Advanced Health Assessment Midterm Review
Exam Questions With Correct Answers 100%
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For which of the following patients would a comprehensive health history be appropriate?
A new patient with the chief complaint of "I sprained my ankle"
An established patient with the chief complaint of "I have an upper respiratory infection"
A new patient with the chief complaint of "I am here to establish care"
A new patient with the chief complaint of "I cut my hand" - Answer✔A new patient with the
chief complaint of "I am here to establish care"
This patient is here to establish care, and because she is new to you, a comprehensive health
history is appropriate.
The components of the health history include all of the following except which one?
Review of systems
Thorax and lungs
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Present illness
Personal and social items - Answer✔Thorax and lungs
The thorax and lungs are part of the physical examination, not part of the health history. The
others answers are all part of a complete health history.
Is the following information subjective or objective?
Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity
and relieved by rest. - Answer✔Subjective
This is information given by the patient about the circumstances of his chief complaint. It does
not represent an objective observation by the examiner.
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120. - Answer✔Objective
This is a measurement obtained by the examiner, so it is considered objective data. The patient
is unlikely to be able to give this information to the examiner.
The following information is recorded in the health history: "The patient has had abdominal
pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9
on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-
epigastric area."
Which of these categories does it belong to?
Chief complaint
Present illness
Personal and social history
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Review of systems - Answer✔Present illness
This information describes the problem of abdominal pain, which is the present illness. The
interviewer has obtained the location, timing, severity, and associated manifestations of the
pain. The interviewer will still need to obtain information concerning the quality of the pain, the
setting in which it occurred, and the factors that aggravate and alleviate the pain. You will
notice that it does include portions of the pertinent review of systems, but because it relates
directly to the complaint, it is included in the history of present illness.
The following information is recorded in the health history: "The patient completed 8th grade.
He currently lives with his wife and two children. He works on old cars on the weekend. He
works in a glass factory during the week."
Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems - Answer✔Personal and social history
Personal and social history information includes educational level, family of origin, current
household status, personal interests, employment, religious beliefs, military history, and
lifestyle (including diet and exercise habits; use of alcohol, tobacco, and/or drugs; and sexual
preferences and history). All of this information is documented in this example.
The following information is recorded in the health history: "I feel really tired."
Which category does it belong to?
Chief complaint
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Present illness
Personal and social history
Review of systems - Answer✔Chief complaint
The chief complaint is an attempt to quote the patient's own words, as long as they are suitable
to print. It is brief, like a headline, and further details should be sought in the present illness
section. The above information is a chief complaint.
The following information is recorded in the health history: "Patient denies chest pain,
palpitations, orthopnea, and paroxysmal nocturnal dyspnea."
Which category does it belong to?
Chief complaint
Present illness
Personal and social history
Review of systems - Answer✔Review of systems
Review of systems documents the presence or absence of common symptoms related to each
major body system. The absence of cardiac symptoms is listed in the above example.
The following information is best placed in which category?
"The patient has had three cesarean sections."
Adult illnesses
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