Yield Questions, Health History, Physical Assessment,
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What are the concepts of developing a relationship with the patient?
Correct Answer:
See the patient as a unique individual
Let them know that you really want to know all that is needed
Be open and flexible
Explain boundaries
Be honest
What is the primary objective when developing a relationship with the patient?
Correct Answer:
To discover the details about a patient's concern, explore expectations, display
interest, and partnership
What does establishing a positive relationship with the patient depend on?
Correct Answer:
Communication built on courtesy, comfort, connection, and confirmation.
What are effective communication strategies when obtaining a health history?
Correct Answer:
Using open-ended questions, direct questions, rarely leading questions.
Facilitate by encouraging patient to say more. Reflect by repeating what you
heard. Clarify. Empathize by showing understanding and acceptance. Confront
,by discussing disturbing behavior. Interpret by repeating what you heard to
confirm.
What are open-ended questions?
Correct Answer:
Those that give the patient discretion about the extent of the answer. Such as
"How have you been feeling?" or "What brings you in today?"
What are direct questions?
Correct Answer:
Those that seek specific information. Such as "How long ago did that happen?"
or "Where does it hurt?"
What are leading questions?
Correct Answer:
Those that are prompting the patient toward the desired answer and these are
the most risky.
What is a patient centered question?
Correct Answer:
One that respects and responds to a patient's wants, needs, preferences so that
they can make choices in their care that best fit their individual circumstances.
Such as "How would you like to be addressed?", "What would you like us to do
today?", "How are you coping with your illness?".
What are potential barriers of patient and provider communication?
Correct Answer:
When the patient is curious about you, anxiety, silence, depression,
crying/compassionate moments, physical & emotional intimacy, seduction,
anger, avoiding the full story, financial considerations.
What is the structure and components of the patient history?
Correct Answer:
Patient identifiers, chief complaint, history of present illness, past medical
history, family history, personal/social history, review of systems
,What kind of patient information is obtained in the patient identifier component
of the patient history?
Correct Answer:
name, age, gender, race, occupation, date, time, and referral source
What kind of patient information is obtained in the chief complaint component of
the patient history?
Correct Answer:
a brief statement about why the patient is seeking care while probing for
underlying concerns.
What kind of patient information is obtained in the HPI component of the patient
history?
Correct Answer:
a chronological order of events leading up to the presenting problem, health
status prior to the onset, a complete description of first symptoms, symptom
analysis (onset, location, description, duration, intensity, character, aggravating
factors, alleviating factors), impact on patients lifestyle, medications or
treatments tried
What kind of information is obtained in the PMH component of the patient
history?
Correct Answer:
general health/strength
childhood illnesses
major adult illnesses and chronic diseases
immunization
surgeries (dates, hospital, diagnosis, complications)
serious injuries resulting in disability
limitation of ability to function d/t past events
medications
allergies (meds, environment, seasonal, food)
transfusions
recent screening tests
emotional status
What kind of information is obtained in the family history component of the
patient history?
, Correct Answer:
Any relevant medical problems for both immediate and non-immediate family
members
What kind of information is obtained in the personal/social history section of the
patient history?
Correct Answer:
home environment and conditions (pets, economic)
where was the patient raised
education
position in family
marital status
life satisfaction
hobbies/interests
source of stress
habits (nutrition, sleep, drugs, etoh, ADL's, and smoking)
self-care (self breast exams, exercise, home remedies)
sexual history
environmental (travel, exposure to diseases)
religious and cultural preferences
access to care
What information is necessary when obtaining sexual health information?
Correct Answer:
number of partners, concerns, birth control, protection from STI's
What kind of information is obtained for the ROS component of the patient
history?
Correct Answer:
those that identify presence or absence of health related issues in each body
system
What is subjective data?
Correct Answer:
it is information collected during the patient interview with the patient or
significant other. it is their words. It can include symptoms, sensations, feelings,