NSG 6020 MIDTERMEXAM ., ., .,
QUESTIONS AND ANSWERS WITH COMPLETE ., ., ., .,
SOLUTION
.,
1. Forwhich of the following patients would acomprehensive health history be
., ., ., ., ., ., ., ., ., ., .,
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
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B) Anestablished patientwith thechief complaintof “Ihave anupper respiratory
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infection”
C) Anew patient with the chief complaint of “I am here to establish care”
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D) Anew patientwith thechief complaint of “I cut my hand”
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Ans: C
Feedback:
Thispatient is hereto establish care, and becauseshe is new to you, a
., ., ., ., ., ., ., ., ., ., ., ., ., .,
comprehensive
.,
healthhistory is appropriate. ., ., .,
2. Thecomponents of the health history include all of thefollowing exceptwhich
., ., ., ., ., ., ., ., ., ., ., .,
., one?
A) Reviewof systems ., .,
B) Thorax and lungs ., .,
C) Presentillness .,
D) Personaland socialitems ., ., .,
Ans: B
Feedback:
Thethorax and lungs are partof thephysical examination, notpartof the health
., ., ., ., ., ., ., ., ., ., ., ., ., .,
history. Theothersanswersareallpartofacompletehealthhistory.
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mailto:https://www.stuvia.com/user/Wisdoms
, 3. Isthe following information subjectiveorobjective?
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Mr. M. hasshortness of breath thathas persisted for thepast10 days; it isworse
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withactivity and relieved by rest.
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A) Subjective
B) Objective
Ans: A
Feedback:
Thisis information given by thepatient aboutthecircumstances of his chief
., ., ., ., ., ., ., ., ., ., ., .,
complaint. Itdoesnotrepresentanobjective observation by theexaminer.
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4. Isthe following information subjectiveorobjective?
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Mr. M.has arespiratory rateof 32and a pulserateof 120.
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A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, Thisisameasurementobtained by theexaminer, so it is considered objective
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data.
.,
Thepatientisunlikely to beable togive this information totheexaminer.
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5. The following information is recorded in the health history: “The patient
., ., ., ., ., ., ., ., ., .,
., has hadabdominal 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 andvomiting. It is located in themid-epigastric area.”
., ., ., ., ., ., ., ., ., .,
Whichof thesecategoriesdoes it belong to? ., ., ., ., ., ., .,
A) Chiefcomplaint .,
B) Presentillness .,
C) Personaland socialhistory ., ., .,
D) Reviewof systems ., .,
Ans: B
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 thataggravateandalleviate thepain. Youwill notice ., ., ., ., ., ., ., ., ., . , ., .,
thatitdoesincludeportionsofthepertinentreview ofsystems, butbecause it
., ., ., ., ., ., ., ., ., ., ., ., ., .,
., relatesdirectly to thecomplaint, it is ., ., ., ., ., .,
included in thehistory of present illness. ., ., ., ., ., .,
mailto:https://www.stuvia.com/user/Wisdoms
, 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 onthe weekend. He works in aglass factory during the
., ., ., ., ., ., ., ., ., ., ., ., ., .,
., week.”
Whichcategory does itbelong to? ., ., ., ., .,
A) Chiefcomplaint .,
B) Presentillness .,
C) Personaland socialhistory ., ., .,
D) Reviewof systems ., .,
Ans: C
Feedback:
Personal and social history information includes educational level, family of
., ., ., ., ., ., ., ., .,
., origin, current household status, personal interests, employment, religious
., ., ., ., ., ., .,
., beliefs, military history,andlifestyle(includingdietandexercisehabits;useof
., ., ., ., ., ., ., ., ., ., .,
alcohol,tobacco,and/ordrugs; and sexualpreferences and history).All of this
., ., ., ., ., ., ., ., ., ., ., ., .,
., information is documented ., .,
inthis example.
., .,
7. Thefollowing information is recorded in thehealth history:“I feel really tired.”
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Whichcategory does itbelong to? ., ., ., ., .,
mailto:https://www.stuvia.com/user/Wisdoms
QUESTIONS AND ANSWERS WITH COMPLETE ., ., ., .,
SOLUTION
.,
1. Forwhich of the following patients would acomprehensive health history be
., ., ., ., ., ., ., ., ., ., .,
appropriate?
A) Anew patient with the chief complaint of “I sprained my ankle”
., ., ., ., ., ., ., ., ., ., .,
B) Anestablished patientwith thechief complaintof “Ihave anupper respiratory
., ., ., ., ., ., ., ., ., ., ., .,
infection”
C) Anew patient with the chief complaint of “I am here to establish care”
., ., ., ., ., ., ., ., ., ., ., ., .,
D) Anew patientwith thechief complaint of “I cut my hand”
., ., ., ., ., ., ., ., ., ., .,
Ans: C
Feedback:
Thispatient is hereto establish care, and becauseshe is new to you, a
., ., ., ., ., ., ., ., ., ., ., ., ., .,
comprehensive
.,
healthhistory is appropriate. ., ., .,
2. Thecomponents of the health history include all of thefollowing exceptwhich
., ., ., ., ., ., ., ., ., ., ., .,
., one?
A) Reviewof systems ., .,
B) Thorax and lungs ., .,
C) Presentillness .,
D) Personaland socialitems ., ., .,
Ans: B
Feedback:
Thethorax and lungs are partof thephysical examination, notpartof the health
., ., ., ., ., ., ., ., ., ., ., ., ., .,
history. Theothersanswersareallpartofacompletehealthhistory.
. , ., ., ., ., ., ., ., ., ., .,
mailto:https://www.stuvia.com/user/Wisdoms
, 3. Isthe following information subjectiveorobjective?
., ., ., ., ., .,
Mr. M. hasshortness of breath thathas persisted for thepast10 days; it isworse
., ., ., ., ., ., ., ., ., ., ., ., ., ., ., .,
withactivity and relieved by rest.
., ., ., ., ., .,
A) Subjective
B) Objective
Ans: A
Feedback:
Thisis information given by thepatient aboutthecircumstances of his chief
., ., ., ., ., ., ., ., ., ., ., .,
complaint. Itdoesnotrepresentanobjective observation by theexaminer.
. , ., ., ., ., ., ., ., ., .,
4. Isthe following information subjectiveorobjective?
., ., ., ., ., .,
Mr. M.has arespiratory rateof 32and a pulserateof 120.
., ., ., ., ., ., ., ., ., ., ., ., .,
A) Subjective
B) Objective
Ans: B
Feedback:
mailto:https://www.stuvia.com/user/Wisdoms
, Thisisameasurementobtained by theexaminer, so it is considered objective
., ., ., ., ., ., ., ., ., ., ., .,
data.
.,
Thepatientisunlikely to beable togive this information totheexaminer.
., ., ., ., ., ., ., ., ., ., ., ., .,
5. The following information is recorded in the health history: “The patient
., ., ., ., ., ., ., ., ., .,
., has hadabdominal 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 andvomiting. It is located in themid-epigastric area.”
., ., ., ., ., ., ., ., ., .,
Whichof thesecategoriesdoes it belong to? ., ., ., ., ., ., .,
A) Chiefcomplaint .,
B) Presentillness .,
C) Personaland socialhistory ., ., .,
D) Reviewof systems ., .,
Ans: B
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 thataggravateandalleviate thepain. Youwill notice ., ., ., ., ., ., ., ., ., . , ., .,
thatitdoesincludeportionsofthepertinentreview ofsystems, butbecause it
., ., ., ., ., ., ., ., ., ., ., ., ., .,
., relatesdirectly to thecomplaint, it is ., ., ., ., ., .,
included in thehistory of present illness. ., ., ., ., ., .,
mailto:https://www.stuvia.com/user/Wisdoms
, 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 onthe weekend. He works in aglass factory during the
., ., ., ., ., ., ., ., ., ., ., ., ., .,
., week.”
Whichcategory does itbelong to? ., ., ., ., .,
A) Chiefcomplaint .,
B) Presentillness .,
C) Personaland socialhistory ., ., .,
D) Reviewof systems ., .,
Ans: C
Feedback:
Personal and social history information includes educational level, family of
., ., ., ., ., ., ., ., .,
., origin, current household status, personal interests, employment, religious
., ., ., ., ., ., .,
., beliefs, military history,andlifestyle(includingdietandexercisehabits;useof
., ., ., ., ., ., ., ., ., ., .,
alcohol,tobacco,and/ordrugs; and sexualpreferences and history).All of this
., ., ., ., ., ., ., ., ., ., ., ., .,
., information is documented ., .,
inthis example.
., .,
7. Thefollowing information is recorded in thehealth history:“I feel really tired.”
., ., ., ., ., ., ., ., ., ., ., .,
Whichcategory does itbelong to? ., ., ., ., .,
mailto:https://www.stuvia.com/user/Wisdoms
