60 Questions
What is the purpose of the health history?
To collect subjective and objective data
Which type of health history focuses only on what the patient complains about or the reason for seeking care?
Focused health history
In which health history type are only yes/no answers used?
Emergency history
What is the purpose of the 'Source of Hx' category in health history?
To determine who is providing the health history and their relationship to the patient
Which category of health history includes information about the patient's address, phone number, age, birthdate, and birthplace?
Biographical data
What type of health history follows up on an illness to see if it is getting better or not?
Follow-up history
What are the acceptable formats for recording assessments according to the text?
Narrative, pictorial, graphs, and electronic or paper format
In what circumstances may abnormal findings need to be reported to the health care team and then involve reporting to police?
When there are bullet wounds
What is the correct privacy requirement for conducting interviews according to the text?
Closed door with a curtain demarcation
Which of the following is included in the complete health history, as indicated by the 'X' in the text?
Biographical data only
What legal guidelines apply to reporting abnormal findings?
Report findings to the most responsible provider and involve reporting to police if necessary
What set of rules does the College of Nurses of Ontario make on documentation, as mentioned in the text?
Criteria for privacy and confidentiality
What is the primary purpose of obtaining the reason for seeking care (RSC) from the patient?
To understand the patient's subjective sensations
Which component of the reason for seeking care (RSC) involves understanding what makes the symptoms better or worse?
Palliative and provocative
What aspect of the reason for seeking care (RSC) involves describing the symptoms and quantifying pain?
Quality and quantity
Which component of the reason for seeking care (RSC) focuses on the location and manifestation of the symptoms?
Radiation and region
What does the patient's understanding of their illness contribute to in the reason for seeking care (RSC)?
Gaining insight into the patient's perception of their condition
Which part of the reason for seeking care (RSC) includes asking about any associated signs and symptoms?
Associated signs and symptoms
What is the purpose of the 'History of current illness' section in a patient assessment?
To double-check in case any signs related to the Current Illness section are missed
What is the significance of the 'Eight critical characteristics: L, R, S, S, A, A, T3, U' in the 'History of current illness' section?
They provide a structured approach to understanding the patient's reason for seeking care
Why is it important to inquire about 'Allergies, Current Medications, Childhood illnesses' in the 'Past health history' section?
To gather comprehensive information about the patient's medical background
What is the primary purpose of reviewing each body system based on RSC in the 'Review of systems' section?
To evaluate the past and current health state of each body system
What does a functional assessment primarily focus on?
Assessing the patient's functional abilities and spiritual beliefs
In a patient assessment, what is the purpose of evaluating the patient's self-care ability?
To understand potential factors contributing to the current health issue
What should the healthcare provider continually assess during the health history interview?
Implicit biases towards patients
Which term is used in some Indigenous communities and relates to cultural, spiritual, and sexual identities?
Two-Spirit
What unique barriers do people who identify as a member of the 2SLGBTQI+ community face when accessing healthcare services?
Inequitable access to appropriate health care services
What does attending to power differentials in healthcare involve?
Assessing how power is used in relation to patients
Which communication skills are involved in the process of relational practice during the interview?
Unconditional positive regard
What should be examined in the process of communication during the health history interview?
Cultural and developmental considerations
What is the primary purpose of the 'Review of systems' section in a patient assessment?
To evaluate the past and current health state of each body system
What does the healthcare provider continually assess during the health history interview?
The past and current health state of each body system
What is the significance of the 'Eight critical characteristics: L, R, S, S, A, A, T3, U' in the 'History of current illness' section?
To understand what makes the symptoms better or worse
Which part of the reason for seeking care (RSC) involves asking about any associated signs and symptoms?
T3
What is the order of the examination of body systems in the 'Review of systems' section?
From head to toe
What type of health history follows up on an illness to see if it is getting better or not?
'Review of systems'
What is the acceptable format for recording assessments, as mentioned in the text?
Electronic and narrative
When may abnormal findings need to be verbally reported to the most responsible provider and then involve reporting to the police, according to the text?
In instances of bullet wounds
Which category of information is included in the 'Review of systems' section in a patient assessment?
Patient's symptoms in each body system
When are findings required to be reported to Children’s Aid Services (CAS), based on the text?
In cases of suspected child abuse or neglect
What does the 'History of current illness' section primarily focus on in a patient assessment?
The progression and details of the illness
What is the purpose of evaluating the patient's self-care ability in a patient assessment?
To determine the patient's independency level
What is the primary purpose of the 'Review of systems' section in a patient assessment?
To evaluate the presence or absence of symptoms in each body system
In the context of healthcare documentation, what does CNO stand for?
College of Nurses of Ontario
When documenting assessments, which formats are acceptable according to the text?
Abbreviations and symbols with distinct interpretations
What does the term 'subjective data' refer to in the context of data collection for healthcare?
Client's reported symptoms and feelings
What is the nurses' responsibility regarding client health information security?
Maintaining confidentiality and acting in accordance with information retention and destruction policies
Why is it important for nurses to ensure that their documentation of client care is accurate, timely, and complete?
To avoid legal consequences related to incomplete documentation
What is the primary purpose of reviewing each body system based on RSC in the 'Review of systems' section?
To systematically evaluate the patient's overall health status
Why is it important to assess the patient's self-care abilities during the review of systems?
To identify any barriers or limitations the patient may face in managing their health
In the 'Review of systems' section, what does understanding the patient's health beliefs and practices primarily help in?
Assessing the impact of culture on the patient's health status
What aspect of a patient's health status is primarily evaluated by identifying any signs and symptoms related to specific body systems during the review of systems?
Physiological functioning and potential health issues
Why is it essential to identify any psychosocial factors affecting the patient's health during the review of systems?
To address any emotional or social issues that may impact health
What is the main role of identifying cultural and spiritual influences on a patient's health during the review of systems?
To assess the patient's beliefs about illness and wellness
What is the primary purpose of reviewing each body system based on Reason for Seeking Care (RSC) in the 'Review of systems' section?
To identify any potential underlying health issues or conditions not mentioned by the patient
In what circumstances may abnormal findings need to be reported to the health care team and then involve reporting to police?
When a patient's health history indicates potential risk of harm to themselves or others
Which component of the Reason for Seeking Care (RSC) involves understanding what makes the symptoms better or worse?
Modifying factors
What does attending to power differentials in healthcare involve?
Balancing authority between healthcare providers and patients during interactions
Which part of the Reason for Seeking Care (RSC) includes asking about any associated signs and symptoms?
Associated signs and symptoms
What should be examined in the process of communication during the health history interview?
Communication barriers experienced by the patient
This quiz covers legal criteria, standards, and processes for effective interview strategies and communication excellence in a healthcare setting. It also addresses privacy and confidentiality requirements for conducting interviews, ensuring a safe and private space for interviews and limitations on sharing information.
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