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A patient is describing a very personal part of her history very
quickly and in great detail. How should you react to this?
A) Write down as much as you can, as quickly as possible.
B) Ask her to repeat key phrases or to pause at regular
intervals, so you can get almost every word.
C) Tell her that she can go over the notes later to make sure
they are accurate.
D) Push away from the keyboard or put down your pen and
listen. - ANSWERD) push away from the keyboard and put
down your pen and listen
You arrive at the bedside of an elderly woman who has had a
stroke, affecting her entire right side. She cannot speak
(aphasia). You are supposed to examine her. You notice that
the last examiner left her socks at the bottom of the bed, and
although sensitive areas are covered by a sheet, the blanket is
heaped by her feet at the bottom of the bed. What would you do
next?
A) Carry out your examination, focusing on the neurologic
portion, and then cover her properly.
B) Carry out your examination and let the nurse assigned to
her "put her back together."
,C) Put her socks back on and cover her completely before
beginning the evaluation.
D) Apologize for the last examiner but let the next examiner
dress and cover her. - ANSWER-C) put her socks back on and
cover her completely before beginning the evaluation
*make patient comfortable before examining*
When you enter your patient's examination room, his wife is
waiting there with him. Which of the following is most
appropriate?
A) Ask if it's okay to carry out the visit with both people in the
room.
B) Carry on as you would ordinarily. The permission is implied
because his wife is in the room with him.
C) Ask his wife to leave the room for reasons of confidentiality.
D) First ask his wife what she thinks is going on. - ANSWER-A)
ask if it's okay to carry out the visit with both people in the
room
A patient complains of knee pain on your arrival in the room.
What should your first sentence be after greeting the patient?
A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened? - ANSWER-D)
could you please describe what happened
,You have just asked a patient how he feels about his
emphysema. He becomes silent, folds his arms across his
chest and leans back in his chair, and then replies, "It is what it
is." How should you respond?
A) "You seem bothered by this question."
B) "Next, I would like to talk with you about your smoking
habit."
C) "Okay, let's move on to your other problems."
D) "You have adopted a practical attitude toward your problem."
- ANSWER-A) you seem bothered by this question
A patient tells you about her experience with prolonged therapy
for her breast cancer. You comment, "That must have been a
very trying time for you." What is this an example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation - ANSWER-D) validation
You are performing a young woman's first pelvic examination.
You make sure to tell her verbally what is coming next and
what to expect. Then you carry out each maneuver of the
examination. You let her know at the outset that if she needs a
break or wants to stop, this is possible. You ask several times
during the examination, "How are you doing, Brittney?" What
are you accomplishing with these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
, D) All of the above - ANSWER-D) all of the above
When using an interpreter to facilitate an interview, where
should the interpreter be positioned?
A) Behind you, the examiner, so that the lips of the patient
and the patient's nonverbal cues can be seen
B) Next to the patient, so the examiner can maintain eye
contact and observe the nonverbal cues of the patient
C) Between you and the patient so all parties can make the
necessary observations
D) In a corner of the room so as to provide minimal
distraction to the interview - ANSWER-B) next to the patient , so
that the examiner can maintain eye contact and observe non
verbal cues of the patient
A 15-year-old high school sophomore and her mother come to
your clinic because the mother is concerned about her
daughter's weight. You measure her daughter's height and
weight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because
the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
C) Give the patient information about exercise because the
patient is obese.
D) Give the patient information concerning reduction of fat and
cholesterol in her diet because she is obese. - ANSWER-B)
reassure the mother that this is a normal body weight