EO 001.04 - Obtain Medical History Flashcards

1
Q

What are five levels of communication?

A
  1. Intrapersonal: Internal dialogue
  2. Intrapersonal: Interaction
  3. Transpersonal: Spiritual
  4. In small groups: Exchange between several people
  5. Public: Large audience
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2
Q

How much communication is verbal (spoken and written words)

A

7%

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3
Q

How much communication is vocal (intonation, sighs)

A

38%

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4
Q

How much communication is non-verbal (intonation, sighs)

A

55%

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5
Q

Describe verbal communication

A

Verbal communication: Spoken and written words.

  • Vocabulary
  • Denotative and connotative meaning
  • Stimulation
  • Intonation
  • Clarity and conciseness
  • Timing and relevance
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6
Q

Describe non-verbal communication

A

Non-verbal communication: Transmission of message without words.

  • Uses all five senses and
  • Facial expressions, gestures, posture, sounds to convey a message
  • Based on appearances
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7
Q

What factors influence communication and personal spaces

A
  • Physical and emotional factors
  • Developmental factors
  • Sociocultural factors
  • Gender/Identity
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8
Q

Summarize the characteristics of social communication

A
  • Active listening
  • Questioning
  • Share your observations
  • Showing empathy
  • Share hopes
  • Share humor
  • Share feelings
  • Use touch
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9
Q

Summarize the characteristics of social communication

A
  • Use silence
  • Provide information
  • Clarify
  • Focus on a key concept
  • Paraphrase
  • Summarize
  • Self-disclosure
  • Confrontation
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10
Q

List several interview techniques

A
  • Refocus on a key concept
  • Ask open-ended questions
  • Facilitate
  • Guiding and clarifying questions
  • Repeat and verify understanding
  • Recreate hypothetical situations
  • Summarize
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11
Q

What does CHLORIDE AAA stand for?

A

Character
History
Location
Onset (gradual/sudden)
Radiate
Intensity (rating from 1-10)
Duration
Events
Aggravating factors
Alleviating factors
Associated signs and symptoms

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12
Q

What does HPI stand for?

A

History of present illness

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13
Q

What does SHx stand for?

A

Social history

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14
Q

What does SexHx stand for?

A

Sexual history

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15
Q

What does Imm stand for?

A

Immunizations

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16
Q

What does FHx stand for?

A

Family history

17
Q

What does FHx stand for?

A

Review of systems

18
Q

What does SAMPIFR stand for?

A

Social history / Sexual history
Allergies
Medications
Past medical history
Immunizations
Family history
Review of systems

19
Q

What four things must be done when a patient is admitted to a clinic?

A
  1. Assess whether it is an emergency or not
  2. Assess the patient’s needs
  3. Initiate a treatment plan
  4. Refer to a higher medical authority with feedback