You are called to a family practice medical clinic to treat a 75-year-old man who arrive at the clinic approximately 20 minutes ago. The clinic staff members recognized that the patient had several signs of a myocardial infarction. The patient is loudly complaining that he just paid for a cab to the clinic and does not have insurance for the nearest hospital. As your partner begins to attach the patient to the cardiac monitor, you say to the patient, "You have signs of a heart attack, which could cause your heart to stop. I know you are upset, but you need to get to the hospital as soon as possible." Which interview technique are you using?
a. Clarification
b. Confrontation
c. Facilitation
d. Interpretation
Answer: d. Interpretation
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While performing a detailed physical exam on a patient involved in a fall from 30 feet, the patient (who had previously been responding to your questions) stops responding. What should you do next?
A) Start CPR. B) Call medical control for orders. C) Repeat the primary assessment. D) Continue the detailed physical assessment.
A patient experiencing acute postoperative dyspnea undergoes a V/Q scan, with results indicating an intermediate probability of pulmonary embolism (PE). Other than dyspnea, the only significant clinical findings are a moderate hypoxemia and tachycardia. Which of the following would you recommend?
A. additional testing B. a repeat V/Q scan C. vasodilator therapy D. continued observation