Question 1

A tool used to screen adolescents for alcoholism is the

Accepted Answer

The CRAFFT tool is used to screen for alcoholism in adolescents.

Question 2

When interviewing older adults, the examiner should

Accepted Answer

The health care provider should position himself- or herself so that the older patient can see his or her face. Shouting distorts vocalizations, dimming the lights impairs vision; a written interview may be necessary if all else fails. The provider's language should be uncomplicated and free from double negatives.

Question 3

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

Accepted Answer

When approaching questioning about a sensitive area, it is recommended that the provider first ask open-ended questions that explore the patient's feelings about the issue.

Question 4

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

Accepted Answer

The chief concern is a brief statement of the reason the patient is seeking health care.

Question 5

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

Habits are included within the personal and social history.

Question 6

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

Interaction with children must be modified according to age and in a manner that promotes trust.

Question 7

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

Accepted Answer

When older adults experience memory loss for recent events, consult other family members to clarify discrepancies or to fill in the gaps.

Question 8

Pain is difficult to assess in older adults because

Accepted Answer

Pain is often an unreliable symptom in older adults because they lose pain perception and experience pain in a different manner from those in other age groups.

Question 9

Constitutional symptoms in the ROS refer to:

Accepted Answer

General constitutional symptoms refer to fever, chills, malaise, fatigability, night sweats, sleep patterns, and weight (average, preferred, present, change).

Question 10

Tom is a 16-year-old young man with diabetes 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?

Accepted Answer

Adolescents tend to experiment with risky behaviors that lead to a high incidence of morbidity and mortality. Adolescents may be reluctant to provide information.

Question 11

Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the

Accepted Answer

The CAGE questionnaire is a model for approaching a discussion of the use of alcohol.

Question 12

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

If the patient is well known or if you have been seeing the patient for the same problem over time, a focused history is appropriate.

Question 13

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

Accepted Answer

Patients with disabilities may not give an effective history, but they must be respected, and the history must be obtained from them to the greatest extent possible. Family members may help provide a more complete history but not at the exclusion of the patient.

Question 14

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

Accepted Answer

A functional assessment is an assessment of a patient's mobility, upper extremity movement, household management, activities of daily living, and instrumental activities of daily living.

Question 15

Which of the following is considered an IADL but not an ADL?

Accepted Answer

Paying bills is an instrumental activity of daily living but not an activity of daily living.

Question 16

Direct questioning about intimate partner violence in the home should be

Accepted Answer

The presence of intimate partner violence should be routinely queried, and the questioning should be direct for all female patients.

Question 17

A guideline for history taking is for caregivers to

Accepted Answer

During an interview, you should maintain eye contact with the patients, observing body language and proceeding from open-ended to direct questions.

Question 18

When taking a history, you should

Accepted Answer

To give structure to the present problem or chief concern, the provider should proceed in a chronologic and sequential framework. Asking patients to give you any information they can recall about their health and using a holistic and eclectic structure do not provide for structure. Starting the interview with the patient's family history and with the social history are incorrect because gathering data about the chief concern is the initial step.

Question 19

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

Accepted Answer

If you sense that a patient is contemplating suicide, you should ask about suicidal ideation directly.

Question 20

When communicating with older children and teenagers, you should be sensitive to their

Accepted Answer

Adolescents are usually reluctant to talk; therefore, the provider should clearly communicate a respect for their confidentiality.

Quiz 1: The History and Interviewing Process