A 22-Year-Old Man Comes to the Office Due to Fatigue

question 284

Multiple Choice

A 22-year-old man comes to the office due to fatigue, poor appetite, and weakness.  The patient recently emigrated from India and has few social supports.  He feels tired throughout the day despite sleeping 8-9 hours every night.  He is worried about his new job and thinks that his coworkers don't like him.  The patient reports no significant medical history but is very worried that he is losing semen when he urinates.  Temperature is 36.7 C (98 F) , blood pressure is 110/78 mm Hg, pulse is 62/min, and respirations are 14/min.  BMI is 24 kg/m².  Physical examination is unremarkable.  The patient is alert and oriented.  His thought process is organized, linear, and coherent.  He does not appear to be responding to internal stimuli.  Which of the following would be the most appropriate initial response to the patient's concerns?

• A)Do you ever hear voices when you're alone?
• B)Do you think you might be depressed?
• C)Have you lost your ability to enjoy your usual interests?
• D)I can reassure you that you're not losing semen when you urinate.
• E)What do you think is causing your illness?
• F)Your physical examination is reassuring, but it may be helpful to meet with a counselor.

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Definitions:

Market-oriented

A business approach focusing on understanding and meeting the desires and needs of its customers through its product mix.

Sales-oriented

Pertains to a business approach focused primarily on sales volume as the chief measure of success, often at the expense of customer satisfaction or product quality.

Lifetime Profitability

Refers to the total net profit a company expects to earn over the entirety of its business relationship with a customer.

Relationship Value

The perceived worth or benefits derived from maintaining a long-term relationship with a customer or business partner.