NUR 631 Test 1
- 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"
- a new patient with the CC of "I am here to establish care"
Answer
the patient is new to the provider so a comprehensive health history is needed
- The components of the health history include all of the following except which one?
- Review of systems
- Thorax and lungs
- Present illness
- Personal and social items
- thorax and lungs
Answer
these are part of the physical examination
- 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.
- Subjective
- Objective
- subjective
Answer
this is information given by the patient
- Is the following information subjective or objective? Mr. M. has a respiratory rate of 32
and a pulse rate of 120. 1 / 4
- Subjective
- Objective
- objective
Answer
this is information obtained by the examiner
- The following information is recorded in the health history
Answer "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
- Review of systems
- Present illness
- The following information is recorded in the health history
Answer
HPI
Answer "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 2 / 4
- Review of systems
- personal and social history
Answer
Personal Iand Isocial Ihistory Iinformation Iincludes Ieducational Ilevel, Ifamily Iof Iorigin, Icurrent Ihousehold Istatus, Ipersonal Iinterests, Iemployment, Ireligious Ibeliefs, I military Ihistory, Iand lifestyleI I(includingIdietIandIexerciseIhabits;IuseIofI- alcohol,Itobacco,Iand/orIdrugs;IandIsexual Ipreferences Iand Ihistory). IAll Iof Ithis Iinformation Iis Idocumented Iin Ithis Iexample.
- The following information is recorded in the health history
Answer "I feel really tired."
Which category does it belong to?
- Chief complaint
- Present illness
- Personal and social history
- Review of systems
- chief complaint
Answer
pt's own wordsheIchiefIcomplaintIisIanIattemptItoIquoteItheIpatient'sIownI- words,IasIlongIasItheyIare Isuitable Ito Iprint. IIt Iis Ibrief, Ilike Ia Iheadline, Iand Ifurther Idetails Ishould Ibe Isought Iin Ithe Ipresent illnessI Isection. IThe Iabove Iinformation Iis Ia Ichief Icomplaint.
- The following information is recorded in the health history
Answer "Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea." Which category does it belong to?
- Chief complaint
- Present illness
- Personal and social history 3 / 4
- Review of systems
- review of systems
Answer
Review Iof Isystems Idocuments Ithe Ipresence Ior Iabsence Iof Icommon Isymptoms Irelated toI IeachImajorIbodyIsystem.ITheIabsenceIofIcardiacIsymp- tomsIisIlistedIinItheIaboveIexample.
- The following information is best placed in which category? "The patient has had three
- Adult illnesses
- Surgeries
- Obstetrics/gynecology
cesarean sections."
- Psychiatric
- surgeries
Answer
A Icesarean Isection Iis Ia Isurgical Iprocedure. IApproximate Idates Ior Ithe Iage Iof Ithe Ipatient atI Ithe Itime Iof Ithe Isurgery Ishould Ialso Ibe Irecorded.
- 10. The following information is best placed in which category?
- Adult illnesses
- Surgeries
- Obstetrics/gynecology
"The patient had a stent placed in the left anterior descending artery (LAD) in 1999."
- Psychiatric
- adult illnesses
Answer
The Iadult Iillnesses Icategory Iis Ireserved Ifor Ichronic Iillnesses, Isignificant Ihos- pitalizations, Isignificant Iinjuries, Iand Isignificant Iprocedures. IA Istent Iis Ia Imajor Iprocedure Ibut doesI Inot Iinvolve Ia Isurgeon.*a stent is a major procedure but does not involve a surgeon*
- 11. The following information is best placed in which category?
- Adult illnesses
- Surgeries
- Obstetrics/gynecology
- / 4
"The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been intubated."