Advanced health assessment exam 1 QUESTION WITH VERIFIED 100% ANSWERS

Advanced health assessment exam 1 QUESTION WITH VERIFIED 100% ANSWERS What are the concepts of developing a relationship with the patient? - 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? - 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? - ANSWER Communication built on courtesy, comfort, connection, and confirmation. What are effective communication strategies when obtaining a health history? - 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? - 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? - ANSWER Those that seek specific information. Such as "How long ago did that happen?" or "Where does it hurt?" What are leading questions? - ANSWER Those that are prompting the patient toward the desired answer and these are the most risky. What is a patient centered question? - 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? - ANSWER When the patient is curious about you, anxiety, silence, depression, crying/compassionate moments, physical & emotional intimacy, seduction, anger, avoiding the full story, financial considerations. What is the structure and components of the patient history? - 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? - 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? - 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? - 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? - 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? - ANSWER Any relevant medical problems for both immediate and nonimmediate family members What kind of information is obtained in the personal/social history section of the patient history? - ANSWER home environment and conditions (pets, economic) where was the patient raised