LATEST 6512 ADVANCED HEALTH ASSESSMENT
MIDTERM EXAM 2023/2024 WITH QUESTIONS &
DETAILED ANSWERS(WALDEN UNIVERSITY)| 6512
ADVANCED HEALTH ASSESSMENT MIDTERM EXAM
2023/2024
1. ·Communication techniques used to obtain a patient's health history
- ANSWER-Courtesy, Comfort, Connection, Confirmation
2. Courtesy Communication Technique
- ANSWER-
• Knock before entering a room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is all right
to shake hands.
• Meet and acknowledge others in the room and establish their roles and
degree of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the doorknob.
• If taking notes, take notes sparingly; note key words as reminders but do
not let note-taking distract from your observing and listening.
• If typing in the electronic medical record, type briefly and maintain eye
contact with patient, if possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled after the
examination. Follow-up discussion with the patient still "on the table" is
often discomfiting.
3. Comfort Communication Technique - ANSWER-• Ensure physical comfort for all,
including yourself.
• Try to have a minimum of furniture separating you and the patient.
• Maintain privacy, using available curtains and shades.
• Ensure a comfortable room temperature or provide a blanket—a cold
room will make a patient want to cover up.
• Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it all at one
visit.
4. Confirmation Communication Technique - ANSWER-• Ask the patient to
summarize the discussion. There should be clear understanding and uncertainty
should be eased.
, • Allow the possibility of more discussion with another open-ended question:
"Anything else you want to bring up?"
• If there is a question that you cannot immediately answer, say so. Be sure
to follow up later if at all possible.
• If you seem to have made a mistake, make every effort to repair it. Candor
is important for the development of a trusting partnership. Most patients
respect it.
5. Connection Communication Technique
- ANSWER-
• Look at the patient; maintain good eye contact if cultural practices allow.
• Watch your language. Avoid professional jargon. Do not patronize with
what you say.
• Do not dominate the discussion. Listen alertly. Let the patient order
priorities if several issues are raised.
• Do not accept a previous diagnosis as a chief concern. Do not too readily
follow a predetermined path.
• Find out whether the patient has turned from other healthcare providers to
come to you.
• Take the history and conduct the physical examination before you look at
previous studies or tests. Consider first what the patient has to say.
• Avoid leading or direct questions at first. Open-ended questions are better
for starters. Let specifics evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
• Be flexible. Rigidity limits the potential of an interview.
• Assess the patient's potential as a partner.
• Seek clues to problems from the patient's verbal behaviors and body
language (e.g., talking too fast or too little).
• Look for the hidden concerns underlying chief concerns.
• Never trivialize any finding or clue.
• Problems can have multiple causes. Do not leap to one cause too quickly.
• Define any concern completely: Where? How severe? How long? In what
context? What soothes or aggravates the problem?
6. SOAP Notes - ANSWER-S Subjective data—the information, including the
absence or presence of pertinent symptoms, that the patient tells you
Objective data—your direct observations from what you see,
hear, smell, and touch and from diagnostic test results
A Assessment—your interpretations and conclusions, your rationale, the
diagnostic possibilities, and present and anticipated problems
P Plan—diagnostic testing, therapeutic modalities, need for consultants, and
rationale for these decisions
7. Ethical Considerations
MIDTERM EXAM 2023/2024 WITH QUESTIONS &
DETAILED ANSWERS(WALDEN UNIVERSITY)| 6512
ADVANCED HEALTH ASSESSMENT MIDTERM EXAM
2023/2024
1. ·Communication techniques used to obtain a patient's health history
- ANSWER-Courtesy, Comfort, Connection, Confirmation
2. Courtesy Communication Technique
- ANSWER-
• Knock before entering a room.
• Address, first, the patient formally (e.g., Miss, Ms., Mrs., Mr.) It is all right
to shake hands.
• Meet and acknowledge others in the room and establish their roles and
degree of participation.
• Learn their names.
• Ensure confidentiality.
• Be in the room, sitting, with no effort to reach too soon for the doorknob.
• If taking notes, take notes sparingly; note key words as reminders but do
not let note-taking distract from your observing and listening.
• If typing in the electronic medical record, type briefly and maintain eye
contact with patient, if possible.
• Respect the need for modesty.
• Allow the patient time to be dressed and comfortably settled after the
examination. Follow-up discussion with the patient still "on the table" is
often discomfiting.
3. Comfort Communication Technique - ANSWER-• Ensure physical comfort for all,
including yourself.
• Try to have a minimum of furniture separating you and the patient.
• Maintain privacy, using available curtains and shades.
• Ensure a comfortable room temperature or provide a blanket—a cold
room will make a patient want to cover up.
• Ensure good lighting.
• Ensure necessary quiet. Turn off the television set.
• Try not to overtire the patient. It is not always necessary to do it all at one
visit.
4. Confirmation Communication Technique - ANSWER-• Ask the patient to
summarize the discussion. There should be clear understanding and uncertainty
should be eased.
, • Allow the possibility of more discussion with another open-ended question:
"Anything else you want to bring up?"
• If there is a question that you cannot immediately answer, say so. Be sure
to follow up later if at all possible.
• If you seem to have made a mistake, make every effort to repair it. Candor
is important for the development of a trusting partnership. Most patients
respect it.
5. Connection Communication Technique
- ANSWER-
• Look at the patient; maintain good eye contact if cultural practices allow.
• Watch your language. Avoid professional jargon. Do not patronize with
what you say.
• Do not dominate the discussion. Listen alertly. Let the patient order
priorities if several issues are raised.
• Do not accept a previous diagnosis as a chief concern. Do not too readily
follow a predetermined path.
• Find out whether the patient has turned from other healthcare providers to
come to you.
• Take the history and conduct the physical examination before you look at
previous studies or tests. Consider first what the patient has to say.
• Avoid leading or direct questions at first. Open-ended questions are better
for starters. Let specifics evolve from these.
• Avoid being judgmental.
• Respect silence. Pauses can be productive.
• Be flexible. Rigidity limits the potential of an interview.
• Assess the patient's potential as a partner.
• Seek clues to problems from the patient's verbal behaviors and body
language (e.g., talking too fast or too little).
• Look for the hidden concerns underlying chief concerns.
• Never trivialize any finding or clue.
• Problems can have multiple causes. Do not leap to one cause too quickly.
• Define any concern completely: Where? How severe? How long? In what
context? What soothes or aggravates the problem?
6. SOAP Notes - ANSWER-S Subjective data—the information, including the
absence or presence of pertinent symptoms, that the patient tells you
Objective data—your direct observations from what you see,
hear, smell, and touch and from diagnostic test results
A Assessment—your interpretations and conclusions, your rationale, the
diagnostic possibilities, and present and anticipated problems
P Plan—diagnostic testing, therapeutic modalities, need for consultants, and
rationale for these decisions
7. Ethical Considerations
