Final answer:
In obtaining a patient's history, open-ended questions should be used first, followed by direct questions, with careful listening and note-taking of major ideas. Medical jargon should be avoided and the patient should be allowed time to provide thorough answers.
Step-by-step explanation:
When questioning a patient to obtain an accurate patient history, it is advisable to start with open-ended questions and then follow up with more direct inquiries. Open-ended questions allow patients to share more information and provide a broader context, which can lead to a more comprehensive understanding of their health status and concerns. Subsequently, more specific closed questions can help fill in the details. It is important to listen carefully to the patient's responses and ask follow-up questions for clarification when needed, ensuring you gather as much relevant information as possible for an accurate history.
To facilitate an effective interview, creating a working script beforehand can help organize thoughts and ensure that all necessary points are covered. This ''script'' serves as a guide rather than a rigid structure, allowing for natural conversation flow and the opportunity to probe deeper based on the patient's responses. Note-taking during the interview should focus on capturing major ideas and significant statements rather than transcribing every word. Reading body language and being aware of non-verbal cues can also provide insight into the patient's comfort level and honesty.
Moreover, using medical jargon should be avoided to prevent confusion or intimidation, and the patient should be allowed ample time to talk without overtly rushing the examination to ensure that a trustworthy and comfortable environment is established.