ADVANCED HEALTH ASSESSMENT AND
DIAGNOSTIC REASONING CERTIFICATION
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● What is the primary objective when developing a relationship with
the patient?
Answer: 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?
Answer: Communication built on courtesy, comfort, connection, and
confirmation.
●● What are effective communication strategies when obtaining a health
history?
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.
●● 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?"
●● What are direct questions?
Answer: Those that seek specific information. Such as "How long ago
did that happen?" or "Where does it hurt?"
●● What are leading questions?
Answer: Those that are prompting the patient toward the desired answer
and these are the most risky.
●● 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?".
●● 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.
,●● 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
●● What kind of patient information is obtained in the patient identifier
component of the patient history?
Answer: name, age, gender, race, occupation, date, time, and referral
source
●● What kind of patient information is obtained in the chief complaint
component of the patient history?
Answer: 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?
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
●● 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)
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?
Answer: 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?
Answer: home environment and conditions (pets, economic)
where was the patient raised
education
DIAGNOSTIC REASONING CERTIFICATION
EVALUATION TEST PAPER FULL SOLUTION
QUESTIONS AND ANSWERS PACK
●● What is the primary objective when developing a relationship with
the patient?
Answer: 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?
Answer: Communication built on courtesy, comfort, connection, and
confirmation.
●● What are effective communication strategies when obtaining a health
history?
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.
●● 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?"
●● What are direct questions?
Answer: Those that seek specific information. Such as "How long ago
did that happen?" or "Where does it hurt?"
●● What are leading questions?
Answer: Those that are prompting the patient toward the desired answer
and these are the most risky.
●● 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?".
●● 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.
,●● 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
●● What kind of patient information is obtained in the patient identifier
component of the patient history?
Answer: name, age, gender, race, occupation, date, time, and referral
source
●● What kind of patient information is obtained in the chief complaint
component of the patient history?
Answer: 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?
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
●● 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)
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?
Answer: 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?
Answer: home environment and conditions (pets, economic)
where was the patient raised
education
