NR 509 Advanced Physical Assessment Final Exam Questions and Answers Latest 2021/2022(100% Guaranteed success) For which one of the patients would a comprehensive health history be appropriate? Correc... t Answer- A new patient with the CC of "Im here to establish care" The components of a health history include all of the following except which one? Correct Answer- A. ROS B. Thorax and lungs C. Present Illness D. Personal and social items Answer is B thorax and lungs Is the following info subjective or objective? Mr. M has SOB that has persisted for the past 10 days; it is worse with activity and relieved by rest Correct Answer- Subjective Is the following info subjective or objective? Mr. M has a RR of 32 and a pulse rate of 120 Correct Answer- objective Health history includes- "patient has had and pain for 1 week. Pain lasts for 30min at a time; it comes and goes. Severity is 7-9, accompanied by N&V, located in mid-epigastric area" which category does it belong to? Correct Answer- Present Illness This info is in the health history: "patient completed 8th grade. Currently lives with his wife and two children. Works on cars on the weekend. Works in a glass factory during the week." Which category does it belong to? Correct Answer- Personal and social history The following info is recorded in the health history: "I feel really tired." which category does it belong to? Correct Answer- Chief complaint Recorded in health history: "patient denies chest pain, palpitation, orthopnea, and paroxysmal nocturnal dyspnea." which category? Correct Answer- ROS The following info is best placed in which category? "The patient had a stent placed in the LAD in 99." Correct Answer- Adult illnesses The following info is best placed in which category? "The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been intubated." Correct Answer- Adult illnesses 19 yr old college student Todd...brought in by his mom for odd behavior....He tells you he has seen a black van and computer tech workers are stealing his work through special gamma waves. "See I told you...he's crazy. What do I do about it?" While arranging for a psychiatry consult, what psychotic disorder do you think Todd has? Correct Answer- Schizophrenia 24 yr old secretary, complaining of difficulty sleeping, severe nightmares, and irritability. 6 months ago she was held at gunpoint...On exam, you find a nervous woman appearing her stated age. Physical exam is unremarkable. You recommend medication and counseling. What anxiety disorder do you think she has? Correct Answer- PTSD 75-year old homemaker brings her 76 yr old husband to the clinic. had a stroke 4 months ago..."I will change the Kool-aid out of the sink myself with the ludrip." She says that these sayings are becoming frustrating. What type os aphasia does he have? Correct Answer- Wernike's aphasia 32-yr old complaining of overwhelming sadness. Last 2 months she has had crying episodes, difficulty sleeping, and problems with overeating. On examination you see a woman appearing her stated age who seems quite sad. Her facial expression does not change while you talk to her and she makes little eye contact. She speaks so softly you cannot always understand her. Her though processes and content seem unremarkable. What type of disorder do you think she has? Correct Answer- Major depressive episode 27 yr-old woman brought to office by her mother. Mother says daughter has schizophrenic for last 8 years...Patient has been microwaving letters from mailman. Pt agrees that she does this but only bc the mailman flipping through the envelopes and she knows he's putting anthrax on the letters. Which bus describes the patient's abnormality of perception? Correct Answer- Illusion 22-yr old brought to office by his father to discuss mental health disorder. schizophrenia was diagnosed 6 months ago...Son has been hearing things that don't exist. You ask the young man what is going on and he tells you that his father is just jealous bc his sister talks only to him. "Son, your sister died 2 years ago." Son thinks she still talks to him. Which best describes the patient's abnormality of perception? Correct Answer- Hallucination 26 yr old violinist, complains of anxiety. during performances only starts to sweat, shake, and hyperventilate. It has gotten so bad he has thought about giving up his first chair status so he doesn't have to play the solo during one of the movements. These symptoms don't happen during rehearsals or when he is practicing. What type of anxiety disorder best describes his sit? Correct Answer- social phobia 23 yr-old ticket agent is brought in by her husband bc he is concerned with her recent behavior. Stopped showering, up all night cleaning, racking up credit cards, she states she is very happy and fulfilled. Speaks quickly and changes the subject often. On exam she is very loud and outspoken. PE is unremarkable. Which mood disorder does she most likely have? Correct Answer- Manic episode 72-yr old AA, after weakness in his R arm and leg...MRI showed small stroke...everyone is still having trouble communicating with him. You ask the pt how he thinks he is doing. "well, fine, doing, okay." Other than his weak R arm and leg his PE is unremarkable. What disorder of speech does he have? Correct Answer- Broca's aphasia 35-yr old stockbroker, complaining of feeling tired and irritable. Also says she feels like nothing ever goes her way and that nothing good ever happens. When you ask her how long she has felt this way she laughs and says, "since when have I not?" She relates that she has felt pessimistic about life in general since she was in High school. Mother has depression...What mental health disorder best describes her symptoms? Correct Answer- Dysthymic disorder Susanne is a 27 yr old who has had HAs, muscle aches, and fatigue for the last 2 months. thorough history, exam, and lab workup are negative. What would be your next action? Correct Answer- To screen for depression You ask a patient to draw a clock. He fills in all the numbers on the R half of the circle. What do you suspect? Correct Answer- Hemianopsia A young woman comes to you with a cut on finger from a can she was opening. She is pacing about the room, crying loudly, "My career as a pianist is finished!" which personality type exhibits these features? Correct Answer- Histrionic Adam is a successful 15 yr old student and athlete. mother brings him in bc he no longer studies, works out, or sees his friends. Its been a month and a half, you speak to him in the room and he states "would be better if he were not here." What would you do next? Correct Answer- Assess his suicide risk 29-yr old woman jumping from topic to topic so rapidly that you have trouble following her. You are able to find some connections between ideas, but its difficult. Which word describes this thought process? Correct Answer- Flight of ideas In obtaining a health history, you note the patient uses the word "largely" repeatedly, to the point of being a distraction to your task. Which word best describes this speech pattern? Correct Answer- Perseveration You are performing a thorough cardiac examination. Which of the following chambers of the heart can you assess by palpation? Correct Answer- R ventricle what is responsible for the inspiratory splitting of S2? Correct Answer- Closure or aortic, then pulmonic valves A 25-yr old optical tech comes to clinic for fatigue. You listen and hear a murmur only at the cardiac apex. Which valve is most likely to be involved, based on location of murmur? Correct Answer- Mitral valve a 58-yr old teacher presents to your clinic with a complaint of breathlessness with activity. Which is appropriate to ask about in the cardiovascular ROS? Correct Answer- orthopnea You are screening people at the mall as part of a health fair. Someone has BP 132/85, how would you categorize this? Correct Answer- Prehypertension You are performing cholesterol screens. One person has cholesterol of 225. She is concerned with her risk for developing heart disease. Which of the following factors is used to estimate the 10-yr risk of developing CAD? Correct Answer- Gender You are evaluating a 40-yr old banker for CAD risk factors, hx of HTN, well controlled on meds. He does not smoke, does 45 min of aerobic exercise 5 x weekly...calculating his 10-yr CAD risk...which of the following conditions is considered to be a CAD risk equivalent? Correct Answer- Peripheral arterial disease You are conducting a workshop on the measurement of jugular veno [Show More]
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