History Taking (Ch. 12) RAD 101 fully
solved to pass
Chief Complaint - correct answer ✔✔primary medical problem as defined by the patient; important
because it focuses the clinical history toward the single most important issue
Chronology - correct answer ✔✔time element of the history, usually including the onset, duration,
frequency, and course of the symptoms
Clinical History - correct answer ✔✔information available regarding a patient's condition; traditionally
comprises data on localization, quality, quantity, chronology, setting, aggravating or alleviating factors,
and associated manifestations
Leading Questions - correct answer ✔✔undesirable method of questioning that provides information
that may direct answers toward a suggested symptom or complaint
Localization - correct answer ✔✔determination of a precise area, usually through gentle palpation or
careful wording of questions
Objective - correct answer ✔✔perceptible to the external senses
Quality - correct answer ✔✔description of the character of the symptoms - for example, the color,
quantity, and consistency of blood or other body substances; size or number of lumps or lesions;
frequency of urination or coughing; or character of pain.
Subjective - correct answer ✔✔pertaining to or perceived only by the affected individual; not
perceptible to the senses
To extract as much information as possible, the event of asking the patient questions should be viewed
as what? - correct answer ✔✔an interview with the patient
, Several qualities that appear to be important in establishing an open dialogue with the patient include -
correct answer ✔✔- respect
- genuineness
- empathy
The Radiologic and Imaging Professionals should maintain a polite and professional demeanor during the
interview by doing what? - correct answer ✔✔- introducing themselves to the patient
- verifying the patient's name (using Mr. or Ms.)
- explaining that medical history is needed
Good history taking involves the collection of? - correct answer ✔✔accurate objective data and
subjective data
Effective histories result when the following questioning techniques are used- - correct answer ✔✔-
open ended questions (non directed) letting the patient tell the story
- facilitation (nod, say yes, go on ...) encourages elaboration
- silence (giving the patient time to remember)
- probing questions (focus the interview) allows for more detail
- repetition (rewording) clarifies information
- summarization (condensing) verifies accuracy
Information should be verified about the area of pain identified by the patient by? - correct answer
✔✔pointing to the area
a useful tool is to repeat information obtained as a part of the study for two reasons, what are they? -
correct answer ✔✔1. verify that the rad tech has perceived the information correctly
2. ensure that the patient has not changed his/her mind
Elements of the Clinical History (history guide) - correct answer ✔✔1. determining the chief complaint
2. review the chief complaint
3. indications for the examination
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