chapter 1 Seidel Flashcards
When you enter the examination room of a 3-year-old girl, you find her sitting on her father’s lap. She turns away from you when you greet her. Initially, your best response is to:
Select one:
a. screen the child for sexual abuse.
b. ask the child to be seated on the examination table so you can talk to her father.
c. explain to the child that you will not hurt her and that she will have to trust you.
d. ask the father to persuade the child to cooperate with you.
e. leave the child sitting in the father’s lap while you talk to the father.
e. leave the child sitting in the father’s lap while you talk to the father.
A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has had severe chest pains for the past 2 weeks. Which initial history interview question is most appropriate?
Select one:
a. “Can you describe the pain?”
b. “The pain doesn’t radiate to your arm, does it?”
c. “Have you been treated for anxiety before?”
d. “Does your father have heart disease?”
e. “Are the pains worse after you eat?”
a. “Can you describe the pain?”
J.M. has been seen in your clinic for 5 years. She presents today with signs and symptoms of acute sinusitis. The type of history that is warranted is a(n) \_\_\_\_\_ history. Select one: a. complete b. inventory c. problem or focused d. interim e. family
c. problem or focused
When questioning the patient regarding his or her sexual history, which question should be asked initially?
Select one:
a. “Do you have any particular sexual likes or dislikes?”
b. “Do you have any worries or concerns regarding your sex life?”
c. “How often do you have intercourse and with whom?”
d. “Do you have any reason to think you may have been exposed to a sexually transmitted infection?”
e. “What sexually transmitted diseases have you had in the past?”
b. “Do you have any worries or concerns regarding your sex life?”
Periods of silence during the interview can serve important purposes, such as:
Select one:
a. allowing the clinician to catch up on documentation.
b. giving you a clue that you should speed up the interview.
c. providing time for reflection.
d. Increasing the length of the visit.
e. promoting a calm environment.
c. providing time for reflection.
A survey of mobility and activities of daily living (ADL) is part of a(n): Select one: a. Ethnic assessment. b. Functional assessment. c. genetic examination. d. social history. e. sexual history.
b. Functional assessment.
Data relevant to the social history of older adults include information on: Select one: a. family support systems. b. extra time to assume positions. c. over-the-counter medication intake. d. date of last cancer screening. e. previous healthcare visits.
a.family support systems.
You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should:
Select one:
a. never be interviewed alone because this may alienate the parent.
b. Be given the opportunity to be interviewed without the parent at some point.
c. be mailed a questionnaire in advance to avoid the need for her to talk.
d. be allowed to direct the flow of the interview.
e. be ignored while you address all questions to the parent.
b. Be given the opportunity to be interviewed without the parent at some point.
Which technique is most likely to result in the patient’s understanding of questions?
Select one:
a. Use phrases that are commonly used by other patients in the area.
b. Use the patient’s own terms if possible.
c. Use language that keeps the patient from being expansive in his or her answer.
d. Use proper medical and technical terminology.
e. Use the simplest language possible.
b. Use the patient’s own terms if possible.
Ms. A. states, “My life is just too painful. It isn’t worth it.” She appears depressed. Which one of the following statements is the most appropriate caregiver response?
Select one:
a. “Try to think about the good things in life.”
b. “You shouldn’t feel that way; look at all the good things in your life.”
c. “You can’t mean what you’re saying.”
d. “If you think about it, nothing is worth getting this upset about.”
e. “What in life is causing you such pain?”
e. “What in life is causing you such pain?”
A patient becomes restless during the history and says, “I don’t have time for all of this conversation. I’ve got to get back to work.” Your most appropriate response would be to:
Select one:
a. stop using open-ended questions and become more direct.
b. ask another open-ended question and insist on an answer.
c. ask questions about his anger and move closer to him.
d. Acknowledge his anger and proceed with the history and examination.
e. ignore his displeasure and become more assertive about getting answers.
d. Acknowledge his anger and proceed with the history and examination.
