OM oARc PSD|117 n 00591
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,Chapter 1 n
MULTIPLE CHOICE n
1. For which of the following patients would a comprehensive health history be appropriate?
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A) A new patient with the chief complaint of ―I sprained my ankle‖
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B) An established patient with the chief complaint of ―I have an upper respiratory infection‖
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C) A new patient with the chief complaint of ―I am here to establish care‖
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D) A new patient with the chief complaint of ―I cut my hand‖
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Ans: C n
Chapter: 01 n
Page and Header: 4, Patient Assessment: Comprehensive or Focused
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Feedback: This patient is here to establish care, and because she is new to you, a comprehensive
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health history is appropriate.
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2. The components of the health history include all of the following except which one?
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A) Review of systems n n
B) Thorax and lungs n n
C) Present illness n
D) Personal and social items n n n
Ans: B n
Chapter: 01 n
Feedback: The thorax and lungs are part of the physical examination, not part of the health
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history. The others answers are all part of a complete health history.
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3. Is the following information subjective or objective?
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Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and
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relieved by rest.
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A) Subjective
B) Objective
Ans: A n
Chapter: 01 n
4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 120.
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A) Subjective
B) Objective
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OM oARc PSD|117 n 00591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
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Ans:
Ans: B
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Chapter:
Chapter: 01
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01
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Feedback: This is a measurement obtained by the examiner, so it is considered objective data.
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The patientThis
Feedback:
n is unlikely
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is information to give
about this information
a significant
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to the examiner.
hospitalization
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and should be placed in the
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n adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consider
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5. The following information is recorded in the health history: ―The patient has had abdominal
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pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
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on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
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epigastric area.‖
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Which of these categories does it belong to?
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A) Chief complaint n
B) Present illness n
C) Personal and social history n n n
D) Review of systems n n
Ans: B n
Chapter: 01 n
Feedback: This information describes the problem of abdominal pain, which is the present
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illness. The interviewer has obtained the location, timing, severity, and associated
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nmanifestations of the pain. The interviewer will still need to obtain information concerning the
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quality of the pain, the setting in which it occurred, and the factors that aggravate and alleviate
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the pain. You will notice that it does include portions of the pertinent review of systems, but
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because it relates directly to the complaint, it is included in the history of present illness.
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6. The following information is recorded in the health history: ―The patient completed 8th grade.
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He currently lives with his wife and two children. He works on old cars on the weekend. He
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works in a glass factory during the week.‖
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Ans: C n
Chapter: 01 n
Feedback: Personal and social history information includes educational level, family of origin,
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current household status, personal interests, employment, religious beliefs, military history, and
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lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
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preferences and history). All of this information is documented in this example.
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7. The following information is recorded in the health history: ―I feel really tired.‖
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Which category does it belong to?
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A) Chief complaint n
B) Present illness n
C) Personal and social history n n n
D) Review of systems n n