complete (baseline) - Answer -total health history and full physical examination
describing current and past health state
-example: checkup or annual appointment
focused - Answer -health history that is problem-centered: limited, targeted, mainly 1
problem or body system
-example: patient presents with a rash, broken bone, etc.
episodic or emergency - Answer -health history that is urgent, rapid collection of
information with lifesaving measures
-not much time, really just need to do quick assessment
-example: heart attack
first-level priority top priority - Answer -priority that is emergent, life threatening, and
immediate
second-level priority - Answer -priority that is next in urgency, requiring attention so as
to avoid further deterioration
-example: infection, diabetic check their sugar/give insulin
third-level priority - Answer -priority that is important to patient's health but can be
addressed after more urgent problems are addressed
collaborative problems - Answer -approach to treatment involves multiple disciplines
health history components - Answer -biographic data (name, age, gender, relationship
status, ethnic origin, occupation, language)
-reason for seeking care
,-history of present illness
-past medical history
-family history-genogram
-review of systems with health promotion activities
-functional assessment
symptom - Answer -subjective sensation that the person feels from the disorder
sign - Answer -objective abnormality that you detect on physical exam or diagnostic
testing
introducing the interview - Answer -keep this part of the interview short and formal
working phase - Answer -data-gathering phase
-open ended and closed ended questions
open ended - Answer type of question that asks for narrative information
closed - Answer type of question that asks for specific information leading to a forced
choice (yes or no)
facilitation - Answer -patient leads and reactions obtained from interviewer
-encourages patient to say more
silence - Answer -patient leads and reactions obtained from interviewer
-directed attentiveness
reflection - Answer -patient leads and reactions obtained from interviewer
, -echoes to help express meaning
empathy - Answer -patient leads and reaction obtained from interviewer
Naming the feeling and allowing its expansion
Explain - Answer - Patient leads and interviewer's reaction to the response obtained
Seeking confirmation
Confrontation - Answer - Interviewer leads and he expresses his own thoughts based on
information obtained.
Inconsistent information to be explained
Interpretation - Answer - Interviewer leads and he expresses his own thoughts based on
information obtained.
Makes association to reach the cause or conclusion
Explanation - Answer - Interviewer leads and he expresses his own thoughts based on
information obtained
-Informs the person by sharing factual and objective information
summary - Answer -the interviewer leads and expression of own thoughts based on
obtained information
-provides conclusion based on verified information which in turn identifies that the
interview process is closing
situation - Answer -SBAR
-provide a brief description of pertinent patient variables, demographics, clinical
diagnosis, and location
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