TEST BANK FOR PHYSICAL EXAMINATION AND
HISTORY TAKING QUESTIONS & ANSWERS
Physical Examination - ANS-a medical examination to determine a person's bodily fitness.
History Taking - ANS-A step within the patient assessment process that provides detail about the
patient's chief complaint and an account of the patient's signs and symptoms.
Thorough and Accurate Examination - ANS-deepens relationships with patients, focuses assessment,
sets the direction of clinical thinking
Essential elements of clinical care - ANS-Empathic listening, Ability to interview patients of all ages,
moods, and backgrounds, Techniques for examining the different body systems, Process of clinical
reasoning.
Comprehensive Assessment - ANS-An assessment that includes a complete health history and physical
assessment; it is done annually on an outpatient basis, following admission to a hospital or long-term
care facility, or every 8 hours for patients in intensive care.
Focus or Problem-Oriented Assessment - ANS-For patients you know well who are returning for routine
office follow-up care or for patients with specific "urgent care" concerns
Factors to consider during patient assessment - ANS-Magnitude and severity of the patient's problems,
Need for thoroughness, Clinical setting—inpatient or outpatient, primary or
subspecialty care, Time available
Subjective Data - ANS-information perceived only by the affected person
Objective Data - ANS-information perceptible to the senses; may be verified by another person
Seven components of the Comprehensive Adult Health History - ANS-Identifying Data and Source of the
History,Chief Complaint(s), Present Illness, Past History, Family History, Personal and Social History,
Review of Systems
Initial Information - ANS-Date and Time of History, Identifying Data: These include age, gender, marital
status, and occupation, The source of history or referral can be the patient, a family member or friend,
an officer, a consultant, or the medical record.
Present Illness - ANS-This section of the history is a complete, clear, and chronologic account of the
problems prompting the patient to seek care.
HISTORY TAKING QUESTIONS & ANSWERS
Physical Examination - ANS-a medical examination to determine a person's bodily fitness.
History Taking - ANS-A step within the patient assessment process that provides detail about the
patient's chief complaint and an account of the patient's signs and symptoms.
Thorough and Accurate Examination - ANS-deepens relationships with patients, focuses assessment,
sets the direction of clinical thinking
Essential elements of clinical care - ANS-Empathic listening, Ability to interview patients of all ages,
moods, and backgrounds, Techniques for examining the different body systems, Process of clinical
reasoning.
Comprehensive Assessment - ANS-An assessment that includes a complete health history and physical
assessment; it is done annually on an outpatient basis, following admission to a hospital or long-term
care facility, or every 8 hours for patients in intensive care.
Focus or Problem-Oriented Assessment - ANS-For patients you know well who are returning for routine
office follow-up care or for patients with specific "urgent care" concerns
Factors to consider during patient assessment - ANS-Magnitude and severity of the patient's problems,
Need for thoroughness, Clinical setting—inpatient or outpatient, primary or
subspecialty care, Time available
Subjective Data - ANS-information perceived only by the affected person
Objective Data - ANS-information perceptible to the senses; may be verified by another person
Seven components of the Comprehensive Adult Health History - ANS-Identifying Data and Source of the
History,Chief Complaint(s), Present Illness, Past History, Family History, Personal and Social History,
Review of Systems
Initial Information - ANS-Date and Time of History, Identifying Data: These include age, gender, marital
status, and occupation, The source of history or referral can be the patient, a family member or friend,
an officer, a consultant, or the medical record.
Present Illness - ANS-This section of the history is a complete, clear, and chronologic account of the
problems prompting the patient to seek care.
