NSG 200 TEST 2023-2024
What does the interview process of health history look like? - ANSWER -
Biographical (demographic) data
- Reason for seeking care "record" the patient's own-words
- current illness/problem -chronologic order best
- Past health
- Family HX
- Review of systems
- Functional assessment (DO NOT RELY ON THE PATIENT TO TELL YOU◦ ASK
THEM TO SHOW YOU)
- Substance abuse; domestic violence; environmental issues
- Who is providing the information
What does the process look like when asking pt about current health or current
illness - ANSWER - Location
- Character or quality
- Quantity or severity
- Timing
- Setting
- Aggravating or relieving factors
- Associated factors
- Patient's perception
- How limiting/debilitating are symptoms
What technique should you follow when assessing a pt about current illness -
ANSWER PQRSTU
P provocative or palliative ("What makes the symptom better/worse?")
, Q quality or quantity ("How Intense is the symptom?/how often does the symptom
occur")
R region ("Is the symptom localized/does it move?")
S severity scale (Could you rate your pain on a scale from 1-10?")
T timing◦ ("When does the symptom occur")
U understand the patient's perception ("what do you think it is?")
What does the process look like when asking pt about past history? - ANSWER -
ALLERGIES
- Childhood diseases/immunizations Accidents or injuries (meaningful events)
- Serious chronic illnesses
- Hospitalizations
- Operations
-OB HX
- Last physical date
- Current medications◦ Rx, OTC, and BTC
What does the process look like when asking pt about family history? - ANSWER
-Age, health, and COD of BLOOD relatives
- Health of close family members especially those living at home
- Family HX of CAD, HTN, CVA, DM, CA, mental illness, blood dyscrasia
- Family tree (genogram)
What does the process look like when asking pt about functional assesment? -
ANSWER - Self esteem/self concept (You may have gotten some of this from
perception of health responses)
- Activity/exercise
- Sleep/rest
- Nutrition/elimination (physical ability)
- Interpersonal relationships/resources
What does the interview process of health history look like? - ANSWER -
Biographical (demographic) data
- Reason for seeking care "record" the patient's own-words
- current illness/problem -chronologic order best
- Past health
- Family HX
- Review of systems
- Functional assessment (DO NOT RELY ON THE PATIENT TO TELL YOU◦ ASK
THEM TO SHOW YOU)
- Substance abuse; domestic violence; environmental issues
- Who is providing the information
What does the process look like when asking pt about current health or current
illness - ANSWER - Location
- Character or quality
- Quantity or severity
- Timing
- Setting
- Aggravating or relieving factors
- Associated factors
- Patient's perception
- How limiting/debilitating are symptoms
What technique should you follow when assessing a pt about current illness -
ANSWER PQRSTU
P provocative or palliative ("What makes the symptom better/worse?")
, Q quality or quantity ("How Intense is the symptom?/how often does the symptom
occur")
R region ("Is the symptom localized/does it move?")
S severity scale (Could you rate your pain on a scale from 1-10?")
T timing◦ ("When does the symptom occur")
U understand the patient's perception ("what do you think it is?")
What does the process look like when asking pt about past history? - ANSWER -
ALLERGIES
- Childhood diseases/immunizations Accidents or injuries (meaningful events)
- Serious chronic illnesses
- Hospitalizations
- Operations
-OB HX
- Last physical date
- Current medications◦ Rx, OTC, and BTC
What does the process look like when asking pt about family history? - ANSWER
-Age, health, and COD of BLOOD relatives
- Health of close family members especially those living at home
- Family HX of CAD, HTN, CVA, DM, CA, mental illness, blood dyscrasia
- Family tree (genogram)
What does the process look like when asking pt about functional assesment? -
ANSWER - Self esteem/self concept (You may have gotten some of this from
perception of health responses)
- Activity/exercise
- Sleep/rest
- Nutrition/elimination (physical ability)
- Interpersonal relationships/resources
