FINAL Chapter 4 Flashcards by Katelyn Odom

A foreign-born patient discloses that he is using herbs sent from a relative and rubbing the leaves on his skin for healing. The most appropriate response of the medical assistant would be to:
a. joke privately with office colleagues about the behavior, but say nothing to the patient.
b. tell the patient that it won’t help his condition.
c. explain why Western medicine is superior to traditional practices
d. If using the herb is not causing harm, respect and accept the patient’s practices.

d. If using the herb is not causing harm, respect and accept the patient’s practices.

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How can the medical assistant act assertively while still being respectful of others?
a. Avoid eye contact when complaining about others
b. Remain calm and positive while stating opinions
c. Interrupt patients and coworkers to avoid expression of negative feelings
d. Use subtle way to belittle others and ignore them when they have different views

b. Remain calm and positive while stating opinions

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How can the medical assistant be a good communicator?
a. Make explanations using technical terms
b. Speak in a hurried manner
c. Be effective in sending and receiving messages
d. Set up barriers to effective communication

c. Be effective in sending and receiving messages

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How could the medical assistant show empathy for a patient?
a. Express sympathy for the patient’s problems
b. Tell the patient about his or he own problems
c. Acknowledge the patient’s feelings
d. Make no comment in order to avoid embarrassing the patient

c. Acknowledge the patient’s feelings

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How is the patient likely to react if the medical assistant asks, “Why aren’t you following your diet?”
a. Become defensive
b. Answer honestly
c. Smile but not answer
d. Say, “I’m glad you asked me that question

a. Become defensive

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How should the medical assistant help a sight-impaired patient?
a. Automatically take the patient’s arm to guide him or her
b. Describe the environment clearly in words
c. Do nothing-the patient knows what he or she is doing.
d. Have the receptionist deal with the patient

b. Describe the environment clearly in words

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If a medical assistant often complains to one person about another, what style of communication is being used?
a. Assertive
b. Aggressive
c. Passive
d. Active

c. Passive

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If a patient asks for a medical assistant’s personal telephone number, and the medical assistant answers calmly that she does not give her telephone number to patients, what is the medical assistant demonstrating?
a. Lack of interest in the patient
b. Assertive maintenance of self-boundaries
c. Hostility toward the patient
d. Empathy with the patient

b. Assertive maintenance of self-boundaries

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If a patient facing a series or terminal illness appears to be using denial, how should the medical assistant respond?
a. Agree with the patient that the illness is minor
b. Tell the patient that he or she does not appear to be facing reality
c. Accept the denial without reinforcing it
d. Reassure that patient that everything will probably turn out well

c. Accept the denial without reinforcing it

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If a patient is not comfortable with English, what should the medical assistant avoid?
a. Speaking directly to the patient instead of the translator
b. Speaking slowly and using simple terms when speaking to the patient
c. Arranging for telephone or video translation services
d. Using the patient’s child as a translator

d. Using the patient’s child as a translator

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In the United States, the typical personal distance or comfort zone for conversation with others is:
a. 3 to 4 feet
b. 1 to 2 feet
c. 6 to 7 feet
d. while touching

a. 3 to 4 feet

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On the fourth level of Maslow’s hierarchy of needs are the needs for esteem and recognition. What do these include?
a. Self-esteem
b. Respect f others in one’s peer group
c. Success in work
d. Prestige in the community
e. All are correct

e. All are correct

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The medical assistant says, “You feel tired” in response to a patient’s statement about lack of sleep and lack of energy. What part of the sender receiver process is this?
a. Message
b. Feedback
c. Sender
d. Receiver

b. Feedback

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The type of listening when the medical assistant remains “in the moment” and focuses fully on the patient’s message is called:
a. open listening
b. closed listening
c. active listening
d. verbal listening

c. active listening

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What are the uses of arm gestures, facial expressions, and turning one’s head all examples of?
a. Verbal communication
b. Impatience
c. Defamation
d. Body language

d. Body language

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What are tone of voice, voice pitch, voice volume, and voice quality examples of?
a. Verbal communication
b. Psychology
c. Secondary nonverbal communication
d. Body language

c. Secondary nonverbal communication

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What function do ego defense mechanisms serve?
a. They allow a patient to adopt inappropriate behaviors.
b. They help a patient to face unpleasant situations head-on.
c. They justify blaming others for the person’s situation
d. They protect against being overwhelmed by painful feelings

d. They protect against being overwhelmed by painful feelings

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What is an internal factor that can interfere with communication?
a. Pain
b. Noise
c. Lack of privacy
d. Distracting environment

a. Pain

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What is the developmental task of a toddler as defined by Erik Erickson?
a. Trust vs. Mistrust
b. Initiative vs. Guilt
c. Industry vs. Inferiority
d. Autonomy vs. Shame and Doubt

d. Autonomy vs. Shame and Doubt

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What is the one of the best ways to clarify what the patient is trying to say?
a. Be silent and wait for further explanation
b. Ask the patient specific closed questions
c. Make your best guess regarding the interpretation of what the patient has said
d. Paraphrase-put the patient’s meaning into your own words and give the patient the opportunity to confirm that your statement is correct

d. Paraphrase-put the patient’s meaning into your own words and give the patient the opportunity to confirm that your statement is correct

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What is the primary reason that the medical assistant should regularly solicit feedback when communicating with patients?
a. To identify if they are hearing-impaired
b. To evaluate their level of cooperation’s
c. To be sure that they understand what has been said
d. To determine if they are mentally disabled

c. To be sure that they understand what has been said

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What is the term that best defines “a psychological response to a perceived threat,” and is one of the most common responses to illness?
a. Hypochondria
b. Depression
c. Acting out
d. Anxiety

d. Anxiety

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What measure may improve communication if the patient has an impaired level of understanding?
a. Speaking slowly
b. Repeating information in a different way
c. Using gestures and demonstrations
d. Maintaining good eye contact
e. All are correct

e. All are correct

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What sociologist is credited with defining the eight principal stages of growth and development?
a. Abraham Maslow
b. Elizabeth Kubler-Ross
c. Erik Erikson
d. Edward Jenner

c. Erik Erikson

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When interviewing the patient, when should the medical assistant use closed questions? a. When expecting a long explanation from the patient b. When looking for general information c. When hoping that the patient will open up and talk d. When looking for a one-word or short answer

d. When looking for a one-word or short answer

When is it appropriate for the medical assistant to use silence in an interview with a patient? a. Whenever the medical assistant feels threatened b. When the medical assistant wants to encourage the patient to respond c. When the medical assistant does not believe what the patient has just said d. Silence is not appropriate when interviewing a patient

b. When the medical assistant wants to encourage the patient to respond

Which aspect of our communication is most likely to convey our true feelings and beliefs? a. Nonverbal communication b. Verbal communication c. Increased use of slang d. Spoken words only

a. Nonverbal communication

Which of the following is an example of a closed question? a. "What is the reason for your visit today?" b. "Are you an only child? c. "Can you describe your pain for me?" d. "What are your plans for the future?"

b. "Are you an only child?

Which of the following is NOT a barrier to communication in the medical office? a. Limited English b. Hearing impairment c. Limited understanding of medical information d. Open-ended questions

d. Open-ended questions

Which of the following is NOT true with regard to anxiety and anxiety attacks? a. They should be dealt with as a medical issue first b. Severe episodes are often called panic attacks c. The patient should be instructed to breathe into a brown paper bag d. Anxious patients often do not remember what they are told

c. The patient should be instructed to breathe into a brown paper bag

Which of the following is ture with regard to eye contact? a. Maintaining eye contact is a sign of interest and involvement in many Asian cultures b. Eye contact should be maintained at all times and with all patients when taking a patient history c. Eye contact is always a sign of respect d. If the patient looks away, and the medical assistant continues to seek eye contact, this can be perceived as aggression

d. If the patient looks away, and the medical assistant continues to seek eye contact, this can be perceived as aggression

Which patients may believe that rubbing the skin with a coin dipped in a camphor preparation is a treatment for colds and headaches? a. Caribbean b. Eastern European c. Southeast Asian d. South American

c. Southeast Asian

Why are medical assistants encouraged to avoid aggressive communication? a. The communication does not match the medical assistants underlying feelings b. It implies that the speaker's opinions are more important than those of others c. It is an attempt to keep the peace at all costs d. It usually leads to unfriendly behavior at a later time.

b. It implies that the speaker's opinions are more important than those of others

Why is it helpful to offer choices when a patient must cope with a serious or terminal illness? a. It helps the patient feel calm b. It helps the patient gain some sense of control c. It helps relieve the patients feelings of guilt d. It helps relieve the patients anxiety

b. It helps the patient gain some sense of control

During the interview, the medical assistant questions the patient as follows: "Describe your pain for me. What has been going on with you since you were last here?" How has your appetite been? How have you been sleeping?" What are these examples of? a. Closed questions b. Being nosy c. Being judgmental d. Open questions

d. Open questions

You were trying to educate Mr. Wilson about an upcoming procedure and post-surgical care. Unfortunately, because he skipped lunch that day and his blood sugar was low, he was not able to learn the information that would help to decrease his anxiety about the procedure. Which of the following is Mr. Wilson demonstrating? a. Impaired hearing b. Maslow's hierarchy of needs c. Poor listening skills d. Self-actualization

b. Maslow's hierarchy of needs

Self-boundaries define how close other can get, both physically and mentally. True or False?

True

Changes in facial expression and body position when communicating are examples of nonverbal cues. True or False?

True

Denial can be useful in that it can provide a period of time to find a way to deal with illness, death, or disability. True or False?

True

It is always a good idea to touch patients as much as possible to help convey caring True or False?

False

The best response when a patient expresses anxiety about an illness is to reassure them that everything will be fine. True or False?

False

Th best response when dealing with an angry patient is to escort them out of the office and reschedule their appointment. True or False?

False

The term terminal phase refers to stages of professional communication. True or False?

False

To demonstrate caring to a patient that is sitting in an examining room chair, the medical assistant should remain standing while talking to the patient True or False?

False

Translation assistance is required before a patient with a language barrier can give written consent for an invasive procedure or minor office surgery. True or False?

True

A patient with inoperable lung cancer says that he will stop smoking so that he can live until his daughter's graduation. He is most likely in the depression stage of the grieving process as defined by Elizabeth Kubler-Ross. True or False?

False

A blood pressure cuff that is too large for a child may result in: a. a blood pressure reading that is falsely high b. not being able to hear the first clear tapping sound c. discomfort for the child d. a blood pressure reading that is falsely low

d. a blood pressure reading that is falsely low

A patient has a burn on his lower back from lying on a heating pad. For his physical examination, you place him in which of the following postions? a. Lithotomy b. Dorsal recumbent c. Supine d. Prone

d. Prone

A risk factor means that: a. a patient will develop a certain disease b. a patient must avoid foods that trigger an allergic reaction c. a patient has a genetic disorder d. the chances are increased of a patient developing a certain disease

d. the chances are increased of a patient developing a certain disease

All of the following are characteristics of the sick-child visit except: a. the child is exhibiting the symptoms of disease b. the provider evaluates the child's condition c. treatment is prescribed d. the child is cured of his or her illness

d. the child is cured of his or her illness

All of the following are problems associated with childhood obesity except: a. high blood pressure b. skin disorders c. type 1 diabetes d. low self-esteem

c. type 1 diabetes

All of the following are used in determining if a child has hypertension except: a. age b. weight c. height d. gender

b. weight

An adult patient's weight should be measured to the nearest: a. quarter pound b. half-pound c. pound d. ounce

a. quarter-pound

Assessment of blood pressure should start at age: a. 2 years b. 3 years c. 5 years d. 8 years

b. 3 years

Before applying a stethoscope chest piece to the patient's skin, it should be: a. soaked in bleach b. warmed c. autoclaved d. calibrated

b. warmed

Head circumference is measured in: a. millimeters b. grams c. centimeters or inches d. microns

c. centimeters or inches

How is length measured? a. The child lies in a supine position b. The child stands with his or her back to the measuring device c. The child sits in a chair with both feet flat on the floor d. The child lies in a prone postion

a. The child lies in a supine position

Measuring pediatric blood pressure helps to identify children at risk for developing a. Hypertension as adults b. Type 2 diabetes c. Juvenile rheumatoid arthritis d. Liver disease e. All are correct

a. Hypertension as adults

Sim's position is used to perform which of the following? a. Breast examination b. Flexible sigmoidoscopy c.. Pelvic examination d. Urinary catheterization

b. Flexible sigmoidoscopy

The first pediatric well-child visit is usually scheduled at: a. 3 to 5 days b. 2 weeks c. 1 month d. 6 weeks

a. 3 to 5 days

The height of an adult patient usually is measured only: a. when the patient is ill b. during the first office visit c. when medication has been prescribed d. after a loss of weight

b. during the first office visit

The lower calibration bar of a balance-beam scale is divided into: a. 1-lb increments b. 2-lb increments c. 25-lb increments d. 50-lb increments

d. 50-lb increments

The most important use of growth charts is to: a. assess the child's individual growth pattern b. compare the child's growth with that of other children of the same age c. identify children with prehypertension d. identify children with type 2 diabetes e. All are correct

a. assess the child's individual growth pattern

The patient's height should be documented in: a. inches b. feet and inches c. centimeters d. meters

b. feet and inches

The patient's height should be measured to the nearest: a. 1/8 inch b. 1/4 inch c. 1/2 inch d. 1 inch

b. 1/4 inch

The process of determining which of two diseases that have similar symptoms is causing a patient's illness is known as a: a. differential diagnosis b. final diagnosis c. clinical diagnosis d. tentative diagnosis

a. differential diagnosis

The process of measuring a patient is known as: a. inspection b. mensuration c. micturition d. calibration

b. mensuration

The purpose of draping a patient is to: a. make it easier for the provider to examine the patient b. assist the provider in making a diagnosis c. protect the patient from pathogens d. provide patient with warmth and modesty

d. provide patient with warmth and modesty

The reason for weighing a prenatal patient is to: a. detect the presence of twins b. determine if fetus is growing c. determine the due date d. ensure the placenta is developing normally

b. determine if fetus is growing

Th techniques used to interact with a child depends on: a. the weight of the child b. the age of the child c. the motor skill of the child d. the head circumference of the child

b. the age of the child

Topics included in anticipatory guidance include: a. safety b. nutrition c. development d. sleep e. all are correct

e. all are correct

Using proper body mechanics helps to prevent which of the following? a. Musculoskeletal injuries b. Arthritis c. Bursitis d. Chronic disease

a. Musculoskeletal injuries

What is the name for the physician who specializes in the diagnosis and treatment of disease in children? a. Pediatrician b. Podiatrist c. Obstetrician d. Neonatologist

a. Pediatrician

What is the name of the instrument used to examine the external ear canal and tympanic membrane? a. Otoscope b. Ophthalmoscope c. Stethoscope d. Laryngoscope

a. Otoscope

What is the name of the instrument used to examine the interior of the eye? a. Otoscope b. Ophthalmoscope v Rhinoscope d. Stethoscope

b. Ophthalmoscope

What is the purpose of measuring head circumference? a. To determine if normal brain development is taking place b. To determine if the fontanelles are closing properly c. To assess the nutritional state of the infant d. To screen for microcephaly and macrencephaly

d. To screen for microcephaly and macrencephaly

What is the reason for weighing a child? a. To observe the pattern of growth b. to determine medication dosage c. To identify nutritional problems d. All are correct

d. All are correct

What is the term used to describe a child between 1 and 3 years of age? a. Infant b. Rug rat c. Toddler d. Preschooler

c. Toddler

What should you do if a patient starts to fall? a. Hold the patient in an upright position b. Form a wide base of support and gradually lower the patient to the floor c. Let the patient fall d. Call out for assistance and try to break the patient's fall

b. Form a wide base of support and gradually lower the patient to the floor

What term describes an illness characterized by symptoms that have a rapid onset, that are severe and intense, and that subside after a short period? a. Chronic illness b. Self-limiting illness c. Acute illness d. Fatal illness

c. Acute illness

What term describes the probable course and outcome of a disease? a. Cure b. Prognosis c. Final diagnosis d. Therapy

b. Prognosis

What term i used to describe a tentative diagnosis obtained through the evaluation of the health history and the physical examination? a. Differential diagnosis b. Final diagnosis c. Clinical diagnosis d. Physical diagnosis

c. Clinical diagnosis

Which of the following can be generated by an EMR program from the input f findings from the provider? a. Patient statements b. Physical examination report c. Insurance forms d. Patient's final diagnosis

b. Physical examination report

Which of the following examinations requires the use of deep palpation? a. Bimanual pelvic examination b. Breast examination c. Detection of areas of tenderness d. Detection of swelling

a. Bimanual pelvic examination

Which of the following indicates that the proper cuff size has been selected for a pediatric patient? a. The cuff fits snugly on the child's arm b. The cuff is positioned at least 1 inch above the bend in the elbow c. The bladder of the cuff encircles 80% to 100% of the child's arm d. The bladder of the cuff is centered over the antecubital space e. All are correct

c. The bladder of the cuff encircles 80% to 100% of the child's arm

Which of the following is not included in a well-child visit? a. Administration of immunizations b. Physical examination c. Collection of urine specimen d .Evaluation of growth and development

c. Collection of urine specimen

Which of the following is a guideline for preventing childhood obesity? a. Encourage active play b. Do not use food as a reward c. Limit television, video, and computer time d. Limit the amount of junk food in the home. e. All are correct

e. All are correct

Which of the following is an example of a chronic illness? a. Strep throat b. Chickenpox c. Arthritis d. Poison ivy

c. Arthritis

Which of the following is an example of a therapeutic procedure? a. Electrocardiography b. Antibiotic injection c. CT scan d. Sigmoidoscopy

b. Antibiotic injection

Which of the following is an example of auscultation? a. Measuring body temperature b. Measuring blood pressure c. Urine testing d. Testing pupillary reaction

b. Measuring blood pressure

Which of the following is an example of palpation? a. Measuring visual acuity b. Assessing the fetal heart rate c. Assessing a patient's mental status d. Performing a breast examination

d. Performing a breast examination

Which of the following is an example of percussion? a. Measuring pulse b. Testing reflexes with a rubber hammer c. Testing hearing with a tuning fork d. Listening to breath sounds

b. Testing reflexes with a rubber hammer

Which of the following is an important reason for weighing a child? a. To determine the proper dosage of medication for the child b. To compare the child's weight with weights of other children of the same age c. To determine if the child is deficient in vitamins or minerals d. To assess the rate of brain growth e. All are correct

a. To determine the proper dosage of medication for the child

Which of the following is NOT a curvature of the vertebral column? a. Cervical b. Thoracic c. Lumbar d. Coccyx

d. Coccyx

Which of the following is NOT a purpose of asking a patient if he or she needs to void before the physical examination? a. To obtain a urine specimen b. To make the examination easier c. To prevent urinary incontinence d. To provide for patient comfort

c. To prevent urinary incontinence

Which of the following is NOT a responsibility of the medical assistant during the physical examination? a. Positioning the patient b. Handing the provider instruments and supplies c. Listening to the patient's heart and lung sounds d. Providing the patient with educational information

c. Listening to the patient's heart and lung sounds

Which of the following is NOT included in a complete patient examination? a. The health history b. Therapeutic procedures c. The physical examination d. Laboratory tests

b. Therapeutic procedures

Which of the following is performed by the medical assistant during a pediatric office visit? a. Measurement of vital signs b. Measurement of weight and height c. Measurement of visual acuity d. Assisting with the physical examination e. All are correct

e. All are correct

Which of the following may require a physical examination? a. Prerequisite for employment b. Participation in sports c. School admission d. Summer camp attendance e. All are correct

e. All are correct

Which of the following may result in falsely high pediatric blood pressure reading? a. Apprehension b. Malnutrition c. Obesity d. Fever

a. Apprehension

Which of the following need NOT be removed before weighing a patient? a. Shoes b. Jewelry c. Heavy sweater d. Jacket

b. Jewelry

Which of the following principles should be followed when practicing proper body mechanics? a. Do not reach for something farther than 14 to 19 inches away. b. Store lighter items on higher shelves c. If possible, push or slide an item rather than lifting it d. Use the large muscles of the arms and legs when lifting an object e. All are correct

e. All are correct

Which of the following steps should NOT be followed when lifting an object? a. Determine if you can safely lift the object b. Stand in front of the object with the feet 6 to 8 inches apart c. Bend at the hips to lift the object d. Keep the back straight when lifting the object

c. Bend at the hips to lift the object

Why is it important to develop a rapport with a pediatric patient? a. The child is more likely to be cooperative during procedures b. To prevent inaccurate test results c. To prevent the child from crying d. To reduce pain when an injection is administered

a. The child is more likely to be cooperative during procedures

FINAL Chapter 4 Flashcards

(104 cards)