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History and Physical Exam 1 Questions 258 complete solutions.

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History and Physical Exam 1 Questions 258 complete solutions. History and Physical Exam 1 Questions 258 complete solutions. History and Physical Exam 1 Questions 258 complete solutions.

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History and Physical Exam 1 Questions
258 complete solutions.
History and Physical Exam 1 Questions
258 complete solutions.
SOAP Note - ANSWER Subjective



Objective



Assessment



Plan



Subjective - ANSWER Chief complaint through review of systems



Objective - ANSWER Physical examination (PE)



Laboratory and diagnostic studies



Assessment - ANSWER The patient's diagnosis



Plan - ANSWER The treatment plan for the patient



Focused Patient Assessment - ANSWER Appropriate for established patients, especially during routine or
urgent care visits



Addresses focused concerns or symptoms



Assesses symptoms restricted to a specific body system

,History and Physical Exam 1 Questions
258 complete solutions.

Comprehensive Patient Assessment - ANSWER Is appropriate for new patients in the office or hospital



Provides fundamental and personalized knowledge about the patient



Strengthens the clinician-patient relationship



Helps identify or rule out physical causes related to patient concerns



Provides a baseline for future assessments



Creates a platform for health promotion through education and counseling



Develops proficiency in the essential skills of physical examination



Subjective Data - ANSWER Information the patient tells you

- chief complaint

- history of present illness

- past medical history

- family history

- personal and social history

- review of systems



Objective Data - ANSWER Physical examination findings or signs you detect during the examination



All laboratory and diagnostic testing results

,History and Physical Exam 1 Questions
258 complete solutions.
Clinician-centered approach - ANSWER the clinician "takes charge of the interaction to meet his or her
own need to acquire the symptoms, their details, and other data that will help him or her identify a
disease", which, if used exclusively, can often bypass the personal dimensions of illness



Patient-centered approach - ANSWER the clinician recognizes the importance of patients' expressions of
personal concerns, feelings, emotion and evokes the personal context of the patient's symptoms and
disease.



Experts have defined patient-centered interviewing as following the patient's lead to understand their
thoughts, ideas, concerns and requests, without adding additional information from the clinician's
perspective



Using the clinician-centered approach and the patient-centered approach results in what? - ANSWER
Looking at the patients' problems from two perspectives: your own as well as theirs. The balance
between these two essential components results in an effective clinical interview in a patient encounter.



What does evidence suggest about the clinician-centered and patient-centered approaches? - ANSWER
Evidence suggests that integrating these approaches leads to a more complete picture of the patient's
illness and allows clinicians to more fully convey the caring attributes of "respect, empathy, humility,
and sensitivity"



What are the social determinants of health? - ANSWER The social, economic, and political conditions
that influence the health of individuals and populations

- neighborhood and build environment

- economic stability

- health and health care

- education

- social and community context



It is the concept that health is strongly influenced by stress, early life, social exclusion, working
conditions, unemployment, social support, addiction, healthy food, and transport policy.

, History and Physical Exam 1 Questions
258 complete solutions.
Active/Attentive Listening - ANSWER Carefully attending to what the patient is communicating



Connecting to the patient's emotional state



Using verbal and nonverbal skills to encourage the patient to expand on his or her feelings and concerns



Paying complete attention to what another person is saying



Showing interest



Refraining from interruption



Listening for content and the intent and feeling of the speaker



Forms of nonverbal communication - ANSWER Body orientation toward and physical proximity to
patient



Gaze orientation (eye contact) toward patients



Head nodding with facial animation



Head nodding with gesture



Posture



Tone and use of voice



Use of silence

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