Chapter 2—Health History

Question 1

health history is ________ data

Answer 1

subjective

Question 2

function of health history

Answer 2

provides a complete picture of person’s past & current health

Question 3

first steps of interview (3)

Answer 3

introduce yourself
2 pt IDs
ask how they’d like to be addressed

Question 4

communicating c empathy and concern

Answer 4

therapeutic communication

Question 5

communication can be _____ and ______

Answer 5

verbal and nonverbal

Question 6

caring

Answer 6

you have ability to establish environment of mutual respect that allows patient to express themself freely

Question 7

empathy

Answer 7

you “make their problem your problem” - putting yourself in their position, can be overwhelming

Question 8

aspects of therapeutic communication (7)

Answer 8

Empathy, concern, caring
Adaptability
Listening, attentiveness
Truthfulness
Laymen's terms
Boundaries
Awareness of own wellbeing

Question 9

disrespect - making assumptions - giving false reassurance - giving unwanted advice - asking biased questions - being distracted, interruptions

Answer 9

nontherapeutic communication

Question 10

components of health history (6)

Answer 10

biographical data
chief complaint
history of present illness
family history (genogram)
review of systems
lifestyle & health practices

Question 11

verbal techniques

Answer 11

Focusing - return to subject if patient deviates
Rephrase or restate question - encourages elaboration
Summarize what you think patient is telling you
Silence - allows patient to actively answer

Question 12

4 phases of interview process

Answer 12

preinteraction
beginning
working
closing

Question 13

during preinteraction phase…

Answer 13

review pt’s records

Question 14

during beginning phase…

Answer 14

introduction, explain process, set environment, ensure confidentiality

Question 15

during working phase…

Answer 15

collect data
use critical thinking to analyze data
identify pt goals
use open-ended questions
answer questions
investigate contradictions

Question 16

during closing phase…

Answer 16

summarize, thank pt, highlight goals, ask if there’s anything else you can do

Question 17

how to help pt describe a symptom s putting words in their mouth?

Answer 17

laundry listing

Question 18

intimate space:
personal space:
public space:

Answer 18

1.5-4 ft
4-8 ft
8-12 ft

Question 19

PQRSTU

Answer 19

provocative/palliative
quality & quantity
region & radiation
severity
timing & treatment
understanding

Question 20

genogram

Answer 20

visual/pictorial representation of an individual’s family relationship and medical history

Question 21

genogram - males represented…

Answer 21

square on left

Question 22

genogram - females represented…

Answer 22

circle on right

Question 23

regarding note taking…

Answer 23

explain to pt

be respectful