Chapter 12. History Taking. Flashcards

1
Q

Chief Complaint

A

primary medical problem as defined by the patient; important because it focuses the clinical history toward the single most important issue.

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2
Q

Chronology

A

time element of the history, usually including the onset, duration, frequency, and course of the symptoms.

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3
Q

Clinical HIstory

A

information available regarding a patient’s condition; traditionally comprises data on localization, quality, quantity, chronology, setting, aggravating or alleviating factors, and associated manifestations.

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4
Q

Leading Questions

A

undesirable method of questioning that provides information that may direct answers toward a suggested symptom or complaint.

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5
Q

Localization

A

determination of a precise area, usually through gentle palpation or careful wording of questions.

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6
Q

Objective

A

perceptible to the external senses

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7
Q

Quality

A

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.

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8
Q

Subjective

A

pertaining to or perceived only by the affected individual; not perceptible to the senses.

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9
Q

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

A

asking vague questions

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10
Q

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

A

quality

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11
Q

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

A

localization

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12
Q

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

A

all of the above.

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13
Q

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

A

nonverbal communication

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14
Q

What term describes the primary medical problem as defined by the patient?

A

Chief complaint

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15
Q

Which of the following describes an undesirable method of questioning that provides information that may direct the answer toward a suspected symptom or complaint?

A

Leading question

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16
Q

Which of the following is (are) part of the sacred seven elements of the patient clinical history?

a. localization
b. aggravating factors
c. quality
d. all of the above

A

all of the above

17
Q

Which of the following is (are) desirable method(s) of conducting a clinical history interview?

a. positive nonverbal communication
b. defining and specifying terms
c. subjectiveness
d. a and b

A

A and B

18
Q

Which term describes gentle touching to determine the precise location of a symptom or complaint?

A

Palpation