46.

The following are questions you may ask in order to know your patients date of birth,
except............
A. When were you born? C. How were you born?
B. Your date of birth please D. Can you tell me your date of birth

Question for no. 47-50, complete the conversation with appropriate answer below!
A. I need to visit other patient
B. If you need my assistance
C. How can I address you?
D. I will take care of you today

Nurse : Good Morning Miss Bellania Virganata, how was your sleep last night?
Patient : Good Morning Nurse, I have pain in my chest
Nurse : Thats bad, (47)..?
Patient : Please address me with Bella
Nurse : Okay Miss Bella, Im Nurse Mina. (48)..? Is there any complaint
about your chest Bella ?
Patient : No, I just feel pain but not sharp pain.
Nurse : I will report to the doctor. Now (49)?
Patient : Yes please nurse
Nurse : (50)..? just press the call button and nurse will help you.

Question for no 51-55

Nurse : Good morning Ms. Jane
Patient : Good morning Nurse. I have (51).?
Nurse : Your stomach hurts?
Patient : Yes Nurse
Nurse : Would you (52) .the location of your pain? Is it in the lower part
or in the upper part?
Patient : It is in the lower right part. Its here
Nurse : (53)? Sharp pain, dull, or burning pain?
Patient : It is a burning pain.
Nurse : Do you feel (54)bend over?
Patient : Yes nurse, I feel pain when I bend over. So whats happening?
Nurse : You may have (55).? I will consult to your doctor.
Patient : Thank you Nurse

51 A. pain C. itch
B. hurts D. injure

52. A. show me C. pointed me

B. showing me D. showed me

53. A. what kind of pain? C. what do you think of pain?

B. what is it like? D. what do you need?
54. A. pain C. ache
B. painful D. injured

55. A. appendicitis C. hernia

B. gastritis D. urinaire infection

PATIENT ASSESSMENT DATA BASE

Present Health Status

Two weeks ago Sonia still felt well. She took daily medications and maintained strict
diet. Walked to work for exercise. Enjoying the spring weather. Crampy abdominal pains started
to become bothersome. Frequency of stools made it impossible to go to work. Nausea and
vomiting continue and the patient states, I feel weak to be out of bed.

Past Health Status

At age 15 diagnosed as having regional enteritis (Crohns disease) after a lengthy
workup, she was hospitalized several times. Maintained on drug and diet therapy until the
present time. She saw physician approximately 1 month ago when patient dosage thought she
might be experiencing a flare-up of Crohns disease. At that time Prednisone dosage was
increased from 20 to 40 mg/day and the patient began taking Ampicillin. The symptoms have
persisted and the patient is seen at present time in acute distress.

Elimination Pattern
Had occasional diarrhea, 2-4 loose stools a day with constipation at infrequent intervals.
She states that she increased her intake of water and ate an additional piece of fruit daily when
constipation recurred. Presently she is experiencing 7-10 loose, bloody stools with lower
abdominal cramps. Small quantity with each stool. Acknowledges the use of antidiarrheal
medications as prescribed.

56. What are the patients complaints?

A. Abdominal pain, weak and diarrhea
B. Constipation, strict diet and exercise
C. Occasional diarrhea, constipation and feel well
D. Constipation, abdominal cramps and fell well

57. Where is the pain?

A. in the chest C. in the abdomen
B. in the anus D. in the rectum

58. What are the main symptoms experienced by the patient?

A. Abdominal pain, nausea, vomiting, occasional diarrhea and infrequent constipation
B. Abdominal pain, nausea, vomiting and acute stress
C. Nausea, acute stress, feeling weak and constipation
D. Feeling weak, nausea and vomiting.
59. When was the last time the patient saw a doctor?
A. about 1 year ago C. when she was 15 years old
B. about 12 months ago D. about 1 month ago

60. What did the patient do when constipation recurred?

A. Increase her intake of food
B. Increase her intake of vegetables
C. Increase her intake of fruits and vegetables
D. Increase her intake of fruits and water