ADVANCED HEALTH ASSESSMENT EXAM 1 ACTUAL
EXAM COMPLETE ACCURATE EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY GRADED A+
What are the concepts of developing a relationship with the patient? -
(answers)See the patient as a unique individual
Let them know that you really want to know all that is needed
Be open and flexible
Explain boundaries
Be honest
What is the primary objective when developing a relationship with the patient? -
(answers)To discover the details about a patient's concern, explore expectations,
display interest, and partnership
What does establishing a positive relationship with the patient depend on? -
(answers)Communication built on courtesy, comfort, connection, and
confirmation.
What are effective communication strategies when obtaining a health history? -
(answers)Using open-ended questions, direct questions, rarely leading questions.
Facilitate by encouraging patient to say more. Reflect by repeating what you heard.
Clarify. Empathize by showing understanding and acceptance. Confront by
discussing disturbing behavior. Interpret by repeating what you heard to confirm.
What are open-ended questions? - (answers)Those that give the patient discretion
about the extent of the answer. Such as "How have you been feeling?" or "What
brings you in today?"
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What are direct questions? - (answers)Those that seek specific information. Such
as "How long ago did that happen?" or "Where does it hurt?"
What are leading questions? - (answers)Those that are prompting the patient
toward the desired answer and these are the most risky.
What is a patient centered question? - (answers)One that respects and responds to
a patient's wants, needs, preferences so that they can make choices in their care that
best fit their individual circumstances. Such as "How would you like to be
addressed?", "What would you like us to do today?", "How are you coping with
your illness?".
What are potential barriers of patient and provider communication? -
(answers)When the patient is curious about you, anxiety, silence, depression,
crying/compassionate moments, physical & emotional intimacy, seduction, anger,
avoiding the full story, financial considerations.
What is the structure and components of the patient history? - (answers)Patient
identifiers, chief complaint, history of present illness, past medical history, family
history, personal/social history, review of systems
What kind of patient information is obtained in the patient identifier component of
the patient history? - (answers)name, age, gender, race, occupation, date, time, and
referral source
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What kind of patient information is obtained in the chief complaint component of
the patient history? - (answers)a brief statement about why the patient is seeking
care while probing for underlying concerns.
What kind of patient information is obtained in the HPI component of the patient
history? - (answers)a chronological order of events leading up to the presenting
problem, health status prior to the onset, a complete description of first symptoms,
symptom analysis (onset, location, description, duration, intensity, character,
aggravating factors, alleviating factors), impact on patients lifestyle, medications
or treatments tried
What kind of information is obtained in the PMH component of the patient
history? - (answers)general health/strength
childhood illnesses
major adult illnesses and chronic diseases
immunization
surgeries (dates, hospital, diagnosis, complications)
serious injuries resulting in disability
limitation of ability to function d/t past events
medications
allergies (meds, environment, seasonal, food)
transfusions
recent screening tests
emotional status
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What kind of information is obtained in the family history component of the
patient history? - (answers)Any relevant medical problems for both immediate and
non-immediate family members
What kind of information is obtained in the personal/social history section of the
patient history? - (answers)home environment and conditions (pets, economic)
where was the patient raised
education
position in family
marital status
life satisfaction
hobbies/interests
source of stress
habits (nutrition, sleep, drugs, etoh, ADL's, and smoking)
self-care (self breast exams, exercise, home remedies)
sexual history
environmental (travel, exposure to diseases)
religious and cultural preferences
access to care
What information is necessary when obtaining sexual health information? -
(answers)number of partners, concerns, birth control, protection from STI's