ADVANCED HEALTH ASSESSMENT
EXAM 1,2 AND 3
What are the concepts of developing a relationship with the patient?
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?
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?
Communication built on courtesy, comfort, connection, and confirmation.
What are signs and symptoms of strep throat
Fever
Lymphadenopathy
White patches on tonsils - Pharyngeal/Tonsillar exudate
No Cough
Donut lesions?
,Know how to measure tonsils 1+, 2+, 3+ make sure the pt has tonsils
0 = absent
1 = barely visible
2= normal size, tongue tissue is not beyond tonsillar pillars
3= up to 75% of oropharyngeal airway is taken up by the tonsil
4 = more than 75% of the airway is taken up by the tonsil
What are effective communication strategies when obtaining a health history?
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?
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?"
What are direct questions?
Those that seek specific information. Such as "How long ago did that happen?" or "Where does it hurt?"
What are leading questions?
Those that are prompting the patient toward the desired answer and these are the most risky.
,What is a patient centered question?
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?
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?
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?
name, age, gender, race, occupation, date, time, and referral source
We have an expert-written solution to this problem!
What kind of patient information is obtained in the chief complaint component of the patient history?
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?
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?
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
What kind of information is obtained in the family history component of the patient history?
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?
home environment and conditions (pets, economic)
where was the patient raised
education
position in family
marital status
life satisfaction
hobbies/interests
source of stress
EXAM 1,2 AND 3
What are the concepts of developing a relationship with the patient?
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?
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?
Communication built on courtesy, comfort, connection, and confirmation.
What are signs and symptoms of strep throat
Fever
Lymphadenopathy
White patches on tonsils - Pharyngeal/Tonsillar exudate
No Cough
Donut lesions?
,Know how to measure tonsils 1+, 2+, 3+ make sure the pt has tonsils
0 = absent
1 = barely visible
2= normal size, tongue tissue is not beyond tonsillar pillars
3= up to 75% of oropharyngeal airway is taken up by the tonsil
4 = more than 75% of the airway is taken up by the tonsil
What are effective communication strategies when obtaining a health history?
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?
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?"
What are direct questions?
Those that seek specific information. Such as "How long ago did that happen?" or "Where does it hurt?"
What are leading questions?
Those that are prompting the patient toward the desired answer and these are the most risky.
,What is a patient centered question?
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?
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?
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?
name, age, gender, race, occupation, date, time, and referral source
We have an expert-written solution to this problem!
What kind of patient information is obtained in the chief complaint component of the patient history?
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?
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?
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
What kind of information is obtained in the family history component of the patient history?
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?
home environment and conditions (pets, economic)
where was the patient raised
education
position in family
marital status
life satisfaction
hobbies/interests
source of stress
