Chapter 4: The Complete Health History

Question 1

Present Health/History of Present illness

Answer 1

1. location
2. character/quality
3. quantity/severity
4. timing
5. setting
6. Aggravating or Relieving factors
7. associated factors
8. pateint’s perception

P: provocative or palliative
q: quality or quantity
R: region or radiation
S: severity scale
T: timing
U: Understand patient's perception

Question 2

Past health

Answer 2

1. childhood illness
2. accidents or injuries
3. serious or chronic illness
4. hospitalizations
5. operations
6. obstetric hx
7. Immunizations
8. last examination date
9. allergies
10. current meds

Question 3

Review of systems purposes

Answer 3

1. evaluate the past and present health state of each body system
2. double check in case any significant data were omitted in Present Illness section
3. evaluate health promotion practices

Question 4

Review of Systems

Answer 4

1. General overall health (weight, fatigue, fever, night sweats)
2. skin
3. hair
4. head
5. eyes
6. ears
7. nose and sinuses
8. mouth and throat
9. neck
10. breast
11. axilla
12. Respiratory system
13. Cardiovascular
14. Peripheral vascular
15. gastrintestinal
16. urinary system
17. male genital system
    18 female genital system
18. sexual health
19. musculoskeletal system
20. neurologic system
21. hematologic system
22. endocrine system

Question 5

Parts of “Complete Health History”

ONLY subjective

Answer 5

1. biographic data
2. source of hx
3. reason for seeking care
4. present health or history of present illness
5. Past health
6. Family history
7. Review of systems
8. Funcitonal Assessment
9. Perception of Health

Question 6

Functional Assessment

Answer 6

1. self-esteem, self-concept
2. activity/exercise
3. sleep/rest
4. nutrition/elimination
5. interpersonal relationships/resources
6. spiritual resources
7. coping and stress management
8. personal habits (smoking)
9. alcohol
10. illicit street drugs
11. environment/hazards
12. intimate partner violence
13. occupational health

Question 7

HEEADSSS for adolescent interview (pg. 65)

Answer 7

Home environment
Education and employment
Eating
Activities (peer related)
Drugs
Sexuality
Suicide/depression
Safety