Quiz 2 Flashcards
step 1
setting the stage
what happens in step 1
welcome patient, use their name, introduce yourself, ask if they need anything, remove barriers to communication, ensure comfort
step 2
obtain agenda
what happens in step 2
indicate time available, state your goals, obtain list of patient’s priorities, summarize and finalize agenda
step 3
opening the HPI
what happens in step 3
begin w/ open ended questions/non-focusing questions, used focusing questions if patient is reluctant to speak, obtain non-verbal data
step 4
continuing HPI
what happens in step 4
description of symptoms, personal context, develop emotional focus, use empathy, expand story,
step 5
transition to middle of the interview
what happens in step 5
brief summary, check accuracy, indicate inquiry will change now
step 6
obtain a chronological description of HPI
what happens in step 6
develop and clarify patient’s symptom story, hypothesis testing v. comprehensive interviewing, obtain data w/out interpreting it, interpret data while obtaining it, understand patient’s perspective, procedural issues, addressing a predominantly psychological problem
step 7
PMH
what happens in step 7
ask about each major area, screen for major diseases, ask about hospitalizations, ask about immunizations, screening, women’s health, meds, allergies
step 8
social history
