NSG6020 Midterm – Questions And Complete Solutions
For which of the following patients would a comprehensive health history
be appropriate Correct Ans - a new patient with the chief
complaint of "I am here to establish care"
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. Correct Ans - subjective
is the following information subjective or objective. Mr. M has a respiratory
rate of 32 and pulse rate of 120 Correct Ans - objective
the following information is recorded in the health history: "Patient denies
chest pain, palpitations, orthopnea and paroxysmal nocturnal dyspnea
Correct Ans - Review of systems
A patient presents for evaluation of a sharp, aching chest pain which
increases with breathing. Which anatomic area would you localize the
symptom to Correct Ans - Musculoskeletal
a 22 year old advertising copywriter presents for evaluation of joint pain.
The pain is new, located in the wrists and fingers bilaterally, with some
subjective fever. The patient denies a rash; she also denies recent travel or
camping activities. She has a family history significant for rheumatoid
arthritis. Based on this information, which of the following pathological
processes would be most correct Correct Ans - Inflammatory
a 15 year old high school sophomore comes to the clinic for evaluation of a
3 week history of sneezing; itch, watery eyes; clear nasal discharge; ear
pain; and nonproductive cough. which is most likely pathological process
Correct Ans - allergic
You are seeing an elderly man with multiple complaints. He has chronic
arthritis, pain from an old war injury, and headaches. Today he complains
of these pains, as well as dull chest pain under his sternum. What would
the order of priority be for your problem list? Correct Ans - Chest
pain, headaches, arthritis, war injury pain
, Suzanne, a 25 year old, comes to your clinic to establish care. You are the
student preparing to go into the examination room to interview her. Which
of the following is the most logical sequence for the patient-provider
interview? Correct Ans - Greet the patient, establish rapport, invite
the patient's story, establish the agenda, expand and clarify the patient's
story, and negotiate a plan.
Alexandra is a 28-year-old editor who presents to the clinic with abdominal
pain. The pain is a dull ache, located in the right upper quadrant, that she
rates as a 3 at the least and an 8 at the worst. The pain started a few weeks
ago, it lasts for 2 to 3 hours at a time, it comes and goes, and it seems to be
worse a couple of hours after eating. She has noticed that it starts after
eating greasy foods, so she has cut down on these as much as she can.
Initially it occurred once a week, but now it is occurring every other day.
Nothing makes it better. From this description, which of the seven
attributes of a symptom has been omitted? Correct Ans -
Associated manifestations
A 23-year-old graduate student comes to your clinic for evaluation of a
urethral discharge. As the provider, you need to get a sexual history. Which
one of the following questions is inappropriate for eliciting the
information? Correct Ans - Are you sexually active?
On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes
for her usual visit for her blood pressure. She is on a low-dose diuretic
chronically and denies any side effects. Her blood pressure is 118/78 today,
which is well-controlled. As you are writing her script, she mentions that it
is hard not having her husband Bill around anymore. What would you do
next? Correct Ans - Ask why Bill is not there.
When you enter your patient's examination room, his wife is waiting there
with him. Which of the following is most appropriate? Correct Ans -
Ask if it's okay to carry out the visit with both people in the room.
You are performing a young woman's first pelvic examination. You make
sure to tell her verbally what is coming next and what to expect. Then you
carry out each maneuver of the examination. You let her know at the outset
that if she needs a break or wants to stop, this is possible. You ask several
times during the examination, "How are you doing, Brittney?" What are you
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