UC Adv Health Assessment - Quiz 1 Questions
and answers latest update
What are the components of a FOCUSED health assessment?
CC, HPI, PMH, FH/SH that pertains to complaint, specific system ROS
Foundation of the HPI is the PQRST format; what does it stand for?
Provocative
Quality or Quantity
Region/Radiation
Severity
Timing
Provocative Components
What causes the symptom
What makes it worse or better?
What do you do for it? Meds/rest?
Looking for triggers, relievers, aggravators
Quality or Quantity Components
How does it feel, look, sound, or smell?
How much are you experiencing now?
Does it interfere with ADLs?
Is it worse, better, or different than the last time?
Region/Radiation
Where is it located?
Does it travel anywhere else in your body?
Severity
On a scale of 1 - 10, how bad is it?
At its worse do you have to sit down, lie down, or slow down?
Is it getting better, worse, or the same?
Timing
When did it begin? Date/time?
Type of onset - how did it start? Suddenly or gradually
Frequency - how often does it occur? When does it occur? What time of day? Does it wake you up?
Does it happen after/before food? Seasonal?
Duration - how long does it last?
What is the most important question to ask?
Have you ever had this before???
What are the components of a PMH? (past med hx)
Childhood/adult illness
Surgeries with dates
Immunizations
Pediatric, adolescent, and adult
, Serious injury/trauma - transfusions
Medications
Prescription
OTC
Allergies and response
Screening exams
Psychiatric/mental health issues
What are the components of FH? (family history)
CAD, cholesterol
DM
HTN, stroke
CA
TB
Asthma
Bleeding, anemia
Alcoholism
Weight, mental health
What are the components of Social History?
Alcohol/Drugs
Occupation
Nutrition
Exercise
Home life/support system/housing/safety/SES
Exposures/travel
Stress management
Sleep
What are the components of a ROS? (review of systems)
Head to toe
Complete systematically
Documentation - Pt opportunity to address problems, NOT physical component, Pertinent negative
(or positive), Denies chest pain , sob
Never write as "no problems"
Pertinent positives/negatives
What are the components to a genogram?
3 generational, points out risk factors, allows for anticipatory guidance
What is the screening tool that focuses on detecting pts at high risk for an eating disorder?
SCOFF
S-Do you make yourself Sick when you feel uncomfortably full?
C-Do you worry you have lost Control over how much you eat?
O-Have you recently lost more than One stone (14 lbs.) in a 3-month period?
F-Do you believe yourself to be Fat when others say you are too thin?
F-Would you say that Food dominates your life?
**One point for every "yes"; >2 indicates a likely case of anorexia or bulimia
and answers latest update
What are the components of a FOCUSED health assessment?
CC, HPI, PMH, FH/SH that pertains to complaint, specific system ROS
Foundation of the HPI is the PQRST format; what does it stand for?
Provocative
Quality or Quantity
Region/Radiation
Severity
Timing
Provocative Components
What causes the symptom
What makes it worse or better?
What do you do for it? Meds/rest?
Looking for triggers, relievers, aggravators
Quality or Quantity Components
How does it feel, look, sound, or smell?
How much are you experiencing now?
Does it interfere with ADLs?
Is it worse, better, or different than the last time?
Region/Radiation
Where is it located?
Does it travel anywhere else in your body?
Severity
On a scale of 1 - 10, how bad is it?
At its worse do you have to sit down, lie down, or slow down?
Is it getting better, worse, or the same?
Timing
When did it begin? Date/time?
Type of onset - how did it start? Suddenly or gradually
Frequency - how often does it occur? When does it occur? What time of day? Does it wake you up?
Does it happen after/before food? Seasonal?
Duration - how long does it last?
What is the most important question to ask?
Have you ever had this before???
What are the components of a PMH? (past med hx)
Childhood/adult illness
Surgeries with dates
Immunizations
Pediatric, adolescent, and adult
, Serious injury/trauma - transfusions
Medications
Prescription
OTC
Allergies and response
Screening exams
Psychiatric/mental health issues
What are the components of FH? (family history)
CAD, cholesterol
DM
HTN, stroke
CA
TB
Asthma
Bleeding, anemia
Alcoholism
Weight, mental health
What are the components of Social History?
Alcohol/Drugs
Occupation
Nutrition
Exercise
Home life/support system/housing/safety/SES
Exposures/travel
Stress management
Sleep
What are the components of a ROS? (review of systems)
Head to toe
Complete systematically
Documentation - Pt opportunity to address problems, NOT physical component, Pertinent negative
(or positive), Denies chest pain , sob
Never write as "no problems"
Pertinent positives/negatives
What are the components to a genogram?
3 generational, points out risk factors, allows for anticipatory guidance
What is the screening tool that focuses on detecting pts at high risk for an eating disorder?
SCOFF
S-Do you make yourself Sick when you feel uncomfortably full?
C-Do you worry you have lost Control over how much you eat?
O-Have you recently lost more than One stone (14 lbs.) in a 3-month period?
F-Do you believe yourself to be Fat when others say you are too thin?
F-Would you say that Food dominates your life?
**One point for every "yes"; >2 indicates a likely case of anorexia or bulimia
