NBME 6 ethics

[firstaid2012]

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A 13-year-old boy is brought to the physician by his parents for a routine well-child examination. When alone with the physician during the interview, the patient says that he occasionally smokes cigarettes after school with his friends. He says that he smokes fewer than 10 cigarettes weekly. When the physician initiates a discussion about smoking cessation, the patient says, "Smoking isn't a problem for me." Which of the following responses by the physician is most appropriate?
A ) "At what point would smoking become a problem for you?"
B ) "Did you know that smoking has many long-term health consequences?"
C ) "Do you want me to tell your parents about your smoking?"
D ) "How did a nice kid like you get started smoking?"
E ) "Why don't you just quit now before it gets to be a bigger problem."


plz explain

 

[Boardz]

a 13-year-old boy is brought to the physician by his parents for a routine well-child examination. When alone with the physician during the interview, the patient says that he occasionally smokes cigarettes after school with his friends. He says that he smokes fewer than 10 cigarettes weekly. When the physician initiates a discussion about smoking cessation, the patient says, "smoking isn't a problem for me." which of the following responses by the physician is most appropriate?
A ) "at what point would smoking become a problem for you?"
b ) "did you know that smoking has many long-term health consequences?"
c ) "do you want me to tell your parents about your smoking?"
d ) "how did a nice kid like you get started smoking?"
e ) "why don't you just quit now before it gets to be a bigger problem."


plz explain

a

 

[LuckiestOne]

A 13-year-old boy is brought to the physician by his parents for a routine well-child examination. When alone with the physician during the interview, the patient says that he occasionally smokes cigarettes after school with his friends. He says that he smokes fewer than 10 cigarettes weekly. When the physician initiates a discussion about smoking cessation, the patient says, "Smoking isn't a problem for me." Which of the following responses by the physician is most appropriate?
A ) "At what point would smoking become a problem for you?"
B ) "Did you know that smoking has many long-term health consequences?"
C ) "Do you want me to tell your parents about your smoking?"
D ) "How did a nice kid like you get started smoking?"
E ) "Why don't you just quit now before it gets to be a bigger problem."


plz explain

I would pick B because he is a young person and most likely do not know much about the health consequences of smoking yet. Education is important.

If it was an adult, I probably would go for A.

 

[NewYorkDoctors]

The answer is A

The key here is understanding that you cannot be confrontational with your patients and that kids have no sense of long term consequences and responsibility.
(not that many adults have shown the ability to grasp that concept...)

Expandedd feedback confirmed that one a A... so there you go