Diagnostic Reasoning 5th Edition, 2025 Update
Version| Chapters 1-18| Answers With Rationale
,PART 1; STRATEGIES FOR EFFECTIVE HEALTH ASSESSMENT----------------------------------------------------- 3
CHAPTER 1: INTERVIEW AND HISTORY-TAKING STRATEGIES --------------------------------------------------------------- 3
CHAPTER 2: PHYSICAL EXAMINATION STRATEGIES ------------------------------------------------------------------------ 12
CHAPTER 3: DOCUMENTATION STRATEGIES ------------------------------------------------------------------------------- 19
CHAPTER 4: CULTURAL AND SPIRITUAL ASSESSMENT --------------------------------------------------------------------- 27
CHAPTER 5: NUTRITIONAL ASSESSMENT ----------------------------------------------------------------------------------- 32
PART 2; ADVANCED ASSESSMENT OF SYSTEMIC DISORDERS ------------------------------------------------- 36
CHAPTER 6: MENTAL HEALTH DISORDERS --------------------------------------------------------------------------------- 36
CHAPTER 7: INTEGUMENTARY DISORDERS --------------------------------------------------------------------------------- 43
CHAPTER 8: EYE DISORDERS ------------------------------------------------------------------------------------------------ 50
CHAPTER 9: EAR DISORDERS ------------------------------------------------------------------------------------------------ 57
CHAPTER 10: NOSE, SINUS, MOUTH, AND THROAT DISORDERS -------------------------------------------------------- 64
CHAPTER 11: RESPIRATORY DISORDERS ----------------------------------------------------------------------------------- 71
CHAPTER 12: CARDIOVASCULAR DISORDERS ------------------------------------------------------------------------------ 78
CHAPTER 13: ENDOCRINE DISORDERS-------------------------------------------------------------------------------------- 85
CHAPTER 14: GASTROINTESTINAL DISORDERS ----------------------------------------------------------------------------- 94
CHAPTER 15: NEUROLOGICAL DISORDERS ------------------------------------------------------------------------------- 101
CHAPTER 16: MALE GENITOURINARY DISORDERS ---------------------------------------------------------------------- 108
CHAPTER 17: FEMALE GENITOURINARY AND BREAST DISORDERS ----------------------------------------------------- 115
CHAPTER 18: MUSCULOSKELETAL DISORDERS --------------------------------------------------------------------------- 121
,Part 1; Strategies for Effective Health Assessment
Chapter 1: Interview And History-Taking Strategies
MULTIPLE CHOICE
1. Which Of The Following Is An Example Of Subjective Data That May Be Collected During A
Health Assessment?
A) Height And Weight
B) A Patient’s Recall Of His Or Her Past Health Conditions
C) Results From An Abdominal CT Scan
D) Complete Blood Count
ANSWER: B
Subjective Data Refers To Information Reported By The Patient, Such As Their Feelings,
Perceptions, And Experiences. In This Case, A Patient’s Recall Of Past Health Conditions Is
Subjective Because It Is Based On Their Personal Memory And Interpretation. In Contrast,
Options A, C, And D Represent Objective Data That Can Be Measured Or Quantified.
Complexity: Moderate
Ahead: Functions Of The Interview And Health History
Subject: Chapter 1
Title: Interview And History-Taking Strategies
Taxonomy: Application
2. Which Of The Following Is True Regarding The Data Taken In A Health History?
A) Most Health History Data Are Objective And Measurable.
B) Objective Data Are Error-Free, Quantifiable Data.
C) Subjective Data, Being Inherently Less Accurate, Are Of Less Value Than Objective Data.
D) A Successful Individualized Plan Of Care Must Incorporate Subjective Data.
ANSWER: D
Subjective Data Is Crucial In Forming A Comprehensive Understanding Of A Patient’s Health
And Tailoring Their Care Plan. It Provides Context To The Objective Data And Helps To
, Address The Patient's Personal Experiences And Preferences, Making It Invaluable For
Individualized Care. The Other Options Misunderstand The Importance Of Subjective Data.
Complexity: Difficult
Ahead: Functions Of The Interview And Health History
Subject: Chapter 1
Title: Interview And History-Taking Strategies
Taxonomy: Analysis
3. What Do Coulehan And Block Define As “Listening To The Total Communication . . . And
Letting The Patient Know That You Are Really Hearing”?
A) Cultural Competence
B) Patience
C) Empathy
D) Top-Tier Communication
ANSWER: C
Empathy Involves Fully Understanding And Validating The Patient’s Feelings And
Perspectives. It’s About Being Present And Actively Listening, Which Enhances The
Therapeutic Relationship And Communication. The Other Options, While Important In
Healthcare, Do Not Encapsulate The Essence Of This Definition.
Complexity: Moderate Ahead: Interviewing
Subject: Chapter 1
Title: Interview And History-Taking Strategies
Taxonomy: Recall
4. The Provider Is Preparing To Take A Health History For A New Patient... Which Mistake
Did The Provider Make?
A) He Should Have Allowed The Patient To Remain Fully Clothed In Their Own Clothing For
Their Comfort.
B) He Should Not Have Omitted Technical Terminology. Patients Like Having A Chance To
Learn.