Health Assessment Exam 2
1. A set of evidence-based recommendations for preventive services were
developed by which agency?
a. U.S. Agency of Health and Human Services
b. U.S. Institute of Medicine Task Force
c. U.S. Preventive Services Task Force
d. U.S. Center for Health and Wellness: *c. U.S. Preventive Services Task Force
2. An established patient presents for a follow-up visit for her stable
hypertension. During this visit, the
clinician can update the review of systems, past medical history, family
history, and social history by
simply stating the information was reviewed and updated from the previous
patient encounter.
a. True
b. False: a. True
Chronic care management visit section: Past medical history, family history,
social history, review of systems: The entire past medical history, family
history, social history, and review of systems does not have to be repeated if
there is evidence that the clinician reviewed the information and updated any
previous information from an earlier patient encounter. The clinician must
include in his or her documentation the date and location of the earlier
patient encounter.
3. When considering history collection during a wellness exam, which
statement below is not correct?
, Health Assessment Exam 2
a. Wellness exams do not require a chief concern.
b. Wellness exams are age and gender appropriate.
c. Wellness exam include counseling and anticipatory guidance.
d. Wellness exams are based on a presenting problem.: d. Wellness exams are based on a
presenting problem.
The wellness exam differs from the episodic visit or
chronic care management visit because the components of the wellness
exam are based on age and risk factors, not a presenting problem.
4. Which is true about the use of screening tools to assess depression?
a. Screening tools like the PHQ-2 and PHQ-9 are recommended and evidence based.
b. Screening tools should be used only when the clinician is short on time for the visit.
c. Screening tools like the PHQ-2 and PHQ-9 are not to be used during wellness
d. Screening tools like the PHQ-2 are too short to be effective assessments.: a.
Screening tools like the PHQ-2 and PHQ-9 are recommended and evidence
based.
Wellness examination section under social history and preventive exams.
Mood: Screen for depression using PHQ-2 or PHQ-9 to confirm diagnosis and
its severity. Depression screenings are recommended in the general adult
population, including pregnant and postpartum women. The depression
screening should be implemented with adequate systems in place to ensure
accurate diagnosis, effective treatment, and appropriate follow-up.
5. How does a clinician best assess the impact of an individual's community
on his or her health?
, Health Assessment Exam 2
a. Assess the environment and location where the patient was born and raised.
b. Assess whether the patient has any medical conditions affecting his or her
health.
c. Ask the patient if he or she has any community or cultural concerns.
d. Ask about where the person resides, works, learns, plays, worships, and
connects with others.: d. Ask about where the person resides, works, learns, plays,
worships, and connects with others.
For the clinician assessing the health and well-being of an individual, asking about the
environments in which an individual resides, works, learns, plays, worships, and connects
socially offers insight
into the impact of community in their lives. One example is the assessment of safety
concerns; recommending to someone to take daily walks outside without assessing the
safety of his or her
neighborhood may have a detrimental impact on the person's well-being if
the neighborhood is unsafe.
6. What are health disparities?
a. Differences attributed to an individual's health behaviors
b. Differences in illness, injury, disability, or mortality experienced
c. Greater burden of implicit bias experienced
d. Greater burden of overt bias experienced: b. Differences in illness, injury, disability, or
mortality experienced
When there are significant barriers to meeting health and wellness needs within a
community, the population of the community experiences health disparities or greater
burden of illness, injury, disability, and mortality.
7. Which is true about the assessment of population health?
1. A set of evidence-based recommendations for preventive services were
developed by which agency?
a. U.S. Agency of Health and Human Services
b. U.S. Institute of Medicine Task Force
c. U.S. Preventive Services Task Force
d. U.S. Center for Health and Wellness: *c. U.S. Preventive Services Task Force
2. An established patient presents for a follow-up visit for her stable
hypertension. During this visit, the
clinician can update the review of systems, past medical history, family
history, and social history by
simply stating the information was reviewed and updated from the previous
patient encounter.
a. True
b. False: a. True
Chronic care management visit section: Past medical history, family history,
social history, review of systems: The entire past medical history, family
history, social history, and review of systems does not have to be repeated if
there is evidence that the clinician reviewed the information and updated any
previous information from an earlier patient encounter. The clinician must
include in his or her documentation the date and location of the earlier
patient encounter.
3. When considering history collection during a wellness exam, which
statement below is not correct?
, Health Assessment Exam 2
a. Wellness exams do not require a chief concern.
b. Wellness exams are age and gender appropriate.
c. Wellness exam include counseling and anticipatory guidance.
d. Wellness exams are based on a presenting problem.: d. Wellness exams are based on a
presenting problem.
The wellness exam differs from the episodic visit or
chronic care management visit because the components of the wellness
exam are based on age and risk factors, not a presenting problem.
4. Which is true about the use of screening tools to assess depression?
a. Screening tools like the PHQ-2 and PHQ-9 are recommended and evidence based.
b. Screening tools should be used only when the clinician is short on time for the visit.
c. Screening tools like the PHQ-2 and PHQ-9 are not to be used during wellness
d. Screening tools like the PHQ-2 are too short to be effective assessments.: a.
Screening tools like the PHQ-2 and PHQ-9 are recommended and evidence
based.
Wellness examination section under social history and preventive exams.
Mood: Screen for depression using PHQ-2 or PHQ-9 to confirm diagnosis and
its severity. Depression screenings are recommended in the general adult
population, including pregnant and postpartum women. The depression
screening should be implemented with adequate systems in place to ensure
accurate diagnosis, effective treatment, and appropriate follow-up.
5. How does a clinician best assess the impact of an individual's community
on his or her health?
, Health Assessment Exam 2
a. Assess the environment and location where the patient was born and raised.
b. Assess whether the patient has any medical conditions affecting his or her
health.
c. Ask the patient if he or she has any community or cultural concerns.
d. Ask about where the person resides, works, learns, plays, worships, and
connects with others.: d. Ask about where the person resides, works, learns, plays,
worships, and connects with others.
For the clinician assessing the health and well-being of an individual, asking about the
environments in which an individual resides, works, learns, plays, worships, and connects
socially offers insight
into the impact of community in their lives. One example is the assessment of safety
concerns; recommending to someone to take daily walks outside without assessing the
safety of his or her
neighborhood may have a detrimental impact on the person's well-being if
the neighborhood is unsafe.
6. What are health disparities?
a. Differences attributed to an individual's health behaviors
b. Differences in illness, injury, disability, or mortality experienced
c. Greater burden of implicit bias experienced
d. Greater burden of overt bias experienced: b. Differences in illness, injury, disability, or
mortality experienced
When there are significant barriers to meeting health and wellness needs within a
community, the population of the community experiences health disparities or greater
burden of illness, injury, disability, and mortality.
7. Which is true about the assessment of population health?
