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Old 07-27-2014
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Default A 45-year-old man with chest pain

A 45-year-old man is admitted to the hospital because of chest pain for 1 hour. He has a sedentary lifestyle, and his diet is high in fat and sodium. The diagnosis of acute angina is made, and the appropriate treatment is administered. After the patient's condition is stabilized, the physician recommends an exercise regimen and a low-fat, low-sodium diet. Two weeks later, the patient returns for a follow-up examination. He indicates that he has not yet returned to work and spends most of the day lying on the couch. He has not had any chest pain, shortness of breath, dyspnea with exertion, or peripheral edema. Which of the following initial statements by the physician is most appropriate?

(A) "Are you afraid you might have a heart attack if you exercise?"
(B) "Are you doing any types of exercise other than channel surfing?"
(C) "Have you also not been following the diet I recommended?"
(D) "What do you think is interfering with your ability to resume activity?"
(E) "When would you like to start working on improving your health?"
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  #2  
Old 07-27-2014
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Umm i think its D
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Old 07-27-2014
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(D) "What do you think is interfering with your ability to resume activity?
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Old 07-27-2014
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D- engage the patient and give him the opportunity to explain why he hasn't resumed normal activities.
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Old 07-27-2014
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I think its DD

First, the physician should open a discussion to know what's the underlying reason.

Thanks for the question
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