Shadow Health Digital Clinical Experience: Practice Test 1
(Units 1-7) - Questions with Correct Answers
50 questions
1. Which of the following is a closed-ended question?
A. "Tell me about your diet."
B. "How has your asthma affected your life?"
C. "What concerns you most?"
D. "Do you take metformin daily?"
Correct Answer: D. "Do you take metformin daily?"
Rationale: It can be answered yes or no.
2. Giving advice such as "If I were you, I'd quit your job" is non-therapeutic because it:
A. Shows active listening
B. Takes decision-making away from the patient
C. Clarifies data
D. Is an open question
Correct Answer: B. Takes decision-making away from the patient
Rationale: Patients should make informed choices.
3. Which question is the best way to begin a Shadow Health patient interview?
A. "Are you in pain?"
B. "What brings you in today?"
C. "Do you smoke?"
D. "Have you taken your medicine?"
Correct Answer: B. "What brings you in today?"
Rationale: Open-ended questions let the patient describe the concern.
4. A clinician says, "You said the pain is better, but you are grimacing." This technique is:
A. False reassurance
B. Approval
C. Confrontation (pointing out an inconsistency)
D. Advice
Correct Answer: C. Confrontation (pointing out an inconsistency)
Rationale: It gently addresses mixed messages.
5. Cultural humility in patient interviews means:
A. Memorizing facts about each culture
B. Treating everyone the same regardless of beliefs
C. Being open to learning the patient's beliefs without assumptions
D. Avoiding cultural topics
Correct Answer: C. Being open to learning the patient's beliefs without assumptions
Rationale: It is a lifelong, self-reflective process.
6. When a patient becomes angry during the interview, the clinician should first:
A. Argue to correct the patient
B. Leave immediately
C. Ignore the anger
D. Remain calm and acknowledge the patient's feelings
Correct Answer: D. Remain calm and acknowledge the patient's feelings
Rationale: Acknowledgment de-escalates.
, 7. Why are 'why' questions considered non-therapeutic?
A. They can sound accusatory and make patients defensive
B. They gather too much data
C. They are too open-ended
D. They show empathy
Correct Answer: A. They can sound accusatory and make patients defensive
Rationale: Rephrase as 'What led you to...'.
8. Which question is double-barreled and should be avoided?
A. "When did the pain start?"
B. "How would you rate the pain?"
C. "What makes it worse?"
D. "Do you have chest pain or shortness of breath?"
Correct Answer: D. "Do you have chest pain or shortness of breath?"
Rationale: Asking two things at once creates confusing answers.
9. The review of systems is:
A. The physical exam
B. A lab panel
C. A subjective head-to-toe symptom inquiry
D. The medication list
Correct Answer: C. A subjective head-to-toe symptom inquiry
Rationale: It collects reported symptoms by system.
10. Tina Jones's metformin is used to:
A. Treat asthma
B. Relieve pain
C. Lower blood glucose in type 2 diabetes
D. Treat infection
Correct Answer: C. Lower blood glucose in type 2 diabetes
Rationale: Metformin reduces hepatic glucose production.
11. When collecting a medication history, the clinician should include:
A. Prescription, OTC, herbal supplements, dose and adherence
B. Only prescription drugs
C. Only drugs taken today
D. Only the drug names
Correct Answer: A. Prescription, OTC, herbal supplements, dose and adherence
Rationale: A full list prevents interactions.
12. Which is objective data?
A. Patient reports fatigue
B. Patient states she feels dizzy
C. Blood pressure 138/88
D. Patient describes pain as sharp
Correct Answer: C. Blood pressure 138/88
Rationale: Objective data are measured or observed.
(Units 1-7) - Questions with Correct Answers
50 questions
1. Which of the following is a closed-ended question?
A. "Tell me about your diet."
B. "How has your asthma affected your life?"
C. "What concerns you most?"
D. "Do you take metformin daily?"
Correct Answer: D. "Do you take metformin daily?"
Rationale: It can be answered yes or no.
2. Giving advice such as "If I were you, I'd quit your job" is non-therapeutic because it:
A. Shows active listening
B. Takes decision-making away from the patient
C. Clarifies data
D. Is an open question
Correct Answer: B. Takes decision-making away from the patient
Rationale: Patients should make informed choices.
3. Which question is the best way to begin a Shadow Health patient interview?
A. "Are you in pain?"
B. "What brings you in today?"
C. "Do you smoke?"
D. "Have you taken your medicine?"
Correct Answer: B. "What brings you in today?"
Rationale: Open-ended questions let the patient describe the concern.
4. A clinician says, "You said the pain is better, but you are grimacing." This technique is:
A. False reassurance
B. Approval
C. Confrontation (pointing out an inconsistency)
D. Advice
Correct Answer: C. Confrontation (pointing out an inconsistency)
Rationale: It gently addresses mixed messages.
5. Cultural humility in patient interviews means:
A. Memorizing facts about each culture
B. Treating everyone the same regardless of beliefs
C. Being open to learning the patient's beliefs without assumptions
D. Avoiding cultural topics
Correct Answer: C. Being open to learning the patient's beliefs without assumptions
Rationale: It is a lifelong, self-reflective process.
6. When a patient becomes angry during the interview, the clinician should first:
A. Argue to correct the patient
B. Leave immediately
C. Ignore the anger
D. Remain calm and acknowledge the patient's feelings
Correct Answer: D. Remain calm and acknowledge the patient's feelings
Rationale: Acknowledgment de-escalates.
, 7. Why are 'why' questions considered non-therapeutic?
A. They can sound accusatory and make patients defensive
B. They gather too much data
C. They are too open-ended
D. They show empathy
Correct Answer: A. They can sound accusatory and make patients defensive
Rationale: Rephrase as 'What led you to...'.
8. Which question is double-barreled and should be avoided?
A. "When did the pain start?"
B. "How would you rate the pain?"
C. "What makes it worse?"
D. "Do you have chest pain or shortness of breath?"
Correct Answer: D. "Do you have chest pain or shortness of breath?"
Rationale: Asking two things at once creates confusing answers.
9. The review of systems is:
A. The physical exam
B. A lab panel
C. A subjective head-to-toe symptom inquiry
D. The medication list
Correct Answer: C. A subjective head-to-toe symptom inquiry
Rationale: It collects reported symptoms by system.
10. Tina Jones's metformin is used to:
A. Treat asthma
B. Relieve pain
C. Lower blood glucose in type 2 diabetes
D. Treat infection
Correct Answer: C. Lower blood glucose in type 2 diabetes
Rationale: Metformin reduces hepatic glucose production.
11. When collecting a medication history, the clinician should include:
A. Prescription, OTC, herbal supplements, dose and adherence
B. Only prescription drugs
C. Only drugs taken today
D. Only the drug names
Correct Answer: A. Prescription, OTC, herbal supplements, dose and adherence
Rationale: A full list prevents interactions.
12. Which is objective data?
A. Patient reports fatigue
B. Patient states she feels dizzy
C. Blood pressure 138/88
D. Patient describes pain as sharp
Correct Answer: C. Blood pressure 138/88
Rationale: Objective data are measured or observed.
