Chapter 12. History Taking. Flashcards
Chief Complaint
primary medical problem as defined by the patient; important because it focuses the clinical history toward the single most important issue.
Chronology
time element of the history, usually including the onset, duration, frequency, and course of the symptoms.
Clinical HIstory
information available regarding a patient’s condition; traditionally comprises data on localization, quality, quantity, chronology, setting, aggravating or alleviating factors, and associated manifestations.
Leading Questions
undesirable method of questioning that provides information that may direct answers toward a suggested symptom or complaint.
Localization
determination of a precise area, usually through gentle palpation or careful wording of questions.
Objective
perceptible to the external senses
Quality
description of the character of the symptoms–for example, the color, quantity, and consistency of blood or other body substances; size or number of lumps or lesions; frequency of urination or coughing; or character of pain.
Subjective
pertaining to or perceived only by the affected individual; not perceptible to the senses.
Which of the following is undesirable for conducting a clinical history interview?
a. clarifying terminology
b. asking open-ended questions
c. asking vague questions
d. repeating information
asking vague questions
Which of the following includes a description of the color, quantity, and consistency of blood or other body substances?
a. localization
b. chronology
c. quality
d. occurrence
quality
Which of the following is the determination of a precise area, usually through gentle palpation or careful wording of questions?
a. localization
b. chronology
c. quality
d. occurrence
localization
Which of the following is (are) usually included as part of the chronology of a clinical history?
a. onset
b. duration
c. frequency
d. all of the above
all of the above.
Which of the following includes the tone of voice, the speed of speech, and the position of the speaker’s extremities and torso?
a. nonverbal communication
b. palpation
c. quality
d. facilitation
nonverbal communication
What term describes the primary medical problem as defined by the patient?
Chief complaint
Which of the following describes an undesirable method of questioning that provides information that may direct the answer toward a suspected symptom or complaint?
Leading question