Exam 1: The History and Interviewing Process

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

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

Ms. Yale is a 52-year-old patient who presents to the office for evaluation. During the interview, you say "Tell me what you do when you have knee pain." The health care provider is asking information about:

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

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:

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

Which question would be considered a "leading 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?

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

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

JM 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.

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

A guideline for history taking is for caregivers to:

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:

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

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:

Mr. Miller is a 46-year-old patient who 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:

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:

Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about your cough." Mr. Franklin states, "I wish I could tell you more. That's why I'm here. You tell me what's wrong!" Which caregiver response would be most appropriate for enhancing communication?