MN552 Final Advanced Health Assessment Midterm Review Questions With Complete Solutions.

MN552 Final Advanced Health Assessment Midterm
Review Questions With Complete Solutions




For which of the following patients would a comprehensive health history be appropriate?
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A new patient with the chief complaint of "I sprained my ankle"
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An established patient with the chief complaint of "I have an upper respiratory infection"
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A new patient with the chief complaint of "I am here to establish care"
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A new patient with the chief complaint of "I cut my hand" - answer-A new patient with the
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n chief complaint of "I am here to establish care"
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This patient is here to establish care, and because she is new to you, a comprehensive
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n health history is appropriate.
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The components of the health history include all of the following except which one?
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,Review of systems n n




Thorax and lungs n n




Present illness n n




Personal and social items - answer-Thorax and lungs
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The thorax and lungs are part of the physical examination, not part of the health history.
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n The others answers are all part of a complete health history.
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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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n activity and relieved by rest. - answer-Subjective
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This is information given by the patient about the circumstances of his chief complaint. It
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n does not represent an objective observation by the examiner.
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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. - answer-Objective
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This is a measurement obtained by the examiner, so it is considered objective data. The
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n patient is unlikely to be able to give this information to the examiner.
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,The following information is recorded in the health history: "The patient has had
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n abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes.
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n The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is
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n located in the mid-epigastric area."
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Which of these categories does it belong to?
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Chief complaint n




Present illness n n




Personal and social history n n n




Review of systems - answer-Present illness
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This information describes the problem of abdominal pain, which is the present illness.
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n The interviewer has obtained the location, timing, severity, and associated manifestations
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n of the pain. The interviewer will still need to obtain information concerning the quality of
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n the pain, the setting in which it occurred, and the factors that aggravate and alleviate the
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n pain. You will notice that it does include portions of the pertinent review of systems, but
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n because it relates directly to the complaint, it is included in the history of present illness.
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, The following information is recorded in the health history: "The patient completed 8th
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n grade. He currently lives with his wife and two children. He works on old cars on the
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n weekend. He works in a glass factory during the week."
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Which category does it belong to?
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Chief complaint
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Present illness n n




Personal and social history n n n




Review of systems - answer-Personal and social history
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Personal and social history information includes educational level, family of origin,
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n current household status, personal interests, employment, religious beliefs, military
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n history, and lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or
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n drugs; and sexual preferences and history). All of this information is documented in this
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n example.



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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n Chief complaint
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