A patient is admitted to the hospital with facial trauma secondary to a motor vehicle accident. The advanced practice registered nurse (APRN) strokes the cornea of each eye with a cotton wisp to check for reflex blinking. What is the name of this reflex and what is the cranial nerve being assessed?

A. Capture the patient's personality and interests, sources of support, strengths, and fears is incorrect because this describes aspects of the social history and psychosocial assessment, not the Review of Systems (ROS).

B. Obtain objective information regarding the patient's various body systems is incorrect because the ROS is based on subjective, patient-reported symptoms, not objective findings. Objective data is collected during the physical examination and diagnostic testing.

C. Provide a complete and chronologic account of the problems prompting the patient to seek care is incorrect because this describes the history of present illness (HPI), which focuses on the timeline and details of the chief complaint.

D. Uncover problems the patient has overlooked, particularly in areas unrelated to the present illness is correct because the Review of Systems (ROS) is a systematic set of questions covering all body systems to identify additional symptoms that the patient may not have mentioned. It helps detect hidden or unrelated issues, ensuring a comprehensive assessment.

A. Chief Complaint/Concern is incorrect because this section is reserved for the primary reason the patient is seeking care, typically expressed in their own words. For example, a patient may report, “I have chest discomfort” or “I am having difficulty breathing.” The statement provided lists denied symptoms, not the patient’s presenting complaint, so it does not belong under chief complaint.

B. Past Medical History is incorrect because this section documents the patient’s previous medical diagnoses, chronic illnesses, hospitalizations, surgeries, and ongoing treatments. The provided information does not describe past illnesses or interventions but rather current symptom assessment, making it unrelated to past medical history.

C. Social History is incorrect because it includes details about lifestyle factors, habits, occupational exposures, living situation, and social support systems. Examples include tobacco or alcohol use, exercise routines, employment, and household composition. Symptom denial or presence is not part of social history.

D. Review of Systems (ROS) is correct because it is a systematic inventory of patient-reported symptoms organized by body system. The APRN or clinician asks about symptoms such as chest pain, palpitations, shortness of breath, orthopnea, and paroxysmal nocturnal dyspnea, and the patient’s denials are documented to indicate the absence of these symptoms. ROS allows the healthcare provider to identify both present and absent symptoms, providing a comprehensive overview of the patient’s health status and highlighting areas that may need further evaluation or monitoring.