Which TXeVWiRQ ZRXld be cRQVideUed a ³leadiQg TXeVWiRQ?´
a. ³PleaVe deVcUibe aQ\ aVVRciaWed V\mSWRmV ZiWh \RXU headacheV?´
b. ³YRX dRQ¶W geW
... [Show More] headacheV RfWeQ, dR \RX?´
c. ³WhaW acWiYiWieV affecW Whe VeYeUiW\ Rf \RXU headacheV?´
d. ³WhaW WimeV Rf Whe da\ aUe \RXU headacheV Whe mRVW VeYeUe?´
e. ³WhaW ZRUUieV \RX mRVW abRXW \RXU headache?´
ANS: B
ThiV TXeVWiRQ ZRXld limiW Whe iQfRUmaWiRQ iQ Whe SaWieQW¶V aQVZeU. The RWheU chRiceV allRZ Whe
patient more discretion about the extent of an answer.
TOP: Discipline: Behavioral Science MSC: Organ System: General
2. Which action would best promote accurate translations as well as confidentiality when the
caUegiYeU dReV QRW VSeak Whe SaWieQW¶V laQgXage?
a. Ask a person unfamiliar with the patient to translate.
b. Have a friend of the patient translate.
c. Ask simple leading questions that the patient may understand.
d. Use a neighbor as translator.
e. Involve the family with the translation.
ANS: A
WheQ \RX dR QRW VSeak Whe SaWieQW¶V laQgXage, famil\ membeUV RU fUieQdV ma\ SRVe a
communication barrier and may have issues of confidentiality; a stranger as an interpreter is
less biased.
TOP: Discipline: Behavioral Science MSC: Organ System: General
3. Periods of silence during the interview can serve important purposes, such as:
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 a calm environment.
ANS: C
Silence is a useful tool during interviews for the purposes of reflection, summoning of
courage, and displaying compassion. It is usually a clue for you to go slower and not to push
too hard.
TOP: Discipline: Behavioral Science MSC: Organ System: General
4. Which WechQiTXe iV mRVW likel\ WR UeVXlW iQ Whe SaWieQW¶V XQdeUVWaQdiQg Rf TXeVWiRQV?
a. Use phrases that are commonly used by other patients in the area.
b. UVe Whe SaWieQW¶V RZQ WeUmV if SRVVible.
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c. Use language that keeps the patient from being expansive in his or her answer.
d. Use proper medical and technical terminology.
e. Use the simplest language possible.
ANS: B
To ensure that your questions have been correctly understood, be clear, and explicit while
XViQg Whe SaWieQW¶V idiRm aQd leYel Rf XQdeUVWaQdiQg.
TOP: Discipline: Behavioral Science MSC: Organ System: General
5. A SaWieQW becRmeV UeVWleVV dXUiQg Whe hiVWRU\ aQd Va\V, ³I dRQ¶W haYe Wime fRU all of this
cRQYeUVaWiRQ. I¶Ye gRW WR geW back WR ZRUk.´ YRXU mRVW aSSURSUiaWe UeVSRQVe ZRXld be WR:
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.
ANS: D
This is the only answer that resists the tendency for patient manipulation, pursues the
iQfRUmaWiRQ, aQd cRQfURQWV Whe SaWieQW¶V aQgeU.
TOP: Discipline: Behavioral Science MSC: Organ System: General [Show Less]