint upon arrival?
A. "I feel like I'm having a heart attack"
B. "I have a terrible headache"
C. "I can't breathe at all"
D. "My knee is killing me"
Answer: A – "I feel like I'm having a heart attack"
Rationale: He reports being exhausted, scared, and unable to relax, and states he came to
the ED because he thought he was having a heart attack from his hypertension .
4. What did Mr. Larsen report feeling in his chest?
A. Sharp stabbing pain
B. A sense of "smothering" or chest pressure
C. Burning sensation
D. Numbness
Answer: B – A sense of "smothering" or chest pressure
Rationale: The chief complaint finding states: "Reports that he felt like he was 'smothering' -
sense of chest pressure" .
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5. What is Mr. Larsen's occupation?
A. Teacher
B. Postal clerk
C. Construction worker
D. Retail manager
Answer: B – Postal clerk
Rationale: Mr. Larsen is currently employed as a postal clerk .
6. What is Mr. Larsen's marital status?
A. Married
B. Divorced
C. Single, living alone
D. Widowed
Answer: C – Single, living alone
Rationale: He is single, has no children, and lives alone .
7. Does Mr. Larsen have any children?
A. Yes, one son
B. Yes, two daughters
C. No children
D. Yes, one daughter
Answer: C – No children
Rationale: He is single, has no children, and lives alone .
8. What is Mr. Larsen's attitude toward medical staff?
A. Hostile and uncooperative
B. Warm and cooperative
C. Indifferent
D. Anxious and defensive
Answer: B – Warm and cooperative
Rationale: Mr. Larsen displays a warm and cooperative attitude towards medical staff .
9. What symptoms did Mr. Larsen report upon arrival at the ED?
A. Only chest pain
B. Exhaustion, anxiety, terror, and tachycardia
C. Headache and nausea
D. Abdominal pain and vomiting
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Answer: B – Exhaustion, anxiety, terror, and tachycardia
Rationale: Mr. Larsen complained of exhaustion, anxiety, terror, and tachycardia .
10. When did Mr. Larsen's symptoms begin?
A. Last night at 3 AM
B. This morning at 6 AM
C. Yesterday afternoon
D. Two days ago
Answer: A – Last night at 3 AM
Rationale: His symptoms started last night at 3 AM .
11. What does Mr. Larsen believe is causing his symptoms?
A. A heart attack from his hypertension
B. A cold
C. His knee replacement
D. Food poisoning
Answer: A – A heart attack from his hypertension
Rationale: He states that he came to the ED because he thought he was having a heart attack
from his hypertension .
12. Does Mr. Larsen have a family history of mental illness?
A. Yes, his mother had anxiety
B. Yes, his father had depression
C. No known family history of mental illness
D. Yes, his brother had panic disorder
Answer: C – No known family history of mental illness
Rationale: There is no known family history of mental illness .
13. What is Mr. Larsen's perception of his anxiety?
A. He fully understands he has anxiety
B. He denies any anxiety
C. He displays a partial or unclear awareness of his anxiety, but is beginning to come around
to the idea
D. He believes anxiety is causing all his physical problems
Answer: C – He displays a partial or unclear awareness of his anxiety, but is beginning to
come around to the idea
Rationale: Mr. Larsen displays a partial or unclear awareness of his anxiety, but is beginning
to come around to the idea of having anxiety .
14. What symptoms is Mr. Larsen positive for in the review of relevant systems?
