Interviewing and the Health History Multiple Choice

1. A 55-year-old postal worker presents to the emergency room with chest pain. On a scale of 1 to 10, he rates the pain a 9. It started 30 minutes ago and hasn't gone away. He has never had it before. He denies any injury or trauma; he has no medical conditions that are being treated. Nothing makes the pain better or worse. When questioned further, he has noticed nausea and increased sweating with the pain. Based on this description, which of the seven attributes of this symptom have not been addressed?

(A) Remitting or exacerbating factors

(B) Quality

(C) Severity

(D) Timing

2. A 25-year-old graduate student presents to your clinic; she is concerned about her exposure to a communicable disease that occurred at a party she recently attended. You, the interviewer, enter the room and greet the patient and then ask what brought her into your office today. She states that she wants to establish care, so you start by asking her if she has any specific concerns that she would like you to address. She states that she is concerned that she may have gotten an STD. You continue to maintain eye contact and state, "Go on." Which type of interviewing technique have you demonstrated?

(A) Echoing

(B) Directed questioning

(C) Facilitation

(D) Reassurance

3. A 42-year-old retail manager is sitting in your clinic exam room, waiting for a routine checkup for hypertension. You enter the room and sit down, making eye contact, and move your body slightly toward the patient. You nod your head as the patient begins to bring you up to date on his life since his last appointment. This interviewing technique is an example of:

(A)

Echoing

(B)

Adaptive questioning

(C)

Nonverbal communication

(D)

Empathic responses

4. A 55-year-old legal secretary comes into your office to establish care. She starts the interview by telling you her whole life story, tells you about her husband, children, and grandchildren, and then pulls out a written list of 20 different items that relate to her health that she wants to address with you in today's interview. She is very friendly and relaxed. What specific type of patient is this?

(A) Anxious patient

(B) Talkative patient

(C) Angry or disruptive patient

(D) Silent patient

5. A 69-year-old woman presents to your office with the complaint of pain. She was diagnosed with breast cancer that has metastasized to the bone 6 months ago. At the time, she did not want radiation therapy even for relief of the pain. You then discussed with her that her prognosis is poor and that her time to live is limited. She was not interested in hearing about it. You observe that she has lost more weight and that she is even more anorexic than at her previous visit 1 month ago. Today, she is frustrated because she hurts when she gets up and tries to walk around. She has planned a trip to the Bahamas to take place in 4 more months. What stage of grief is this patient currently in?

(A) Denial

(C) Bargaining

(D) Depression or sadness

(E) Acceptance

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