need to do good for the patient.
In issues surrounding ethical decision making, beneficence refers to the:
nonmaleficence.
The term denoting the caregiver's need to do no harm to the patient is:
deontologic imperatives.
The duties of care providers established by tradition, and within the context of culture, are known as:
Inform the patient of treatment options and possible results.
Which of the following is initially appropriate in the management of a patient's diagnosed problem?
"You don't get headaches often do you?"
Which question would be considered a "leading question?"
avoid extremes in dress.
To prevent personal appearance from becoming an obstacle in patient care, the health professional should:
Ask a person unfamiliar with the patient to translate.
Which action would best promote accurate translations as well as confidentiality when the caregiver does not speak the patient's language?
acupuncture
An example of a complementary care modality is:
During the initial part of the interview
When are open-ended questions generally most useful?
providing forthright answers to questions.
Behaviors that diffuse anxiety during the interview include:
providing time for reflection.
Periods of silence during the interview can serve important purposes, such as:
Use the patient's own terms if possible
Which technique is most likely to result in the patient's understanding of questions?
acknowledge his anger and proceed with the history and examination.
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:
"What amount and what kind of alcohol do you drink in a week?"
When questioning a patient regarding alcohol intake, she tells you that she is "only a social drinker." Which initial response is appropriate?
"Why do you think that your mother's tumor is cancerous?"
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:
"Can you describe the pain?"
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?
Give a brief, undetailed answer
After you ask a patient about her family history, she says, "Tell me about your family now." Which response is generally most appropriate?
continue to collect information regarding the chief complaint in an unhurried manner.
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:
"What in life is causing you such pain?"
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?
offer a tissue and let him know it is all right to cry.
During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should:
Ask whether the patient has considered self-harm.
During an interview, you have the impression that a patient may be considering suicide. Which action is essential?
Make a note to pursue sensitive issues later in the interview.
During a history-taking session, Mr. B. appears to be avoiding certain questions. He keeps looking out the window. What should the caregiver do?
given the opportunity to be interviewed without the parent at some point during the interview.
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:
the gender that the woman hopes the baby will be.
Information that is needed during the initial interview of a pregnant woman includes all of the following except:
typical reluctance to talk.
When communicating with older children and teenagers, you should be sensitive to their:
position himself face-to-face with the patient.
When interviewing older adults, the examiner should:
validate the concern with his family or caregivers.
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:
The patient should be fully involved to the limit of his or her ability.
To what extent should the patient with a physical disability or emotional disorder be involved in providing health history information to the health professional?
chief complaint.
A brief statement of the reason the patient is seeking health care is called the:
the patient's stimulus to seek care.
The iatropic stimulus refers to:
use a chronologic and sequential framework.
When taking a history, you should:
"Do you have any worries or concerns regarding your sexual life?"
When questioning the patient regarding his or her sexual history, which question should be asked initially?
make notes sparingly so that patients can be observed during the history taking.
A guideline for history taking is for caregivers to:
personal and social history.
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:
a routine component of history taking with female patients.
Direct questioning about domestic violence in the home should be:
CAGE questionnaire.
Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
CRAFFT
A tool used to screen adolescents for alcoholism is the:
leave the child sitting in the father's lap while you talk to the father.
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:
Propensity for risk taking
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?
sharp pain may be felt as a dull ache.
Pain is difficult to assess in older adults because
functional assessment.
A survey of mobility and activities of daily living (ADLs) is part of a(n):
fever, chills, fatigue, malaise.
Constitutional symptoms in the ROS refer to:
problem or focused
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.
"Have you made plans to harm yourself?"
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:
Paying bills
Which of the following is considered an IADL but not an ADL?
genetic and familial health problems.
A pedigree diagram is drafted for the purpose of obtaining: