Assessment of the Hospitalized Patient

Question 1

Name some sections of data that are collected in the Clinical Assessment.

Answer 1

Medical history, dietary history, components of a physical exam, personal history, and social history.

Question 2

Under which section would you document: medications?

Answer 2

Patient/Medical history

Question 3

Under which section would you document: Snack consumption?

Answer 3

Dietary history

Question 4

Under which section would you document: age and gender?

Answer 4

Personal history

Question 5

Under which section would you document: diagnosis?

Answer 5

Patient/medical history

Question 6

Under which section would you document: Past surgeries or medical conditions?

Answer 6

Patient/medical history

Question 7

Under which section would you document: socioeconomic status?

Answer 7

Social history

Question 8

Under which section would you document: activity level?

Answer 8

Social history

Question 9

Under which section would you document: eating disorders?

Answer 9

Patient/medical history

Question 10

Under which section would you document: meal preparation and prepares food?

Answer 10

Dietary history or social history

Question 11

What are you primarily concerned with collecting in a Subjective Global Assessment?

Answer 11

Features of the patient’s history and a physical examination