A 23-year-old man presents to the emergency department with a chief complaint of being assaulted on the street. The patient claims that he has been followed by the government for quite some time and that he was assaulted by a government agent but was able to escape. He often hears voices telling him to hide. The patient has an unknown past medical history and admits to smoking marijuana frequently. On physical exam, the patient has no signs of trauma. When interviewing the patient, he is seen conversing with an external party that is not apparent to you. The patient states that he is afraid for his life and that agents are currently pursuing him. What is the best initial response to this patient’s statement?
AI think you are safe from the agents here.
BYou have a mental disorder but don’t worry we will help you.
CI don’t think any agents are pursuing you.
DWhat medications are you currently taking?
EIt sounds like you have been going through some tough experiences lately.
A 52-year-old man with a 20+ year history of smoking comes in today to talk about quitting. His wife has recently been trying to quit, and she wants him to quit with her. He has been resistant in the past, but he is now very willing to talk with you about it. Today, he seems like he really wants to make a change. What stage of change does this behavior correspond to?
AAction
BPreparation
CPrecontemplation
DMaintenance
EContemplation
A 15-year-old female presents to her family physician for an annual school physical exam and check-up. She is accompanied by her mother to the visit and is present in the exam room. The patient has no complaints, and she does not have any past medical problems. She takes no medications. The patient reports that she remains active, exercising 5 times a week, and eats a healthy and varied diet. Which of the following would be the best way for the physician to obtain a more in-depth social history, including sexual history and use of alcohol, tobacco, or recreational drugs?
ADisallow the mother to be present in the examination room throughout the entirety of the visit
BGive the patient a social history questionnaire to fill out in the exam room
CAsk the mother to step outside into the hall for a portion of the visit
DAsk the patient the questions directly, with her mother still in the exam room
ESpeak softly to the patient so that the mother does not hear and the patient is not embarrassed
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