Advanced Health Midterm Exam Questions With 100% Verified Solutions

Advanced Health Midterm Exam Questions With 100% Verified Solutions 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? Chief complaint Present illness Personal and social history Review of systems - ANSWER Personal and social history 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. Give the patient information concerning reduction of fat and cholesterol in her diet because she is obese. - ANSWER Reassure the mother that this is a normal body weight. The patient has a normal BMI; the range for a normal BMI is 18.5 to 24.9 kg/m2. You may be able to give the patient and her mother the lower limit of normal in pounds for her daughter's height, or instruct her in how to use a BMI table. A 25-year-old radio announcer comes to the clinic for an annual examination. His BMI is 26.0 kg/m2. He is concerned about his weight. Based on this information, what is appropriate counsel for the patient during the visit? Refer the patient to a nutritionist because he is anorexic. Reassure the patient that he has a normal body weight. Give the patient information about reduction of fat, cholesterol, and calories because he is overweight. Give the patient information about reduction of fat and cholesterol because he is obese. - ANSWER Give the patient information about reduction of fat, cholesterol, and calories because he is overweight. The patient has a BMI in the overweight range, which is 25.0 to 29.9 kg/m2. It is prudent to give him information about reducing calories, fat, and cholesterol in his diet to help prevent further weight gain. A 30-year-old sales clerk comes to your office wanting to lose weight; her BMI is 30.0 kg/m2. What is the most appropriate amount for a weekly weight reduction goal? .5 to 1 pound per week 1 to 2.5 pounds per week 2.5 to 3.5 pounds per week 3.5 to 4.5 pounds per week - ANSWER .5 to 1 pound per week Based on the NIH Obesity Guidelines, this is the weekly weight loss goal to strive for to maintain long-term control of weight. More rapid weight loss than this does not result in a better outcome at one year. Common or concerning symptoms to inquire about in the General Survey and vital signs include all of the following except: Changes in weight Fatigue and weakness Cough Fever and chills - ANSWER Cough This symptom is more appropriate to the respiratory review of systems. The following information is recorded in the health history: "I feel really tired." Which category does it belong to? Chief complaint Present illness Personal and social history Review of systems - ANSWERWER Chief complaint 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. 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? Chief complaint