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The "Chief Complaint" while taking a clinical history :

  • A.Outlines Axis I and II disorders
  • B.Consists of mental status examination
  • C.Is always in the patient's own words
  • D.Gives an idea about patient insight

Answer: C

The chief complaint is always in the patient's own words.

In taking a clinical history, the chief complaint (presenting complaint) is the main problem that brought the patient for help. It is recorded in the patient's own words, often in quotation marks, such as 'I can't sleep and I feel like crying all the time', so that the clinician keeps the patient's perspective without adding interpretation.

Outlining Axis I and II diagnoses comes at the end of assessment, not at the start. The mental status examination is a separate part of the assessment. Insight is assessed in the mental status examination, not given by the chief complaint.

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