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presenting symptoms
"Have you ever served?"- "Would it be ok if I talked with you about your military
experience?"- "Would it be okay if I asked about things you may have been exposed
,to during your service?"
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Military History for Veterans
influence an individual's behavior to promote, maintain, and restore health.
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Cultural practices
- Collect data by using open- and closed-ended questions- Patient tells his or her
story and history- Stay alert to nonverbal cues- Identify problems and goals- Ask if
there are any questions
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Phase 2 of the Interview - Working Phase
Mary Jane is unemployed and has been coming to the medical practice frequently
with chronic complaints of fatigue and "just not feeling like doing anything." All
diagnostic tests have been negative. What is the best question to ask Mary Jane
today?
A. "What are you going to do about finding a job?"
B. "Have you had any thoughts of killing yourself?"
C. "Over the past two weeks have you felt little interest or pleasure in doing things?"
D. "Why are you really here again to see the doctor?"
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C. "Over the past two weeks have you felt little interest or pleasure in doing
things?"
uses patient's history, physical signs, symptoms, laboratory data, and diagnostic
imaging.
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Clinical Reasoning
a state of successful performance of mental function, resulting in productive activities,
fulfilling relationships with other people and the ability to adapt to change and to
cope with challenges
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Mental Health
Assess patient's ability to perform activities of daily living(ADLs).• Assess
independence versus dependence
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Functional Assessment
, What score is is indicative of cognitive impairment on the MMSE (Mini Mental State
Examination)?
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A score of 23 or lower
A key goal of health assessment is to identify patient cues for
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normal from abnormal findings
Eleven questions test five areas of cognitive function:- Orientation- Registration-
Attention and calculation- Recall- Language
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MMSE (Mini Mental State Examination)-
use evidence-based medicine to improve the health of all Americans
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goal of U.S. Preventive Services TaskForce (USPSTF)