1030: Exam 1 Study Guide
OBJ 1: Timing of Health Hx - ANS-Introduce yourself by name, gather info and plan a
time when you will be able to give them your attention. Work with pt to figure out a time
that is the least disruptive.
Purpose of Health History - ANS-To obtain subjective data from patients so the nurse
and patient can create a plan to promote health, prevent disease, resolve acute health
problems and minimize limitations related to chronic health problems
Health History: - ANS-i: Biographical data: name, address, age, gender, race.
ii: Chief Complaint: (why they are seeking medical advice) gather most relevant and
important data.
iii: Hx of present Illness: when it began, sudden or gradual, how often, what makes it
better or worse? How does it differ from usual health status?
iv: Past Health Hx: Child Immunizations, diseases, past surgeries
v: Family Health Hx: first degree (parents, siblings) what they currently have or have
had.
vi: Social Hx: relationships, economic status, occupation, drug/tobacco use, exercise,
ethnicity
vii: medication and device use and Hx: natural remedies, nutritional supplements, herbs
etc
viii: Complementary/ Alternative Modalities (COM):
musical therapy massage therapy, energy, acupressure, physical therapy etc.
ix: Review of body systems: subjective data
OBJ 2. Principles of Communication that facilitate a Health Assessment: - ANS-a:
Close-end ?s: Used for obtaining basic, specific info, anxious & hard time
communicating
b. Open ended ?s: pt controls subject, nurse clarifies and summarizes to promote
thoughtful interaction
c. Avoid communication pitfalls: dont be bias, dont interrupt
OBJ 3. Differentiate between medical and nursing modls used for taking health Hx: -
ANS-....
Medical Model -used by HCP - ANS-i: review of body systems
ii. useful in identifying a medical problem/diagnosis
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