question

In issues surrounding ethical decision making, beneficence refers to the:

answer

need to do good for the patient.

question

The term denoting the caregiver's need to do no harm to the patient is:

answer

nonmaleficence.

question

The duties of care providers established by tradition, and within the context of culture, are known as:

answer

deontologic imperatives.

question

Which of the following is initially appropriate in the management of a patient's diagnosed problem?

answer

Inform the patient of treatment options and possible results.

question

Which question would be considered a "leading question?"

answer

"You don't get headaches often do you?"

question

To prevent personal appearance from becoming an obstacle in patient care, the health professional should:

answer

avoid extremes in dress.

question

Which action would best promote accurate translations as well as confidentiality when the caregiver does not speak the patient's language?

answer

Ask a person unfamiliar with the patient to translate.

question

An example of a complementary care modality is:

answer

acupuncture

question

When are open-ended questions generally most useful?

answer

During the initial part of the interview

question

Behaviors that diffuse anxiety during the interview include:

answer

providing forthright answers to questions.

question

Periods of silence during the interview can serve important purposes, such as:

answer

providing time for reflection.

question

Which technique is most likely to result in the patient's understanding of questions?

answer

Use the patient's own terms if possible

question

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:

answer

acknowledge his anger and proceed with the history and examination.

question

When questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Which initial response is appropriate?

answer

"What amount and what kind of alcohol do you drink in a week?"

question

Ms. T. is crying and states that her mother couldn't possibly have a tumor. "No one else in the family," exclaims the daughter, "has ever had cancer!" The most appropriate response to Ms. T. would be:

answer

"Why do you think that your mother's tumor is cancerous?"

question

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?

answer

"Can you describe the pain?"

question

After you ask a patient about her family history, she says, "Tell me about your family now." Which response is generally most appropriate?

answer

Give a brief, undetailed answer

question

A 36-year-old woman complains that she has had crushing chest pain for the past 2 days. She seems nervous as she speaks to you. An appropriate response is to:

answer

continue to collect information regarding the chief complaint in an unhurried manner.

question

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?

answer

"What in life is causing you such pain?"

question

During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should:

answer

offer a tissue and let him know it is all right to cry.

question

During an interview, you have the impression that a patient may be considering suicide. Which action is essential?

answer

Ask whether the patient has considered self-harm.

question

During a history-taking session, Mr. B. appears to be avoiding certain questions. He keeps looking out the window. What should the caregiver do?

answer

Make a note to pursue sensitive issues later in the interview.

question

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 be:

answer

given the opportunity to be interviewed without the parent at some point during the interview.

question

Information that is needed during the initial interview of a pregnant woman includes all of the following except:

answer

the gender that the woman hopes the baby will be.

question

When communicating with older children and teenagers, you should be sensitive to their:

answer

typical reluctance to talk.

question

When interviewing older adults, the examiner should:

answer

position himself face-to-face with the patient.

question

When you suspect that your 81-year-old patient has short-term memory loss because he cannot remember what he had for breakfast, you should:

answer

validate the concern with his family or caregivers.

question

To what extent should the patient with a physical disability or emotional disorder be involved in providing health history information to the health professional?

answer

The patient should be fully involved to the limit of his or her ability.

question

A brief statement of the reason the patient is seeking health care is called the:

answer

chief complaint.

question

The iatropic stimulus refers to:

answer

the patient's stimulus to seek care.

question

When taking a history, you should:

answer

use a chronologic and sequential framework.

question

When questioning the patient regarding his or her sexual history, which question should be asked initially?

answer

"Do you have any worries or concerns regarding your sexual life?"

question

A guideline for history taking is for caregivers to:

answer

make notes sparingly so that patients can be observed during the history taking.

question

Mr. D. complains of a headache. During the history, he mentions his use of alcohol and illicit drugs. This information would most likely belong in the:

answer

personal and social history.

question

Direct questioning about domestic violence in the home should be:

answer

a routine component of history taking with female patients.

question

Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:

answer

CAGE questionnaire.

question

A tool used to screen adolescents for alcoholism is the:

answer

CRAFFT

question

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:

answer

leave the child sitting in the father's lap while you talk to the father.

question

Tom is a 16-year-old diabetic who does not follow his diet. He enjoys his dirt bike and seems unconcerned about any consequences of his activities. Which factor is typical of adolescence and pertinent to Tom's health?

answer

Propensity for risk taking

question

Pain is difficult to assess in older adults because

answer

sharp pain may be felt as a dull ache.

question

A survey of mobility and activities of daily living (ADLs) is part of a(n):

answer

functional assessment.

question

Constitutional symptoms in the ROS refer to:

answer

fever, chills, fatigue, malaise.

question

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.

answer

problem or focused

question

Mary Jane has brought in her 16-year-old son, Kyle. She states that he has been sleeping more, doesn't hang around his friends, and recently his girlfriend broke up with him. Your most immediate question is to ask Kyle:

answer

"Have you made plans to harm yourself?"

question

Which of the following is considered an IADL but not an ADL?

answer

Paying bills

question

A pedigree diagram is drafted for the purpose of obtaining:

answer

genetic and familial health problems.

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