MN552 Final Advanced Health Assessment Midterm
Review Questions With Complete Solutions
For which of the following patients would a comprehensive health history be appropriate?
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A new patient with the chief complaint of "I sprained my ankle"
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An established patient with the chief complaint of "I have an upper respiratory infection"
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A new patient with the chief complaint of "I am here to establish care"
j j j j j j j j j j j j j j
A new patient with the chief complaint of "I cut my hand" - ANS-A new patient with the chief
j j j j j j j j j j j j j j j j j j
j complaint of "I am here to establish care" j j j j j j j j
This patient is here to establish care, and because she is new to you, a comprehensive health
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j history is appropriate. j j
The components of the health history include all of the following except which one?
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Review of systems j j
Thorax and lungs j j
,Present illness j j
Personal and social items - ANS-Thorax and lungs j j j j j j j
The thorax and lungs are part of the physical examination, not part of the health history. The
j j j j j j j j j j j j j j j j
j others answers are all part of a complete health history.
j j j j j j j j j
Is the following information subjective or objective?
j j j j j j
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
j j j j j j j j j j j j j j j j j j
j and relieved by rest. - ANS-Subjective
j j j j j
This is information given by the patient about the circumstances of his chief complaint. It
j j j j j j j j j j j j j j
j does not represent an objective observation by the examiner.
j j j j j j j j
Is the following information subjective or objective?
j j j j j j
Mr. M. has a respiratory rate of 32 and a pulse rate of 120. - ANS-Objective
j j j j j j j j j j j j j j j
This is a measurement obtained by the examiner, so it is considered objective data. The
j j j j j j j j j j j j j j
j patient is unlikely to be able to give this information to the examiner.
j j j j j j j j j j j j
The following information is recorded in the health history: "The patient has had abdominal
j j j j j j j j j j j j j
j pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to
j j j j j j j j j j j j j j j j j j j j j
,j 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
j j j j j j j j j j j j j j j j j j j j
epigastric area." j
Which of these categories does it belong to?
j j j j j j j
Chief complaint j
Present illness j j
Personal and social history j j j
Review of systems - ANS-Present illness
j j j j j j
This information describes the problem of abdominal pain, which is the present illness. The
j j j j j j j j j j j j j
j interviewer has obtained the location, timing, severity, and associated manifestations of the
j j j j j j j j j j j
j pain. The interviewer will still need to obtain information concerning the quality of the pain,
j j j j j j j j j j j j j j
j the setting in which it occurred, and the factors that aggravate and alleviate the pain. You will
j j j j j j j j j j j j j j j j
j notice that it does include portions of the pertinent review of systems, but because it relates
j j j j j j j j j j j j j j j
j directly to the complaint, it is included in the history of present illness.
j j j j j j j j j j j j
The following information is recorded in the health history: "The patient completed 8th
j j j j j j j j j j j j
j grade. He currently lives with his wife and two children. He works on old cars on the
j j j j j j j j j j j j j j j j
j weekend. He works in a glass factory during the week."
j j j j j j j j j
Which category does it belong to?
j j j j j
, Chief complaint
j
Present illness j j
Personal and social history j j j
Review of systems - ANS-Personal and social history
j j j j j j j
Personal and social history information includes educational level, family of origin, current
j j j j j j j j j j j
j household status, personal interests, employment, religious beliefs, military history, and
j j j j j j j j j
j lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
j j j j j j j j j j j j j
j preferences and history). All of this information is documented in this example.
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The following information is recorded in the health history: "I feel really tired."
j j j j j j j j j j j j
Which category does it belong to?
j j j j j
j Chief complaint
j j
j Present illness j j
j Personal and social history j j j j
Review Questions With Complete Solutions
For which of the following patients would a comprehensive health history be appropriate?
j j j j j j j j j j j j
A new patient with the chief complaint of "I sprained my ankle"
j j j j j j j j j j j
An established patient with the chief complaint of "I have an upper respiratory infection"
j j j j j j j j j j j j j
A new patient with the chief complaint of "I am here to establish care"
j j j j j j j j j j j j j j
A new patient with the chief complaint of "I cut my hand" - ANS-A new patient with the chief
j j j j j j j j j j j j j j j j j j
j complaint of "I am here to establish care" j j j j j j j j
This patient is here to establish care, and because she is new to you, a comprehensive health
j j j j j j j j j j j j j j j j
j history is appropriate. j j
The components of the health history include all of the following except which one?
j j j j j j j j j j j j j
Review of systems j j
Thorax and lungs j j
,Present illness j j
Personal and social items - ANS-Thorax and lungs j j j j j j j
The thorax and lungs are part of the physical examination, not part of the health history. The
j j j j j j j j j j j j j j j j
j others answers are all part of a complete health history.
j j j j j j j j j
Is the following information subjective or objective?
j j j j j j
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
j j j j j j j j j j j j j j j j j j
j and relieved by rest. - ANS-Subjective
j j j j j
This is information given by the patient about the circumstances of his chief complaint. It
j j j j j j j j j j j j j j
j does not represent an objective observation by the examiner.
j j j j j j j j
Is the following information subjective or objective?
j j j j j j
Mr. M. has a respiratory rate of 32 and a pulse rate of 120. - ANS-Objective
j j j j j j j j j j j j j j j
This is a measurement obtained by the examiner, so it is considered objective data. The
j j j j j j j j j j j j j j
j patient is unlikely to be able to give this information to the examiner.
j j j j j j j j j j j j
The following information is recorded in the health history: "The patient has had abdominal
j j j j j j j j j j j j j
j pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to
j j j j j j j j j j j j j j j j j j j j j
,j 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
j j j j j j j j j j j j j j j j j j j j
epigastric area." j
Which of these categories does it belong to?
j j j j j j j
Chief complaint j
Present illness j j
Personal and social history j j j
Review of systems - ANS-Present illness
j j j j j j
This information describes the problem of abdominal pain, which is the present illness. The
j j j j j j j j j j j j j
j interviewer has obtained the location, timing, severity, and associated manifestations of the
j j j j j j j j j j j
j pain. The interviewer will still need to obtain information concerning the quality of the pain,
j j j j j j j j j j j j j j
j the setting in which it occurred, and the factors that aggravate and alleviate the pain. You will
j j j j j j j j j j j j j j j j
j notice that it does include portions of the pertinent review of systems, but because it relates
j j j j j j j j j j j j j j j
j directly to the complaint, it is included in the history of present illness.
j j j j j j j j j j j j
The following information is recorded in the health history: "The patient completed 8th
j j j j j j j j j j j j
j grade. He currently lives with his wife and two children. He works on old cars on the
j j j j j j j j j j j j j j j j
j weekend. He works in a glass factory during the week."
j j j j j j j j j
Which category does it belong to?
j j j j j
, Chief complaint
j
Present illness j j
Personal and social history j j j
Review of systems - ANS-Personal and social history
j j j j j j j
Personal and social history information includes educational level, family of origin, current
j j j j j j j j j j j
j household status, personal interests, employment, religious beliefs, military history, and
j j j j j j j j j
j lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
j j j j j j j j j j j j j
j preferences and history). All of this information is documented in this example.
j j j j j j j j j j j
The following information is recorded in the health history: "I feel really tired."
j j j j j j j j j j j j
Which category does it belong to?
j j j j j
j Chief complaint
j j
j Present illness j j
j Personal and social history j j j j
