Health Assessment Ch 4 – Flashcards

question
The purpose of the complete health history
answer
to collect subjective data
question
Critical characteristics used to explore each symptom the patient identifies.
answer
1. location- ask the pt. to point to the location 2. character or quality- specific descriptive terms 3.Quantity or severity- qualify the sign or symptom 4.Timing- onset, duration, frequency 5. Setting- where were you 6. Aggravating or relieving factors- what makes it worse, brings it on, or makes it better. 7.Associated factors- primary symptom associated with any others. 8. Patient's perception- meaning of the symptom to the patient
question
Elements of the health history:
answer
1. Reason for seeking care- brief, spontaneous statement in pt.'s own words. 2.Present health state- statement about the general state of health 3. Past history- important b/c they may have residual effects on the current health state. 4. Review of systems- evaluate past & present health state of each body system. 5. Functional patterns of living- measures a persons self care ability.
question
Rational for obtaining a family history
answer
to highlight those diseases and conditions for which a particular pt. may be at increased risk for.
question
Pedigree or genogram
answer
a graphic family tree in at least 3 generations such as parents, grandparents, and siblings.
question
Rationale for obtaining a systems review
answer
1. evaluate the past and present health state of each body system 2. double check incase any significant data were omitted in the present illness section. 3. evaluate health promotion practices.
question
Items included in a functional assessment
answer
spiritual resources, activity/ exercise, sleep/rest, nutrition/ elimination, coping/ stress management, self esteem, self concept, interpersonal relationships, personal habits, occupational health, environmental hazard, and alcohol or illicit street drugs.
question
One way to verify the reliability within the context of the interview is to:
answer
rephrase the same question later in the interview.
question
During an initial interview, the examiner says, "Mrs. J' tell me what you do when your headaches occur." With this question the examiner is seeking information about:
answer
aggravating or relieving factors
question
Which of the following of an appropriate recording of a patent's reason for seeking health care?
answer
"grabbing" chest pain for 2 hr
question
Select the best description of "review of systems" as part of the health history.
answer
the evaluation of the past and present health state of each body system
question
Which of the following is considered to be subjective?
answer
pain lasting 2 hours
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question
The purpose of the complete health history
answer
to collect subjective data
question
Critical characteristics used to explore each symptom the patient identifies.
answer
1. location- ask the pt. to point to the location 2. character or quality- specific descriptive terms 3.Quantity or severity- qualify the sign or symptom 4.Timing- onset, duration, frequency 5. Setting- where were you 6. Aggravating or relieving factors- what makes it worse, brings it on, or makes it better. 7.Associated factors- primary symptom associated with any others. 8. Patient's perception- meaning of the symptom to the patient
question
Elements of the health history:
answer
1. Reason for seeking care- brief, spontaneous statement in pt.'s own words. 2.Present health state- statement about the general state of health 3. Past history- important b/c they may have residual effects on the current health state. 4. Review of systems- evaluate past & present health state of each body system. 5. Functional patterns of living- measures a persons self care ability.
question
Rational for obtaining a family history
answer
to highlight those diseases and conditions for which a particular pt. may be at increased risk for.
question
Pedigree or genogram
answer
a graphic family tree in at least 3 generations such as parents, grandparents, and siblings.
question
Rationale for obtaining a systems review
answer
1. evaluate the past and present health state of each body system 2. double check incase any significant data were omitted in the present illness section. 3. evaluate health promotion practices.
question
Items included in a functional assessment
answer
spiritual resources, activity/ exercise, sleep/rest, nutrition/ elimination, coping/ stress management, self esteem, self concept, interpersonal relationships, personal habits, occupational health, environmental hazard, and alcohol or illicit street drugs.
question
One way to verify the reliability within the context of the interview is to:
answer
rephrase the same question later in the interview.
question
During an initial interview, the examiner says, "Mrs. J' tell me what you do when your headaches occur." With this question the examiner is seeking information about:
answer
aggravating or relieving factors
question
Which of the following of an appropriate recording of a patent's reason for seeking health care?
answer
"grabbing" chest pain for 2 hr
question
Select the best description of "review of systems" as part of the health history.
answer
the evaluation of the past and present health state of each body system
question
Which of the following is considered to be subjective?
answer
pain lasting 2 hours
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