Tina Jones Health History Simulation Part 4
Quick-reference flashcards to guide clinical questions on asthma history and unintentional weight loss, with tips and example prompts.
Example Question: How old was your father when he died?
Finding: Followed up on father's death
Finding: Reports father died at age 58 (Found)Pro Tip: Following up on the death of an immediate family member is important for gathering details that could be relevant to the patient's case. Uncovering the age of death can help you assess the patient's current risks.
Key Terms
Example Question: How old was your father when he died?
Finding: Followed up on father's death
Finding: Reports father died at age 58 (Found)Pro Tip: Following up on the death of an immediate family m...
Example Question: What caused your father's death?
Finding: Reports cause of death was a car accident (Found)Pro Tip: Following up on the death of an immediate family member is important for gatheri...
Example Question: How are you coping with your father's death?
Finding: Followed up on coping with father's death
Finding: Reports past grief (Found)Pro Tip: Asking about Tina's reaction to her father's deat...
Example Question: How are you coping now?
Finding: Reports feeling at peace now (Found)Pro Tip: Asking about Tina's reaction to her father's death is a vital part of patient-centered care. ...
Example Question: Does your paternal grandfather have health conditions?
Finding: Asked about paternal grandfather's health
Finding: Reports paternal grandfather diagnosed with Type 2 diabetes (Found)Pro Tip: Family h...
Example Question: Does your paternal grandfather have health conditions?
Finding: Reports paternal grandfather diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. ...
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| Term | Definition |
|---|---|
Example Question: How old was your father when he died? | Finding: Followed up on father's death |
Example Question: What caused your father's death? | Finding: Reports cause of death was a car accident (Found)Pro Tip: Following up on the death of an immediate family member is important for gathering details that could be relevant to the patient's case. Uncovering the cause of death can help you assess the patient's current risks. |
Example Question: How are you coping with your father's death? | Finding: Followed up on coping with father's death |
Example Question: How are you coping now? | Finding: Reports feeling at peace now (Found)Pro Tip: Asking about Tina's reaction to her father's death is a vital part of patient-centered care. You should assess her needs to determine if providing any addition resources or support is appropriate. |
Example Question: Does your paternal grandfather have health conditions? | Finding: Asked about paternal grandfather's health |
Example Question: Does your paternal grandfather have health conditions? | Finding: Reports paternal grandfather diagnosed with high blood pressure (Found)Pro Tip: Family histories might indicate a genetic predisposition. Asking Tina if her paternal grandfather had high blood pressure can reveal generational patterns. |
Example Question: Does your paternal grandfather have health conditions? | Finding: Reports paternal grandfather diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Asking Tina if her paternal grandfather had high cholesterol can reveal generational patterns. |
Example Question: Have you had any family members with cancer? | Finding: Reports paternal grandfather died of colon cancer (Found)Pro Tip: Family histories might indicate a genetic predisposition. Asking Tina if any of her family members had cancer is essential for understanding her risks. |
Example Question: Does your paternal grandmother have health conditions? | Finding: Asked about paternal grandmother's health |
Example Question: Does your maternal grandfather have health conditions? | Finding: Asked about maternal grandfather's health |
Example Question: Does your maternal grandfather have health conditions? | Finding: Reports maternal grandfather diagnosed with high cholesterol (Available)Pro Tip: Family histories might indicate a genetic predisposition. Asking Tina if her maternal grandfather had high cholesterol can reveal generational patterns. |
Example Question: Does your maternal grandmother have health conditions? | Finding: Asked about maternal grandmother's health |
Example Question: Does your maternal grandmother have health conditions? | Finding: Reports maternal grandmother diagnosed with high cholesterol (Found)Pro Tip: Family histories might indicate a genetic predisposition. Asking Tina if her maternal grandmother had high cholesterol can reveal generational patterns. |
Example Question: Does your brother have health conditions? | Finding: Asked about brother's health |
Example Question: Does your sister have health conditions? | Finding: Asked about sister's health |
Example Question: Does obesity run in your family? | Finding: Asked about family history of obesity |
Example Question: Do you have a family history of thyroid problems? | Finding: Asked about family history of thyroid issues |
Example Question: Do you have relatives with addiction problems? | Finding: Asked about family history of substance abuse |
Example Question: Do you have a family history of headaches? | Finding: Asked about family history of headaches |
Example Question: Are you fatigued? | Review of Systems Finding: Asked about constitutional health Finding: Reports occasional tiredness or fatigue (Available)Pro Tip: Asking about tiredness or fatigue is one possible component of a review of systems interview. The patient's response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Have you noticed changes in your sleep? | Finding: Reports typical sleep pattern (Available)Pro Tip: Asking about the patient's typical sleep pattern is one possible component of a review of systems interview. The patient's response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Are you feeling feverish right now? | Finding: Reports fever (Available)Pro Tip: Asking about additional symptoms, such as fever, is one possible component of a review of systems interview. The patient's response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patient's chief complaint |
Example Question: Have you had chills? | Finding: Denies chills (Available)Pro Tip: Asking about additional symptoms, such as chills, is one possible component of a review of systems interview. The patient's response to questions about general, constitutional health may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Have you had night sweats? | Finding: Denies night sweats (Available)Pro Tip: Asking about additional symptoms, such as night sweats, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Do you have a history of depression? | Finding: Asked about review of systems for mental health Finding: Denies depression (Available)Pro Tip: Asking about the patient's history with depression is one possible component of a review of systems interview and may provide insight into their ability to cope in the event of painful physical trauma. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Do you have a history of suicidal thinking? | Finding: Denies suicidal ideation or attempts (Available)Pro Tip: Asking about the patient's suicidal ideation one possible component of a review of systems interview and may provide insight into their ability to cope in the event of painful physical trauma. Higher levels of pain have been associated with thoughts of self-harm. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Do you ever get headaches? | Finding: Asked about review of systems for head Finding: Reports occasional headaches (Available)Pro Tip: Asking about headache frequency is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Do you have a headache? | Finding: Denies current headache (Available)Pro Tip: Asking Tina is she currently has a headache is important because it might be contributing to her current discomfort and should be treated promptly. |
Example Question: Have you had any head injuries? | Finding: Denies head injury (Available)Pro Tip: Asking about the patient's history of physical trauma, including head injury, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Has your hearing changed? | Finding: Asked about review of systems for ears Finding: Denies change in hearing (Available)Pro Tip: Asking about changes in hearing is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems, such as hearing loss, not discovered during the discussion of the patient's chief complaint. |
Example Question: Do you ever have ringing in your ears? | Finding: Denies ringing or tinnitus (Available)Pro Tip: Ringing in the ears can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing, or hearing loss. Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. |
Example Question: Have you had ear pain? | Finding: Denies ear pain (Available)Pro Tip: Ear pain can suggest an ear infection, during which the middle of the ear becomes clogged with fluid and mucous, which can affect hearing. Asking Tina if she has ear pain might indicate a possible ear infection and a reason for changes in her hearing. |
Example Question: Have you had ear discharge? | Finding: Denies ear discharge (Available)Pro Tip: Ear discharge is the leakage of blood, pus, or wax from the ear and can be the result of a ruptured eardrum, eczema, or swimmer's ear. Asking whether she's noticed ear discharge could indicate whether she has a ruptured eardrum. |
Example Question: Have you noticed any changes in your vision? | Finding: Asked about review of systems for eyes and vision Finding: Reports periods of blurry vision (Found)Pro Tip: Asking about changes in vision is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as vision loss. |
Example Question: Do you wear glasses or contacts? | Finding: Denies corrective lenses (Available)Pro Tip: Asking about the patient's use of corrective lenses is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as vision loss. |
Example Question: Have you had itchy eyes? | Finding: Reports infrequent itchy eyes (Available)Pro Tip: Asking about symptoms, such as itchy eyes, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as allergic reactions or infection. |
Example Question: Have you had red eyes? | Finding: Reports infrequent eye redness (Available)Pro Tip: Asking about symptoms, such as eye redness, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as allergic reactions or infection. |
Example Question: Have you had red eyes? | Finding: Reports infrequent eye redness (Available)Pro Tip: Asking about symptoms, such as eye redness, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as allergic reactions or infection. |
Example Question: Have you had watery eyes? | Finding: Reports infrequent discharge, crusting or wateriness (Available)Pro Tip: Asking about symptoms, such as eye discharge, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as allergic reactions or infection. |
Example Question: Have you had eye pain? | Finding: Denies eye pain (Available)Pro Tip: Asking about symptoms, such as eye pain, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as allergic reactions, infection, or physical trauma. |
Example Question: Have you had dry eyes? | Finding: Denies dry eyes (Available)Pro Tip: Dry eyes occur when the eyes do not produce enough tears to lubricate them. Asking Tina if she has dry eyes solicits information about one particular symptom. |
Example Question: Do you have any nose problems right now? | Finding: Asked about review of systems for nose Finding: Denies current nose problems (Found)Pro Tip: Asking about symptoms, such as nose problems, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as allergic reactions, infection, or physical trauma. |
Example Question: Have you had a runny nose? | Finding: Reports infrequent runny nose (Found)Pro Tip: Asking about symptoms, such as runny nose, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as unspecified allergies |
Example Question: Have you had problems with your sinuses? | Finding: Reports infrequent sinus problems (Available)Pro Tip: Asking about symptoms, such as frequent sinus issues, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as unspecified allergies. |
Example Question: Have you had nosebleeds? | Finding: Denies nosebleeds (Available)Pro Tip: Asking about symptoms, such as frequent nosebleeds, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Has your sense of smell changed? | Finding: Denies change in sense of smell (Available)Pro Tip: Asking about symptoms, such as a change in smell, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Do you have any mouth problems? | Finding: Asked about review of systems for mouth and jaw Finding: Denies dental problems (Found)Pro Tip: Asking about symptoms, such as dental problems, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as oral infection. |
Example Question: When did you last see a dentist? | Finding: Reports last dental visit was several years ago (Available)Pro Tip: Asking about a patient's dental care is one possible component of a review of systems interview. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. |
Example Question: Has your sense of taste changed? | Finding: Denies change in sense of taste (Available)Pro Tip: Asking about symptoms, such as a change in taste, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Have you had dry mouth? | Finding: Denies dry mouth (Available)Pro Tip: Asking about symptoms, such as dry mouth, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Have you had mouth pain? | Finding: Denies mouth pain (Available)Pro Tip: Asking about symptoms, such as oral pain, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as oral infection or recent trauma. |
Example Question: Have you had mouth sores? | Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as oral infection or recent trauma. |
Example Question: Have you had gum problems? | Finding: Denies gum problems (Available)Pro Tip: Asking about symptoms, such as gum problems, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as oral infection or recent trauma. |
Example Question: Have you had tongue problems? | Finding: Denies tongue problems (Available)Pro Tip: Asking about symptoms, such as tongue pain, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint, such as oral infection or recent trauma. |
Example Question: Have you had jaw problems? | Finding: Denies jaw problems (Available)Pro Tip: Asking about symptoms, such as jaw problems, is one possible component of a review of systems interview. The patient's response to questions about this topic may uncover additional problems not discovered during the discussion of the patient's chief complaint. |
Example Question: Have you had difficulty swallowing? | Finding: Asked about review of systems for neck, throat and glands Finding: Denies difficulty swallowing (Available)Pro Tip: Asking if a patient has difficulty swallowing is one possible component of a review of systems interview. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. |
Example Question: Have you had a sore throat? | Finding: Denies sore throat (Available)Pro Tip: Asking if a patient has a sore throat is one possible component of a review of systems interview. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. |
Example Question: How are your lymph nodes? | Finding: Denies lymph node problems (Available)Pro Tip: Asking about a patient's lymph nodes is one possible component of a review of systems interview. Swollen lymph nodes may appear in the neck when an infection is present. |
Example Question: Do you have any throat problems? | Finding: Denies frequent sore throat (Available)Pro Tip: Asking if a patient has recurring throat problems is one possible component of a review of systems interview. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. |
Example Question: Do you have any swollen glands? | Finding: Denies swollen glands (Found)Pro Tip: Asking about a patient's glands in general could include lymph nodes or thyroid glands. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. |
Example Question: Have you had voice changes? | Finding: Denies voice changes (Available)Pro Tip: Asking about changes in a patient's voice is one possible component of a review of systems interview. The patient's response to these questions may uncover additional problems not discovered during discussion of the patient's chief complaint. |
Example Question: Do you perform breast self-examinations? | Finding: Asked about breast health Finding: Reports doing occasional breast exams (Available)Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patient's level of health literacy. |
Example Question: Do you have any breast swelling? | Finding: Denies swelling (Available)Pro Tip: Asking about abnormal characteristics of a patient's breasts, such as swelling, is one way of assessing overall breast health. |
Example Question: Do you have a rash on your breasts? | Finding: Denies breast rashes (Available)Pro Tip: Asking about abnormal characteristics of a patient's breasts, such as a rash, is one way of assessing overall breast health. |
Example Question: Do you have any lumps in your breasts? | Finding: Denies lumps (Available)Pro Tip: Asking about abnormal characteristics of a patient's breasts, such as lumps, is one way of assessing overall breast health. Lumps have a range of severity, as they could be the result of breast injury or cancerous growths, but any abnormalities should be handled with the highest level of concern. |
Example Question: Have you experienced nipple discharge? | Finding: Denies nipple discharge (Available)Pro Tip: Asking about abnormal characteristics of a patient's breasts, such as nipple discharge, is one way of assessing overall breast health. |
Example Question: Have you had a mammogram? | Finding: Denies ever having a mammogram (Available)Pro Tip: Inquiring into what breast screenings Tina has had can lead to a discussion about any test results and their implications for her cardiovascular health. If she has not had any screenings, it provides an opportunity for patient education. |
Example Question: Have you had breast cancer? | Finding: Denies history of breast cancer (Available)Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. You may also need to provide further support and resources to the patient. |
Example Question: Have you had breathing problems? | Finding: Asked about review of systems for respiratory Finding: Denies current breathing problems (Available)Pro Tip: Asking about general breathing problems can provide a comparative baseline for assessing Tina's current condition and previous breathing concerns. |
Example Question: Have you been wheezing? | Finding: Denies current wheezing (Available)Pro Tip: Patients who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she's been wheezing illustrates how her asthma is presenting. |
Example Question: Have you had chest tightness? | Finding: Denies current chest tightness (Available)Pro Tip: Asking about chest tightness is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate a change in patient status. If the patient reports a history of chest tightness, it could be a symptom of asthma or another respiratory problem. |
Example Question: Does it hurt when you breathe? | Finding: Denies pain while breathing (Available)Pro Tip: Asking about pain during breathing is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate a change in patient status. If the patient reports a history of pain during breathing, it could be a symptom of asthma or another respiratory problem. |
Example Question: Have you been coughing? | Finding: Denies frequent coughing (Available)Pro Tip: Asking about coughing is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate an asthma exacerbation or a new respiratory infection. |
Example Question: Do you ever have chest pain? | Finding: Asked about review of systems for cardiovascular Finding: Denies chest pain or discomfort (Available)Pro Tip: Asking about chest pain is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate a change in patient status. If the patient reports a history of chest pain, it could be a symptom of a recurring cardiovascular problem. |
Example Question: Have you had palpitations? | Finding: Denies palpitations (Available)Pro Tip: Asking about palpitations is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate a change in patient status. If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. |
Example Question: Has your heartbeat been irregular? | Finding: Denies irregular heartbeat (Available)Pro Tip: Asking about heartbeat patterns is one possible component of a review of systems interview. As a currently presenting symptom, it could indicate a change in patient status. If the patient reports a history of irregular heartbeat, it could be a symptom of a recurring cardiovascular problem. |
Example Question: Have you noticed bruising more than usual? | Finding: Denies easy bruising (Available)Pro Tip: Asking if a patient bruises easily is one possible component of a review of systems interview. Bruising easily can be indicative of anemia or a more serious blood disorder. |
Example Question: Have you noticed any swelling in your legs? | Finding: Denies edema (Available)Pro Tip: Asking about edema is one possible component of a review of systems interview. Edema is caused by the presence of excess fluid in the tissues, and it can indicate an infection, weak heart or veins, or other organ problems. |
Example Question: Do you have circulation problems? | Finding: Denies circulation problems (Available)Pro Tip: Poor circulation is the result of other diseases like obesity, diabetes, or cardiac conditions. Asking Tina whether she's experienced poor circulation indicates whether she might suffer from underlying cardiac concerns. |
Example Question: Have you had nausea? | Finding: Asked review of systems for gastrointestinal Finding: Denies nausea (Available)Pro Tip: Currently presenting nausea can be caused by changes in blood sugar, a reaction to medication, stress, or even spreading infection. If the patient reports a history of nausea, it could be a symptom of a recurring gastrointestinal problem. |