©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
NURS550: Advanced Health Assessment
and Diagnostic Reasoning Week #1
Guided Reading Exam Questions and
Answers 100% Solved
Chapter 1 (p 4-34) - ✔✔FOUNDATIONS FOR CLINICAL PROFICIENCY
1. Describe the differences between
a. A comprehensive health history/exam - ✔✔Includes all the elements of
the health history and the complete physical examination.
- Provides fundamental and personalized knowledge about the patient
- Strengthens the clinician-patient relationship
- Helps identify or rule out physical causes related to patient concerns
Provides a baseline for future assessments
-Creates a platform for health promotion through education and counseling
- Develops proficiency in the essential skills of physical examination
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
b. A focused health history/exam - ✔✔Assesses symptoms restricted to a
specific body system (eg. sore throat or knee pain)
Applies examination methods relevant to assessing the concern or problem
as thoroughly and carefully as possible
The patient's symptoms, age, and health history help determine the scope
of the focused examination, as does your knowledge of disease pattern
2. Identify examples of when you would obtain (2 examples for each):
a. A comprehensive health history/exam - ✔✔Is appropriate for new
patients in the office or hospital
b. A focused health history/exam - ✔✔Is appropriate for established
patients, especially during routine or urgent care visits
Addresses focused concerns or symptoms
( eg. sore throat or knee pain)
3. Discuss the differences between subjective and objective data -
✔✔Subjective data: is what the patient tells you
Objective data: what you detect during the examination, laboratory
information and test data
, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
a. Provide examples of what would constitute Subjective data - ✔✔The
symptoms and history, from Chief Complaint through Review of Systems
Example: Mrs. G. is a 54-year-old hairdresser who reports pressure over
her left chest "like an elephant sitting there," which goes into her left neck
and arm.
b. Provide examples of what would constitute Objective data - ✔✔All
physical examination findings, or signs
Example: Mrs. G. is an older, overweight white female, who is pleasant and
cooperative. Height 5′4′′, weight 150 lbs, BMI 26, BP 160/80, HR 96 and
regular, respiratory rate 24, temperature 97.5 °F
4. Identify what goes into each section of the comprehensive health history
a. Identifying data and source of history - ✔✔Identifying data—such as age,
gender, occupation, marital status
Source of the history—usually the patient, but can be a family member or
friend, letter of referral, or the clinical record
If appropriate, establish the source of referral, because a written report may
be needed
NURS550: Advanced Health Assessment
and Diagnostic Reasoning Week #1
Guided Reading Exam Questions and
Answers 100% Solved
Chapter 1 (p 4-34) - ✔✔FOUNDATIONS FOR CLINICAL PROFICIENCY
1. Describe the differences between
a. A comprehensive health history/exam - ✔✔Includes all the elements of
the health history and the complete physical examination.
- Provides fundamental and personalized knowledge about the patient
- Strengthens the clinician-patient relationship
- Helps identify or rule out physical causes related to patient concerns
Provides a baseline for future assessments
-Creates a platform for health promotion through education and counseling
- Develops proficiency in the essential skills of physical examination
,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
b. A focused health history/exam - ✔✔Assesses symptoms restricted to a
specific body system (eg. sore throat or knee pain)
Applies examination methods relevant to assessing the concern or problem
as thoroughly and carefully as possible
The patient's symptoms, age, and health history help determine the scope
of the focused examination, as does your knowledge of disease pattern
2. Identify examples of when you would obtain (2 examples for each):
a. A comprehensive health history/exam - ✔✔Is appropriate for new
patients in the office or hospital
b. A focused health history/exam - ✔✔Is appropriate for established
patients, especially during routine or urgent care visits
Addresses focused concerns or symptoms
( eg. sore throat or knee pain)
3. Discuss the differences between subjective and objective data -
✔✔Subjective data: is what the patient tells you
Objective data: what you detect during the examination, laboratory
information and test data
, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024
a. Provide examples of what would constitute Subjective data - ✔✔The
symptoms and history, from Chief Complaint through Review of Systems
Example: Mrs. G. is a 54-year-old hairdresser who reports pressure over
her left chest "like an elephant sitting there," which goes into her left neck
and arm.
b. Provide examples of what would constitute Objective data - ✔✔All
physical examination findings, or signs
Example: Mrs. G. is an older, overweight white female, who is pleasant and
cooperative. Height 5′4′′, weight 150 lbs, BMI 26, BP 160/80, HR 96 and
regular, respiratory rate 24, temperature 97.5 °F
4. Identify what goes into each section of the comprehensive health history
a. Identifying data and source of history - ✔✔Identifying data—such as age,
gender, occupation, marital status
Source of the history—usually the patient, but can be a family member or
friend, letter of referral, or the clinical record
If appropriate, establish the source of referral, because a written report may
be needed
