SHADOWHEALTH CONVERSATION PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+<RECENT VERSION>

SHADOWHEALTH CONVERSATION PRACTICE EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS | ALREADY GRADED A+&lt;RECENT VERSION&gt; 1) How many advil do you take at a time - ANSWER takes 2 ibuprofen at a time 2) How many days do you take advil - ANSWER typically takes 2 doses on first day of period 3) What dosage of advil do you take - ANSWER unsure of the dosage, but reports they are regular strength 4) When did you last take advil - ANSWER last dose was 2 weeks ago 5) Do you take vitamins or herbal supplements - ANSWER denies vitamins and herbal supplements 6) What allergies do you have - ANSWER reports allergy to peanuts 7) How old were you when you had your first reaction to peanuts - ANSWER discovered at age 4 8) What are your symptoms to your peanut allergy - ANSWER itchy mouth and throat symptoms 9) How severe is your peanut allergy - ANSWER allergy not severe 10) Do you experience breathing problems when you eat peanuts - ANSWER denies breathing problems after exposure 11) Have you ever been hospitalized for a reaction to peanuts - ANSWER denies hospitalization for reaction to peanuts 12) How do you treat your peanut allergy - ANSWER treated with benadryl 13) How do you avoid eating peanuts - ANSWER reports avoiding peanuts and peanut oil 14) Do you have an epi pen - ANSWER denies use of epi pen 15) Do you have any medication allergies - ANSWER denies medication allergies 16) Do you have a latex allergy - ANSWER denies latex allergies 17) Do you have any food allergies - ANSWER denies food allergies 18) A proper greeting: - ANSWER 1) uses a friendly tone 2) addresses both yourself and the patient by name 3) States your reason for being there 19) The narrowing and broadening of scope in a health history interview occurs in the contexts of: - ANSWER an organized progression through topics related to patient health 20) How to structure a health interview - ANSWER Greeting and identifying data Chief Complaints History of Present Illness (HPI) Family History Personal and Social History Review of Systems 21) Greeting and Identifying Data - ANSWER Greet patient and confirm patients name, age, and gender 22) Chief Complaint(s) - ANSWER Identify symptoms or concerns causing patient to seek care 23) History of Present Illness (HPI) - ANSWER Assess symptoms and patient's thoughts and feelings about illness 24) Medical History - ANSWER Determine allergies, presence and dates of childhood and adult illnesses, chronic health problems, immunization history, and past hospitalizations 25) Family History - ANSWER Determine age and health, or age and cause of death, of parents, sibling, and grandparents, noting the presence of specific illnesses in family (e.g. Hypertension, addiction, type II diabetes). 26) Personal and Social History - ANSWER Evaluate education level, family and household dynamics, spiritual practices, personal interests, sleep habits, and lifestyle (e.g. Tobacco, alcohol and illicit drug use, sexual history, exercise, and nutrition 27) Review of Systems - ANSWER Assess the presence or absence of common symptoms related to each major body system. 28) To Shape patient interviews - ANSWER Move from open questions to closed questions (shaped like a cone) 29) Open questions - ANSWER "cast a wide net" - allow patients to communicate more generally, and allow them to emphasize their own concerns and priorities 30) Open question examples: - ANSWER How did you injure your elbow? What are your stomachaches like? What prevented you from refilling your prescription? How have you been managing your blood pressure 31) Key Open Question Words - ANSWER "Describe", "Tell me about", "How", "Why" 32) Open Question tips - ANSWER - Ask the patient to elaborate or describe - Convey empathy and avoid judgement - Avoid unnecessary use of medical terminology or jargon - Use concise language to convey a clear meaning. 33) Closed Questions - ANSWER "zoom in" on particulars and refine their understanding of an aspect of patient health 34) Closed Question examples - ANSWER - Has your pain gotten worse? - Are your headaches focused on one side of your head? - Has the medication helped with your heartburn? - When did you start feeling fatigued? 35) Key Closed Question words: - ANSWER "How many", "How Often", "Can you, do you, will you, are you", "is it, has it, have you, etc", "Which", "Who" 36) Open or closed questions establish therapeutic rapport? - ANSWER Closed. Good for: - Sexual History - Substance use - Social or domestic problems - Trauma - Physical symptoms that the patient finds embarrasing 37) For Conversational Flow: - ANSWER Move between open and closed questions. 38) What brings you in today - ANSWER reports needing an annual physical 39) What medical conditions do you have - ANSWER denies medical conditions 40) What meds do you take - ANSWER reports taking occasional ibuprofen 41) Do you take any prescription meds - ANSWER denies taking prescription medication 42) Do you take any OTC meds - ANSWER only OTC medication is ibuprofen 43) Why do you take advil - ANSWER takes ibuprofen to relieve menstrual cramps 44) How often do you take advil - ANSWER takes ibuprofen monthly 45) Do you have an environmental allergies - ANSWER denies environmental allergies 46) What tobacco products have you used - ANSWER reports some tobacco use 47) What do you smoke - ANSWER reports smoking cigs 48) Do you smoke cigars - ANSWER denies other forms of smoking tobacco such as cigars and pipes 49) Have you ever tried chewing tobacco - ANSWER denies using chew or smokeless forms of tobacco 50) Have you ever tried an e cig - ANSWER denies vaping or ecigs 51) How much do you smoke - ANSWER reports smoking really not very many cigs 52) How many times have you smoked - ANSWER has smoked 3 times 53) Can you tell me what you know about the impacts of smoking on your health - ANSWER reports understanding of health impacts of smoking 54) How do you feel about smoking - ANSWER reports negative experiences with smoking 55) Do your friends encourage you to smoke - ANSWER describes peer pressure related to smoking 56) What will you say if your friends asked you to smoke again - ANSWER reports that she will avoid smoking in the future 57) Have you ever tried alcohol - ANSWER denies alcohol use 58) Do your friends ever drink alcohol - ANSWER denies being around friends who drink