OM oARc ew PSD|117 ew 00591
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MULTIPLE e w CHOICE
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 ew
Chapter: 01 ew
Page and Header:
ew 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
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comprehensive 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 ew ew
B) Thorax and lungs ew ew
C) Present illness ew
D) Personal and social items ew ew ew
Ans: B ew
Chapter: 01 ew
Feedback: The thorax and lungs are part of the physical examination, not part of the
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health 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
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activity and relieved by rest.
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A) Subjective
B) Objective
Ans: A ew
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4. Is the following information subjective or
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objective? Mr. M. has a respiratory rate of 32 and a
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pulse rate of 120.
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A) Subjective
B) Objective
, l ew ewOM oARc ew PSD|117 ew 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
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data. The This
Feedback:
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is is unlikely to
information be able
about
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to give this
a significant information and
hospitalization
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to the
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examiner.
should be placed
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in the adult illnesses section. If the patient is being seen for an asthma exacerbation, you
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may consider
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5. The following information is recorded in the health history: ―The patient has had
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abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
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The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and
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vomiting. It is located in the mid- epigastric area.‖
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Which of these categories does it belong to?
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A) Chief complaint ew
B) Present illness ew
C) Personal and social history ew ew ew
D) Review of systems ew ew
Ans: B ew
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Feedback: This information describes the problem of abdominal pain, which is the
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present illness. The interviewer has obtained the location, timing, severity, and
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ewassociated manifestations of the pain. The interviewer will still need to obtain
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information concerning the quality of the pain, the setting in which it occurred, and
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the factors that aggravate and alleviate the pain. You will notice that it does include
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portions of the pertinent review of systems, but because it relates directly to the
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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
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grade. He currently lives with his wife and two children. He works on old cars on the
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weekend. He works in a glass factory during the week.‖
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Ans: C ew
Chapter: 01 ew
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
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sexual 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
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tired.‖ Which category does it belong to?
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A) Chief complaint ew
B) Present illness ew
C) Personal and social history ew ew ew
D) Review of systems ew ew