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Advanced Health Assessment
Midterm Exam with complete
solutions latest version
The following information belongs in which section of the Comprehensive 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 - CORRECT ANSWER-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 - CORRECT ANSWER-A. History of present illness
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 - CORRECT ANSWER-B. serves a
dual purpose as it reflects your anaylsis of the patient's health status and documents
examination findings
The consideration of culture and ethnicity during the interview process are important
because:
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A. similar cultures always provide similar responses
B. some cultures consider certain questions and gestures offensive
C. it is politically correct
D. none of the above - CORRECT ANSWER-B. some cultures consider certain
questions and gestures offensive
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 - CORRECT ANSWER-A. risk for suicide
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 - CORRECT ANSWER-B. generalized anxiety disorder
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 - CORRECT ANSWER-C. arthritis
A healthy BMI can best be described as:
A. 18.5-24.9
B. 30.0-34.9
C. 25.0-29.9
D. 35.0-39.9 - CORRECT ANSWER-A. 18.5-24.9
The comprehensive health history:
A. has a completely different format that varies with each institution
B. varies from country to country
C. follows the same general format regardless of the institution or geographical location
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D. follows the exact same format across the world, except Europe - CORRECT
ANSWER-C. follows the same general format regardless of the institution or
geographical location
Which of the following is not a common symptom of depression?
A. Anhedonia
B. Dry lips
C. Appetite disturbance
D. Worthlessness - CORRECT ANSWER-B. Dry lips
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? - CORRECT ANSWER-A. What does a rolling
stone gathers no moss mean?
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 - CORRECT ANSWER-C. Delirium
Which technique is applied throughout the entire examination and interview process?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation - CORRECT ANSWER-A. Inspection
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 - CORRECT ANSWER-B. Perception of his/her own pain
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The general survey of the patient includes all of the following except:
A. appearance
B. tanner stage
C. height
D. weight - CORRECT ANSWER-B. tanner stage
One of the main differences between a comprehensive and focused assessment is:
A. for the comprehensive assessment you will select the methods relevant to thorough
assessment of the targeted problem
B. for the focused assessment you will select the methods relevant to thorough
assessment of the targeted problem
C. for the focused assessment you perform a thorough head to toe examination
D. for the comprehensive assessment you always refer the patient to a specialist at the
end of the examination - CORRECT ANSWER-B. for the focused assessment you will
select the methods relevant to thorough assessment of the targeted problem
Which of the following is an example of subjective data:
A. Mr. D's vital signs are BP 138/66 P 107 T 99.9 SPO2 92% RR 20
B. Mr. D has inspiratory and expiratory wheezes noted during auscultation of the lungs
C. Mr D's CXR shows an infiltrate in the left lower lobe consistent with pneumonia
D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of
breath and says "it hurts to take deep breaths." He reports this started 2 days ago and
says he's been having fever and chills. - CORRECT ANSWER-D. Mr D is a 53 year old
male who presents to the clinic complaining of shortness of breath and says "it hurts to
take deep breaths." He reports this started 2 days ago and says he's been having fever
and chills.
All of the following are included in the Review of Systems except:
A. general
B. Cardiovascular
C. Psychiatric
D. All of the above - CORRECT ANSWER-D. All of the above
Which of the following is not a goal when developing a systematic sequence of
examination:
A. maximize the patients' comfort
BRAINSCAPE1
Advanced Health Assessment
Midterm Exam with complete
solutions latest version
The following information belongs in which section of the Comprehensive 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 - CORRECT ANSWER-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 - CORRECT ANSWER-A. History of present illness
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 - CORRECT ANSWER-B. serves a
dual purpose as it reflects your anaylsis of the patient's health status and documents
examination findings
The consideration of culture and ethnicity during the interview process are important
because:
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, BRAINSCAPE1
A. similar cultures always provide similar responses
B. some cultures consider certain questions and gestures offensive
C. it is politically correct
D. none of the above - CORRECT ANSWER-B. some cultures consider certain
questions and gestures offensive
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 - CORRECT ANSWER-A. risk for suicide
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 - CORRECT ANSWER-B. generalized anxiety disorder
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 - CORRECT ANSWER-C. arthritis
A healthy BMI can best be described as:
A. 18.5-24.9
B. 30.0-34.9
C. 25.0-29.9
D. 35.0-39.9 - CORRECT ANSWER-A. 18.5-24.9
The comprehensive health history:
A. has a completely different format that varies with each institution
B. varies from country to country
C. follows the same general format regardless of the institution or geographical location
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D. follows the exact same format across the world, except Europe - CORRECT
ANSWER-C. follows the same general format regardless of the institution or
geographical location
Which of the following is not a common symptom of depression?
A. Anhedonia
B. Dry lips
C. Appetite disturbance
D. Worthlessness - CORRECT ANSWER-B. Dry lips
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? - CORRECT ANSWER-A. What does a rolling
stone gathers no moss mean?
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 - CORRECT ANSWER-C. Delirium
Which technique is applied throughout the entire examination and interview process?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation - CORRECT ANSWER-A. Inspection
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 - CORRECT ANSWER-B. Perception of his/her own pain
BRAINSCAPE1
, BRAINSCAPE1
The general survey of the patient includes all of the following except:
A. appearance
B. tanner stage
C. height
D. weight - CORRECT ANSWER-B. tanner stage
One of the main differences between a comprehensive and focused assessment is:
A. for the comprehensive assessment you will select the methods relevant to thorough
assessment of the targeted problem
B. for the focused assessment you will select the methods relevant to thorough
assessment of the targeted problem
C. for the focused assessment you perform a thorough head to toe examination
D. for the comprehensive assessment you always refer the patient to a specialist at the
end of the examination - CORRECT ANSWER-B. for the focused assessment you will
select the methods relevant to thorough assessment of the targeted problem
Which of the following is an example of subjective data:
A. Mr. D's vital signs are BP 138/66 P 107 T 99.9 SPO2 92% RR 20
B. Mr. D has inspiratory and expiratory wheezes noted during auscultation of the lungs
C. Mr D's CXR shows an infiltrate in the left lower lobe consistent with pneumonia
D. Mr D is a 53 year old male who presents to the clinic complaining of shortness of
breath and says "it hurts to take deep breaths." He reports this started 2 days ago and
says he's been having fever and chills. - CORRECT ANSWER-D. Mr D is a 53 year old
male who presents to the clinic complaining of shortness of breath and says "it hurts to
take deep breaths." He reports this started 2 days ago and says he's been having fever
and chills.
All of the following are included in the Review of Systems except:
A. general
B. Cardiovascular
C. Psychiatric
D. All of the above - CORRECT ANSWER-D. All of the above
Which of the following is not a goal when developing a systematic sequence of
examination:
A. maximize the patients' comfort
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