N209 exam 1 topic 3 (health history)

what is the goal of the interview?

a structured conversation to gather pertinent details about their background and current medical status

what is the purpose of getting a pt’s health history?

to identify past and present medical/health situations (getting both objective and subjective data)

what are some important aspects of the interview?

privacy, minimize interruptions, environment (equal seating), dress, and note-taking

what is a good way to start an interview?

with an open-ended question

in regard to the source of a pt’s history, what is the most important thing to document?

the reliability of the source

when undergoing the review of systems (ROS), what information is taken?

subjective information ONLY

give list of activities of daily living or ADLs (needed for self-care)

eating/feeding, bathing, grooming, toileting, walking, and trasnferring (ie from bed to chair)

give list of IADLs (independent living)

cooking, cleaning, managing finances, grocery shopping, and managing medications

what is the acronym for spirituality?

FICA

what is the number for men vs women to be considered binge drinking/drunk?

5 or more drinks for men and 4 or more drinks for women

what is one change that occurs with aging?

reactions to medications change as aging occurs