VERSION !!!|A+ GRADED|EXAM READY|95%
Components of Health History (7) - ANSWER Biographic data, reason for seeking care,
history of present illness, past medical history, family history, review of systems, functional
assessment or activities of daily living
Subjective Data - ANSWER things a person tells you about that you cannot observe
through your senses; symptoms
Objective Data - ANSWER information that is seen, heard, felt, or smelled by an
observer; signs
Types of Health History - ANSWER Focused, episodic/emergent, Complete
Complete Health History - ANSWER Total history and full physical examination
Current and past health state
Episodic/Emergent Health History - ANSWER Urgent, rapid collection of information
with life saving measurements
Focused Health History - ANSWER Targeted, limited to 1 body system
Types of therapeutic communication - ANSWER Facilitation, Silence, Reflection,
Clarification, Confrontation, Interpretation
Facilitation - ANSWER encourages patients to say more
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, ex: mhm, go on
Silence - ANSWER Directed attentiveness, allows patient to think
Reflection - ANSWER Echoes to help express meaning
Clarification - ANSWER useful when patients words are confusing
Confrontation - ANSWER clarifying inconsistent information
Interpretation - ANSWER making connections to identify cause or conclusion
Biographic Data - ANSWER name, address, phone number, age, birthdate, gender,
marital status, race, ethic origin, occupation, primary language
Reason for seeking care - ANSWER Brief, spontaneous statement in the person's own
words that describes the reason for the visit
History of Present Illness (HPI) - ANSWER information gathered regarding the
symptoms and nature of the patient's current concern
Past Medical History - ANSWER Diagnosis, past illnesses
Review of Systems (ROS) - ANSWER inquires about the system directly related to the
problems identified in the history of the present illness
Use of subjective data, not what you see
Functional Assessment - ANSWER A type of behavioral assessment used to determine
functional relations between challenging behavior and environmental events
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Components of Health History (7) - ANSWER Biographic data, reason for seeking care,
history of present illness, past medical history, family history, review of systems, functional
assessment or activities of daily living
Subjective Data - ANSWER things a person tells you about that you cannot observe
through your senses; symptoms
Objective Data - ANSWER information that is seen, heard, felt, or smelled by an
observer; signs
Types of Health History - ANSWER Focused, episodic/emergent, Complete
Complete Health History - ANSWER Total history and full physical examination
Current and past health state
Episodic/Emergent Health History - ANSWER Urgent, rapid collection of information
with life saving measurements
Focused Health History - ANSWER Targeted, limited to 1 body system
Types of therapeutic communication - ANSWER Facilitation, Silence, Reflection,
Clarification, Confrontation, Interpretation
Facilitation - ANSWER encourages patients to say more
1
, ex: mhm, go on
Silence - ANSWER Directed attentiveness, allows patient to think
Reflection - ANSWER Echoes to help express meaning
Clarification - ANSWER useful when patients words are confusing
Confrontation - ANSWER clarifying inconsistent information
Interpretation - ANSWER making connections to identify cause or conclusion
Biographic Data - ANSWER name, address, phone number, age, birthdate, gender,
marital status, race, ethic origin, occupation, primary language
Reason for seeking care - ANSWER Brief, spontaneous statement in the person's own
words that describes the reason for the visit
History of Present Illness (HPI) - ANSWER information gathered regarding the
symptoms and nature of the patient's current concern
Past Medical History - ANSWER Diagnosis, past illnesses
Review of Systems (ROS) - ANSWER inquires about the system directly related to the
problems identified in the history of the present illness
Use of subjective data, not what you see
Functional Assessment - ANSWER A type of behavioral assessment used to determine
functional relations between challenging behavior and environmental events
2
