Advanced Health Assessment and Diagnostic
Reasoning, 4th Edition, All Chapters 1 - 18,
Verified Newest Version 2025 Brand New
_____________________________________________________________________________________
Which of the following is true of reporting history of present illness?
a. If a patient describes having pain in the arm and numbness in the fingertips, the physician should
examine these as a single unit.
b. The opening sentence should contain the results from pertinent test results and test dates.
c. All recent pertinent diagnostic tests and the outcomes of recent pertinent interventions should be
summarized and included in the HPI.
d. Medical tests that are unrelated to their current complaint should be included in the HPI.
If a patient describes having pain in the arm and numbness in the fingertips, the physician
should examine these as a single unit.
Which is the preferred order of taking down a patient's subjective information?
a. Family history, physical exam, diagnostic tests, assessment
b. SOAP
c. HPI, past medical history, family history, social history
d. HPI, family history, physical exam, assessment
c. HPI, past medical history, family history, social history
What is a genogram?
a. A genetic test performed in a doctor's office
b. A visual representation or chart of a patient's family history
c. A biometric monitor worn during a physical exam
d. A computer report correlating information from the patient's history, exam, and diagnostic tests
b. A visual representation or chart of a patient's family history
In a physical examination, the physician spends the most attention on the patient's musculoskeletal
and neurological systems. What can we deduce from this?
a. The same systems were likely not explored in the review of systems.
b. This is a comprehensive examination.
c. Documentation from the subjective component of the patient's visit has pointed the physician to
these systems.
The diagnosis will be firmly established after assessment of both systems.
c. Documentation from the subjective component of the patient's visit has pointed the physician
to these systems.
, 1. Which of the following is the last component of gathering objective data?
a. Review of systems
b. Physical examination
c. Assessment
d. Diagnostic tests
d. Diagnostic tests
1. Which of the following is true of a problem list that is created during the final assessment?
a. It outlines the educational needs of the patient.
b. It includes additional findings that are directly related to the history of present illness.
c. It may include other issues that are not true diagnoses.
d. Items on the problem list typically cannot be treated.
c. It may include other issues that are not true diagnoses.
1. In the "Plan" section, the text singles out which component of the plan as critical for legal reasons?
a. Education
b. Nonpharmacological interventions
c. "Rule outs"
d. Follow-up
Education
1. Which component of the treatment plan is typically reserved for hospitalized patients?
a. Pharmacological interventions
b. Referrals
c. Nonpharmacological interventions
d. Follow-ups
c. Nonpharmacological interventions
Documentation that just indicates that the healthcare provider found "no problems" is unacceptable
because of lack of precision and clarity of what was asked and what was assessed
True
HIPAA regulations permit healthcare institutions to share a patient's information without their
consent, but only to other accredited healthcare institutions and only if strict security measures are in
place.
False
The format and extent of information gathered are different for each subclassification of the SOAP
approach
False
If the patient reports that 5 years ago she had a "heart attack," it is important for the physician to
note this using the patient's own terminology.
Reasoning, 4th Edition, All Chapters 1 - 18,
Verified Newest Version 2025 Brand New
_____________________________________________________________________________________
Which of the following is true of reporting history of present illness?
a. If a patient describes having pain in the arm and numbness in the fingertips, the physician should
examine these as a single unit.
b. The opening sentence should contain the results from pertinent test results and test dates.
c. All recent pertinent diagnostic tests and the outcomes of recent pertinent interventions should be
summarized and included in the HPI.
d. Medical tests that are unrelated to their current complaint should be included in the HPI.
If a patient describes having pain in the arm and numbness in the fingertips, the physician
should examine these as a single unit.
Which is the preferred order of taking down a patient's subjective information?
a. Family history, physical exam, diagnostic tests, assessment
b. SOAP
c. HPI, past medical history, family history, social history
d. HPI, family history, physical exam, assessment
c. HPI, past medical history, family history, social history
What is a genogram?
a. A genetic test performed in a doctor's office
b. A visual representation or chart of a patient's family history
c. A biometric monitor worn during a physical exam
d. A computer report correlating information from the patient's history, exam, and diagnostic tests
b. A visual representation or chart of a patient's family history
In a physical examination, the physician spends the most attention on the patient's musculoskeletal
and neurological systems. What can we deduce from this?
a. The same systems were likely not explored in the review of systems.
b. This is a comprehensive examination.
c. Documentation from the subjective component of the patient's visit has pointed the physician to
these systems.
The diagnosis will be firmly established after assessment of both systems.
c. Documentation from the subjective component of the patient's visit has pointed the physician
to these systems.
, 1. Which of the following is the last component of gathering objective data?
a. Review of systems
b. Physical examination
c. Assessment
d. Diagnostic tests
d. Diagnostic tests
1. Which of the following is true of a problem list that is created during the final assessment?
a. It outlines the educational needs of the patient.
b. It includes additional findings that are directly related to the history of present illness.
c. It may include other issues that are not true diagnoses.
d. Items on the problem list typically cannot be treated.
c. It may include other issues that are not true diagnoses.
1. In the "Plan" section, the text singles out which component of the plan as critical for legal reasons?
a. Education
b. Nonpharmacological interventions
c. "Rule outs"
d. Follow-up
Education
1. Which component of the treatment plan is typically reserved for hospitalized patients?
a. Pharmacological interventions
b. Referrals
c. Nonpharmacological interventions
d. Follow-ups
c. Nonpharmacological interventions
Documentation that just indicates that the healthcare provider found "no problems" is unacceptable
because of lack of precision and clarity of what was asked and what was assessed
True
HIPAA regulations permit healthcare institutions to share a patient's information without their
consent, but only to other accredited healthcare institutions and only if strict security measures are in
place.
False
The format and extent of information gathered are different for each subclassification of the SOAP
approach
False
If the patient reports that 5 years ago she had a "heart attack," it is important for the physician to
note this using the patient's own terminology.
