History Taking Flashcards

1
Q

HIPAA

A

Health Insurance Portability and Accountability Act

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2
Q

what type of questions should you ask

A

direct and close-ended questions

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3
Q

what is an interjection

A

comments that sound’s to motivate the patient to go on with their history

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4
Q

open-ended question

A

these lead the patient to tell you his/her story

“what brings you in today?”

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5
Q

close-ended question

A

these are used to elicit specific information

and are yes or no answers

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6
Q

direct questions

A

these may be open-ended or closed-ended
“what kind of activities do you do at work?”

“are you using the computer a lot?”

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7
Q

indirect questions

A

good for shy/nervous clients

“I’m sorry to hear your vision is getting worse. How are you handling it?”

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8
Q

confronting question

A

used on difficult clients who are not responding to indirect questions
“Are you currently using tobacco products? How much/and ofter?”

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9
Q

Informing questions

A

these inform or remind the patienet and weave into the next question
“the doctor has noted you cataracts. How do you think you are doing with your vission?”

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10
Q

clarifying questions

A

summarize the information that was collected

“your right eye has been red and painful for the last 3 days, then. Have you noticed any changes in your vision?”

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11
Q

laundry list questions

A

these are helpful if the patient is not sure what you are asking and will help guide him/her. Becareful not to put words in theeir mouth.

avoid asking “how often do you get migraines? once a week or once a month?”

instead ask “how often do you get migraines, once a day, week, month, or other inerval?”

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12
Q

compund questions

A

compounding more than one question in a sentence should be avoided, as this causes confustion.

Tech: “are your eyes, red, itchy, and blurry”?

Tech: “yes to which one?”

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13
Q

leading questions

A

can mislead the patients response because of the way the questions are formed.

Avoid:

Tech: “you don’t have any eye pain, do you?”
Patient: “no, of course not”
see how you just steered them to respond

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