Taking the History
Über den Vortrag
Der Vortrag „Taking the History“ von Helen Farrell, MD ist Bestandteil des Kurses „Year 4 – Selective Sub-Internship“. Der Vortrag ist dabei in folgende Kapitel unterteilt:
- Psychiatric History
- History of Substance Abuse
- Past Medical/Surgical History
Quiz zum Vortrag
How should the chief complaint be documented in the patient's history?
- In the patient’s own words
- From the attender of the patient
- Previous records from the hospital
- By calling the doctor who treated the patient previously
- By prompting the patient with medical terminology
Which of the following questions would NOT be useful during the psychiatric interrogation of the present illness?
- "Has anyone in your family been diagnosed with cancer?"
- "Are you having problems with your sleep or appetite?"
- "Has something like this happened to you before?"
- "What's your day like when these things aren't bothering you?"
- "Have you heard strange sounds or voices, or seen things that aren't there?"
During the psychiatric interrogation, which of the following points would provide the MOST RELEVANT information regarding past substance abuse?
- Preferred substances, frequency of intoxication, withdrawals, and quitting attempts
- Suicide attempts when clean
- Evidence of secondary gain
- Recent history of travel
- Previous surgeries
What would yield the LEAST relevant information about past medical/surgical history when interrogating a psychiatric patient?
- Suicide attempts in the family
- Head injury/concussion
- Seizures
- HIV/AIDS
- Traumatic brain injury
When taking a history about sensitive material such as substance use or history of violence, which is the most appropriate approach?
- Ask open and direct questions.
- Ask open-ended questions indirectly.
- Ask the patient to fill up a consent form to provide accurate information.
- Request the patient to select among multiple options prepared on a form.
- Continuously persuade the patient to answer quickly to obtain the most reliable version of the events.
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Dozent des Vortrages Taking the History
Helen Farrell, MD
Dr. Helen M. Farrell is a board-certified psychiatrist and works in private practice in Boston MA. She obtained her MD from Trinity College Dublin, Ireland in 2006. Dr. Farrell served on the Harvard Medical School faculty for over a decade, during which time she was an award-winning lecturer.
Due to her achievements, she is well-published in the field of psychiatry and forensic psychiatry and has appeared as an expert witness in court. She also delivered the TEDx Talk, “Creating Hope for Mental Health” in 2015 and has since contributed to multiple TED-Ed videos on mental health, which have over 30 million collective views.
Within Lecturio, Dr. Farrell teaches courses on Psychiatry.
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This was a good lecture. I am trying to take all of the Free Classes offered by Lecturio, so as to improve my own health. I appreciate this lecture, because it is offered by an instructor who has a real medical background. It is very easy to follow Dr. Helen Farrell's line of reasoning. The main points are also fairly easy for me to follow on the screen, because you provide these lecture notes to the student. The quiz helps me to see how well I grasp the information you explain in the lecture. Thank you so much for this offer.
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