Medical History & Patient Interviewing 1
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Questions and Answers

Which component of the PQRST method focuses on the characteristics of the symptom?

  • Region/radiation
  • Quality/quantity (correct)
  • Timing
  • Provocative/palliative

    • What aspect of a patient's history is least likely to be included in Past Medical History (PMI)?

  • Genetic predispositions (correct)
  • Injuries and accidents
  • Surgeries and hospitalizations
  • Immunizations

    • Which of the following is a key reason to ascertain a patient's smoking history?

  • To assess their level of physical activity
  • To evaluate their family medical conditions
  • To determine their dietary habits
  • To document pack years (correct)

    • What type of history is essential for identifying potential environmental hazards related to a patient's occupation?

    <p>Occupational and environmental history</p> Signup and view all the answers

    What is the primary purpose of DNR (Do Not Resuscitate) status?

    <p>To communicate a physician's order regarding resuscitation</p> Signup and view all the answers

    What might indicate a hereditary risk in a patient's family history?

    <p>Presence of common diseases across three generations</p> Signup and view all the answers

    What type of reactions can occur from exposure to occupational allergens?

    <p>From minutes to years after exposure</p> Signup and view all the answers

    Which of the following details regarding smoking is not typically recorded?

    <p>Favorite cigarette brand</p> Signup and view all the answers

    What aspect of severity is assessed in the PQRST method?

    <p>The interference with daily activities</p> Signup and view all the answers

    In the context of drug and smoking history, what does documenting 'pack-year' signify?

    <p>Intensity of smoking habits</p> Signup and view all the answers

    What is the primary purpose of structuring the interview with a proper introduction?

    <p>To build rapport and communicate interest</p> Signup and view all the answers

    Which of the following best describes the importance of a patient's level of comfort during an interview?

    <p>It influences the quality of the communication and information gathered.</p> Signup and view all the answers

    Why is it necessary to check the patient's armband during an interview?

    <p>To verify the patient's identity and avoid mistakes.</p> Signup and view all the answers

    Which interviewing technique involves stating a patient's words back to them?

    <p>Reflecting (echoing)</p> Signup and view all the answers

    In the context of history of present illness (HPI), what is expected from the patient?

    <p>To describe their symptoms chronologically and contextually.</p> Signup and view all the answers

    What role do systemic diseases play in respiratory health assessments?

    <p>They can result in respiratory symptoms affecting total body systems.</p> Signup and view all the answers

    What should be avoided while documenting a chief complaint during the patient interview?

    <p>Making diagnostic statements.</p> Signup and view all the answers

    Which type of questions can encourage patients to provide more detailed responses?

    <p>Open-ended Questions</p> Signup and view all the answers

    To whom might a clinician turn if a patient is unable to provide extensive history?

    <p>Family, friends, or other healthcare providers</p> Signup and view all the answers

    What does the review of systems in health histories typically involve?

    <p>An assessment of various body systems to identify any related issues.</p> Signup and view all the answers

    Clinicians should only rely on verbal signals during the interview process.

    <p>False</p> Signup and view all the answers

    It is essential to close the interview with a question about any other concerns the patient may have.

    <p>True</p> Signup and view all the answers

    A patient's confidentiality does not need to be considered when using their information for case studies.

    <p>False</p> Signup and view all the answers

    The History of Present Illness (HPI) includes a subjective account of how the chief complaint affects the patient's life.

    <p>True</p> Signup and view all the answers

    All respiratory assessments must be limited to examining the chest area of the patient.

    <p>False</p> Signup and view all the answers

    Study Notes

    Medical History & Interview

    • The interview process involves imparting meaningful messages.
    • Patient comfort is crucial during the interview.
    • Clinicians must recognize nonverbal signs of patient discomfort.
    • Active listening involves responding with "yes" or "no", or head nods.

    Interviewing the Patient

    • Proper introduction is important.
    • Address the patient by name.
    • Check the patient's armband.
    • Project undivided interest in the patient.
    • Maintain professional conduct.
    • Patient comments are confidential.
    • If using patient data for a case study, protect the patient's name.
    • Use alternative methods for obtaining history if needed (e.g., family, friends, doctors).

    Questions and Statements

    • Understand open-ended versus closed questions.
    • Differentiate direct and indirect questions.
    • Use neutral questions and statements.
    • Employ reflecting techniques (echoing).
    • Use facilitating phrases.

    Cardiopulmonary History

    • Systemic diseases often demonstrate respiratory symptoms.
    • Respiratory problems can impact multiple body systems.
    • Thorough assessment extends beyond the chest.
    • Comprehensive patient evaluation is critical.

    General Content of Health Histories

    • Background information is essential.
    • Screening information is required.
    • Description of current illness is necessary.
    • Review of body systems is important.

    Chief Complaint (CC)

    • The chief complaint is what brought the patient to the hospital.
    • Record each symptom separately.
    • Avoid diagnostic statements.
    • Close the interview with a question like "Is there anything else troubling you?".
    • Common symptoms are associated with cardiopulmonary systems.

    History of Present Illness (HPI)

    • Chronologically describe the major complaint.
    • Details the impact on the patient's life.
    • Obtaining HPI can be complex.
    • Patients should express themselves freely during the process.
    • Avoid yes/no questions.

    To Help You Remember...

    • (P)rovocative/Palliative: What causes it? What relieves or worsens it?
    • (Q)uality/Quantity: Detail how much, look, feel and sound?
    • (R)egion/Radiation: Location and spread?
    • (S)everity/Scale: Impact on daily activities?
    • (T)iming: When did it start? Frequency?

    Past Medical History (PMI)

    • Illness information since birth.
    • Surgeries and hospitalizations.
    • Injuries and accidents.
    • Immunizations.
    • Allergies.
    • Medications.

    Family History

    • Identify hereditary diseases.
    • Gather information from three generations.
    • Look for common illnesses.
    • Important for patients with cardiopulmonary complaints.
    • Focus on relevant diseases for the individual.

    Drug and Smoking History

    • Essential smoking history documentation.
    • Record pack years.
    • Assess smoking intensity.
    • Document smoking initiation.
    • Note frequency of attempts to quit.
    • Offer smoking cessation classes when appropriate.

    Occupational and Environmental History

    • Identify exposure to potential disease-causing substances.
    • Note inhalation exposure (dusts, fumes, gases).
    • Many environmental agents cause allergic occupational asthma.
    • Reactions can manifest immediately or take years to develop.
    • Common occupational diseases sometimes take decades to appear.

    DNR (Do Not Resuscitate) Status

    • Used to inform the care team.
    • The order is in the patient's chart.
    • Resuscitation should be avoided.
    • Created through advanced directives or other authorized individuals.

    DNI

    • Do Not Intubate

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    Related Documents

    Medical History and Interview PDF

    Description

    This quiz covers essential aspects of medical history taking and patient interviewing techniques. It emphasizes the importance of patient comfort, effective communication skills, and the ethical handling of patient information. Test your knowledge on open-ended questions, active listening, and professional conduct in clinical settings.

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