Social History and Medical History Assessment Quiz
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Questions and Answers

Which of the following is NOT an internal factor that affects the interview process?

  • Empathy
  • Respect
  • Physical environment (correct)
  • Self-awareness
  • What is the main purpose of active listening during history taking?

  • To establish rapport with the patient (correct)
  • To gather information through questioning
  • To recap the findings at the end
  • To validate the patient's story
  • Which phase of the interview involves gathering information through questioning?

  • Introduction
  • Working (correct)
  • Conclusion
  • None of the above
  • What percentage of the diagnosis is made by the clinician during history taking?

    <p>80%</p> Signup and view all the answers

    Which of the following is NOT a communication technique during history taking?

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

    What is the approximate distance between the clinician and the patient during the interview?

    <p>4 to 5 feet</p> Signup and view all the answers

    Which of the following is NOT a consideration when examining a teenager?

    <p>Using child language such as 'tummy' or 'belly'</p> Signup and view all the answers

    What should you do before gaining a child's trust during an examination?

    <p>Play games and ask questions</p> Signup and view all the answers

    Which of the following is NOT a component of the general survey?

    <p>Vital signs</p> Signup and view all the answers

    What is the purpose of the ABCDE approach during the general survey?

    <p>To ensure a quick assessment of airway, breathing, circulation, disability, and exposure</p> Signup and view all the answers

    Which of the following is NOT a common complaint in the general survey?

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

    What is the significance of a waist circumference greater than 35 inches in women and 40 inches in men?

    <p>Increased risk for cardiovascular disease</p> Signup and view all the answers

    Which of the following is NOT a component of the comprehensive history-taking process?

    <p>A (Assessment)</p> Signup and view all the answers

    What does the abbreviation STI stand for in the context of sexual history-taking?

    <p>Sexual Transmitted Infection</p> Signup and view all the answers

    In the menstrual history, what does menarche refer to?

    <p>The age of the first period</p> Signup and view all the answers

    What does the abbreviation ADL stand for in the context of functional assessment?

    <p>Activities of Daily Life</p> Signup and view all the answers

    Which of the following is NOT a question to ask when assessing for domestic violence?

    <p>Do you feel safe in your current relationship?</p> Signup and view all the answers

    What is the purpose of the social history component in history-taking?

    <p>To assess the patient's support system and relationships</p> Signup and view all the answers

    Which of the following is NOT a recommended approach for effective communication with patients?

    <p>Offer multiple choices and examples</p> Signup and view all the answers

    What is the purpose of the S in the SET UP interview strategy for giving bad news?

    <p>Set the stage for the interview</p> Signup and view all the answers

    What is the purpose of the P in the SET UP interview strategy for giving bad news?

    <p>Seek the patient's perception</p> Signup and view all the answers

    What is the purpose of the I in the SET UP interview strategy for giving bad news?

    <p>Seek the patient's perception</p> Signup and view all the answers

    What is the purpose of the K in the SET UP interview strategy for giving bad news?

    <p>Summarize and clarify the information</p> Signup and view all the answers

    What is the purpose of the E in the SET UP interview strategy for giving bad news?

    <p>Invite the patient to share their knowledge</p> Signup and view all the answers

    Which of the following is NOT a component of the CAGE-AID screening tool?

    <p>Getting annoyed when people ask about drinking</p> Signup and view all the answers

    What is the purpose of the PHQ-2 screening tool?

    <p>To assess depression symptoms</p> Signup and view all the answers

    Which of the following is NOT a symptom assessed by the GAD-2 screening tool?

    <p>Feeling down, depressed or hopeless</p> Signup and view all the answers

    What is the purpose of the C in the CAGE Questions?

    <p>To assess thoughts of cutting back on drinking</p> Signup and view all the answers

    What is the purpose of the A in the CAGE Questions?

    <p>To assess annoyance about questioning drinking</p> Signup and view all the answers

    What is the purpose of the G in the CAGE Questions?

    <p>To assess guilt about drinking</p> Signup and view all the answers

    Study Notes

    Internal Factors Affecting Interview Process

    • Anxiety, fear, and cultural barriers are internal factors that affect the interview process.
    • Patient's age, gender, and physical appearance are not internal factors that affect the interview process.

    Active Listening

    • The main purpose of active listening during history taking is to ensure accurate information gathering and build trust with the patient.

    Phases of the Interview

    • The information gathering phase of the interview involves gathering information through questioning.

    Diagnosis during History Taking

    • 80% of the diagnosis is made by the clinician during history taking.

    Communication Techniques

    • Avoiding is not a communication technique during history taking.

    Interview Distance

    • The approximate distance between the clinician and the patient during the interview is 3-4 feet.

    Examining a Teenager

    • Considering the patient's autonomy is not a consideration when examining a teenager.

    Gaining a Child's Trust

    • Before gaining a child's trust during an examination, establish rapport with the child.

    General Survey

    • The patient's occupation is not a component of the general survey.
    • The purpose of the ABCDE approach during the general survey is to assess the patient's appearance, behavior, cognitive function, and emotional status.

    Common Complaints

    • Family dynamics is not a common complaint in the general survey.

    Waist Circumference

    • A waist circumference greater than 35 inches in women and 40 inches in men indicates an increased risk of cardiovascular disease.

    Comprehensive History-Taking Process

    • Patient's credit card information is not a component of the comprehensive history-taking process.

    Sexual History-Taking

    • STI stands for Sexually Transmitted Infection.

    Menstrual History

    • Menarche refers to the onset of menstruation.

    Functional Assessment

    • ADL stands for Activities of Daily Living.

    Domestic Violence Assessment

    • Asking about the patient's favorite color is not a question to ask when assessing for domestic violence.

    Social History Component

    • The purpose of the social history component in history-taking is to understand the patient's social context and its impact on health.

    Effective Communication

    • Avoiding eye contact is not a recommended approach for effective communication with patients.

    SET UP Interview Strategy

    • The S in SET UP stands for Setting, which involves setting the tone for the conversation.
    • The P in SET UP stands for Perception, which involves understanding the patient's perspective.
    • The I in SET UP stands for Invitation, which involves inviting the patient to share their concerns.
    • The K in SET UP stands for Knowledge, which involves sharing information with the patient.
    • The E in SET UP stands for Empathy, which involves expressing empathy and understanding.

    CAGE-AID Screening Tool

    • The patient's occupation is not a component of the CAGE-AID screening tool.

    PHQ-2 Screening Tool

    • The purpose of the PHQ-2 screening tool is to assess for depression.

    GAD-2 Screening Tool

    • Feeling happy is not a symptom assessed by the GAD-2 screening tool.

    CAGE Questions

    • The C in CAGE Questions stands for Cutting down, which involves assessing the patient's attempts to reduce their substance use.
    • The A in CAGE Questions stands for Annoyance, which involves assessing the patient's feelings about others criticizing their substance use.
    • The G in CAGE Questions stands for Guilt, which involves assessing the patient's feelings of guilt about their substance use.

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    Description

    Assessing Social History and Past Medical History: Test your knowledge on gathering information about work, relationships, safety in relationships, substance use, and previous headaches. Also, learn about conducting a follow-up visit and diagnosing problems in a focused history of present illness. Perfect for medical professionals looking to enhance their patient assessment skills.

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