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Kaplan Qbank USMLE



Author13 Posts
  #1

A 51-year-old man who was previously a successful businessman and devoted husband and father now neglects and abuses his family. At his last visit, he confided to the physician that he abuses alcohol. His wife tells the physician that her husband’s drinking is destroying their family. Of the following responses, which is likely to be the most effective in initiating a discussion about his use of alcohol and its effect on his family?

a) “Did you know most patients who drink as much as you do lose their families?”

b) “Do you feel guilty about what you’re doing to your children?”

c) “Do you realize the damage your use of alcohol is doing to your relationships?”

d) “What do you think is the impact of your drinking on your family?”

e) “Your wife says your use of alcohol is destroying your family.”

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just do it!!!

  #2

I would say D. Open non-leading question.

  #3

I'll go with retro...D

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VR.

  #4

yep D sounds good

  #5

I think D

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Bahaa

  #6

d for me

  #7

hi guys,,, answer D sounds good but dont you remeber that the guilt feeling is one of the important things in addicts? dont they feel gulty about there problem and usually admit it?
why wouldnt the answer be B???

  #8

well b sounds like that doc is suggesting that he is doin something awful to his children.
i will go with d: more open question
so where is the answer indira???????

  #9

yep, b is accusational. I don't like it.

  #10

you are right guys, actually when i answered the question, D was my answer but B got me a little confused because of the guilt feeling but as well i thought it wouldnt be an open end quetion and as well by talking about his children , you are assuming that he is a bad father which the patient might not like but just wanted to make sure B wasnt the answe,,, thanx guys and wish me luck, exam in the day after tommorow

  #11

wish u teh very best of luck saria23

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Sincerity and hard work are the keys to success!

  #12

answer is d.

And good luck for exams saria23.

  #13

b is more confronting...don't make the pt feel guilty i'd go with d







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