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Exam 1 Advanced Health Assessment
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 answer 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 answer 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 answer 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 answer 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 answer 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? 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 answer 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 answer d. tell me more what you mean by often When you repeat a patient's answer, you are:
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 answer 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 answer 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 answer 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 answer Least!!! d. finish the interview promptly 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 answer 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 answer 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.
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 answer 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 patient's history. D Tell the patient that it is inappropriate to answer personal questions. - correct answer a. answer briefly and then refocus on the pt's hx Mr. Jerry Spenser, a 26-year-old homosexual male, is having a health history taken. Which question regarding sexual activity would most likely hamper trust between Jerry and the interviewer? A "Are you married or do you have a girlfriend?" B "Tell me about your living situation." C "Are you sexually active?" D "Are your partners men, women, or both?" - correct answer a. are you married or do you have a girlfriend Long periods of silence during an interview may indicate: A a need for the health care provider to increase the pace of the interview. B an inability of the patient to communicate.
C a reluctance of the patient to verbalize information. D a need to terminate the interview because of the decreased attention of the patient. - correct answer c. a reluctance of the pt to verbalize information Interviewers should identify and assess their own feelings, such as hostility and prejudice, in order to: A avoid inappropriate behavior. B explain their biases to patients. C express personal idiosyncrasies. D promote self-awareness. - correct answer a. avoid inappropriate behavior J.F. shares with you that he has an uncle and a brother with sickle cell disease. Where would this information best be documented? A Chief complaint B Past medical history C Social history D Family history - correct answer d. family hx A mother runs into the emergency department with her 6-year-old son. She says that her son fell 15 feet from a tree. The child is screaming and has an open fracture of the left forearm. You would conduct a/an: A complete history. B focused history. C problem-oriented history. D interim history. - correct answer b. focused hx= when problem is acute, possibly life-threatening, and requires immed. attention Inventory hx= does not replace the complete hx but touches the major points , good when the hx will be completed in more than 1 session
D avoiding noisy interviewing rooms. - correct answer c. using a high-pitched voice Older adults with impaired visual perception and light-dark adaptation generally do better: A with written interviews. B in dimly lit interview rooms. C in a well-illuminated environment. D with a light source that reflects in their eyes. - correct answer c. in a well-illuminated environement A 26-year-old woman presenting for a pre-employment physical is found to have bruising on her back and buttocks? What would be your best immediate response? Ask "Would you care to tell me about these bruises on your back and buttocks?" Say "I see bruises. How did you get them?" Correct Ask "Do you feel safe in your current relationships?" Say "I am required by the law to document these bruises so I am asking your permission to take a picture of them." C Ask "Do you feel safe in your current relationships?" D Say "I am required by the law to document these bruises so I am asking your permission to take a picture of them." - correct answer say i see bruises how did you get them
