Which of the following is NOT typically included in a psychosocial history?

• A. Financial concerns
• B. Cognitive or perception problems
• C. Life changes or stressors
• D. Immunization records

Answer: (D)

Psychosocial history focuses on factors outside the physical illness that influence a person’s well-being and care. It includes things like finances, living situation, job and relationships, coping with stress, social support, mental health, and cognitive or perceptual functioning. These elements help clinicians understand how the person’s environment and behavior affect health, treatment decisions, and adherence. Financial concerns can shape access to care or treatment choices; cognitive or perception problems affect communication, understanding, and decision-making; life changes or stressors capture events that impact functioning and coping capacities. Immunization records, by contrast, are part of medical history and preventive care, not the psychosocial domain. So they’re not typically included in a psychosocial history.