Chapter 05: The Complete Health History

Question 1

What is the primary aim of a complete health history?
a) To perform physical examinations.
b) To gather only objective data.
c) To collect subjective data from the patient.
d) To diagnose the patient’s illness.

Answer 1

C

Question 2

How is subjective data used in health history?
a) It stands alone for evaluation.
b) It replaces objective data completely.
c) It is combined with objective data for assessment.
d) It is irrelevant for health assessments.

Answer 2

C

Question 3

What should health history include for ill patients?
a) A detailed chronological record of health problems.
b) A summary of past medical history.
c) Only basic personal information.
d) General lifestyle habits only.

Answer 3

A

Question 4

What role does health history play for all patients?
a) Documents only successful treatments.
b) Identifies abnormal symptoms and health issues.
c) Eliminates the need for physical exams.
d) Focuses solely on mental health aspects.

Answer 4

B

Question 5

What constitutes the first category of data in health history collection?
a) Health insurance information only.
b) Biographical Data including name and address.
c) Symptom analysis of health issues.
d) Family medical history details.

Answer 5

B

Question 6

Who can be a source of health history?
a) The patient, relative, or interpreter.
b) Only the patient’s physician.
c) Only the patient’s lawyer.
d) Only the patient’s family members.

Answer 6

A

Question 7

What should be documented as the reason for seeking care?
a) The doctor’s diagnosis.
b) A checklist of all medications.
c) The chief complaint in patient’s own words.
d) A summary of past visits.

Answer 7

C

Question 8

How should health status be noted for well patients?
a) With a brief note on their general state of health.
b) Only health issues should be recorded.
c) Detailed symptoms should be analyzed.
d) No specific documentation is needed.

Answer 8

A

Question 9

What is a critical step when a patient reports a symptom?
a) Dismiss it as irrelevant.
b) Document just the patient’s age.
c) Conduct a symptom analysis.
d) Wait for further symptoms to appear.

Answer 9

C

Question 10

What should be noted for a well patient during assessment?
a) The general state of health.
b) Specific illness diagnosis.
c) Current medication details.
d) Recent hospitalizations.

Answer 10

A

Question 11

What is primarily recorded for a sick patient?
a) General state of health.
b) A list of current medications.
c) Previous hospitalizations.
d) The reason for seeking care.

Answer 11

D

Question 12

Which aspect does NOT belong to symptom analysis?
a) Patient’s history of weight loss.
b) Character or quality of the symptom.
c) Quantity or severity of the symptom.
d) Aggravating or relieving factors.

Answer 12

A

Question 13

In symptom analysis, what does ‘Location’ refer to?
a) How the patient interprets the symptom.
b) Where the symptom is occurring.
c) When the symptom occurs.
d) The intensity of the symptom.

Answer 13

B

Question 14

What is included in the ‘Character or Quality’ of a symptom?
a) The timing of the symptom.
b) History of similar symptoms.
c) Description like sharp or dull.
d) Allergies related to the symptom.

Answer 14

C

Question 15

What does the ‘S’ in PQRSTU stand for?
a) Setting of the symptom.
b) Surgical history of the patient.
c) Severity scale of the symptom.
d) Specific medications taken.

Answer 15

C

Question 16

Which item is NOT part of past health events investigation?
a) History of hospitalizations.
b) Daily dietary habits.
c) Immunization history.
d) Previous surgical procedures.

Answer 16

B

Question 17

What should be assessed in a patient’s past health events?
a) Any relevant past injuries.
b) Current exercise routine.
c) Nutritional habits.
d) Family’s medical history.

Answer 17

A

Question 18

What is vital to document regarding allergies?
a) Family history of allergies.
b) Patient’s lifestyle choices.
c) Known allergies to medications or substances.
d) Previous allergy tests.

Answer 18

C

Question 19

How should current medications be addressed?
a) List of medications the patient is taking.
b) Types of past medications used.
c) Reasons for discontinuing prior meds.
d) Allergic reactions to medications.

Answer 19

A

Question 20

What type of history does ‘Obstetrical History’ refer to?
a) History of chronic illnesses.
b) Relevant reproductive health history.
c) Skin health issues.
d) Allergy history.

Answer 20

B

Question 21

What is the purpose of gathering a family history?
a) To assess smoking history of the patient.
b) To identify immunization status in children.
c) To evaluate dietary habits of the family.
d) To detect health risks for the patient.

Answer 21

D

Question 22

What tool is commonly used to represent family health patterns?
a) Health record chart.
b) Family pedigree or genogram.
c) Patient information form.
d) Health risk assessment tool.

Answer 22

B

Question 23

During the review of systems, which of the following is assessed?
a) Only past medical history.
b) Medication adherence only.
c) Symptoms and health-promoting behaviors.
d) Family history exclusively.

Answer 23

C

Question 24

Which activity is NOT typically included in ADLs?
a) Bathing.
b) Shopping.
c) Eating.
d) Dressing.

Answer 24

B

Question 25

What additional factors are considered in a functional assessment?
a) Only medical history.
b) Coping and stress management.
c) Nutritional supplements used.
d) Ethnic background of the patient.

Answer 25

B

Question 26

What should be included in a child’s health history?
a) Employment history.
b) Long-term dietary restrictions.
c) Immunization data.
d) Travel history since birth.

Answer 26

C

Question 27

When assessing a child’s functional abilities, which aspect must be considered?
a) The parent’s occupation.
b) The child’s education level.
c) The family’s health history.
d) The child’s environment.

Answer 27

D

Question 28

Which of the following is NOT a component of functional assessment?
a) Physical exams.
b) Housekeeping.
c) Walking.
d) Toileting.

Answer 28

A

Question 29

What type of history is crucial for pediatric health assessments?
a) Prenatal and perinatal history.
b) Only family dietary habits.
c) Patient’s travel history.
d) Occupational history of parents.

Answer 29

A

Question 30

What is the ultimate aim of a comprehensive health history assessment?
a) Facilitating accurate nursing diagnoses and judgments.
b) To create a detailed medication list.
c) To obtain insurance coverage details.
d) To provide patient education alone.

Answer 30

A

Question 31

What structure should be used for a child’s health history?
a) Similar to adults but with specific modifications.
b) Only focus on current health issues.
c) Use a simplified version of adult structure.
d) Only document family health history.

Answer 31

A

Question 32

What aspect is included in prenatal and perinatal history?
a) Only current medications taken by the child.
b) Family history of chronic diseases.
c) Child’s academic performance.
d) Relevant prenatal and perinatal information.

Answer 32

D

Question 33

Why is it essential to record significant childhood illnesses?
a) They have no impact on current health.
b) They provide critical health background information.
c) They only matter for adults.
d) They’re irrelevant to family history.

Answer 33

B

Question 34

What should be gathered about a child’s immunization?
a) Data on parents’ immunization status.
b) Records of neighbors’ immunizations.
c) Information on the child’s immunization history.
d) History of childhood illnesses.

Answer 34

C

Question 35

What does the functional abilities assessment consider?
a) Only the child’s medical history.
b) The child’s environment and their role in it.
c) The child’s preferred hobbies.
d) Parents’ health histories.

Answer 35

B

Question 36

What framework is used for interviewing adolescents?
a) HEEADSSS framework.
b) DARE framework.
c) STEP framework.
d) PQRST framework.

Answer 36

A

Question 37

Which of the following is NOT part of the HEEADSSS framework?
a) Drugs and Alcohol.
b) Home.
c) Sexuality.
d) Education and Exercise.

Answer 37

D

Question 38

How should trust be built during adolescent interviews?
a) Follow the adolescent’s lead with openness.
b) Interrogate aggressively to gather information.
c) Use a formal and distant approach.
d) Avoid discussing sensitive topics.

Answer 38

A

Question 39

Why is nutritional history important in a child’s health assessment?
a) It only affects the child’s mood.
b) Nutrition doesn’t impact health.
c) It’s irrelevant to developmental milestones.
d) It provides insight into the child’s growth and health.

Answer 39

D

Question 40

What details should be included in the family health history?
a) Health history of family members.
b) Family members’ favorite activities.
c) Family occupational details.
d) Only siblings’ health conditions.

Answer 40

A

Question 41

What information is recorded about previous hospitalizations?
a) Only reasons for hospitalizations.
b) Number of previous hospitalizations.
c) Hospital names only.
d) Duration of each hospitalization.

Answer 41

B

Question 42

What is the significance of previous surgeries in health history?
a) They are generally unimportant.
b) They affect academic performance.
c) It helps assess the child’s overall health background.
d) They’re only relevant for adults.

Answer 42

C

Question 43

What should be included in health history for older adults?
a) Additional questions beyond standard inquiries.
b) Only standard medical history questions.
c) Focus solely on physical examinations.
d) Ignore emotional and psychological aspects.

Answer 43

A

Question 44

Why is it important to assess changes in ADLs?
a) They are not relevant to health care.
b) They only concern younger patients.
c) They indicate functional status and quality of life.
d) They help in diagnosing acute illnesses.

Answer 44

C

Question 45

What aspect is more significant for older adults regarding health?
a) The physical symptoms alone.
b) The burden of a disease over its pathology.
c) Financial costs of treatment.
d) The age of disease onset.

Answer 45

B

Question 46

What is crucial when documenting a patient’s reason for care?
a) Align with the patient’s concerns and needs.
b) Assume the problem based on age.
c) Focus only on healthcare provider’s perspective.
d) Document only physical symptoms present.

Answer 46

A