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A range of abusive behaviors perpetrated by someone who is or was involved in an intimate relationship with
the victim ANS intimate partner violence
questions specifying the onset, location, duration, intensity, characteristics, and aggravating and alleviating
factors ANS Symptom Analysis
Questionnaire for discussing the use of alcohol, which includes cutting down, annoyance by criticism, guilty,
and eye openers. ANS CAGE
Blood relatives in the immediate or extended family with illnesses that have features similar to the patient's
concern ANS Family History (FH)
A brief statement in the clients own words of why he is seeking care ANS Chief Concern
Work, marriage, sexual, and spiritual experiences; the patient's use of alcohol, tobacco, and drugs. ANS
Personal and Social History
Questions concerning the ability to take care of one's daily needs that are a part of the review of systems
ANS Functional Assessment
The Patient's state of overall health before the present problem. ANS Past Medical History
a step by step evaluation of the circumstances that surround the primary reason for the patient's visit ANS
History of Present Illness (HPI)
Chief Complaint is fatigue ANS 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?
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? ANS What questions would you ask to complete the HPI?
The goals of the ROS is to identify presence or absence of health issues in each of the body systems. ANS
What is your goal when you do the ROS?
Seduction,
Depression
Anxiety
Excessive Flattery
Financial Concerns
Silence ANS Patient behaviors that can create tension for the examiner
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. ANS Examiner Behavior
to decrease tension
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. ANS Examiner
Behavior to decrease tension
C. Speaking slowly ANS 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
C. 10% ANS Approximately what percentage of patients interviewed have a sexual orientation other than
heterosexual?
A. 2%
B. 5%
C. 10%
D 20%
B. Include it in the family history ANS 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?
A. Document this as chief complaint.
B. Include it in the family history.
C. Include this in past medical history.
D. Incorporate this information in the social history
C. Be open-ended, letting the patient explain the problem or reason for the visit ANS Which approach is
recommended at the onset of an interview?
A. Ask questions in a structured manner.
B. Introduce yourself, giving details of your background and qualifications.
C. Be open-ended, letting the patient explain the problem or reason for the visit.
D. Start with the family history and past medical history to determine the underlying problem.
D. "That was a horrible experience, wasn't it?" ANS Which of the following questions would be the most
likely to elicit an inaccurate patient response?
A. "Where do you feel the pain"
B. "How does this situation make you feel?"
C. "What happened after you notified your injury?"
D. "That was a horrible experience, wasn't it?"