for Bates' NURSING GUIDE
to PHYSICAL EXAMINATION
AND HISTORY TAKING
2nd Edition
By Beth Hogan-Quigley, Mary Louise Palm, Lynn S. Bickley
,Table of Contents
Chapter 1 Introduction to Health Assessment
Chapter 2 Critical Thinking in Health Assessment
Chapter 3 Interviewing and Communication
Chapter 4 The Health History
Chapter 5 Cultural and Spiritual Assessment
Chapter 6 Physical Examination: Getting Started
Chapter 7 Beginning the Physical Examination: General Survey, Vital Signs, and Pain
Chapter 8 Nutrition and Hydration
Chapter 9 The Integumentary System
Chapter 10 The Head and Neck
Chapter 11 The Eyes
Chapter 12 Ears, Nose, Mouth, and Throat
Chapter 13 The Respiratory System
Chapter 14 The Cardiovascular System
Chapter 15 The Peripheral Vascular System
Chapter 16 The Gastrointestinal and Renal Systems
Chapter 17 The Breasts and Axillae
Chapter 18 The Musculoskeletal System
Chapter 19 Mental Status
Chapter 20 The Nervous System
Chapter 21 Reproductive Systems
Chapter 22 Putting it All Together
Chapter 23 Assessing Children: Infancy Through Adolescence
Chapter 24 Assessing Older Adults
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Chapter 1 Introduction to Health Assessment
Multiple Choice
1. 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 the chief complaint of ―I am here to establish care‖
D) A new patient with the chief complaint of ―I cut my hand‖
Ans:C
Chapter: 01
Page and Header: 4, Patient Assessment: Comprehensive or Focused
Feedback: This patient is here to establish care, and because she is new to you, a comprehensive health
history is appropriate.
2. 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
Ans:B
Chapter: 01
Feedback: The thorax and lungs are part of the physical examination, not part of the health history.
The others answers are all part of a complete health history.
3. 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
Ans:A
Chapter: 01
Feedback: This is information given by the patient about the circumstances of his chief complaint. It
does not represent an objective observation by the examiner.
4. Is the following information subjective or objective? Mr. M.
has a respiratory rate of 32 and a pulse rate of 120.
A) Subjective
B) Objective
Ans: B Chapter: 01
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Feedback: This is a measurement obtained by the examiner, so it is considered objective data. The
patient is unlikely to be able to give this information to the examiner.
5. The following information is recorded in the health history: ―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.‖
Which of these categories does it belong to?
A) Chief complaint
B) Present illness
C) Personal and social history
D) Review of systems
Ans: B Chapter: 01
Feedback: This information describes the problem of abdominal pain, which is the present illness.
The interviewer has obtained the location, timing, severity, and associated manifestations of the pain.
The interviewer will still need to obtain information concerning the quality of the pain, the setting in
which it occurred, and the factors that aggravate and alleviate the pain. You will notice that it does
include portions of the pertinent review of systems, but because it relates directly to the complaint, it
is included in the history of present illness.
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
Ans: C Chapter: 01
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
Ans: A Chapter: 01