AND CORRECT ANSWERS
Subjective data - CORRECT ANSWER things a person tells you about that you cannot
observe through your senses; symptoms
Objective data - CORRECT ANSWER information that is seen, heard, felt, or smelled
by an observer; signs, these are measurable (temp, vitals, labs
Motivational Approach - CORRECT ANSWER express empathy develop discrepancy,
avoid arguing, support self efficacy
Health screening - CORRECT ANSWER review with patient what they are due for
prior to the appointment. Address everyone as appropriate
Chief complaint - CORRECT ANSWER 1-2 sentances
Hx of present illness - CORRECT ANSWER related to CC OLD CARTS
Onset, location, duration, character
Health hx - CORRECT ANSWER medications. Allergies, health screening, past
medical hx, past surgical, family hx 3 generations, social hx.
Review of systems - CORRECT ANSWER cc and hpi, focused or complete, THERE is
NO CHARTING by EXCEPTION, students avoid interpreting your findings.
Objective information - CORRECT ANSWER what you see measurable
Objective: sequence of physical exam - CORRECT ANSWER maximize patient
comfort, avoid imessage position change, clinical efficiency. 2. Cardinal techniques:
inspection, palpation, percussion, auscultation. Do this in sequence except for a