Question 1

A tool used to screen adolescents for alcoholism is the

Accepted Answer

A) CAGE questionnaire. 
B) CRAFFT. 
C) PACE Assessment Instrument. 
D) HITS questionnaire. 
E) Glasgow Coma Scale. 
A) CAGE questionnaire. 
B) CRAFFT. 
C) PACE Assessment Instrument. 
D) HITS questionnaire. 
E) Glasgow Coma Scale. B

Question 2

Pain is difficult to assess in older adults because

Accepted Answer

A) their histories are usually unreliable. 
B) sharp pain may be felt as a dull ache. 
C) they tend to exaggerate symptoms. 
D) their language skills decline. 
E) drugs act more rapidly with age. 
A) their histories are usually unreliable. 
B) sharp pain may be felt as a dull ache. 
C) they tend to exaggerate symptoms. 
D) their language skills decline. 
E) drugs act more rapidly with age. B

Question 3

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

Accepted Answer

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. 
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

Question 4

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

Accepted Answer

A) the gender that the woman hopes the baby will be. 
B) her past medical history. 
C) her health care practices. 
D) the woman's knowledge about pregnancy. 
E) potential pregnancy risk factors. 
A) the gender that the woman hopes the baby will be. 
B) her past medical history. 
C) her health care practices. 
D) the woman's knowledge about pregnancy. 
E) potential pregnancy risk factors.

Question 5

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

Accepted Answer

A) Immediately begin proceedings for an involuntary commitment. 
B) Ask whether the patient has considered self-harm. 
C) Ask whether the patient would like to visit a psychiatrist. 
D) Record the impression in the patient's chart and refer the patient for hospitalization. 
E) Avoid directly confronting the patient regarding your impression. 
A) Immediately begin proceedings for an involuntary commitment. 
B) Ask whether the patient has considered self-harm. 
C) Ask whether the patient would like to visit a psychiatrist. 
D) Record the impression in the patient's chart and refer the patient for hospitalization. 
E) Avoid directly confronting the patient regarding your impression.

Question 6

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.

Accepted Answer

A) complete 
B) inventory 
C) problem or focused 
D) interim 
E) family 
A) complete 
B) inventory 
C) problem or focused 
D) interim 
E) family

Question 7

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

Accepted Answer

A) "Has anyone explained hospice care to your mother?" 
B) "I'm so sorry that your mother was diagnosed with cancer." 
C) "Didn't you know that all tumors are not cancerous?" 
D) "Why do you think that your mother's tumor is cancerous?" 
E) "That is odd because cancer usually runs in families." 
A) "Has anyone explained hospice care to your mother?" 
B) "I'm so sorry that your mother was diagnosed with cancer." 
C) "Didn't you know that all tumors are not cancerous?" 
D) "Why do you think that your mother's tumor is cancerous?" 
E) "That is odd because cancer usually runs in families."

Question 8

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

Accepted Answer

A) chief concern. 
B) family history. 
C) personal and social history. 
D) review of systems. 
E) past medical history. 
A) chief concern. 
B) family history. 
C) personal and social history. 
D) review of systems. 
E) past medical history.

Question 9

Direct questioning about intimate partner violence in the home should be

Accepted Answer

A) a routine component of history taking with female patients. 
B) avoided for fear of offending the woman's partner. 
C) conducted only in cases in which there is a history of abuse. 
D) used only when the patient is obviously being victimized. 
E) used only when bruises are found on physical examination. 
A) a routine component of history taking with female patients. 
B) avoided for fear of offending the woman's partner. 
C) conducted only in cases in which there is a history of abuse. 
D) used only when the patient is obviously being victimized. 
E) used only when bruises are found on physical examination.

Question 10

Which question would be considered a "leading question?"

Accepted Answer

A) "Please describe any associated symptoms with your headaches?" 
B) "You don't get headaches often, do you?" 
C) "What activities affect the severity of your headaches?" 
D) "What times of the day are your headaches the most severe?" 
E) "What worries you most about your headache." 
A) "Please describe any associated symptoms with your headaches?" 
B) "You don't get headaches often, do you?" 
C) "What activities affect the severity of your headaches?" 
D) "What times of the day are your headaches the most severe?" 
E) "What worries you most about your headache."

Question 11

A guideline for history taking is for caregivers to

Accepted Answer

A) ask direct questions before open-ended questions so that the data move from simple to complex. 
B) use a previous diagnosis as a chief concern whenever possible. 
C) make notes sparingly so that patients can be observed during the history taking. 
D) write detailed information as stated by patients so their priorities are reflected. 
E) ask for a complete history at once so that data are not forgotten between meetings. 
A) ask direct questions before open-ended questions so that the data move from simple to complex. 
B) use a previous diagnosis as a chief concern whenever possible. 
C) make notes sparingly so that patients can be observed during the history taking. 
D) write detailed information as stated by patients so their priorities are reflected. 
E) ask for a complete history at once so that data are not forgotten between meetings.

Question 12

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

Accepted Answer

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. 
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.

Question 13

Constitutional symptoms in the ROS refer to:

Accepted Answer

A) height, visual acuity, and body mass index. 
B) fever, chills, fatigue, and malaise. 
C) hearing loss, tinnitus, and diplopia. 
D) rashes, skin turgor, and temperature. 
E) joint stiffness, redness, and swelling. 
A) height, visual acuity, and body mass index. 
B) fever, chills, fatigue, and malaise. 
C) hearing loss, tinnitus, and diplopia. 
D) rashes, skin turgor, and temperature. 
E) joint stiffness, redness, and swelling.

Question 14

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

Accepted Answer

A) Ask direct questions and insist on a "yes" or "no" answer to each question. 
B) Continue to ask questions until Mr. B. responds appropriately. 
C) Let the patient know all relevant information should be revealed in one interview. 
D) Stop the interview until the patient is ready to cooperate. 
E) Make a note to pursue sensitive issues later in the interview. 
A) Ask direct questions and insist on a "yes" or "no" answer to each question. 
B) Continue to ask questions until Mr. B. responds appropriately. 
C) Let the patient know all relevant information should be revealed in one interview. 
D) Stop the interview until the patient is ready to cooperate. 
E) Make a note to pursue sensitive issues later in the interview.

Question 15

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

Accepted Answer

A) ethnic assessment. 
B) functional assessment. 
C) genetic examination. 
D) social history. 
E) sexual history. 
A) ethnic assessment. 
B) functional assessment. 
C) genetic examination. 
D) social history. 
E) sexual history.

Question 16

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

Accepted Answer

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?" 
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?"

Question 17

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?

Accepted Answer

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?" 
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?"

Question 18

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

Accepted Answer

A) Ignore the patient's comment and continue with the interview. 
B) Give a brief, undetailed answer. 
C) Ask a direct question that refocuses the patient on the chief concern. 
D) Tell the patient that you do not discuss your family with patients. 
E) Ask the patient why she needs to know. 
A) Ignore the patient's comment and continue with the interview. 
B) Give a brief, undetailed answer. 
C) Ask a direct question that refocuses the patient on the chief concern. 
D) Tell the patient that you do not discuss your family with patients. 
E) Ask the patient why she needs to know.

Question 19

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

Accepted Answer

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 calm. 
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 calm.

Question 20

When are open-ended questions generally most useful?

Accepted Answer

A) During the physical examination 
B) After several close-ended questions have been asked 
C) While designing the genogram 
D) During the review of systems 
E) During the initial part of the interview 
A) During the physical examination 
B) After several close-ended questions have been asked 
C) While designing the genogram 
D) During the review of systems 
E) During the initial part of the interview

Exam 1: The History and Interviewing Process

A tool used to screen adolescents for alcoholism is the

Pain is difficult to assess in older adults because

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

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

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

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.

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

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

Direct questioning about intimate partner violence in the home should be

Which question would be considered a "leading question?"

A guideline for history taking is for caregivers to

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

Constitutional symptoms in the ROS refer to:

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

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

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

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?

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

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

When are open-ended questions generally most useful?

Cultural Competency

Examination Techniques and Equipment

Vital Signs and Pain Assessment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

Emergency or Life-Threatening Situations

Filters