Advanced Health Assessment and Diagnostic
Reasoning Fourth Edition TEST BANK
Which of the following is an example of subjective data that may be collected during a health
assessement? - ANSWER>>a patient's recall of his or her past health conditions
Which of the following is true regarding the data taken in a health history? - ANSWER>>A
successful individualized plan of care must incorporate subjective data
What do Coulehan and Block define as "listening to the total communication . . . and letting the
patient know that you are really hearing"? - ANSWER>>Empathy
The provider is preparing to take a health history for a new patient. He takes the patient to a
private room and asks the patient to don a hospital gown. After stepping outside to give the
patient sufficient time to change, he then comes back in and asks permission to conduct the
history. He sits next to the patient at eye level, discreetly observes the patient for any sensory
deficits, and asks the patient if he may take brief notes of the conversation. During the
conversation, he gives the patient time to ANSWER questions fully. He makes sure that his
questions do not contain technical terms and quietly observes the patient's nonverbal
behaviors throughout. Which mistake did the provider make? - ANSWER>>He should have
allowed the patient to remain fully clothed in their own clothing for their comfort
Which of the following is true of both comprehensive and focused health histories? -
ANSWER>>they both include identifying data.
In the mnemonic devise PQRST, which of the following includes describing the location of the
symptoms - ANSWER>>quality
What is the current mnemonic device for taking a health history? - ANSWER>>CLIENT
OUTCOMES
When taking a PMI, which of the following is correct? - ANSWER>>Do not take the statement
"I'm allergic to. . . " at face value.
Which of the following is a first-degree relative to the patient who has experienced premature
onset of
CVD? - ANSWER>>Sister at 62
Recording the patient's occupation falls under which category? - ANSWER>>social hx
A focused ROS - ANSWER>>includes questions directed toward the systems most likely to be
involved in the patient's symptoms
,A patient comes to the clinic complaining of repeated headaches and lightheadedness. -
ANSWER>>focus her interest and questions on the patient's neurologic system
True or False? A patient's recall of his or her current health needs and past health is subject to
error and is also a critical component in the caregiving process. - ANSWER>>True
True or False? Ethnocentrism, belief in the superiority of one's own beliefs and values, is a
major barrier to establishing effective patient-provider relationships. - ANSWER>>True
True or False? A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy
diet, is unwilling to follow his provider's recommendations to modify his routine. Because he
has not yet experienced the negative health consequences of his actions, he cannot be
classified as resistant. - ANSWER>>False
True or False? When taking a patient's chief complaint, rephrase the stated reason using
standard medical terminology for clarity. - ANSWER>>False
True or False? Family history should include both parents and grandparents, if information is
known. - ANSWER>>True
True or False? Social history includes a detailed diet history, best performed as a record of food
and beverage intake by the patient for a typical week, that includes things like use of salt and
oil in food preparation and methods of cooking. - ANSWER>>True
What does PQRST stand for? - ANSWER>>Precipitating factors, quality, radiation, severity, and
timing
What are 10 body systems that compose a comprehensive review of systems? -
ANSWER>>general/constitutional, skin, eyes, nose, mouth/throat, cardiovascular, respiratory,
gastrointestinal, genitourinary, breast, musculoskeletal, neurologic,
mental/psychiatric, lymphatic, hematologic, and endocrine
What are the two main general considerations of physical examinations listed in the text? -
ANSWER>>Patient interaction and scope
The physician has begun her first physical examination on a new patient who has come to the
clinic for a well-patient visit. Which of the following is true? - ANSWER>>This will likely be a
head-to-toe examination
he physician records a sound as "tympanic." The physician has just performed which
assessment technique? - ANSWER>>Percussion
, A physician is listening to a patient's heart, but something has negatively impacted the sound.
Which of the following has most likely caused this? - ANSWER>>Loose-fitting ear tips
Which of the following is included on the list of basic equipment needed for a physical
examination? - ANSWER>>measuring tape
What does a physician use the Weber and/or Rinne tests for? - ANSWER>>testing hearing
The red reflex is a test of - ANSWER>>the eyes
If the physician is evaluating thoracic expansion, percussing the kidneys, and inspecting the skin
for lesions, the patient is in which position? - ANSWER>>Patient seated and facing away from
examiner with back exposed
Which position is only performed on female patients? - ANSWER>>Lithotomy position
Which part of the body of a neonate should be studied first? - ANSWER>>head
Which of the following assessments is specific to the geriatric patient? - ANSWER>>function
Which of the following assessments is specific to the geriatric patient? - ANSWER>>Assessment
of mental status and mood impairment
True or False? The history should be performed separately from the physical examination. -
ANSWER>>False
True or False? When the patient is already under the ongoing care of the clinician and presents
with a specific problem-oriented complaint, the physician performs a focused physical
examination. - ANSWER>>True
True or False? The physical exam begins as the patient enters the room. - ANSWER>>True
True or False? Jugular venous pressure is measured when the patient is reclining 45 degrees. -
ANSWER>>true
True/false. Indirect percussion involves touch by instrumental or object and requires no
physical touch by instrument or object and requires no.physical contact between the physician
and patient. - ANSWER>>false
True or False? The kidneys should be examined both while the patient is supine and while the
patient is seated facing away from the examiner. - ANSWER>>True
Reasoning Fourth Edition TEST BANK
Which of the following is an example of subjective data that may be collected during a health
assessement? - ANSWER>>a patient's recall of his or her past health conditions
Which of the following is true regarding the data taken in a health history? - ANSWER>>A
successful individualized plan of care must incorporate subjective data
What do Coulehan and Block define as "listening to the total communication . . . and letting the
patient know that you are really hearing"? - ANSWER>>Empathy
The provider is preparing to take a health history for a new patient. He takes the patient to a
private room and asks the patient to don a hospital gown. After stepping outside to give the
patient sufficient time to change, he then comes back in and asks permission to conduct the
history. He sits next to the patient at eye level, discreetly observes the patient for any sensory
deficits, and asks the patient if he may take brief notes of the conversation. During the
conversation, he gives the patient time to ANSWER questions fully. He makes sure that his
questions do not contain technical terms and quietly observes the patient's nonverbal
behaviors throughout. Which mistake did the provider make? - ANSWER>>He should have
allowed the patient to remain fully clothed in their own clothing for their comfort
Which of the following is true of both comprehensive and focused health histories? -
ANSWER>>they both include identifying data.
In the mnemonic devise PQRST, which of the following includes describing the location of the
symptoms - ANSWER>>quality
What is the current mnemonic device for taking a health history? - ANSWER>>CLIENT
OUTCOMES
When taking a PMI, which of the following is correct? - ANSWER>>Do not take the statement
"I'm allergic to. . . " at face value.
Which of the following is a first-degree relative to the patient who has experienced premature
onset of
CVD? - ANSWER>>Sister at 62
Recording the patient's occupation falls under which category? - ANSWER>>social hx
A focused ROS - ANSWER>>includes questions directed toward the systems most likely to be
involved in the patient's symptoms
,A patient comes to the clinic complaining of repeated headaches and lightheadedness. -
ANSWER>>focus her interest and questions on the patient's neurologic system
True or False? A patient's recall of his or her current health needs and past health is subject to
error and is also a critical component in the caregiving process. - ANSWER>>True
True or False? Ethnocentrism, belief in the superiority of one's own beliefs and values, is a
major barrier to establishing effective patient-provider relationships. - ANSWER>>True
True or False? A 58-year-old man at risk of diabetes, with a sedentary lifestyle and unhealthy
diet, is unwilling to follow his provider's recommendations to modify his routine. Because he
has not yet experienced the negative health consequences of his actions, he cannot be
classified as resistant. - ANSWER>>False
True or False? When taking a patient's chief complaint, rephrase the stated reason using
standard medical terminology for clarity. - ANSWER>>False
True or False? Family history should include both parents and grandparents, if information is
known. - ANSWER>>True
True or False? Social history includes a detailed diet history, best performed as a record of food
and beverage intake by the patient for a typical week, that includes things like use of salt and
oil in food preparation and methods of cooking. - ANSWER>>True
What does PQRST stand for? - ANSWER>>Precipitating factors, quality, radiation, severity, and
timing
What are 10 body systems that compose a comprehensive review of systems? -
ANSWER>>general/constitutional, skin, eyes, nose, mouth/throat, cardiovascular, respiratory,
gastrointestinal, genitourinary, breast, musculoskeletal, neurologic,
mental/psychiatric, lymphatic, hematologic, and endocrine
What are the two main general considerations of physical examinations listed in the text? -
ANSWER>>Patient interaction and scope
The physician has begun her first physical examination on a new patient who has come to the
clinic for a well-patient visit. Which of the following is true? - ANSWER>>This will likely be a
head-to-toe examination
he physician records a sound as "tympanic." The physician has just performed which
assessment technique? - ANSWER>>Percussion
, A physician is listening to a patient's heart, but something has negatively impacted the sound.
Which of the following has most likely caused this? - ANSWER>>Loose-fitting ear tips
Which of the following is included on the list of basic equipment needed for a physical
examination? - ANSWER>>measuring tape
What does a physician use the Weber and/or Rinne tests for? - ANSWER>>testing hearing
The red reflex is a test of - ANSWER>>the eyes
If the physician is evaluating thoracic expansion, percussing the kidneys, and inspecting the skin
for lesions, the patient is in which position? - ANSWER>>Patient seated and facing away from
examiner with back exposed
Which position is only performed on female patients? - ANSWER>>Lithotomy position
Which part of the body of a neonate should be studied first? - ANSWER>>head
Which of the following assessments is specific to the geriatric patient? - ANSWER>>function
Which of the following assessments is specific to the geriatric patient? - ANSWER>>Assessment
of mental status and mood impairment
True or False? The history should be performed separately from the physical examination. -
ANSWER>>False
True or False? When the patient is already under the ongoing care of the clinician and presents
with a specific problem-oriented complaint, the physician performs a focused physical
examination. - ANSWER>>True
True or False? The physical exam begins as the patient enters the room. - ANSWER>>True
True or False? Jugular venous pressure is measured when the patient is reclining 45 degrees. -
ANSWER>>true
True/false. Indirect percussion involves touch by instrumental or object and requires no
physical touch by instrument or object and requires no.physical contact between the physician
and patient. - ANSWER>>false
True or False? The kidneys should be examined both while the patient is supine and while the
patient is seated facing away from the examiner. - ANSWER>>True
