A 33-Year-Old Man Comes to the Office for a Routine

question 230

Multiple Choice

A 33-year-old man comes to the office for a routine health maintenance visit.  The patient states he wants to make sure he is taking care of his health after his father had a myocardial infarction a few months ago at the age of 61.  He has been eating healthy and exercising 3 to 4 times a week.  Past medical history is noncontributory, and the patient takes no medications.  He shares that his aunt is an herbalist and recently gave him a supplement that is supposed to help prevent cardiovascular disease.  The patient asks whether it is okay to start taking the supplement and provides a list of the ingredients, which includes herbs unfamiliar to the physician.  Which of the following is the most appropriate response?

• A)"I suggest not starting the supplement because you're already taking steps to maintain cardiovascular health by eating healthy and exercising."
• B)"I'll need to read more about this combination of herbs, so I'll do some research and let you know what I find."
• C)"I'm not familiar with these herbs, but studies have shown that herbs don't have significant effects on preventing cardiovascular disease."
• D)"This supplement probably won't prevent cardiovascular disease, but it's likely safe for you to take if you want to."
• E)"Unfortunately, I don't know enough information about these herbs, so I can't make a recommendation."

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Definitions:

Performance Criteria

Defined standards used to assess the effectiveness or success of a specific task or activity.

Group-Oriented Contingency

A behavioral strategy that applies reinforcement or punishment to a group as a whole dependent on meeting predefined criteria.

Group-Oriented Contingencies

Behavioral interventions that apply consequences to a group or class as a whole based on the behavior of one member, several members, or the entire group.

Dynamic

Characterized by constant change, activity, or progress, particularly in the context of dynamic systems or models.