UC Adv Health Assessment - Quiz 1
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1. What are the
components of
a COMPLETE
health assessment?
CC, HPI, PMH, FH, Social Hx, ROS, Genogram
2. What are the
components of a
FOCUSED health
assessment?
CC, HPI, PMH, FH/SH that pertains to complaint, specific
system ROS
3. Foundation of
the HPI is the
PQRST format;
what does it
stand for?
Provocative
Quality or Quantity
Region/Radiation
Severity
Timing
4. Provocative
Components
What causes the symptom
What makes it worse or better?
What do you do for it? Meds/rest?
Looking for triggers, relievers, aggravators
5. Quality or Quantity Components
How does it feel, look, sound, or smell?
How much are you experiencing now?
Does it interfere with ADLs?
Is it worse, better, or different than the last time?
6. Region/Radiation
Where is it located?
Does it travel anywhere else in your body?
7. Severity On a scale of 1 - 10, how bad is it?
At its worse do you have to sit down, lie down, or slow
down?
Is it getting better, worse, or the same?
8. Timing When did it begin? Date/time?
Type of onset - how did it start? Suddenly or gradually
Frequency - how often does it occur? When does it occur?
What time of day? Does it wake you up? Does it happen
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after/before food? Seasonal?
Duration - how long does it last?
9. What is the most
important question to ask?
Have you ever had this before???
10. What are the
components of a
PMH? (past med
hx)
Childhood/adult illness
Surgeries with dates
Immunizations
Pediatric, adolescent, and adult
Serious injury/trauma - transfusions
Medications
Prescription
OTC
Allergies and response
Screening exams
Psychiatric/mental health issues
11. What are the
components of
FH? (family history)
CAD, cholesterol
DM
HTN, stroke
CA
TB
Asthma
Bleeding, anemia
Alcoholism
Weight, mental health
12. What are the
components of
Social History?
Alcohol/Drugs
Occupation
Nutrition
Exercise
Home life/support system/housing/safety/SES
Exposures/travel
Stress management
Sleep
13. What are the
components of a
Head to toe
Complete systematically
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ROS? (review of
systems)
Documentation - Pt opportunity to address problems, NOT
physical component, Pertinent negative (or positive), Denies chest pain , sob
Never write as "no problems"
Pertinent positives/negatives
14. What are the
components to a
genogram?
3 generational, points out risk factors, allows for anticipatory guidance
15. What is the
screening tool
that focuses on
detecting pts at
high risk for an
eating disorder?
SCOFF
S-Do you make yourself Sick when you feel uncomfortably
full?
C-Do you worry you have lost Control over how much you
eat?
O-Have you recently lost more than One stone (14 lbs.) in
a 3-month period?
F-Do you believe yourself to be Fat when others say you
are too thin?
F-Would you say that Food dominates your life?
**One point for every "yes"; >2 indicates a likely case of
anorexia or bulimia
16. What is subjective information?
information told to you by the patient about the situation
17. What is objective
information?
information you have determined through your observation, physical assessment, lab values, and testing.
18. What is the
HEADS assessment?
Interview approach with teenagers to discuss sensitive
topics
19. What does
HEADS stand
for?
H-How are things at home?
E-How is school? Grades? Subjects? Education
A-What kind of activities do you do? What is affect, ambition, anger?
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D-Do you use drugs, etoh, does anyone in your family?
S-Are you engaging in sex? Sexuality issues?
20. What does CAGE
stand for?
C-Have you ever been concerned about your drinking?
Feel the need to cut down?
A-Have you ever felt annoyed by criticism of your drinking?
G-Have you ever felt guilty about your drinking or what you
did while drinking?
E-Have you ever felt the need for a morning eye opener?
**YES: physical dependence. 99.8?ficacy rating
21. What does RAFT
stand for?
R-Do you drink/drugs to relax or fit in?
A-Do you drink/drugs while you are alone?
F-Do any of your friends use drugs/etoh?
Does a family member have a problem?
T-Have you ever gotten in trouble b/c ... ?
22. What is the
Dukes Activity
Status Index?
Measures patients' functional capacity - higher score the
better the oxygen uptake.
Rough estimate of peak oxygen uptake:
<15>20 none to mild impairment
23. What is MMSE? "Mini mental status exam"
Standardized screening tool of mental status
Max score is 30
Depressed client's w/o dementia score 24-30
Score of 20 or less is found w/dementia, delirium, schizophrenia, or an affective disorder
24. What is MOCA? "Montreal Cognitive Assessment"
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