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Chapter 12: The Health Care Interview
Essay
1. How can patients create a collaborative health care interview relationship?
2. How can interviewers improve information getting in health care interviews?
3. When should a health care provider use an inverted funnel sequence with caution?
4. Why is a funnel sequence of questions best for health care interviews?
5. Explain several ways to improve information giving in health care interviews.
6. List five blocking tactics used during health care interviews.
7. How can differences in the cultures of interview parties affect a health care interview?
8. Why are some researchers emphasizing the importance of stories in health care
interviews?
9. How do lay theories affect the communication of risk to patients?
10. Discuss the various tactics health care interviewers may employ to encourage patients to
talk.
11. In what ways can a physician maintain control during a health care interview?
12. List five ways for patients and providers to enhance relationships.
13. Compare and contrast the philosophies of French, German, English, and American
physicians.
14. List some of the stereotypical characteristics regarding overweight patients.
15. Discuss suggested solutions to breaches of confidentiality.
16. List four nonverbal techniques that encourage interaction.
Multiple Choice
17. Which of the following statements is supported by research?
a. Men spend more time with health care providers and are more active
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communicators.
b. Older patients are more likely to challenge the authority of physicians.
c. Patients from Asia are more assertive.
d. Women’s concerns are taken less seriously by health care providers.
18. Which of the following is a stereotype associated with good patients?
a. They are cooperative.
b. They are loud.
c. They are disobedient.
d. They are biased.
19. In the context of patient-centered care (PCC), which of the following statements is true
about patients who are actively involved as partners rather than passive bystanders?
a. They have a stronger sense of control over their health.
b. They are apathetic to treatment regimens and managing health issues.
c. They experience poor health and are less satisfied with their care.
d. They prefer maintaining relational distance with health care providers.
20. Judith Spiers has shown that politeness theory can enhance communication:
a. by disclosing the stark nature of many interactions.
b. by masking embarrassment and fear.
c. by easing social interaction** by providing a realistic form of verbal interaction.
d. by easing social interaction through a ritualistic form of verbal interaction.
21. In the context of appreciating diversity, which of the following statements is true about
age?
a. Older patients readily challenge a physician’s authority**, more frequently than
younger patients.
b. Young patients are more comfortable with bothering health care providers with
questions and challenges.
c. Health care providers who are mostly under 55 are significantly more egalitarian,
more patient, and more respectful with older patients.
d. Health care providers are more likely to raise psychological issues with older
patients than with younger patients.
22. Which of the following should health care providers do to establish and strengthen
rapport with patients during the opening stage of an interview?
a. Maintain a superior-to-subordinate relationship from the start.
b. Review a patient’s file after entering the examination room.
c. Refrain from employing small talk during the interview.
d. Begin the interview with a pleasant greeting and introduce oneself.
23. Which of the following movements in U.S. health care is gaining more importance
lately?
a. diversity movement
b. anti-malpractice movement
c. patient-centered care
d. None of the answers is correct.
24. Which of the following is NOT true about women in a health care interview?
a. Women are more concerned about health.
b. Women are more domineering.
c. Women spend more time with health providers.
d. Health care providers take their concerns less seriously.
25. Which of the following cultures prize nonverbal communication?
a. American culture
b. German culture
c. Asian culture
d. None of the answers is correct.
26. Which of the following is a result of a breach of confidentiality?
a. discrimination
b. economic devastation
c. social stigma
d. All of the answers are correct.
27. Which of the following is NOT listed as a way to improve information getting?
a. pauses
b. nodding the head
c. interrupting
d. eye contact
28. Which of the following statements is true about tag questions?
a. They are used to elicit information.
b. They are used to summarize and confirm information.
c. They are used to express empathy and provide positive feedback.
d. All of the answers are correct.
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Copyright ©2018 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior
written consent of McGraw-Hill Education.
29. Which of the following types of patients tend to be provided more information?
a. older patients
b. female patients
c. educated patients
d. All of the answers are correct.
30. Ley found that patients who were given seven or more items to remember within a few
hours after a health care interview had a(n) _____ level of recall.
a. 82 percent
b. 12 percent
c. 36 percent
d. 3 percent
31. _____ initiate problem presentations and distinctively communicate physicians’ readiness
to initiate and enforce the initiation of the information gathering phase of a visit.
a. General inquiry questions
b. Restrictive closed questions
c. Confirmatory questions
d. Hypothetical questions
32. In the context of telling stories to a physician, which of the following statements is true
about older patients compared with younger patients?
a. They reveal more current symptoms.
b. They give significantly longer presentations and narratives.
c. They refrain from disclosing seemingly irrelevant matters such as family finances.
d. They dislike engaging in painful self-disclosure.
33. One study found that 20 percent of patients did NOT know the meaning of common
medical terms.
a. True
b. False
34. Although the patient-centered care (PCC) relationship is ideal, providers and patients
continue to believe that the burden to make this relationship work rests on patients.
a. True
b. False
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Copyright ©2018 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior
written consent of McGraw-Hill Education.
Ans: b
35. Health care providers should encourage storytelling.
a. True
b. False
36. The success of an interview may be due to the number of words the provider does NOT
say.
a. True
b. False
37. Patients seen as lower class tend to get more optimistic diagnoses and prognoses than do
those of the upper class.
a. True
b. False
38. Doctors should set the pace of the health care interview.
a. True
b. False
39. General inquiry questions allow health care providers to elicit long explanations of
problems, including the most common or current symptoms.
a. True
b. False
40. Research reveals that greater patient-centeredness by both male and female physicians
leads to a stronger positive effect on satisfaction and evaluations for female than for male
physicians.
a. True
b. False
41. The means health care providers employ to get information often add to the barriers
patients raise in exchanging information.
a. True
b. False
42. The physician—NOT the patient—must articulate reasons for making or NOT making a
change.
a. True
b. False
43. It is good to employ routine openings in the health care interview.
a. True
b. False
44. Telephone calls account for 75 percent of health care interviews.
a. True
b. False
45. When patients see their health care providers as participatory decision-makers and
credible experts, they are more likely to seek advice and adhere to their providers’
recommendations.
a. True
b. False
46. Patients are ordinarily compliant to physicians’ instructions.
a. True
b. False
47. Empathy increases patient satisfaction and reduces time and expense.
a. True
b. False