Question

Ms. Dole, 25, an executive assistant, is in Urgent Care with left ankle pain and swelling following a fall 10 days ago. She says she simply lost her footing going downstairs from her apartment, and has not felt dizzy or blacked out. The clinic notes show that she had a right wrist injury following another fall at home a few months ago. Otherwise, she is healthy; takes only an oral contraceptive And her x-rays show no fracture. The waiting room is packed with patients waiting. Which option is recommended as your next action?
A. I'm going to give you an air cast, crutches, and Ibuprofen. Elevate your leg as much as possible, and come back for more evaluation if you do not improve in this coming week.
B. I'm concerned that you've had two recent falls and I'm wondering if you have any ideas about why this is happening.
C. How much alcohol do you drink?
D. I'd like to do a more complete physical exam.
E. Do you have other symptoms, problems or concerns we have not yet discussed?

Answer 1

Answer:

B) I'm concerned that you've had two recent falls and I'm wondering if you have any ideas about why this is happening?

Explanation:

It is beneficial in this situation to extend an open invitation to her to share more about her life. As for the other questions,

A) misses the two-fall fact.

C) is relevant but too abrupt, and she may lie or reply defensively if she has a substance addiction problem.

D) is vital but not yet.

E) asks numerous questions at once, which is a poor tactic.