Chapter 5 Interviewing Clients (page 13)

Question 1

To ensure client comfort, the therapist should/would:

Answer 1

1. Maintain eye contact

2. Be alert to the client’s comfort.

3. Watch for indications of discomfort such as poor positioning, evidence of pain or anxiety, or

4. signs of the need to urinate.

Question 2

According to the standards of conducting an interview, as well as asking appropriate questions to gather the correct information we need, we also need to state and incorporate the following into our interview.

Answer 2

1. We must introduce ourselves as their massage therapist.

2. Explain the purpose of conducting a case history interview.

3. Explain that the interview, case history, and their file are all kept confidential at all times.

4. Clarify their chief complaint and their goals for treatment today and long term.

5. Explain about updates of case history or if changes to their health, they need to let you know right away.

6. Check for contraindications and precautions to massage by asking appropriate questions and stating modifications to the treatment, if any.

7. Always ask if they have anything to add or if they have any questions.

Question 3

______________ allow the client to express in their own words their symptoms.

Answer 3

Open-ended questions

Question 4

_____________________ limit the client to Yes/No answers to gain more accurate information.

Answer 4

Close-ended question

Question 5

Clients will want to please the practitioner so don’t ask leading questions so ask a more ___________________.

Answer 5

Open-ended question

Question 6

As a therapist, what kind of question would give you a more accurate base of information?

Answer 6

Open-ended questions

Question 7

What should you ask your client first and foremost?

Answer 7

What his purpose is in visiting you/needing your help.

Question 8

TRUE or FALSE:

Use active listening skills and try to interpret their descriptions of the symptoms, interrupting them after every description.

Answer 8

FALSE

Question 9

What are the attributes of a symptom (LORD FICARAH)?

Answer 9

L - location
O - onset or origin
R - radiation
D - duration
F - frequency
I- intensity
C- character
A- aggravation
R- relieving
A- associated factors/S & S
H- history

Question 10

What are other important considerations to ask during an interview?

Answer 10

ADL’s
Meds
MD

Question 11

Start thinking analytically and “Outside the Box” about the body systems. What characteristic of a therapist is this?

Answer 11

Clinical reasoning

Question 12

The main goal in assessments is to _______ pathologies or causes of pain until finally you have come to a conclusion on the condition.

Answer 12

“Rule Out”

Question 13

Sharp, shooting, burning, lacerating pain is either __________ in origin or involves _________ or both.

Answer 13

Superficial

Nerves

Question 14

_______________ (strength) can be indicative of an underlying muscle pathology.

Answer 14

Weakness with no pain

Question 15

_________ implies a failure to achieve the expected muscle strength.
_________ implies an impairment in maintaining the required level of performance.

Answer 15

Weakness

Fatigue

Question 16

Bone pain tends to be poorly localized but usually has a __________ quality unlike most muscle pain; also bone pain is usually ______ at night and tends not to be affected by _______________ of the surrounding muscles.

Answer 16

Deep boring

Worse

Movement or contraction

Question 17

Pain in the ______________ tend to be more localized than in muscle pain and __________ may be worsened by moving the joint.

Answer 17

Joint or joint capsule

Arthralgia

Question 18

The interview will usually ________ physical examination, and still determine whether the client has any problems or concerns as each body system is assessed during the physical examination.

Answer 18

Precede