Question 1

Which of the following statements regarding effective history taking is TRUE?

Accepted Answer

A)   Use a combination of open- and closed-ended questions.
B)   Never ask potentially embarrassing questions.
C)   Always use open-ended questions.
D)   Always use closed questions.

Question 2

When you detect an inconsistency in a patient's story, which of the following techniques should you use?

Accepted Answer

A)   Clarification
B)   Interpretation
C)   Confrontation
D)   Facilitation

Question 3

Which of the following nonverbal cues demonstrates your sincerity to the patient?

Accepted Answer

A)   Offering a comforting touch or shaking the patient's hand
B)   Averting your gaze to avoid making the patient uncomfortable
C)   Touching a patient, even though he may appear uncomfortable being touched
D)   Maintaining a distance of 4 to 6 feet from the patient

Question 4

En route to the hospital, your patient says, "You know, I haven't had a date since my spouse died six years ago. Why don't you take down my phone number and call me?" Which of the following is an appropriate response?

Accepted Answer

A)   "I'm sure you understand my situation. I'm here to provide you with medical care and transportation to the hospital. It isn't proper for me to have anything but a professional relationship with you."
B)   "That is an inappropriate request, and I expect that you'll not make any further suggestions that we might become personally involved."
C)   "It isn't that I don't find you attractive; I certainly do, but it isn't proper for me to have a personal relationship with a patient."
D)   "I can't call you because of professional ethics, but my phone number is listed in the book."

Question 5

Which of the following questions gathers information about a patient's current health status?

Accepted Answer

A)   "Where does the pain go?"
B)   "Do you also feel nauseous?"
C)   "When did you have your appendix removed?"
D)   "How many cigarettes do you smoke a day?"

Question 6

Which of the following is the best way to address your patient?

Accepted Answer

A)   Stay neutral; do not use the patient's name.
B)   Ask the patient what he would like to be called.
C)   Avoid using the patient's name by using terms such as "dude" or "partner."
D)   Always use formal titles such as "Mr. Orphey."

Question 7

All of the following encourage patient communication EXCEPT:

Accepted Answer

A)   using medical jargon.
B)   asking the patient for clarification.
C)   maintaining eye contact.
D)   listening closely to everything the patient says.

Question 8

The active listening technique of reflection involves:

Accepted Answer

A)   repeating the patient's words back to him to check for understanding.
B)   confronting the patient if you feel he is hiding something relevant.
C)   not allowing the patient to stray from the current problem.
D)   asking closed-ended questions to keep the patient on track.

Question 9

Which of the following is an example of a closed question?

Accepted Answer

A)   "What is your medical history?"
B)   "Do you have any medical history?"
C)   "What were you doing when the pain began?"
D)   "How would you describe your discomfort?"

Question 10

Your partner has just asked Mrs. Jones, "Why didn't you call your physician's office for a prescription refill instead of calling 911?" This illustrates:

Accepted Answer

A)   closed questioning.
B)   empathetic communication.
C)   an appearance of blaming the patient.
D)   an attempt to educate the patient.

Question 11

Which of the following statements regarding patient communication is TRUE?

Accepted Answer

A)   Avoid using interpreters.
B)   Use language appropriate to the patient's level of understanding.
C)   Cultural differences make no difference in professional communication.
D)   Use medical terminology to keep things on a professional level.

Question 12

Which of the following statements can show your empathy toward the patient?

Accepted Answer

A)   "What is your name?"
B)   "You say that your chest doesn't hurt, but you keep rubbing it."
C)   "Are you sure that you take a diuretic?"
D)   "That must have been very difficult."

Question 13

Which of the following qualities should characterize your verbal interaction with a patient when obtaining the history?

Accepted Answer

A)   Speak softly.
B)   Speak loudly.
C)   Use a calm, reassuring voice.
D)   Demand the patient's attention.

Question 14

When you ask your patient questions to eliminated confusion, you are using the technique called:

Accepted Answer

A)   reflection.
B)   interpretation.
C)   facilitation.
D)   clarification.

Question 15

Which of the following is a challenge to your ability to solicit patient information?

Accepted Answer

A)   Complaints of multiple symptoms
B)   Patient's level of cognitive functioning
C)   Intoxication
D)   All of the above

Question 16

When you are taking a history, which of the following should typically drive the evolution of the questions asked of a patient after the first question?

Accepted Answer

A)   Patient's medical history
B)   Information from the patient's family
C)   Patient's list of medications
D)   Patient's chief complaint

Question 17

Upon questioning your patient about whether he has been feeling any particular stress lately, he asks, "Do you think I'll have to wait very long in the emergency department?" This is most illustrative of:

Accepted Answer

A)   confrontation.
B)   using avoidance language.
C)   distancing.
D)   overuse of professional jargon.

Question 18

The history begins with an open-ended question about your patient's:

Accepted Answer

A)   general health.
B)   chief complaint.
C)   severity of symptoms.
D)   past medical history.

Question 19

Echoing a patient's message back to him in your own words is a technique known as:

Accepted Answer

A)   explanation.
B)   facilitation.
C)   reflection.
D)   clarification.

Question 20

Which of the following actions would you take if confronted with a patient who is silent?

Accepted Answer

A)   Assume that the patient is uncooperative.
B)   Assume that the reason is emotional.
C)   Encourage the patient to speak.
D)   Stay silent to show empathy.

Exam 3: Therapeutic Communications

Which of the following statements regarding patient communication is TRUE?

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Which of the following nonverbal cues demonstrates your sincerity to the patient?

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All of the following encourage patient communication EXCEPT:

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Which of the following actions would you take if confronted with a patient who is silent?

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Which of the following questions gathers information about a patient's current health status?

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Your partner has just asked Mrs. Jones, "Why didn't you call your physician's office for a prescription refill instead of calling 911?" This illustrates:

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Which of the following is an example of a closed question?

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When you are taking a history, which of the following should typically drive the evolution of the questions asked of a patient after the first question?

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En route to the hospital, your patient says, "You know, I haven't had a date since my spouse died six years ago. Why don't you take down my phone number and call me?" Which of the following is an appropriate response?

Correct AnswerverifiedShow Answer

The history begins with an open-ended question about your patient's:

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Upon questioning your patient about whether he has been feeling any particular stress lately, he asks, "Do you think I'll have to wait very long in the emergency department?" This is most illustrative of:

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Which of the following statements can show your empathy toward the patient?

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The active listening technique of reflection involves:

Correct AnswerverifiedShow Answer

Which of the following is a challenge to your ability to solicit patient information?

Correct AnswerverifiedShow Answer

Which of the following is the best way to address your patient?

Correct AnswerverifiedShow Answer

Which of the following qualities should characterize your verbal interaction with a patient when obtaining the history?

Correct AnswerverifiedShow Answer

When you detect an inconsistency in a patient's story, which of the following techniques should you use?

Correct AnswerverifiedShow Answer

When you ask your patient questions to eliminated confusion, you are using the technique called:

Correct AnswerverifiedShow Answer

Echoing a patient's message back to him in your own words is a technique known as:

Correct AnswerverifiedShow Answer

Which of the following statements regarding effective history taking is TRUE?

Correct AnswerverifiedShow Answer

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