prwlim Flashcards
What is the Chief Complaint?
Primary medical problem.
What does Chronology refer to in clinical history?
Time element of history (duration, frequency, etc.).
What is Clinical History?
Information about the patient’s condition.
What are Leading Questions?
Questions that provide direct answers for symptoms.
What is Localization?
Determining the precise area of pain through gentle palpation.
What is Objective data?
Perceptible to external senses; signs.
What is Subjective data?
Felt by the patient; not visible; symptoms.
What does Quality refer to in clinical terms?
Description of the character of senses.
What is Autonomy in ethics?
A person’s right to make their own decisions.
What is Beneficence?
Duty to act in the best interest; prevent harm; help people achieve full potential.
What is Non-Maleficence?
Duty to avoid causing harm; do no more harm.
What is Justice in ethics?
Duty to treat people fairly and equally.
What are the reasons for repeated exposure?
Motion, Position, Technical Factors.
What is the role of Radtechs in patient interviews?
To acquire clinical information and give special attention to the area of pain.
What are the qualities of a good interviewer?
Respect, Genuineness, Empathy.
What is Objective Data?
Signs; can be seen, heard, or felt (includes lab reports).
What is Subjective Data?
Symptoms; felt by the patient.
What are Open-ended questions?
Non-direct/leading questions.
What is the purpose of Facilitation in questioning?
Encourages elaboration (e.g., nodding).
What is the role of Silence in communication?
Promotes accuracy and elaboration.
What are Probing questions?
Questions that provide more detail (Localization & Chronology).
What is the purpose of Repetition in questioning?
To clarify information.
What is Summarization in communication?
To verify accuracy.
What are the Sacred 7 elements of clinical history?
1) Localization, 2) Chronology, 3) Quality, 4) Severity, 5) Onset, 6) Aggravating/Alleviating factors, 7) Associated Manifestations.