Asked by Jared Casey - Holland on Jun 08, 2024
Verified
Where in the health history should the nurse describe all details related to the chief complaint?
A) Past history
B) Chief complaint
C) Present illness
D) Review of systems
Chief Complaint
The primary symptom or concern that leads a patient to seek medical attention or care.
Present Illness
A comprehensive account focusing on the current illness or medical condition affecting a patient, detailing the onset, progression, and symptoms.
Past History
A record of an individual's past medical conditions, surgeries, treatments, and responses, important for informing current healthcare decisions.
- Evaluate and record the primary concern and detailed history of the current illness with accuracy.
Verified Answer
FD
Ferl Diane SiñoJun 12, 2024
Final Answer :
C
Explanation :
The history of the present illness is a narrative of the chief complaint from its earliest onset through its progression to the present. The focus of the present illness is on all factors relevant to the main problem, even if they have disappeared or changed during the onset, interval, and present. Past history refers to information that relates to previous aspects of the child's health, not to the current problem. The chief complaint is the specific reason for the child's visit to the clinic, office, or hospital. It does not contain the narrative portion describing the onset and progression. The review of systems is a specific review of each body system.
Learning Objectives
- Evaluate and record the primary concern and detailed history of the current illness with accuracy.