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MULTIPLE CHOICE + s
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 +s
Chapter: 01 +s
Page and Header: 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 comprehensive he
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alth 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 +s +s
B) Thorax and lungs +s +s
C) Present illness +s
D) Personal and social items +s +s +s
Ans: B +s
Chapter: 01 +s
Feedback: The thorax and lungs are part of the physical examination, not part of the health his
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tory. 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 activity
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and relieved by rest.
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A) Subjective
B) Objective
Ans: A +s
Chapter: 01 +s
4. Is the following information subjective or objective?
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Mr. M. has a respiratory rate of 32 and a pulse rate of 12
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0.
A) Subjective
B) Objective
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l OM oARc PSD|117 00591
Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
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Ans:
Ans: BA Ch +s
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Chapter:
apter: 01 01 +s
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Feedback: This is
Feedback: This is ainformation
measurement obtained
about by the examiner,
a significant
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so it isand
hospitalization considered
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objective
should be placed data.
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The
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patient is unlikely to be
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able to give this information
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examiner.
adult illnesses section. If the patient is being seen for an asthma exacerbation, you may consi
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der
5. The following information is recorded in the health history: ―The patient has had abdomina
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l pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7
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to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mi
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d- epigastric area.‖
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Which of these categories does it belong to?
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A) Chief complaint +s
B) Present illness +s
C) Personal and social history +s +s +s
D) Review of systems +s +s
Ans: B +s
Chapter: 01 +s
Feedback: This information describes the problem of abdominal pain, which is the present ill
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ness. The interviewer has obtained the location, timing, severity, and associated manifestations
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of the pain. The interviewer will still need to obtain information concerning the quality of th
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e pain, the setting in which it occurred, and the factors that aggravate and alleviate the pain.
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You will notice that it does include portions of the pertinent review of systems, but because it
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relates directly to the 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 grade
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. He currently lives with his wife and two children. He works on old cars on the weekend. H
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e works in a glass factory during the week.‖
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Ans: C +s
Chapter: 01 +s
Feedback: Personal and social history information includes educational level, family of origin, cur
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rent household status, personal interests, employment, religious beliefs, military history, and lifestyl
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e (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual preference
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s 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 tired.
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‖ Which category does it belong to?
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A) Chief complaint +s
B) Present illness +s
C) Personal and social history +s +s +s
D) Review of systems +s +s