Medical History Taking

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What should the history taker do when dealing with patients who have cognitive, mood, or communication deficits?

Use a standardized questionnaire to assess their condition

Rely solely on the patient's self-report

Seek information from additional sources, such as family members or medical records (correct)

Focus on the patient's physical symptoms rather than their mental state

What is the potential consequence of relying on previous medical records?

Inaccurate information may be repeated from provider to provider (correct)

The patient's medical history may be overlooked

The physician may overcharge for their services

The patient's care may be delayed due to incomplete records

What is the primary purpose of using an interpreter during a medical examination?

To provide emotional support to the patient

To facilitate communication between the patient and physician (correct)

To ensure the patient's privacy is maintained

To assist the physician in taking notes

What is the term used to describe inaccuracies in medical records that are repeated from provider to provider?

Chart lore Signup and view all the answers

What is the primary source of information during a medical examination?

The patient themselves Signup and view all the answers

What should the physician do when documenting information from sources other than the patient?

Clearly reflect the source of the information in the documentation Signup and view all the answers

What is a potential psychological impact of litigation on a patient?

Source of anxiety, depression, or guilt Signup and view all the answers

Why is it important to ask about family history during patient assessment?

To understand genetic disorders and provide insight into family members' ability to provide functional assistance Signup and view all the answers

What is the primary goal of a detailed review of organ systems during patient assessment?

To discover any problems or diseases not previously identified during the course of the history taking Signup and view all the answers

What is a common characteristic of neurologic problems in the setting of inpatient and outpatient rehabilitation?

Functional deficits in persons with various conditions Signup and view all the answers

Why is it essential to ask patients about their family members' health?

To identify genetic disorders and provide insight into family members' ability to provide functional assistance Signup and view all the answers

What can a patient's legal representative play a crucial role in obtaining?

Needed services and equipment Signup and view all the answers

What is the primary goal of assessing the premorbid need for assistive devices, orthoses, and the degree of speech, swallowing, and cognitive impairments?

To understand the pathophysiology and location of the impairment Signup and view all the answers

Why is it important to gather a complete list of medications being used by patients who are seeing multiple physicians?

To identify potential medication errors Signup and view all the answers

What is a major push of the National Patient Safety Goals initiative?

Decreasing medication errors through medication reconciliation Signup and view all the answers

Why is it essential to pay particular attention to nonsteroidal anti-inflammatory agents?

All of the above Signup and view all the answers

What should physicians explain to patients about their prescribed medications?

The indications, precautions, and side effects Signup and view all the answers

Why should patients be asked about their medications in detail?

Because patients might not mention medications that they do not think are relevant to their current problem Signup and view all the answers

Medical History Taking

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