intimate partner violence - Answers A range of abusive behaviors perpetrated by someone who is or
was involved in an intimate relationship with the victim
Symptom Analysis - Answers questions specifying the onset, location, duration, intensity, characteristics,
and aggravating and alleviating factors
CAGE - Answers Questionaire for discussing the use of alcohol, which includes cutting down, annoyance
by criticism, guilty, and eye openers.
Family History (FH) - Answers Blood relatives in the immediate or extended family with illnesses that
have features similar to the patient's concern
Chief Concern - Answers A brief statement in the clients own words of why he is seeking care
Personal and Social History - Answers Work, marriage, sexual, and spiritual experiences; the patient's
use of alcohol, tobacco, and drugs.
Functional Assessment - Answers Questions concerning the ability to take care of one's daily needs that
are a part of the review of systems
Past Medical History - Answers The Patient's state of overall health before the present problem.
History of Present Illness (HPI) - Answers a step by step evaluation of the circumstances that surround
the primary reason for the patient's visit
Roman is a 25-year-old woman who presents to you with fatigue. She is a colleague graduate, working
as a waitress because she has not been able to secure a job in her field. What is the chiefs complaint? -
Answers Chief Complaint is fatigue
What questions would you ask to complete the HPI? - Answers When did the fatigue start?
What does it feel like?
How often does it occur?
What factors have made it improve or get worse?
How severe is the fatigue?
What is your goal when you do the ROS? - Answers The goals of the ROS is to identify presence or
absence of health issues in each of the body systems.
Patient behaviors that can create tension for the examiner - Answers Seduction,
Depression
, Anxiety
Excessive Flattery
Financial Concerns
Silence
Examiner Behavior to decrease tension - Answers Do not respond to seductive behavior - Be Courteous,
calm, firm, and direct from the start. Send the message that the relationship will remain professional.
Do not Neglect depression - Allow the interview to continue but come back with gentle questioning to
indicate that you think that there may be more to the story than what has been discussed.
Examiner Behavior to decrease tension - Answers Avoid overload of information (anxiety). Pace the
conversation with a calm demeanor; avoid allowing the anxiety to be contagious.
Be aware that this is possibly a manipulation on the part of the patient; it is easy to be taken in by such
manipulations
Be aware that the patient may be concerned about the cost of health care; be prepared to talk about it
with the patient
Be patient. Allow a moment of silence. Silence allows the patient a moment of reflection.
Which of the following will best facilitate the interview when obtaining a history from a deaf patient
who can read lips?
A. Speaking loudly
B. Using gestures
C. Speaking slowly
D. Sitting on the side of the patient - Answers C. Speaking slowly
Approximately what percentage of patients interviewed have a sexual orientation other than
heterosexual?
A. 2%
B. 5%
C. 10%
D 20% - Answers C. 10%
During a history, the patient indicates that he has an uncle and a brother with sickle cell disease. Which
of the following is an appropriate method by which to document this information?