ADVANCED HEALTH
ASSESSMENT EXAM 1
1. What are the concepts of developing a relationship with the patient?
Answer 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
2. What is the primary objective when developing a relationship with the pa-
tient?
Answer To discover the details about a patient's concern, explore expectations, display interest, and partnership
3. What does establishing a positive relationship with the patient depend on?
Answer -
Communication built on courtesy, comfort, connection, and confirmation.
,4. What are effective communication strategies when obtaining a health histo-
ry?
Answer 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.
5. What are open-ended questions?
Answer 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?"
6. What are direct questions?
Answer Those that seek specific information. Such as "How long ago did that happen?" or "Where does it
hurt?"
7. What are leading questions?
Answer Those that are prompting the patient toward the desired answer and these are the most risky.
8. What is a patient centered question?
Answer 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?".
9. What are potential barriers of patient and provider communication?
Answer When
the patient is curious about you, anxiety, silence, depression, crying/compassionate moments, physical & emotional
intimacy, seduction, anger, avoiding the full story, financial considerations.
10. What is the structure and components of the patient history?
Answer Patient identifiers,
chief complaint, history of present illness, past medical history, family history, personal/social history, review of systems
11. What kind of patient information is obtained in the patient identifier compo-
nent of the patient history?
Answer name, age, gender, race, occupation, date, time, and referral source
, 12. What kind of patient information is obtained in the chief complaint compo-
nent of the patient history?
Answer a brief statement about why the patient is seeking care while probing for underlying concerns.
13. What kind of patient information is obtained in the HPI component of the
patient history?
Answer 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
14. What kind of information is obtained in the PMH component of the patient
history?
Answer general health/strength
childhood illnesses
major adult illnesses and chronic diseases
immunization
surgeries (dates, hospital, diagnosis, complications)
ASSESSMENT EXAM 1
1. What are the concepts of developing a relationship with the patient?
Answer 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
2. What is the primary objective when developing a relationship with the pa-
tient?
Answer To discover the details about a patient's concern, explore expectations, display interest, and partnership
3. What does establishing a positive relationship with the patient depend on?
Answer -
Communication built on courtesy, comfort, connection, and confirmation.
,4. What are effective communication strategies when obtaining a health histo-
ry?
Answer 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.
5. What are open-ended questions?
Answer 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?"
6. What are direct questions?
Answer Those that seek specific information. Such as "How long ago did that happen?" or "Where does it
hurt?"
7. What are leading questions?
Answer Those that are prompting the patient toward the desired answer and these are the most risky.
8. What is a patient centered question?
Answer 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?".
9. What are potential barriers of patient and provider communication?
Answer When
the patient is curious about you, anxiety, silence, depression, crying/compassionate moments, physical & emotional
intimacy, seduction, anger, avoiding the full story, financial considerations.
10. What is the structure and components of the patient history?
Answer Patient identifiers,
chief complaint, history of present illness, past medical history, family history, personal/social history, review of systems
11. What kind of patient information is obtained in the patient identifier compo-
nent of the patient history?
Answer name, age, gender, race, occupation, date, time, and referral source
, 12. What kind of patient information is obtained in the chief complaint compo-
nent of the patient history?
Answer a brief statement about why the patient is seeking care while probing for underlying concerns.
13. What kind of patient information is obtained in the HPI component of the
patient history?
Answer 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
14. What kind of information is obtained in the PMH component of the patient
history?
Answer general health/strength
childhood illnesses
major adult illnesses and chronic diseases
immunization
surgeries (dates, hospital, diagnosis, complications)
