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When asking a man a question about his chest pain, he responds in a disorganized manner. What should you do?

a) Put his response into simpler terms and ask if he agrees with your synopsis.
b) Rephrase your question using medical terminology to elicit a reliable response.
c) Defer that particular question until the patient is delivered to the hospital.
d) Proceed under the assumption that he is impaired by drugs or alcohol.

1 Answer

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Final answer:

The best response when a man is asked about his chest pain and responds disorganizedly is to simplify the question and confirm understanding by summarizing his responses. Clear and compassionate communication is key to accurately gathering patient symptoms without making assumptions or causing further confusion.

Step-by-step explanation:

When asking a man a question about his chest pain and he responds in a disorganized manner, the appropriate action is: a) Put his response into simpler terms and ask if he agrees with your synopsis.

Clear communication is crucial when assessing a patient's symptoms, particularly with something as potentially serious as chest pain. As such, it's important to ensure the patient understands the questions being asked. Simplifying your inquiries and summarizing the patient's responses can help verify your understanding of their symptoms. This approach is non-threatening and aims to ensure that the patient's symptoms are accurately represented. Confusion and disorganized speech can be symptoms of many serious health issues, so it is important to communicate effectively and avoid jumping to conclusions about the cause, such as drug or alcohol impairment, without evidence.

Additionally, a disorganized response can indicate a range of medical issues such as a neurological event or shock. In such cases, the healthcare provider should not defer crucial questions nor should they assume impairment.

Medical terminology might confuse the patient further, especially if they are experiencing stress or fear. In the event of suspected acute myocardial infarction (MI) or other cardiac issues, like angina pectoris, every moment is important, and obtaining clear patient history and symptoms is vital for a correct and timely diagnosis. This is especially true considering that some symptoms of acute MI, such as pain radiating down the left arm, may vary between sexes and other conditions like anxiety or indigestion may mimic MI symptoms.

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