During a history-taking session, Mr. B appears to be avoiding certain questions. He keeps looking out the window. What should the caregiver do?
a. Ask direct questions and insist on a "yes" or "no" answer to each question.
b. Continue to ask questions until Mr. B re-sponds appropriately.
c. Make a note to pursue sensitive issues later in the interview.
d. Stop the interview until the patient is ready to cooperate.
C
When the patient dissembles, do not push too hard for an answer. Allow the interview to go on and come back to the questions he avoided answering later. Yes or no questions will close the interview process. Continue with the interview, making a note to return to questioning about that issue later in the interview. Continuing to ask questions until Mr. B responds appropriately will not allow the patient time to reflect and answer. Stopping the interview until the patient is ready to cooperate will stop the flow of communication.
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