CORRECT WELL VERIFIED ANSWERS GRADED A+ FOR A
GUARANTEED PASS
Basic Rules for Building the History - ✅✅• Introduce yourself
• Address patient properly
• Be courteous
• Make eye contact
• Do not overtire patient
• Do not be judgmental
• Be flexible
Avoid medical jargon
• Take notes sparingly
• Avoid leading questions
• Start with general concerns, then move to specific descriptions.
• Clarify responses with where, when, what, how, and why questions.
• Verify and summarize what you have heard
Building the History - ✅✅• Identify what the patient defines as problems.
• Establish patient's reliability.
,• Consider intentional or unintentional suppression or underreporting of
information.
• Evaluate patient's words and behaviors.
• Adapt to the modifications that age, pregnancy, and physical and emotional
handicaps mandate
Approaching Sensitive Issues - ✅✅• Ensure privacy.
• Be direct and firm.
• Do not apologize for broaching the issue.
• Do not preach.
• Use language that is understandable.
• Do not push too hard.
Sensitive Issues - ✅✅• Alcohol and drug use
• Domestic violence
• Spirituality
• Sexuality
CAGE Questionnaire - ✅✅- Cutting down
- Annoyance by criticism
- Guilty feeling
,- Eye‐openers
TACE Questionnaire - ✅✅T-How many drinks does it Take to make you feel
high?
A-Have people Annoyed you by criticizing your drinking?
C-Have you felt you ought to Cut down on your drinking?
E-Have you ever had an Eye‐opener drink first thing in the morning to steady
your nerves or get rid of a hangover?
The CRAFFT questions are a means of screening adolescents for substance‐
related problems - ✅✅C-Have you ever ridden in a Car driven by someone
(You?) who is high on alcohol or drugs?
R-Do you use alcohol or take drugs to Relax, feel better about yourself, or fit in?
A-Do you ever use alcohol or take drugs while you are Alone? -
F-Do you ever Forget things you did while using drugs or alcohol?
, F-Have a Family member or Friend told you to cut down on drinking or drug use?
T-Have you ever gotten into Trouble from using alcohol or taking drugs?
Screening vs. Assessment - ✅✅There is a difference between a screening and an
assessment interview.
The goal of screening is to find out if a problem exists - This is particularly true of
CAGE, CRAFFT, and TACE questionnaires.
They are effective, but they are only the start, and assessment goes on from there
Intimate Partner Violence - ✅✅Both men and women suffer from intimate
partner violence (IPV).
More women experience IPV
They come from every ethnic and socioeconomic group
Three questions comprise a brief screening instrument to detect partner violence -
✅✅- Have you ever been hit, kicked, punched, or otherwise hurt by someone
within the past year?