Advanced Health Assessment Exam 3

During an initial interview with your patient, you ask the patient, "Can you describe that for me?" Which statement best describes the question? A. It is the most risky type of question because the patient can say anything. B. The question is asking for specific information. C. The patient has discretion about the extent of the answer. D. The answer can lead the interviewer away from the purpose of the interview. - Correct Ans-c. the patient has discretion (freedom) about the extent of the answer Because an adolescent is frequently reluctant to talk during an interview, it is best to: A. tell the patient that you must have straight answers to your questions. B. ensure confidentiality regarding the information discussed. C. inform the patient that adolescents have trouble expressing their feelings. D. obtain the history from a parent or other family member. - Correct Ans-B ensure confidentiality regarding the information discussed For which age group is a functional assessment most critical? A. Children B. Adolescents C. Adults D. Older adults - Correct Ans-d. older adults Which of the following will best facilitate an interview with a deaf person? A. speaking loudly B. Using gestures. C. Sitting or standing at eye level D. Sitting to the side of the patient. - Correct Ans-c. sitting or standing at the eye level Which of the following questions may lead to an inaccurate response? A. "Where do you feel the pain?" B. "How does this situation make you feel?" C. "What happened after you noticed your injury?" D. "That was a horrible experience, wasn't it?" - Correct Ans-d. That was a horrible experience, wasn't it Ms. Carol Turner, a 38-year-old female, brings her 1-year-old son in for health care. Which of the following requests made would be most appropriate at the beginning of an interview? Health Health A. "Mom, please place your son in your lap." B "Carol, please place your son in your lap." C "Mrs. Turner, please place your son in your lap." D "Sweetie, please place your son in your lap." - Correct Ans-c. Mrs Turner please place your son in your lap During an interview, a patient describes abdominal pain that often awakens him at night. Which of the following responses by the interviewer would facilitate the interviewing process? A. "Constipation can cause abdominal pain." B "Do you need a sleeping medication?" C "Pain is always worse at night, isn't it?" D "Tell me what you mean by 'often.'" - Correct Ans-d. tell me more what you mean by often When you repeat a patient's answer, you are: A testing the patient's knowledge. B teaching the patient new medical terms. C discouraging an emotional outburst. D encouraging more detail. - Correct Ans-d. encouraging more detail While interviewing an angry patient, you start to become annoyed and inpatient and are beginning to dislike the patient. The best way to resolve this is to: A spend the least amount of time possible with the patient. B displace your annoyance toward the patient on an inanimate object. C ignore the feelings and remain neutral in your interactions. D express concern and explore the problem with the patient - Correct Ans-d. express concern and explore the problem with the pt Which of the following behaviors is most important in establishing a connection with the patient? A Documenting data from the history using direct patient quotes. B Phrasing questions so that they are clear and explicit. C Avoiding the trap of giving advice during an interview. D Listening intently while observing nonverbal cues. - Correct Ans-d. listening intently while observing nonverbal cues During an interview, the patient describes problems associated with an illness and begins to cry. The best action in this situation is to: A stop the interview and reschedule for another time. Health Health B allow the patient to cry, then resume when the patient is ready. C change the topic to something less upsetting. D continue the interview while the patient cries in order to get through it quickly. - Correct Ans-b. allow the pt to cry then resume when pt is ready Which statement best describes the chief complaint? A General health and illness B The reason the individual is seeking care C Information to make the diagnosis D Concerns about confidentiality and trust - Correct Ans-b. the reason why the individual is seeking care A woman presents to a women's health clinic stating that she has had a positive home pregnancy test and desires prenatal care. You would conduct a/an: A complete history. B focused history. C problem-oriented history. D interim history. - Correct Ans-a. complete history = makes you as throughouly familiar with the pt as possible. Usually for the 1st time seeing pt You are responding to a patient who has behaved toward you in a seductive manner. Which of the following is most appropriate? A Respond in a manner that acknowledges that the patient is embarrassed. B Remain calm, firm, and direct regarding the professional nature of the relationship. C Be courteous. D Ignore the patient's behavior. - Correct Ans-b. remain calm, firm, and direct regarding the professional nature of the relationship Various behaviors can create tension during the interview. For the following patient behavior, identify the response by the examiner that is least likely to decrease tension. Anxiety Which interviewer behavior would least contribute to decreasing tension in an anxious patient? A Avoid information overload. B Slow the conversation. C Maintain a calm demeanor. D Finish the interview promptly. - Correct Ans-Least!!! d. finish the interview promptly Health Health On a follow-up appointment for management of asthma, a patient tells you that she has not started some of her medication because of financial issues. Which statement least applies to the provider role in this situation? A Financial issues are outside the provider's areas of concern. B Financial concerns may inhibit full disclosure of the patient's family and personal history. C Discussion of financial issues should be redirected to the importance of treatment for health. D Providers should know local resources to which patients can be referred. - Correct Ans-d. providers should know local resources to which pts can be referred Which of the following information is particular to a pediatric history? A Family history B Developmental history C Social history D Past medical history - Correct Ans-b. developmental hx A 45-year-old patient presents with a complaint of anxiety related to his wife's criticism of his drinking. During the history you ask several of the CAGE model questions and the patient tells you that he wants to cut down on his drinking. Which conclusion would you draw about this patient? A He is an alcoholic. B His drinking is caused by anxiety. C He may be an alcohol abuser. D He should be examined for symptoms of withdrawal. - Correct Ans-c. he may be an alcohol abuser A conversation with a parent concerning a 5-year-old child: A violates the child's need for privacy. B is inappropriate because the child is able to talk with you. C provides significant information about family dynamics. D causes distrust in the child toward the examiner. - Correct Ans-c. provides significant information about family dynamics Mr. Sandstrom has come for his routine appointment for his hypertension. He is not experiencing medication side effects or other health problems. Which of the following questions is most appropriate to ask when you begin the interview? A "How have you been doing since your last visit?" B "Have you been taking your medications?" C "What brings you to the office today?" Health Health D "How are you doing with your hypertension?" - Correct Ans-a. how have you being doing since your last visit During an interview, a patient admits to feeling worthless and having a sleep disturbance for the last 3 weeks. These clues warrant exploring the possibility of: A altered cognition. B suicidal ideation or plan. C substance abuse. D panic attacks. - Correct Ans-b. suicidal ideation or plan When questioning a patient regarding a sensitive issue such as drug use, it is best to: A begin by describing the effects of drug abuse on health. B be direct, firm, and to the point. C explain that only health care workers will share the information. D apologize to the patient for asking personal questions. - Correct Ans-b. be direct, firm, and to the point When taking a patient's history, you are asked questions about your personal life. What is the best response to facilitate the interview process? A Answer briefly and then refocus on the patient's history. B Give as much detail as possible about the asked information. C Ignore the question and continue with the patie