ExamI2:INURI3066CI(LatestI2024-
I2025IUpdate)IClinicalIReasoning: IHealthI
Assessment -GuideIwithIQuestions IandI VerifiedIAnswers-IGradeIA-100%ICorrect Q:IPQRSTU Answer: IPI=IProvocative IorIpalliative QI=IQualityIorIquantity RI=IRegionIorIradiation SI=ISeverityIscale:I1ItoI10 TI=ITimingIorIonset UI=IUnderstand Ipatient'sIperceptionIofIproblem Q:IHealthIHistoryI-IPastIHealth Answer: I-IChildhoodIillnesses -IAccidentsIorIinjuries -ISeriousIorIchronicIillnesses -IHospitalizations -IOperations -IObstetricIhistory -IImmunizations -ILastIexamination Idate -IAllergies -ICurrentImedications Q:IHealthIHistoryI-IFamilyIhistory Answer: I-IAgeIandIhealthIorIcauseIofIdeathIofIrelatives -IHealthIofIcloseIfamilyImembers -
IFamilyIhistoryIofIvariousIconditionsIsuchIasIheartIdisease,IhighIbloodIpressure,Istroke,Idiabet
es,IbloodIdisorders,Icancer,Isickle-cellIanemia,Iarthritis,Iallergies,Iobe-
Isity,Ialcoholism, ImentalIillness,IseizureIdisorder,IkidneyIdisease,IandItuberculosis -IFamilyItreeI(genogram) ItoIshowIthisIinformation IclearlyIandIconcisely Q:IHealthIHistoryI-IReviewIofIsystems Answer: IReviewIallItheIsystemsIandIifItheyIhaveIhadIanyIissuesIwithItheIpreviously. IAskImoreIquesti
onsIifIthereIhadIbeenIaIproblemIinIthatIsystemItoIlearnImoreIinformation. Q:IHealthIHistoryI-IFunctional IAssessment Answer: I-ISelf-esteem,Iself-concept -IActivityIandIexercise -ISleepIandIrest -INutritionIandIelimination -IInterpersonal Irelationships IandIresources -ISpiritualIresources I -ICopingIandIstressImanagement -IPersonalIhabits -IIllicitIorIstreetIdrugs -IEnvironment IandIworkIhazards -IIntimateIpartnerIviolence -IOccupational Ihealth Q:IEightIcriticalIcharacteristics IelicitedIforIanyIpatientIcomplaintIorIsymptom- Answer: IBeIspecific,IptIcanIpointItoIlocation.IIsIitIlocalizedIorIradiating?IIsIitIsuperficialIorIdeep? CharacterIorIqualityI-
Iburning,Isharp,Idull,Iaching,Ignawing,Ithrobbing,Ishooting,Iviselike,IaskIaboutIanyIotherIchara
cteristic,Iex:Ibloody,Icolor,Ismells QuantityIorIseverityI-IUseIaIscaleItoIquantifyItheIsignIorIsymptom.IEx:IpainIscaleITimingI-
Ionset,Iduration,IfrequencyIWhenIdidIitIstart?,IHowIlongIdidIitIlast?,IDoesIitIcomeIandIgo? SettingI-
IWhatIwasItheIpersonIdoingIwhenItheIsymptomsIstarted?IAggravating IorIrelievingIfactorsI-
IwhatImakesIitIworse/better? IAssociated IfactorsI-
IAreIthereIanyIotherIsymptoms? IReviewImedsInow.IPatient'sIperceptionI-
IhowIdoesIthisIcomplaintIaffectsIdailyIactivities Q:IIdentifyIculturallyIsensitiveIquestionsItoIelicitIhealthIhistoryIinformation Answer: I-IAdditional IquestionsIforInewIimmigrants -IBiographical Idata -ISpiritualIresourceIandIreligion:IassessIifIcertainIprocedures IcannotIbeIdone -IPastIhealth:IwhatIimmunizations, IifIany -IHealthIperception -IHowIdoesIpersonIdescribeIhealthIandIillness -IHowIdoesIpersonIseeIproblemsIheIorIsheIisInowIexperiencing -INutrition:ItabooIfoodsIorIfoodIcombinations Q:IDiscussIhealthIpromotionIdataIassociatedIwithItheIhealthIhistory Answer: IEnsureIyouIdiscussIthatIhealthIpromotionIcanIbeIdiscussedIinItheIvariousIsystems: e.g.IEyes,IlastIeyeIexam.IEars,IlastIhearingItest.IMouth,IlastIdentalIexam.IBreast,IlastISBE,Ima
mmo.IFemaleIGU,IlastIWWE/pap. IMaleIGU,IlastITSE Q:IIdentifyIappropriate Iadaptations IofItheIhealthIhistoryIforItheIchild,ItheIadolescent, IandIthe
IolderIadultI-IChildhood Iconsiderations Answer: ISourceIofIhistory -IPersonIprovidingIinformation IandIrelationItoIchild -IYourIimpression IofIreliabilityIofIinformation -IAnyIspecialIcircumstances I(e.g.,IuseIofIanIinterpreter) -
IParent'sIintuitiveIsenseIofIproblemIoftenIaccurate;IevenIifIprovenIotherwise,IthisIgivesIanIide
aIofIparent'sIareaIofIconcern -IParent'sIcopingIabilityIandIreactionIofIotherIfamilyImembersItoIchild'sIsymptoms I orIillness -IPrenatalIstatus -ILaborIandIdelivery -IPostnatalIstatus -IImmunization Ischedule Developmental Ihistory -IGrowth -IMilestones -ICurrentIdevelopment IforIchildrenI1ImonthIthroughIpreschoolIage -ISchool-ageIchild -INutritional Ihistory -IFamilyIhistory Functional Iassessment -ISelfIesteem/self Iconcept, -INutrition/elimination -IBullying -IAdopted,IpositionIinIfamily,Imake-upIofIfamily -IActivityIandIsleepIpatterns,IsleepIwalking,IschoolIexperience -IParentsIoccupation, IhowIoftenIparentIisIawayIfromIhome,IadequateIincome -IHouse,Iapartment, IoutdoorIplayIarea,IshareIaIroom -IHomeIsafety,Ineighborhood Isafety,IchildIseat -IAdaptable? INewIstressors?IMoodIchanges -ISmoking,Idrinking,Idrugs -IPCP,IlastIcheckup,Idental,IvisionIandIhearing Q:IHEEADSSS Answer: IMethodIofIinterviewing IfocusesIonIassessment IofIadolescent HomeIenvironment, IEducationIandIemployment, IEating, ActivitiesIthatIareIpeer-related,IDrugs, Sexuality, SuicideIandIdepression, SafetyIfromIinjuryIandIviolence
