learning Newest Questions and Answers ()
(Verified Answers)
complete (baseline) - ANSWER -total health history and full physical examination
describing current and past health state
-example: checkup or annual appointment
focused - ANSWER -health history that is problem-centered: limited, targeted,
mainly 1 problem or body system
-example: patient presents with a rash, broken bone, etc.
episodic or emergency - ANSWER -health history that is urgent, rapid collection of
information with lifesaving measures
-not much time, really just need to do quick assessment
-example: heart attack
first-level priority (top priority) - ANSWER -priority that is emergent, life threatening,
and immediate
second-level priority - ANSWER -priority that is next in urgency, requiring attention
so as to avoid further deterioration
-example: infection, diabetic (check their sugar/give insulin)
third-level priority - ANSWER -priority that is important to patient's health but can
be addressed after more urgent problems are addressed
collaborative problems - ANSWER -approach to treatment involves multiple
disciplines
health history components - ANSWER -biographic data (name, age, gender,
relationship status, ethnic origin, occupation, language)
-reason for seeking care
-history of present illness
-past medical history
-family history-genogram
-review of systems with health promotion activities
-functional assessment
symptom - ANSWER -subjective sensation that the person feels from the disorder
sign - ANSWER -objective abnormality that you detect on physical exam or
diagnostic testing
, introducing the interview - ANSWER -keep this part of the interview short and
formal
working phase - ANSWER -data-gathering phase
-open ended and closed ended questions
open ended - ANSWER type of question that asks for narrative information
closed - ANSWER type of question that asks for specific information leading to a
forced choice (yes or no)
facilitation - ANSWER -patient leads and reactions obtained from interviewer
-encourages patient to say more
silence - ANSWER -patient leads and reactions obtained from interviewer
-directed attentiveness
reflection - ANSWER -patient leads and reactions obtained from interviewer
-echoes to help express meaning
empathy - ANSWER -patient leads and reaction obtained from interviewer
-names a feeling and allows its expansion
clarification - ANSWER -patient leads and reaction obtained from interviewer
-asking for confirmation
confrontation - ANSWER -interviewer leads and expression of own thoughts based
on obtained information
-clarifying inconsistent information
interpretation - ANSWER -interviewer leads and expression of own thoughts based
on obtained information
-makes association to identify cause or conclusion
explanation - ANSWER -interviewer leads and expression of own thoughts based
on obtained information
-informing person by sharing factual and objective information
summary - ANSWER -interviewer leads and expression of own thoughts based on
obtained information
-provides conclusion based on verified information which in turn identifies that the
interview process is closing
situation - ANSWER -SBAR
-provide a brief description of pertinent patient variables, demographics, clinical
diagnosis, and location
background - ANSWER -SBAR
-provide pertinent history as it directly relates to patient's current health status