Quiz 1 Flashcards
During the interview with a patient, it is recommended to ask open-ended and patient-centered questions in order to obtain better responses. Which of the following questions does NOT meet this criteria?
Would you prefere to be seen by a male or femal health care provider?
How are you coping with your illness?
You are here to talk about your smoking right?
How will you like to be addressed?
You are here to talk about your smoking right?
n order to establish a positive provider patient relationship, the provider needs to build on Courtesy, Comfort, Connections and Confirmation. Which of the following will NOT meet the expectations of these important concepts?
Acknowledge others in the room and establish both their roles and their degree of participation in the encounter.
Maintain patient’s privacy, ensure appropriate room temperature and provide good lighting in the exam room.
Looking at your computer screen and typing while asking questions to the patient throughout the interview.
Knock before entering exam room, address patient formally and shake hands if culturally appropriate.
Looking at your computer screen and typing while asking questions to the patient throughout the interview.
To ensure that all patient’s concerns have been addressed and that the patient has understood the plan of care, the provider should NOT do which of the following?
Enable the patient to provide additional input by asking if there was anything else they concerned about
The provider makes a summary of the visit and ask patient if that is accurate.
Ask patient to summarize the encounter and the provider clarifies any descripancies.
Provider should state clearly any questions that could not be answered during this encounter and provide plans on when concerns will be addressed.
The provider makes a summary of the visit and ask patient if that is accurate.
The following are situations during patient interview that can cause tension and potential barrier to communication EXCEPT:
Discussing the patient’s financial situation and how it affects their health
Patient explaining to provider about a recent family vacation trip which patient really enjoyed
Asking a patient with anxiety and depression about suicidal or homicidal ideations
Patient becomes emotional and starts to cry
Patient explaining to provider about a recent family vacation trip which patient really enjoyed
Which of the following should NOT be done with a patient while discussing sensitive issues like sex, drugs and alcohol use or about their death?
Avoid being judgemental, do not preach to patient and confrontation
Apologize and tell patient “sorry i had to ask you questions about drugs and alcohol use”
Provide privacy, be direct and avoid asking leading questions
Avoid using medical jargons and do not push hard on patient
Apologize and tell patient “sorry i had to ask you questions about drugs and alcohol use”
Three of the alcohol screening tools used are abbreviated as CAGE, TACE and CRAFFT. The most commonly used of them is CAGE which stands for:
Cut down, Annoyance by critism, Guilt feeling, Eye-opener
Conscious while drinking, Annoyance by critism, Guilt feeling, Eye-opener
Conscious while drinking, Alleviated by critism, Guilt feeling, Eye-opener
Cutting down, Alleviated by critism, Guilt feeling, Eye-opener
Cut down, Annoyance by critism, Guilt feeling, Eye-opener
Which of the following phrase is recommended to be avoided as a heading to express the primary reason why patient is seeking care today at the clinic Reason for Seeking Care Chief Concern Presenting Problem Chief Complaint
Chief Complaint
While considering the approach for an encounter with an older adult, you recognize the fact that not everybody age the same way and that there might be a difference between chronological age and physiological age. That said, which of the following statement is true about aging.
Being and older adult place them at risk for physical and emotional abuse
Provider should not border asking an older adulut about their sexual life and concerns of sexually transmitted diseases
Because they are older adults mean they have chronic health problems and are on prescription medications.
Speak to them in a loud voice because all older adults have difficulties hearing
Being and older adult place them at risk for physical and emotional abuse
Identify the approach below that will NOT be appropriate during a visit with an infant or a child accompanied by their parent
Allow opportunity for child to participate in their interview if age appropriate
The child can be playing on the exam table alone while you talk with the parents as this will avoid interruption from the child.
Get down to their level and play with the child to decrease their anxiety and fear.
The child can sit on parents lap while provider sits close to them at their level
The child can be playing on the exam table alone while you talk with the parents as this will avoid interruption from the child.
During the patient’s encounter, the provider is conscious that the following are good practices EXCEPT:
Adjust techniques to accommodate situations such as when working with a patient on wheelchair or a child in a parent’s arms.
Provide patient’s privacy and comfort, not forgetting the need for a chaperone.
The provider should dress neatly and be well groomed.
Explain a lot of information to patient using medical jargon as most patients now our days are very medically savy.
Explain a lot of information to patient using medical jargon as most patients now our days are very medically savy.
During a health interview, you begin to think of asking a question about a sensitive subject such as sexuality or addiction, your best approach would be all of the following except:
Use language understandable to your patient
Apologize before asking such a sensitive question
Be direct and firm with the patient
Ensure patient’s privacy
Apologize before asking such a sensitive question
During a follow-up visit with a patient recently diagnosed with diabetes, the patient begins to cry when telling you about her medication side effects. Your best action would be:
Continue the interview while patient cries in order to get through it quickly
Allow the patient to cry and then resume when patient is ready
Proceed with the visit and tell the patient “you will be fine.”
Continue the interview but change the subject
Allow the patient to cry and then resume when patient is ready
The NP is performing a preschool physical for a 4-year-old child. The mother relates that she has remarried and is now the stepparent of two school age children who are followed in the practice for their healthcare. She request healthcare information from the charts of the stepchildren. The NP should:
Find out who has legal custody of the two school age children
Request that the biological father pick up the requested information after signing a release.
Tell the stepmother that the information requested cannot be given without a signed release from the father.
Give the health information requested to the new stepmother
Find out who has legal custody of the two school age children
A 2-month-old infant is brought to clinic for immunizations and a well-child visit. During the interview, which of the following questions would be most appropriate to ask the parent?
Is your hot water heater set at 120 degrees F or lower?
Do you use sunscreen to prevent sunburn?
Have you installed safety locks or window guards on all windows?
Do you have questions about your car seat and how to use it?
Do you have questions about your car seat and how to use it?
The NP is examining an 2-year-old sick child who has been established in the practice since birth. Today the child has a fever of 103 degrees F, runny nose, and persistent intermittent dry cough for 3 days. What is the most important historical information to obtain during this visit?
Birth history
Diet and fluid intake, elimination, and sleep patterns
Family history
Developmental milestone
Diet and fluid intake, elimination, and sleep patterns
