Maryville 612 Exam 1 workbook multiple choice
Questions With Complete Solutions
Which of the following will best facilitate the interviewwhen
obtaining a history for a deaf patient who can read lips?
a. Speaking loudly
b. Using gestures
c. Speaking slowly
d. Sitting to the side of the patient correct answer: c
Approximately what percentage of patients interviewed
have a sexual orientation other than
heterosexual?
a. 2%
b. 5%
c. 10%
d. 20% correct answer: c
During a history, the patient indicates he has an uncle and a
brother with sickle cell disease. Which of the
following is an appropriate method to document this
information?
a. Document this as chief complaint.
b. Include it in the family history.
c. Include this in past medical history.
d. Incorporate this information in the social history. correct
answer: b
,Which approach is recommended at the onset of an interview?
a. Use a structured approach to ask questions.
b. Introduce yourself and include a detailed description of your
background and qualifications.
c. Use an open-ended approach; let the patient explain the
problem or reason for the visit.
d. Start with the family history and past medical history to
determine the underlying problem. correct answer: c
Which of the following questions may lead to an inaccurate
patient 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
Repeating a patient's answer is an attempt to a. confirm an
accurate understanding.
b. discourage patient anger or hostility.
c. teach the patient new medical terms.
d. test the patient's knowledge. correct answer: a
Which of the following history types is unique to a pediatric
history?
a. Family history
b. Developmental history
c. Social history
d. Past medical history correct answer: b
During an interview, your patient admits to feeling worthless
and having a sleep disturbance for the
,past 3 weeks. These are clues that warrant the exploration of
a. risk for suicide.
b. split personality.
c. cognitive function.
d. functional assessment. correct answer: a
Jerry, a 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?
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
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. time needed to gain courage to discuss a painful topic.
d. a need to terminate the interview because of the patient's
inability to pay attention. correct answer: c
When questioning a patient regarding a sensitive issue, such as
drug use, it is best to
a. begin by describing to the patient the effects of drug abuse on
health.
b. be direct, firm, and to the point.
c. explain that the information will be shared only with health
care workers.
d. apologize to the patient for asking personal questions. correct
answer: b
, Direct questions are designed to
a. attack sensitive material head on.
b. demonstrate to the patient who is in charge of the interview
process.
c. ensure confidentiality.
d. obtain or clarify specific details about an answer. correct
answer: d
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 their idiosyncrasies.
d. reduce communication barriers. correct answer: d
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
When taking a patient's history, you are asked questions about
your personal life. What is the best
response to facilitate the interviewing process?
a. Answer briefly and then refocus to 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.
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