History Taking Flashcards
What is the role of the radiologic and imaging sciences professional in taking a clinical history?
They act as the eyes, ears, and voice of the radiologist and possess good history-taking skills
Radiologists seldom meet patients directly.
What are desirable qualities of a good patient interviewer?
Genuine interest, respect, empathy, good questioning skills, attentiveness
Differentiate between objective and subjective data.
Objective data: perceptible to senses, measurable, often physiological.
Subjective data: patient feelings, pain level, attitude, opinion
Objective data includes signs that can be seen or measured, while subjective data can vary from patient to patient.
What is the value of the six categories of questions useful in obtaining clinical histories?
They help gather comprehensive and relevant patient information
Specific categories provide structure to the questioning process.
Why is clarifying the chief complaint important?
It ensures focus on the primary reason for the examination and may uncover additional relevant symptoms
List the sacred seven elements of the clinical history.
- Localization
- Chronology
- Quality
- Severity
- Onset
- Aggravating or alleviating factors
- Associated manifestations
What should be considered when collecting patient history data?
Ensure data matches requisition, verify symptoms with exam request
What are the characteristics of objective data?
Observable; Perceptible to senses, measurable, includes signs that can be seen or felt
What are the characteristics of subjective data?
Includes patient feelings, pain level, and attitudes; subject to interpretation
What type of questions should be used during patient interviews?
Open-ended questions, avoid leading questions, use probing questions to gather details
What is the most important question to ask when taking a patient history?
Why is this examination being done?
What should be done to ensure accurate data collection?
Document data precisely using appropriate medical language
True or False: Objective data is more important than subjective data.
False
Both objective and subjective data are essential for a complete patient history.
What is the significance of acknowledging a patient’s anger during an interview?
It demonstrates respect and understanding of the patient’s emotional state
Addressing emotions can help build rapport.
Fill in the blank: The radiologic professional must maintain a _______ and professional demeanor.
polite
Professionalism is key to patient interactions.
