,
,Chapter1 f
MULTIPLE CHOICE
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‖
f f f f f f f f f f f
B) An established patient with the chief complaint of ―I have an upper respiratory
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infection‖
f
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 nn
Chapter: 01 f f
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
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comprehensive health 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 f f
B) Thorax and lungs f f
C) Present illness f
D) Personal and social items f f f f
Ans: B nn
Chapter: f f 01
Feedback: The thorax and lungs are part of the physical examination, not part of the
f f f f f f f f f f f f f f f
health history.
f 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
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factivity and relieved by rest. f f f f
A) Subjective
B) Objective
Ans: A nn
Chapter: f f 01
4. Is the following information subjective or
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fobjective? Mr. M. has a respiratory rate of 32 and f f f f f f f f f
fa pulse rate of 120.
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A) Subjective
B) Objective
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Bates' Nursing Guide to Physical Examination and History Taking / Edition 3 Testbank
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Ans:
Ans: BA nn
f
Chapter: 01 f f
Chapter:
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01
Feedback: This is a measurement obtained by the examiner, so it is considered objective
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data. The This
Feedback:
f patient is unlikely about
is information
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significantf
this information
hospitalizationf to thebe
and should f f
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examiner.
placed
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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
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goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea
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and vomiting. It is located in the mid- epigastric area.‖
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Which of these categories does it belong to?
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A) Chief complaint f
B) Present illness f
C) Personal and social history f f f
D) Review of systems f f
Ans: B nn
Chapter: f f 01
Feedback: This information describes the problem of abdominal pain, which is the
f f f f f f f f f f f
present illness. The interviewer
f f has obtained the location, f f f f f
timing,
f severity, and associated manifestations of the pain. The f f f f f f f
interviewer will still need to obtain information
f f f f f f f
concerning the quality of the pain, the setting in which it occurred, and the
f f f f f f f f f f f f f
factors that aggravate and alleviate the pain. You will notice that it does include
f f f f f f f f f f f f f f
portions of the pertinent review of systems, but because it relates directly to the
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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
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weekend. He works in a glass factory during the week.‖
f f f f f f f f f f
Ans: C nn
Chapter: f f 01
Feedback: Personal and social f f f f history information includes educational level, family of f f f f f f
origin, current household status,
f f f f f personal interests, employment, religious beliefs, military f f f f f f
history, and lifestyle (including
f f f f fdiet and exercise habits; use of alcohol, tobacco, and/or
f f f f f f f f
drugs; and sexual preferences
f f f f f and history). All of this information is documented in
f f f f f f f f
this example.
f f
7. The following information is recorded in the health history: ―I feel
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really tired.‖ Which category does it belong to?
f f f f f f f f
A) Chief complaint f
B) Present illness f