Assessment Flashcards
1
Q
Settings
A
- Hospital
- Clinic
2
Q
Different types of notes
A
-Complete/Comprehensive/Expanded
-Inventory
-Interim
Problem-oriented
3
Q
Complete note
A
- new patients
- strengthens pt-clinicain relationship
- baseline for future assessment
4
Q
Inventory note
A
-related to complete, BUT not as detailed
5
Q
Interim note
A
events between visits
6
Q
Problem-oriented
A
- focused, basic
- established patientss
- focused concerns or symptoms
7
Q
Parts of Compete note: hint 10 of them
A
- Identifying data
- CC
- HPI
- Meds
- Allergies
- PMH
- PSH
- Family history
- Personal & Social History
- Review of Systems (ROS)
8
Q
Different types of questions
A
- open-ended
- closed/direct
- graded response
- leading
- mulitiple
9
Q
Open-ended question
A
- beginner interviewer
- best for general information
10
Q
Closed/direct
A
- when seeking specific information
- outlined CC
11
Q
Graded response question
A
-1-10 scale
12
Q
Leading question
A
- Limits information
- Risky
13
Q
Mulitiple
A
-Novice
14
Q
10 Interview techniques
A
- Facilitation
- Reflection
- Clarification
- Reassurance
- Empathy
- Confrontation
- Interpretation
- Validation
- Summarization
- Transition
15
Q
Facilitation
A
- verbal/nonverbal
- Encourage pt to say more