BATES GUIDE TO PHYSICAL
EXAMINATION - HEALTH HISTORY
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
WhatYisYaYComprehensiveYHealthYHistoryY(CHH)YandYwhenYisYitYbestYused?Y-
YANSWERYAYcomprehensiveYinterviewYtoYgatherYallYaspectsYofYtheYpatient'sYhistoryY
ForYuseYwithYaYnewYpatient
WhatYisYaYFocusedYHistoryYandYwhenYisYitYbestYused?Y-YANSWERYAYproblem-
orientatedYhistoryYthatYisYmoreYlimitedYandYtailoredYtoYaYspecificYproblem
ForYuseYwithYanYestablishedYpatient
WhatYareYtheYfiveYstepsYofYtheYnursingYprocess?Y-YANSWERY1.YAssessment
2.YOutcomeYIdentification
3.YPlanning
4.YImplementation
5.YEvaluation
InYaYsuccessfulYinterviewYyou...Y-
YANSWERY1.YgenerateYtheYpatient'sYstoryYandYgatherYcompleteYandYaccurateYdataYaboutYtheYpatient
2.YEstablishYrapportYandYtrust
3.YBuildYaYcontinuingYtherapeuticYrelationship
4.YTeachYaboutYtheYhealthYstate,YhealthYpromotionYandYdiseaseYprevention.
WhatYisYpatientYcenteredYcare?Y
(InstituteYofYMedicineYdefinition)Y-
YANSWERYRespectingYandYrespondingYtoYpatients'Ywants,Yneeds,YandYpreferences,YsoYtheyYcanYmakeYchoic
esYinYtheirYcareYthatYbestYfitYtheirYindividualYcircumstances.
, SettingYtheYEnvironmentYforYaYpatientYinterviewY-YwhatYisYimportant?Y-YANSWERYCourtesyYandYComfort
1.YPrivacyY-YKnockYonYtheYdoor,YuseYprivacyYcurtains,YbeYawareYofYroom-
matesY(inquireYaboutYconfidentialityYwishes)Y
2.YAttention/lackYofYinterruptionsY-YaskYforYcoverageYhelpYtoYensureYyouYgiveYtheYpatientYyourYfullYattention
3.YComfortableYroomY-YmakeYsureYroomYisYcleanYandYatYadequateYtemperature
4.YSeatingY-
YprovideYcomfortableYseatingYforYtheYpatient,YsitYatYequalYlevelYwithYtheYpatient,YdoYnotYplaceYfurnitureYbet
weenYyouYandYtheYpatient.Y
5.YDressY-
YUnderstandYandYbeYempatheticYtoYpatientYvulnerabilityYinYgowns.YWearYproperYuniformY(providesYpatientY
withYprofessionalYimageYandYestablishesYnon-verbalYrecognitionYofYcare).Y
6.YNoteYtaking/useYofYcomputerYduringYtheYinterviewYatYminimumY-
YexplainYwhyYyouYareYtakingYnotesYorYusingYaYcomputer,YinvolveYpatientYifYpossible.
WhatYisYinvolvedYinYeffectiveYcommunicationYforYskilledYinterviewing?Y-YANSWERY1.YActiveYListening
2.YEmpatheticYresponsesY-Ynon-
verbalYandYverbal,YbeYopenYandYgenuine,YpayYattentionYtoYpatientYbodyYlanguageYandYcues
3.YGuidedYquestioningY-YaskYopen-
endedYquestions,YpauseYbetweenYquestions,YgiveYmultipleYchoicesYifYneeded
4.YNon-verbalYcommunicationY-YmaintainYprofessionalismYinYallYpatientYanswers
5.YValidationY&YReassuranceY-YdoYnotYsayY"youYwillYbeYok"YandYavoidYfalseYreassurance
6.YPartneringY-YletYtheYpatientYknowYweYareYnotYgoingYtoYabandonYthem
7.YSummarizeY-
YgivesYclarityYtoYtheYinteraction,YallowsYpatientYtoYprovideYinputYifYanythingYisYinaccurateYorYmissing.Y
8.YUseYtransitions
9.YEmpoweringYtheYpatientY-YaskYwhatYtheYpatientYwants,Ygoals
WhatYdoesYOLDCARTSYstandYfor?Y-YANSWERYOY-Yonset
LY-YLocation
DY-YDuration
CY-YCharacter
EXAMINATION - HEALTH HISTORY
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
WhatYisYaYComprehensiveYHealthYHistoryY(CHH)YandYwhenYisYitYbestYused?Y-
YANSWERYAYcomprehensiveYinterviewYtoYgatherYallYaspectsYofYtheYpatient'sYhistoryY
ForYuseYwithYaYnewYpatient
WhatYisYaYFocusedYHistoryYandYwhenYisYitYbestYused?Y-YANSWERYAYproblem-
orientatedYhistoryYthatYisYmoreYlimitedYandYtailoredYtoYaYspecificYproblem
ForYuseYwithYanYestablishedYpatient
WhatYareYtheYfiveYstepsYofYtheYnursingYprocess?Y-YANSWERY1.YAssessment
2.YOutcomeYIdentification
3.YPlanning
4.YImplementation
5.YEvaluation
InYaYsuccessfulYinterviewYyou...Y-
YANSWERY1.YgenerateYtheYpatient'sYstoryYandYgatherYcompleteYandYaccurateYdataYaboutYtheYpatient
2.YEstablishYrapportYandYtrust
3.YBuildYaYcontinuingYtherapeuticYrelationship
4.YTeachYaboutYtheYhealthYstate,YhealthYpromotionYandYdiseaseYprevention.
WhatYisYpatientYcenteredYcare?Y
(InstituteYofYMedicineYdefinition)Y-
YANSWERYRespectingYandYrespondingYtoYpatients'Ywants,Yneeds,YandYpreferences,YsoYtheyYcanYmakeYchoic
esYinYtheirYcareYthatYbestYfitYtheirYindividualYcircumstances.
, SettingYtheYEnvironmentYforYaYpatientYinterviewY-YwhatYisYimportant?Y-YANSWERYCourtesyYandYComfort
1.YPrivacyY-YKnockYonYtheYdoor,YuseYprivacyYcurtains,YbeYawareYofYroom-
matesY(inquireYaboutYconfidentialityYwishes)Y
2.YAttention/lackYofYinterruptionsY-YaskYforYcoverageYhelpYtoYensureYyouYgiveYtheYpatientYyourYfullYattention
3.YComfortableYroomY-YmakeYsureYroomYisYcleanYandYatYadequateYtemperature
4.YSeatingY-
YprovideYcomfortableYseatingYforYtheYpatient,YsitYatYequalYlevelYwithYtheYpatient,YdoYnotYplaceYfurnitureYbet
weenYyouYandYtheYpatient.Y
5.YDressY-
YUnderstandYandYbeYempatheticYtoYpatientYvulnerabilityYinYgowns.YWearYproperYuniformY(providesYpatientY
withYprofessionalYimageYandYestablishesYnon-verbalYrecognitionYofYcare).Y
6.YNoteYtaking/useYofYcomputerYduringYtheYinterviewYatYminimumY-
YexplainYwhyYyouYareYtakingYnotesYorYusingYaYcomputer,YinvolveYpatientYifYpossible.
WhatYisYinvolvedYinYeffectiveYcommunicationYforYskilledYinterviewing?Y-YANSWERY1.YActiveYListening
2.YEmpatheticYresponsesY-Ynon-
verbalYandYverbal,YbeYopenYandYgenuine,YpayYattentionYtoYpatientYbodyYlanguageYandYcues
3.YGuidedYquestioningY-YaskYopen-
endedYquestions,YpauseYbetweenYquestions,YgiveYmultipleYchoicesYifYneeded
4.YNon-verbalYcommunicationY-YmaintainYprofessionalismYinYallYpatientYanswers
5.YValidationY&YReassuranceY-YdoYnotYsayY"youYwillYbeYok"YandYavoidYfalseYreassurance
6.YPartneringY-YletYtheYpatientYknowYweYareYnotYgoingYtoYabandonYthem
7.YSummarizeY-
YgivesYclarityYtoYtheYinteraction,YallowsYpatientYtoYprovideYinputYifYanythingYisYinaccurateYorYmissing.Y
8.YUseYtransitions
9.YEmpoweringYtheYpatientY-YaskYwhatYtheYpatientYwants,Ygoals
WhatYdoesYOLDCARTSYstandYfor?Y-YANSWERYOY-Yonset
LY-YLocation
DY-YDuration
CY-YCharacter