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Advanced Health Assessment Midterm Review of Questions

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The following information belongs in which section of the Com- prehensive Heath History (H&P)? "3 day history of rash and swelling" A. History of Present Illness B. Review of Systems C. Allergies D. Chief Complaint A patient with abdominal pain describes "what" the pain feels like and "how long" it lasts. In which part of the H&P would you place this information? A. History of Present Illness B. Past Medical History C. Sexual History D. Review of Systems Which of the following best describes the patient record? A. describes the approach to a problem B. serves a dual purpose as it reflects your anaylsis of the patient's health status and documents examination findings C. shows your clinical thought process D. reflects you interpersonal skills with the patient The consideration of culture and ethnicity during the interview process are important because: D. Chief Complaint A. History of present illness B. serves a dual purpose as it reflects your anaylsis of the patient's A. similar cultures always provide similar responses B. some cultures consider certain questions and gestures offen- sive C. it is politically correct D. none of the above During an interview, your patient admits to feeling worthless and having a sleep disturbance for the last 3 weeks. These are clues that warrant exploration of: A. risk for suicide B. split personality C. cognitive function D. functional assessment Worries persisting for =6 months most likely reflects one of the most prevalent psychiatric conditions in the United States known as: A. posttraumatic stress disorder B. generalized anxiety disorder C. fatigue D. social phobia Risk factors for fatal overdose of pain medications include all of the following except: A. age 65 or older B. depression C. arthritis D. concurrent benzodiazepine use A healthy BMI can best be described as: B. some cultures consider certain questions and gestures offen- sive A. risk for suicide B. generalized anxiety disorder C. arthritis A. 18.5-24.9 B. 30.0-34.9 C. 25.0-29.9 D. 35.0-39.9 The comprehensive health history: A. has a completely different format that varies with each institu- tion B. varies from country to country C. follows the same general format regardless of the institution or geographical location D. follows the exact same format across the world, except Europe Which of the following is not a common symptom of depression? A. Anhedonia B. Dry lips C. Appetite disturbance D. Worthlessness During a mental status exam, which question might you ask to assess abstraction ability? A. What does a rolling stone gathers no moss mean? B. Start with 100 and keep subtracting by 7 C How long have you been here? D. What's your mother's maiden name? Dave, age 76, is brought in by his wife, who states that within the last 2 days Dave has become agitated and restless, has had few lucid moments, slept very poorly last night and can remember only recent events. Of the following differential diagnoses, which best fits the symptoms from this brief history? A. Depression B. Dementia C. Delirium D. Schizophrenia Which technique is applied throughout the entire examination and interview process? A. Inspection B. Palpation C. Percussion D. Auscultation During a patient's pain assessment, the most important element is the patient's: A. Sleep hygiene B. Perception of his/her own pain C. Vital signs D. Fear of addiction The general survey of the patient includes all of the following except: A. appearance A. 18.5-24.9 C. follows the same general format regardless of the institution or geographical location B. Dry lips A. What does a rolling stone gathers no moss mean? C. Delirium A. Inspection

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