Health Assessment Ch. 2- The Interview & Health History

Question 1

5 reasons to obtain an interview

Answer 1

a. get or give information
b. identify a problem
c. evaluate change
d. teach
e. provide support pr counseling

Question 2

3 phases of an interview

Answer 2

a. introductory: introduce and explain role, “establish trust”
b. working phase: reason for seeking care, “chief complaint”
c. summarization: closing, questions

Question 3

Types of Nonverbal communication

Answer 3

a. professional appearance
b. body language
c. facial expressions
d. eye contact
e. gestures
f. tone of voice
g. sounds such as crying or moaning

Question 4

2 types of communication used during an interview

Answer 4

a. non-verbal

b. verbal

Question 5

Holistic Communication

Answer 5

Be CLEAR
(C)enter yourself
(L)isten wholeheartedly
(E)mpathize
(A)ttention
(R)espect

Question 6

Effective Verbal Communication Strategies**

Answer 6

a. active listening
b. active observing
c. open-ended questions
d. clarification
e. confrontation
f. empathy
g. respect
h. exploring
i. facilitation
j. focusing
k. reflecting/stating the observed
l. transitional statements
m. silence
n. summarizing

Question 7

Verbal Communication to avoid

Answer 7

a. leading the patient
b. asking too many questions
c. not allowing enough response time
d. using medical jargon
e. assuming what the patient is saying
f. taking the patient’s responses personally
g. using cliches
h. specifically asking “why” questions
i. offering false reassurance
j. changing the subject inappropriately
k. giving opinions
l. stereotyping
m. using patronizing language

Question 8

Tips for communicating (hearing impaired)

Answer 8

a. make sure hearing aids are on
b. make sure batteries work
c. reduce background noise
d. face patient, speak slowly & clearly
e. written communication

Question 9

Tips for communicating (visually impaired)

Answer 9

a. ask patient how much they can see
b. always ask permission before touch/ allow them to touch you
c. describe layout of room
d. tell patient before you leave room

Question 10

Tips for communicating (aphasiac patients)

Answer 10

a. quiet environment
b. allow extra time
c. one question at a time
d. speak slowly & clearly
e. be honest

Question 11

Tips for communicating (cognitively impaired)

Answer 11

a. use simple questions
b. sit directly in front of patient
c. maintain eye contact
d. speak slowly & clearly
e. may need to communicate with secondary source

Question 12

Tips for communicating (aggressive patients)

Answer 12

a. be calm, reassuring, and empathetic
b. never argue
c. acknowledge frustration
d. reassure confidentiality and safety
e. be alert and sensitive to nonverbal communication
f. always have a clear pathway out

Question 13

Tips for communicating (language barrier)

Answer 13

a. ask what is preferred language
b. interpreter
c. simple & clear questions
d. allow more time
e. DO NOT use family member/friend

Question 14

Tips for communicating (low health literacy)

Answer 14

a. speak in simple language
b. use illustrations
c. allow more time

Question 15

List Biographical Data

Answer 15

a. age
b. gender
c. address
d. etc

Question 16

Chief Complaint

Answer 16

reason for seeking care

-always write in quotation marks

Question 17

History of Present Illness (OLDCARTS)

Answer 17

(O)nset
(L)ocation
(D)uration
(C)haracteristics
(A)ggravating factors
(R)elated symptoms
(T)reatment
(S)everity

Question 18

Medications

Answer 18

ask patients about ALL medications they are currently taking including:

a. prescription
b. over-the-counter (OTC)
c. vitamins
d. herbal supplements

Question 19

Immunizations

Answer 19

see CDC Immunization Schedule

https://www.cdc.gov/vaccines/schedules/index.html

Question 20

Past History

Answer 20

a. childhood like illnesses (measles, chicken pox, rheumatic fever)
b. adult like illnesses (diabetes, hypertension, cancer)
c. accidents or injuries
d. hospitalizations
e. surgeries
f. metal illnesses

Question 21

4 topics included in psychosocial assessments

Answer 21

a. behavioral
b. environmental
d. social
e. financial/economic

Question 22

Domestic Violence Questionnaire**

Answer 22

HITS

Question 23

Substance Abuse Questionnaires**

Answer 23

CAGE AID & TICS

Question 24

Functional Assessment

Answer 24

assesses a patient’s ability to perform activities of daily living (ADLs)

Question 25

Spiritual Assessment Tool**

Answer 25

FICA

Question 26

Review of systems

Answer 26

a. report or deny symptoms
b. general status
c. skin, hair on body, nails
d. head, eyes, ears
e. nose and sinuses, mouth and throat, neck
h. respiratory
i. breasts, women’s health, urinary, male genital
j. cardiac, hematological, gastrointestinal, musculoskeletal, neurological
k. obstetrical history
l. peripheral vascular

Question 27

Mental Health Assessment

Answer 27

a. general survey/ appearance
b. emotional reaction
c. speech pattern
d. memory/cognition
e. behavior and mood
f. suicide assessment

Question 28

Cognitive Assessment (pg.39) 3.5

Answer 28

mental state examination

Question 29

5 areas of Cognitive Fucnction

Answer 29

a. orientation
b. registration
c. attention & calculation
d. recall
e. language