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NSG 6020 Midterm Exam Latest Already Graded A+ Health Assessment South University

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NSG 6020 Midterm Exam Latest Already Graded A+ Health Assessment South University NSG 6020 Midterm Exam Latest Already Graded A+ Health Assessment South University NSG 6020 Midterm Exam Latest Already Graded A+ Health Assessment South University

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NSG6020MidtermExamLatestAlreadyGraded A+
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Health Assessment South University
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1. Forwhich ofthe followingpatients would acomprehensivehealth historybe
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




appropriate?
A) Anewpatientwiththechiefcomplaintof―Isprainedmyankle‖
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B) Anestablishedpatientwiththechiefcomplaintof―Ihaveanupperrespiratory
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infection‖
‘;




C) Anewpatientwiththechiefcomplaintof―Iamheretoestablishcare‖
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D) Anewpatientwiththechiefcomplaintof―Icutmyhand‖
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Ans: C
Feedback:
Thispatientisheretoestablishcare,andbecausesheisnewtoyou,acomprehensive health
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history is appropriate.
‘; ‘; ‘;




2. Thecomponents ofthehealth historyincludeall ofthefollowingexcept which one?
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A) Reviewof systems ‘; ‘;




B) Thoraxand lungs ‘; ‘;




C) Presentillness ‘;




D) Personalandsocialitems ‘; ‘; ‘;




Ans: B
Feedback:
Thethoraxandlungs arepartofthephysicalexamination,notpartofthehealth history. The
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others answers are all part of a complete health history.
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3. Isthefollowinginformation subjectiveor objective?
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Mr.M.hasshortnessofbreaththathaspersistedforthepast10days;itisworsewith activity and
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relieved by rest.
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A) Subjective
B) Objective


P ag e 1 |218
‘; ‘; ‘; ‘ ; ‘; ‘;

,Ans: A
Feedback:
Thisisinformationgivenbythepatientaboutthecircumstancesofhischief complaint. It
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does not represent an objective observation by the examiner.
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4. Isthefollowinginformation subjectiveor objective?
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Mr.M. has arespiratoryrateof 32and apulserateof 120.
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A) Subjective
B) Objective
Ans: B
Feedback:
Thisisameasurement obtainedbytheexaminer,soit isconsideredobjective data.
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Thepatientisunlikelytobeableto givethisinformationto the examiner.
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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 vomiting. It is
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located in the mid-epigastric area.‖
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Whichofthesecategoriesdoes it belongto? ‘; ‘; ‘; ‘; ‘; ‘; ‘;




A) Chiefcomplaint ‘;




B) Presentillness ‘;




C) Personalandsocialhistory ‘; ‘; ‘;




D) Reviewof systems ‘; ‘;




Ans: B
Feedback:
This information describes the problem of abdominal pain, which is the present illness.
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




The interviewer has obtained the location, timing, severity, and associated
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manifestations of the pain. The interviewer will still need to obtain information
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concerning the quality of the pain, the setting in which it occurred, and the factors that
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




aggravateandalleviatethepain. Youwillnoticethatitdoesincludeportionsof the
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pertinent reviewof systems, but because it relates directlyto thecomplaint, it is
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




included in thehistoryofpresent illness. ‘; ‘; ‘; ‘; ‘; ‘;




6. Thefollowinginformationisrecordedinthehealthhistory:―Thepatientcompleted 8th
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




grade.Hecurrentlyliveswithhiswifeandtwochildren.Heworksonoldcarson the weekend.
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




He works in a glass factory during the week.‖
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




Whichcategorydoes itbelong to? ‘; ‘; ‘; ‘; ‘;




A) Chiefcomplaint ‘;




B) Presentillness ‘;




P ag e 2 |218 ‘; ‘; ‘; ‘ ; ‘; ‘;

,C) Personalandsocialhistory ‘; ‘; ‘;




D) Reviewof systems ‘; ‘;




Ans: C
Feedback:
Personal and social history information includes educational level, family of origin, ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




current household status, personal interests, employment, religious beliefs, military
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




history,andlifestyle(includingdietandexercisehabits;useofalcohol,tobacco,and/ or
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drugs; and sexual preferences and history).All of this information is documented
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




inthis example.
‘; ‘;




7. Thefollowinginformationisrecordedinthehealthhistory:―Ifeelreallytired.‖
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




Whichcategorydoes itbelong to? ‘; ‘; ‘; ‘; ‘;




A) Chiefcomplaint ‘;




B) Presentillness ‘;




C) Personalandsocialhistory ‘; ‘; ‘;




D) Reviewof systems ‘; ‘;




Ans: A
Feedback:
The chief complaint is an attempt to quote the patient's own words, as long as they are
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




suitabletoprint.Itisbrief,likeaheadline,andfurtherdetailsshouldbesoughtin the present
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illness section. The above information is a chief complaint.
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8. Thefollowinginformationisrecordedinthehealthhistory:―Patientdenieschest pain,
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




palpitations, orthopnea, and paroxysmal nocturnal dyspnea.‖
‘; ‘; ‘; ‘; ‘; ‘;




Whichcategorydoes itbelong to? ‘; ‘; ‘; ‘; ‘;




A) Chiefcomplaint ‘;




B) Presentillness ‘;




C) Personalandsocialhistory ‘; ‘; ‘;




D) Reviewof systems ‘; ‘;




Ans: D
Feedback:
Reviewofsystemsdocumentsthepresenceorabsenceofcommonsymptomsrelated to ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




each major body system. The absence of cardiac symptoms is listed in the above example.
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9. Thefollowinginformationis best placedin whichcategory?
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




―Thepatienthashadthreecesareansections.‖ ‘; ‘; ‘; ‘; ‘; ‘;




A) Adult illnesses ‘;




B) Surgeries
C) Obstetrics/gynecology
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‘; ‘; ‘; ‘ ; ‘; ‘;

, D) Psychiatric
Ans: B
Feedback:
Acesareansectionisasurgicalprocedure.Approximatedatesortheageofthe patient at
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the time of the surgery should also be recorded.
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10. Thefollowinginformationis best placedin whichcategory?
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




―Thepatienthadastentplacedintheleftanteriordescendingartery(LAD)in1999.‖
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




A) Adult illnesses ‘;




B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
The adult illnesses category is reserved for chronic illnesses, significant hospitalizations,
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




significantinjuries,andsignificantprocedures.Astentisamajor procedure but does not
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involve a surgeon.
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11. Thefollowinginformationis best placedin whichcategory?
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




―Thepatientwastreatedforanasthmaexacerbationinthehospitallastyear;the
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patienthasnever been intubated.‖ ‘; ‘; ‘; ‘;




A) Adult illnesses ‘;




B) Surgeries
C) Obstetrics/gynecology
D) Psychiatric
Ans: A
Feedback:
This is information about a significant hospitalization and should be placed in the adult
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




illnesses section. If the patient is being seen for an asthma exacerbation, you mayconsider
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placingthisinformationinthepresentillnesssection,becauseitrelates
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tothechiefcomplaint at thatvisit.
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1. Apatientpresentsforevaluationofasharp,aching chestpain whichincreases with
‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




breathing.Whichanatomicareawould you localizethesymptomto? ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘; ‘;




A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine

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