Answers
What are the components of a COMPLETE
health assessment? - ANSWER -CC, HPI,
PMH, FH, Social Hx, ROS, Genogram Severity - ANSWER -On a scale of 1 - 10,
how bad is it?
At its worse do you have to sit down, lie down, or
slow down?
What are the components of a FOCUSED health Is it getting better, worse, or the same?
assessment? - ANSWER -CC, HPI, PMH,
FH/SH that pertains to complaint, specific system
ROS
Timing - ANSWER -When did it begin?
Date/time?
Type of onset - how did it start? Suddenly or
Foundation of the HPI is the PQRST format; gradually
what does it stand for? - ANSWER - Frequency - how often does it occur? When does
Provocative it occur? What time of day? Does it wake you up?
Quality or Quantity Does it happen after/before food? Seasonal?
Region/Radiation Duration - how long does it last?
Severity
Timing
What is the most important question to ask? -
ANSWER -Have you ever had this
Provocative Components - ANSWER - before???
What causes the symptom
What makes it worse or better?
What do you do for it? Meds/rest?
Looking for triggers, relievers, aggravators What are the components of a PMH? (past med
hx) - ANSWER -Childhood/adult illness
Surgeries with dates
Immunizations
Quality or Quantity Components - Pediatric, adolescent, and adult
ANSWER -How does it feel, look, sound, or Serious injury/trauma - transfusions
smell? Medications
How much are you experiencing now? Prescription
Does it interfere with ADLs? OTC
Is it worse, better, or different than the last time? Allergies and response
Screening exams
Psychiatric/mental health issues
Region/Radiation - ANSWER -Where is it
located?
Does it travel anywhere else in your body? What are the components of FH? (family history)
- ANSWER -CAD, cholesterol
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, UC Adv Health Assessment - Quiz 1 With 100% Correct
Answers
DM
HTN, stroke S-Do you make yourself Sick when you feel
CA uncomfortably full?
TB C-Do you worry you have lost Control over how
Asthma much you eat?
Bleeding, anemia O-Have you recently lost more than One stone
Alcoholism (14 lbs.) in a 3-month period?
Weight, mental health F-Do you believe yourself to be Fat when others
say you are too thin?
F-Would you say that Food dominates your life?
What are the components of Social History? - **One point for every "yes"; >2 indicates a likely
ANSWER -Alcohol/Drugs case of anorexia or bulimia
Occupation
Nutrition
Exercise
Home life/support system/housing/safety/SES What is subjective information? -
Exposures/travel ANSWER -information told to you by the
Stress management patient about the situation
Sleep
What is objective information? - ANSWER -
What are the components of a ROS? (review of information you have determined through your
systems) - ANSWER -Head to toe observation, physical assessment, lab values,
Complete systematically and testing.
Documentation - Pt opportunity to address
problems, NOT physical component, Pertinent
negative (or positive), Denies chest pain , sob
What is the HEADS assessment? -
Never write as "no problems" ANSWER -Interview approach with
Pertinent positives/negatives teenagers to discuss sensitive topics
What are the components to a genogram? - What does HEADS stand for? - ANSWER -
ANSWER -3 generational, points out risk H-How are things at home?
factors, allows for anticipatory guidance E-How is school? Grades? Subjects? Education
A-What kind of activities do you do? What is
affect, ambition, anger?
D-Do you use drugs, etoh, does anyone in your
What is the screening tool that focuses on family?
detecting pts at high risk for an eating disorder? - S-Are you engaging in sex? Sexuality issues?
ANSWER -SCOFF
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