CHAPTER 4 THE COMPLETE HEALTH
HISTORY HARVEY QUESTIONS WITH
THE CORRECT ANSWERS
what bdoes bthe bhealth bhistory bprovide? b- bcorrect banswer-provides ba bcomplete
bpicture bof bthe bperson's bpast band bpresent bhealth. bThe bhistory bshould bsee bwhat
bthe bpatient bis bdoing bright bto bstay bwell bwithin btheir blife bsyle. bIn bother bpatients bit
bmight bdetect ba bhealth bproblem bwhich breflects ba bmore bill bperson.
what bis bthe bhealth bhistory bsequence? b- bcorrect banswer-1. bBiographic bdata
2. bReason bfor bseeking bcare
3. bPresent bhealth bor bhistory bof bpresent billness
4. bPast bhistory
5. bMedication breconciliation
6. bFamily bhistory
7. bReview bof bsystems
8. bFunctional bassessment bor bactivities bof bdaily bliving b(ADLs)
what bis bBiographic bData b- bcorrect banswer-Biographic bdata binclude bname,
baddress, band bphone bnumber; bage band bbirth bdate; bbirthplace; bgender;
brelationship bstatus; brace; bethnic borigin; band boccupation.
what bdoes bSource bof bHistory bmean? b- bcorrect banswer-The bperson bhimself bor
bherself, balthough bthe bsource bmay bbe ban binterpreter bor bcaseworker. bLess
breliable bis ba brelative bor bfriend.
why bis b"Reason bfor bSeeking bCare" bpart bof bthe bhealth bhistory bsequence? b-
bcorrect banswer-describes bthe breason bfor bthe bvisit. bThink bof bit bas bthe b"title" bfor
, bthe bstory bto bfollow. bIt bstates bone b(possibly btwo) bsymptoms bor bsigns band btheir
bduration.
what bis b"Reason bfor bSeeking bCare" bin bthe bhealth bhistory bsequence? b- bcorrect
banswer-brief, bspontaneous bstatement bin bthe bperson's bown bwords bthat
bdescribes bthe breason bfor bthe bvisit.
why bis bit bimportant bto bknow b"Present bHealth bor bHistory bof bPresent bIllness"
bwhile bassessing bthe bhealth bhistory? b- bcorrect banswer-For bthe bwell bperson, bthis
bis ba bshort bstatement babout bthe bgeneral bstate bof bhealth
For bthe bill bperson, bthis bsection bis ba bchronologic brecord bof bthe breason bfor
bseeking bcare, bfrom bthe btime bthe bsymptom bfirst bstarted buntil bnow.
This bshould bbe bin bthe bfinal bsummary bin bany bsymptom bthe bpatient bmight bhave.
b8 bcritical bcomponents. b- bcorrect banswer-1. bLocation. bBe bspecific; bask bthe
bperson bto bpoint bto bthe blocation. bIf bthe bproblem bis bpain, bnote bthe bprecise bsite.
b"Head bpain" bis bvague, bwhereas bdescriptions bsuch bas b"pain bbehind bthe beyes,"
b"jaw bpain," band b"occipital bpain" bare bmore bprecise band bdiagnostically bsignificant.
bIs bthe bpain blocalized bto bone bsite bor bradiating? bIs bthe bpain bsuperficial bor
bdeep?
2. bCharacter bor bQuality. bThis bcalls bfor bspecific bdescriptive bterms bsuch bas
bburning, bsharp, bdull, baching, bgnawing, bthrobbing, bshooting, bviselike bwhen
bdescribing bpain. bYou balso bneed bto bask babout bthe bcharacter bof bother
bsymptoms. bUse bsimiles: bBlood bin bthe bstool blooks blike bsticky btarm bwhereas
bblood bin bvomitus blooks blike bcoffee bgrounds.
3. bQuantity bor bSeverity. bAttempt bto bquantify bthe bsign bor bsymptom, bsuch bas
b"profuse bmenstrual bflow bsoaking bfive bpads bper bhour." bQuantify bthe bsymptom
bof bpain busing bthe bscale bshown bon bthe bright. bWith bpain, bavoid badjectives, band
bask bhow bit baffects bdaily bactivities. bThen brecord bif bthe bperson bsays, b"I bwas bso
bsick bI bwas bdoubled bover band bcouldn't bmove" bor b"I bwas bable bto bgo bto bwork,
bbut bthen bI bcame bhome band bwent bto bbed."
4. bTiming b(Onset, bDuration, bFrequency). bWhen bdid bthe bsymptom bfirst bappear?
bGive bthe bspecific bdate band btime bor bstate bspecifically bhow blong bago bthe
bsymptom bstarted bprior bto barrival b(PTA). b"The bpain bstarted byesterday" bwill bnot
bmean bmuch bwhen byou breturn bto bread bthe brecord bin bthe bfuture. bThe breport
bmust binclude banswers bto bquestions bsuch bas bthe bfollowing: b"How blong bdid bthe
bsymptom blast b(duration)?" b"Was bit bsteady b(constant) bor bdid bit bcome band bgo
b(intermittent)?" b"Did bit bresolve bcompletely band breappear bdays bor bweeks blater
b(cycle bof bremission band bexacerbation)?"
5. bSetting. bWhere bwas bthe bperson bor bwhat bwas bthe bperson bdoing bwhen bthe
bsymptom bstarted? bWhat bbrings bit bon? bFor bexample, b"Did byou bnotice bthe bchest
bpain bafter bshoveling bsnow, bor bdid bthe bpain
Pain bscale b- bcorrect banswer-P: bProvocative bor bPalliative. bWhat bbrings bit bon?
bWhat bwere byou bdoing bwhen byou bfirst bnoticed bit? bWhat bmakes bit bbetter?
bWorse?
Q: bQuality bor bQuantity. bHow bdoes bit blook, bfeel, bsound? bHow bintense/severe bis
bit?
R: bRegion bor bRadiation. bWhere bis bit? bDoes bit bspread banywhere?
HISTORY HARVEY QUESTIONS WITH
THE CORRECT ANSWERS
what bdoes bthe bhealth bhistory bprovide? b- bcorrect banswer-provides ba bcomplete
bpicture bof bthe bperson's bpast band bpresent bhealth. bThe bhistory bshould bsee bwhat
bthe bpatient bis bdoing bright bto bstay bwell bwithin btheir blife bsyle. bIn bother bpatients bit
bmight bdetect ba bhealth bproblem bwhich breflects ba bmore bill bperson.
what bis bthe bhealth bhistory bsequence? b- bcorrect banswer-1. bBiographic bdata
2. bReason bfor bseeking bcare
3. bPresent bhealth bor bhistory bof bpresent billness
4. bPast bhistory
5. bMedication breconciliation
6. bFamily bhistory
7. bReview bof bsystems
8. bFunctional bassessment bor bactivities bof bdaily bliving b(ADLs)
what bis bBiographic bData b- bcorrect banswer-Biographic bdata binclude bname,
baddress, band bphone bnumber; bage band bbirth bdate; bbirthplace; bgender;
brelationship bstatus; brace; bethnic borigin; band boccupation.
what bdoes bSource bof bHistory bmean? b- bcorrect banswer-The bperson bhimself bor
bherself, balthough bthe bsource bmay bbe ban binterpreter bor bcaseworker. bLess
breliable bis ba brelative bor bfriend.
why bis b"Reason bfor bSeeking bCare" bpart bof bthe bhealth bhistory bsequence? b-
bcorrect banswer-describes bthe breason bfor bthe bvisit. bThink bof bit bas bthe b"title" bfor
, bthe bstory bto bfollow. bIt bstates bone b(possibly btwo) bsymptoms bor bsigns band btheir
bduration.
what bis b"Reason bfor bSeeking bCare" bin bthe bhealth bhistory bsequence? b- bcorrect
banswer-brief, bspontaneous bstatement bin bthe bperson's bown bwords bthat
bdescribes bthe breason bfor bthe bvisit.
why bis bit bimportant bto bknow b"Present bHealth bor bHistory bof bPresent bIllness"
bwhile bassessing bthe bhealth bhistory? b- bcorrect banswer-For bthe bwell bperson, bthis
bis ba bshort bstatement babout bthe bgeneral bstate bof bhealth
For bthe bill bperson, bthis bsection bis ba bchronologic brecord bof bthe breason bfor
bseeking bcare, bfrom bthe btime bthe bsymptom bfirst bstarted buntil bnow.
This bshould bbe bin bthe bfinal bsummary bin bany bsymptom bthe bpatient bmight bhave.
b8 bcritical bcomponents. b- bcorrect banswer-1. bLocation. bBe bspecific; bask bthe
bperson bto bpoint bto bthe blocation. bIf bthe bproblem bis bpain, bnote bthe bprecise bsite.
b"Head bpain" bis bvague, bwhereas bdescriptions bsuch bas b"pain bbehind bthe beyes,"
b"jaw bpain," band b"occipital bpain" bare bmore bprecise band bdiagnostically bsignificant.
bIs bthe bpain blocalized bto bone bsite bor bradiating? bIs bthe bpain bsuperficial bor
bdeep?
2. bCharacter bor bQuality. bThis bcalls bfor bspecific bdescriptive bterms bsuch bas
bburning, bsharp, bdull, baching, bgnawing, bthrobbing, bshooting, bviselike bwhen
bdescribing bpain. bYou balso bneed bto bask babout bthe bcharacter bof bother
bsymptoms. bUse bsimiles: bBlood bin bthe bstool blooks blike bsticky btarm bwhereas
bblood bin bvomitus blooks blike bcoffee bgrounds.
3. bQuantity bor bSeverity. bAttempt bto bquantify bthe bsign bor bsymptom, bsuch bas
b"profuse bmenstrual bflow bsoaking bfive bpads bper bhour." bQuantify bthe bsymptom
bof bpain busing bthe bscale bshown bon bthe bright. bWith bpain, bavoid badjectives, band
bask bhow bit baffects bdaily bactivities. bThen brecord bif bthe bperson bsays, b"I bwas bso
bsick bI bwas bdoubled bover band bcouldn't bmove" bor b"I bwas bable bto bgo bto bwork,
bbut bthen bI bcame bhome band bwent bto bbed."
4. bTiming b(Onset, bDuration, bFrequency). bWhen bdid bthe bsymptom bfirst bappear?
bGive bthe bspecific bdate band btime bor bstate bspecifically bhow blong bago bthe
bsymptom bstarted bprior bto barrival b(PTA). b"The bpain bstarted byesterday" bwill bnot
bmean bmuch bwhen byou breturn bto bread bthe brecord bin bthe bfuture. bThe breport
bmust binclude banswers bto bquestions bsuch bas bthe bfollowing: b"How blong bdid bthe
bsymptom blast b(duration)?" b"Was bit bsteady b(constant) bor bdid bit bcome band bgo
b(intermittent)?" b"Did bit bresolve bcompletely band breappear bdays bor bweeks blater
b(cycle bof bremission band bexacerbation)?"
5. bSetting. bWhere bwas bthe bperson bor bwhat bwas bthe bperson bdoing bwhen bthe
bsymptom bstarted? bWhat bbrings bit bon? bFor bexample, b"Did byou bnotice bthe bchest
bpain bafter bshoveling bsnow, bor bdid bthe bpain
Pain bscale b- bcorrect banswer-P: bProvocative bor bPalliative. bWhat bbrings bit bon?
bWhat bwere byou bdoing bwhen byou bfirst bnoticed bit? bWhat bmakes bit bbetter?
bWorse?
Q: bQuality bor bQuantity. bHow bdoes bit blook, bfeel, bsound? bHow bintense/severe bis
bit?
R: bRegion bor bRadiation. bWhere bis bit? bDoes bit bspread banywhere?
