Advanced health assessment exam 1
Advanced health assessment exam 1
study guide questions and answers top
graded 2024-2025
What are the concepts of developing a relationship with the patient? -Correct Answer
✔See the patient as a unique individual
Let them know that you really want to know all that is needed
Be open and flexible
Explain boundaries
Be honest
What is the primary objective when developing a relationship with the patient? -Correct
Answer ✔To discover the details about a patient's concern, explore expectations,
display interest, and partnership
What does establishing a positive relationship with the patient depend on? -Correct
Answer ✔Communication built on courtesy, comfort, connection, and confirmation.
What are effective communication strategies when obtaining a health history? -Correct
Answer ✔Using open-ended questions, direct questions, rarely leading questions.
Facilitate by encouraging patient to say more. Reflect by repeating what you heard.
Clarify. Empathize by showing understanding and acceptance. Confront by discussing
disturbing behavior. Interpret by repeating what you heard to confirm.
What are open-ended questions? -Correct Answer ✔Those that give the patient
discretion about the extent of the answer. Such as "How have you been feeling?" or
"What brings you in today?"
What are direct questions? -Correct Answer ✔Those that seek specific information.
Such as "How long ago did that happen?" or "Where does it hurt?"
What are leading questions? -Correct Answer ✔Those that are prompting the patient
toward the desired answer and these are the most risky.
What is a patient centered question? -Correct Answer ✔One that respects and
responds to a patient's wants, needs, preferences so that they can make choices in
their care that best fit their individual circumstances. Such as "How would you like to be
addressed?", "What would you like us to do today?", "How are you coping with your
illness?".
What are potential barriers of patient and provider communication? -Correct Answer
✔When the patient is curious about you, anxiety, silence, depression,
Advanced health assessment exam 1
,Advanced health assessment exam 1
crying/compassionate moments, physical & emotional intimacy, seduction, anger,
avoiding the full story, financial considerations.
What is the structure and components of the patient history? -Correct Answer ✔Patient
identifiers, chief complaint, history of present illness, past medical history, family history,
personal/social history, review of systems
What kind of patient information is obtained in the patient identifier component of the
patient history? -Correct Answer ✔name, age, gender, race, occupation, date, time, and
referral source
What kind of patient information is obtained in the chief complaint component of the
patient history? -Correct Answer ✔a brief statement about why the patient is seeking
care while probing for underlying concerns.
What kind of patient information is obtained in the HPI component of the patient history?
-Correct Answer ✔a chronological order of events leading up to the presenting problem,
health status prior to the onset, a complete description of first symptoms, symptom
analysis (onset, location, description, duration, intensity, character, aggravating factors,
alleviating factors), impact on patients lifestyle, medications or treatments tried
What kind of information is obtained in the PMH component of the patient history? -
Correct Answer ✔general health/strength
childhood illnesses
major adult illnesses and chronic diseases
immunization
surgeries (dates, hospital, diagnosis, complications)
serious injuries resulting in disability
limitation of ability to function d/t past events
medications
allergies (meds, environment, seasonal, food)
transfusions
recent screening tests
emotional status
What kind of information is obtained in the family history component of the patient
history? -Correct Answer ✔Any relevant medical problems for both immediate and non-
immediate family members
What kind of information is obtained in the personal/social history section of the patient
history? -Correct Answer ✔home environment and conditions (pets, economic)
where was the patient raised
education
position in family
marital status
Advanced health assessment exam 1
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life satisfaction
hobbies/interests
source of stress
habits (nutrition, sleep, drugs, etoh, ADL's, and smoking)
self-care (self breast exams, exercise, home remedies)
sexual history
environmental (travel, exposure to diseases)
religious and cultural preferences
access to care
What information is necessary when obtaining sexual health information? -Correct
Answer ✔number of partners, concerns, birth control, protection from STI's
What kind of information is obtained for the ROS component of the patient history? -
Correct Answer ✔those that identify presence or absence of health related issues in
each body system
What is subjective data? -Correct Answer ✔it is information collected during the patient
interview with the patient or significant other. it is their words. It can include symptoms,
sensations, feelings, perceptions, desires, preferences, beliefs, ideas, values, personal
information, ROS, complete health history
What is objective data? -Correct Answer ✔it is the information that can be physically
seen by the provider and tested against. It can include the physical exam, lab analysis,
x rays, and professional consults.
How do you approach sensitive issues when interviewing a patient? -Correct Answer
✔Provide privacy, be direct and firm, don't ask leading questions, use open-ended
questions, don't apologize for asking questions, don't preach, avoid confrontation, use
understandable language, watch medical jargon, document carefully using the patient's
words.
What does it mean to be culturally aware? -Correct Answer ✔It is the deliberate self-
examination and in depth exploration of one's own biases, stereotypes, prejudices,
assumptions that one holds about people different than them.
What does it mean to be culturally competent? -Correct Answer ✔It requires the
provider to be sensitive to a patient's heritage, sexual orientation, socioeconomic
situation, ethnicity, and cultural background
What are examples of questions that explore the patient's culture? -Correct Answer
✔"what do you call your problem?"
"What do you think caused it?"
"What does your sickness do to you?"
"Why do you think it started when it did?"
Advanced health assessment exam 1
