Complete Solutions
What does the acronym OLDCARTS stand for? correct answer:
Onset
Location
Duration - how long has it been going? How long does it last?
Characteristics
Aggravating factors
Relieving factors
Timing - constant; intermittent
Severity
What does the pain acronym PQRST stand for? correct answer:
provocative/palliative
quality
region/radiation
severity
timing
What does the pain acronym COLDSPA stand for? correct
answer: characteristic
onset
location
duration
pattern
associated factors
,Describe items to be assessed for PMH? correct answer:
General health, childhood illnesses, adult illnesses or chronic
diseases, Immunizations, surgeries, serious injuries resulting in
disability, medications, ability to complete ADLs, allergies and
reactions, transfusions, recent screening tests, emotional status,
What are the concepts of developing a relationship with the
patient? correct answer: Communication built on courtesy,
comfort, connection and confirmation.
What are effective communication strategies when obtaining a
health history? correct answer: Effective communication
strategies depend on courtesy, comfort, connection, and
confirmation. Be courteous, ensure comfort, both physical and
emotional. Be sure that you have connected with the patient with
trust and candor, and confirm that all that has happened during
the interaction is clearly understood and your patient is able to
articulate the plan.
What is patient-centered care? correct answer: Respecting and
responding to patients' wants, needs and preferences, so that
they can make choices in their care that best fit their individual
circumstances. Focus the questions on the patient's feelings and
needs.
What are some examples of patient centered questions? correct
answer: "how are you feeling today?", "What do you think is
causing your symptoms?", "Would you prefer to speak to a
female/male provider instead?", "Do you have people you can
talk to about your illness?"
, What are potential barriers of patient and provider
communication? correct answer: Patient curiosity about you
anxiety
silence
depression
seduction
anger
crying
financial issues
avoidance.
What is the chief concern during a health history? correct
answer: A brief statement about why the patient is seeking care.
Many interviewers include duration of symptoms.
What are some items to remember when interviewing females?
correct answer: Start and character of menses, LMP, last PAP
smear, pregnancies.
What are some items to remember when interviewing males?
correct answer: Puberty onset, difficulty with erections,
emissions, testicular pain and libido.
What is objective data? correct answer: The data collected from
a physical exam assessment. Vital signs and measurements, such
as weight; Findings from physical examinations, including basic
systems of cardiac and respiratory, the affected systems,
possible involvement of other systems, pertinent normal findings
and abnormalities; Results from laboratory and other diagnostic
tests already completed.