Category
Scored Items.
Experts selected these topics as essential components of a strong, thorough interview
with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following
details are facts of the patient's case.
Current Health Status
Finding:
Confirmed reason for visit
Finding:
Reports needing a pre-employment physical
(Found)
Pro Tip: Initially establishing a chief complaint allows the patient to express their
reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Can I confirm that you are here for a physical?
Finding:
Reports no current acute health problems
, (Found)
Pro Tip: Initially establishing a chief complaint allows the patient to express their
reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Do you have any current health problems?
Finding:
Asked about last visit to a healthcare provider
Finding:
Last visit to a healthcare provider was 4 months ago
(Available)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will
allow you to develop a comprehensive health history.
Example Question:
When did you see a healthcare provider?
Finding:
Reason for last visit was annual gynecological exam
(Available)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will
allow you to develop a comprehensive health history. Asking Tina why she saw a
healthcare provider might indicate any recent health concerns or problems.
Example Question:
Why did you see a healthcare provider?
, Finding:
Last general physical examination was 5 months ago when she was prescribed
metformin and daily inhaler
(Available)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will
allow you to develop a comprehensive health history.
Example Question:
When was your last physical exam?
Finding:
Asked about current prescription medications
Finding:
Reports taking diabetes medication
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or
problems, health literacy, and current treatment plans. Asking Tina if she has
been taking medication for her diabetes will indicate her treatment plan and the
degree to which she is following it.
Example Question:
Have you been taking medication for your diabetes?
Finding:
Reports using a daily inhaler
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or
problems, health literacy, and current treatment plans. Asking Tina if she still has
, her inhaler will indicate her treatment plan and the degree to which she is
following it.
Example Question:
Do you use a daily inhaler?
Finding:
Reports taking prescription birth control pills
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or
problems, health literacy, and current treatment plans.
Example Question:
Are you taking any form of birth control?
Finding:
Followed up about diabetes medication
Finding:
Medication is metformin
(Available)
Pro Tip: Follow up questions about Tina's medication history will help you to
understand her treatment plan and recent health history.
Example Question:
What is the name of your diabetes medication?
Finding:
Scored Items.
Experts selected these topics as essential components of a strong, thorough interview
with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following
details are facts of the patient's case.
Current Health Status
Finding:
Confirmed reason for visit
Finding:
Reports needing a pre-employment physical
(Found)
Pro Tip: Initially establishing a chief complaint allows the patient to express their
reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Can I confirm that you are here for a physical?
Finding:
Reports no current acute health problems
, (Found)
Pro Tip: Initially establishing a chief complaint allows the patient to express their
reason for seeking care, primary concerns, or condition they are presenting with.
Example Question:
Do you have any current health problems?
Finding:
Asked about last visit to a healthcare provider
Finding:
Last visit to a healthcare provider was 4 months ago
(Available)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will
allow you to develop a comprehensive health history.
Example Question:
When did you see a healthcare provider?
Finding:
Reason for last visit was annual gynecological exam
(Available)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will
allow you to develop a comprehensive health history. Asking Tina why she saw a
healthcare provider might indicate any recent health concerns or problems.
Example Question:
Why did you see a healthcare provider?
, Finding:
Last general physical examination was 5 months ago when she was prescribed
metformin and daily inhaler
(Available)
Pro Tip: Establishing a timeline for which healthcare providers Tina has seen will
allow you to develop a comprehensive health history.
Example Question:
When was your last physical exam?
Finding:
Asked about current prescription medications
Finding:
Reports taking diabetes medication
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or
problems, health literacy, and current treatment plans. Asking Tina if she has
been taking medication for her diabetes will indicate her treatment plan and the
degree to which she is following it.
Example Question:
Have you been taking medication for your diabetes?
Finding:
Reports using a daily inhaler
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or
problems, health literacy, and current treatment plans. Asking Tina if she still has
, her inhaler will indicate her treatment plan and the degree to which she is
following it.
Example Question:
Do you use a daily inhaler?
Finding:
Reports taking prescription birth control pills
(Found)
Pro Tip: The medications that a patient takes indicate their health concerns or
problems, health literacy, and current treatment plans.
Example Question:
Are you taking any form of birth control?
Finding:
Followed up about diabetes medication
Finding:
Medication is metformin
(Available)
Pro Tip: Follow up questions about Tina's medication history will help you to
understand her treatment plan and recent health history.
Example Question:
What is the name of your diabetes medication?
Finding:
