with Guaranteed Pass Solutions 2025-
2026 Updated.
Identify the components of the health history. - Answer -- biographical data/ Demographics
-- chief Complaint (CC)/ Reason for seeking care
Brief statement in person's own words describing reason for visit, write this in "quotes"
-- history of present illness/ present health
-- past health/past medical and surgical history
-- family history
-- functional assessment
social history
activities of daily living (ADLs)
-- review of Symptoms (ROS)
Identify the components of the functional/social history - Answer --sometimes referred to as
psycho-social assessment and ADLs
--activities of daily living: cooking, eating, dressing, toileting, bathing, etc.
-- activity/exercise M(moving around inside and outside, any limitations, etc.
-- sleep/rest- how many hours/day, napping, aids, etc.
-- nutrition/elimination- adequate diet, specific diet, beverages/water, able to get groceries,
able to get to the BR: (specific questions about voiding, incontinence, BMs,
constipation/diarrhea, teeth/dentures, swallowing are with the ROS)
-- self-esteem, self-concept
--interpersonal relationships/resources
,-- spiritual resources
-- coping and stress management
Consider the role of culture as a key element in health assessment. - Answer -- touch: use
sparingly, but in some cultures may relay meaning. It is dependent on your level of familiarity
with a client.
-- cultural Considerations-You must modify your actions based upon the client's culture. For
instance, eye contact is thought of as rude in some cultures
Non-verbal communication: - Answer -- physical appearance
-- facial expression
-- posture
-- gestures
-- eye contact
-- voice
-- touch
Verbal Communication
-- affirmation: - Answer use of verbal cues to show you are paying attention. "is that right?"
-- restating:
-- clarification:
-- presenting reality:
-- humor:
-- redirecting: Refocusing the client on the topic at hand "Now lets get back to the problem with
your boyfriend....it is the reason you're here...isn't it?"
-- sharing perceptions: Sharing what you perceive to determine the meaning that the client
attributes to the situation. "I feel like your insinuating that you may hurt yourself or someone
else?".
Communicating with different ages across the life cycle: infants - Answer (gentle handling;
quiet and calm voice; face them directly)
, communicating with different ages across the life cycle: toddlers and preschoolers - Answer
(answer "why" questions; provide choices when possible; short, simple sentences; concrete
language)
verbal communication
facilitation - Answer responses designed to facilitate more information sharing.
verbal communication: reflection - Answer Repeating a portion of a clients statement in
order to gain greater meaning "you say your getting tired of my lecture?"
verbal communication
restating - Answer restating the main point to see if you really wonder what the client is
saying. "So your really angry because your dinner was late?"
verbal communication: clarification - Answer Asking the client to expand on a topic to
increase your understanding.
verbal communication: presenting reality - Answer Presenting reality to the client when you
know they are exaggerating. IE "you must have eaten in the past month, don't you think you
might be overstating this, you haven't lost a pound"
verbal communication
humor - Answer can be useful, but be careful, may be insulting.
verbal communication:
redirecting - Answer Refocusing the client on the topic at hand "Now lets get back to the
problem with your boyfriend....it is the reason you're here...isn't it?"
verbal communication
sharing perceptions - Answer Sharing what you perceive to determine the meaning that the
client attributes to the situation. "I feel like your insinuating that you may hurt yourself or
someone else?".
communicating with different ages across the life cycle:
School-age children - Answer (interview pt. and caregiver together, but when talking about
S&S, ask the child first then gather data from caregiver)
communicating with different ages across the life cycle: adolescents - Answer (respectful
attitude; honesty; stay in character; focus on teen not problem; short and simple Q's)