VERIFIED REAL EXAM REVIEW. LATEST UPDATE RATED A+.
Which of the following will best facilitate the interview when obtaining a history from a deaf
patient who can read lips?
Speaking loudly
- CORRECT ANSWER ->>Speaking slowly
Using gestures
Sitting to the side of the patient - B
Approximately what percentage of patients interviewed have a sexual orientation other than
heterosexual?
2%
5%
- CORRECT ANSWER ->>10%
20% - C
During a history, the patient indicates that he has an uncle and a brother with sickle cell
disease. Which of the following is an important method by which to document this
information?
Document this as chief complaint
- CORRECT ANSWER ->>Include it in the family history
Include this in past medical history
Incorporate this information into social history - B
Which approach is recommended at the onset of an interview?
Ask questions in a standard manner
,Introduce yourself, giving details of your background and qualifications
- CORRECT ANSWER ->>Be open ended, letting the patient explain the problem or reason for
the visit
Start with the family history and past medical history to determine the underlying problem - C
Which of the following questions would be the most likely to elicit an inaccurate patient
response?
"Where do you feel the pain?"
"How does this situation make you feel?"
"What happened after you noticed the injury?"
- CORRECT ANSWER ->>“that was a horrible experience, wasn't it?" - D
Repeating a patient's answer is an attempt to
- CORRECT ANSWER ->>Confirm an accurate understanding
Discourage patient anger or hostility
Teach the patient new medical terms
Allow the patient to change his or her response - A.
Which of the following is unique to a pediatric history?
Family history
- CORRECT ANSWER ->>Developmental history
Social history
Past medical history - B
When interviewing an adolescent who is reluctant to talk during an interview, it is best to
Tell the patient you must have honest answers to your questions
Reassure the patient that information discussed is confidential
- CORRECT ANSWER ->>Inform the patient that adolescents often have trouble expressing
their feelings
Obtain a history from a parent or other family member - C
,During an interview, your patient admits to feeling worthless and having a sleep disturbance
for the past three weeks. These are clues that warrant the exploration of
- CORRECT ANSWER ->>Risk for suicide
Split personality
Cognitive function
Functional assessment - A
Mrs. Carol Turner is a 38-year-old mother who brings her one-year-old son in for healthcare.
Which of the following request of the child's mother would be most appropriate for the
interviewer to make at the beginning of the interview?
"Mom, please place your son in your lap"
" Carol, please place your son in your lap"
- CORRECT ANSWER ->>"Mrs. Turner, please place your son in your lap"
"Sweetie, please place your son in your lap" - C
Which type of questionnaire concerning drug and alcohol use is advocated, although not
clinically validated, for adolescent patients?
TACE
CAGE
- CORRECT ANSWER ->>CRAFFT
DDST - C
Jerry, 26-year-old homosexual man, is having a health history taken. Which question regarding
sexual activity would most likely hamper trust between Jerry and the interviewer?
- CORRECT ANSWER ->>"Are you married, or do you have a girlfriend?"
"Tell me about your living situation"
"Are you sexually active?"
"Are your partners men, women, or both?" - A
, A conversation with a parent concerning a 5-year-old child
Violates the child's need for privacy
Is inappropriate because the child is able to talk with you
- CORRECT ANSWER ->>Provide significant information about family dynamics
Causes distrust and the child toward the examiner - C
Long periods of silence during an interview may indicate
They need for the healthcare provider to increase the pace of the interview
And inability of the patient to communicate
- CORRECT ANSWER ->>Time needed to gain courage to discuss a painful topic
A need to terminate the interview because of the patient's inability to pay attention - C
When questioning a patient regarding a sensitive issue, such as drug use, it is best to
Begin by describing to the patient the effects of drug abuse on health
- CORRECT ANSWER ->>Be direct, firm, and to the point
Explain that the information will be shared only with healthcare workers
Apologize to the patient for asking personal - B
Direct questions are designed to
Attack sensitive material head on
Demonstrate to the patient who is in charge of the interview process
Ensure confidentiality
- CORRECT ANSWER ->>Obtain or clarify specific details about an answer - D
Interviewers should identify and assess their own feelings, such as hostility and prejudice, in
order to
Avoid inappropriate behavior