A 49-Year-Old Man Arrives to the Office Complaining of Dysuria

A 49-year-old man arrives to the office complaining of dysuria and hematuria. The vital signs are normal, and the physical examination is uneventful; the urinalysis reveals extensive hematuria but is otherwise normal. The doctor outlines the possible causes and the need for a cystoscopy. The patient is informed about the surgery and provided written information as well as a referral list with directions on how to make an appointment with a urologist. He looks at the documents anxiously, claiming he will arrange an appointment soon. The physician had been notified by office personnel that the patient was unable to follow the guidelines on the sign-in page and refused to complete out paperwork. Which of the following physician replies is the best at this time?

A) "I'd like to ask you some questions about your background; could you tell me how far you got in school?"
B) "I'm concerned about your ability to read and fill out forms; have you always had trouble with this?"
C) "Sometimes patients have difficulty making appointments; could you please read the instructions out loud?"
D) "The forms you get before an appointment help me do a thorough evaluation; could you fill them out next time?"
E) "We've discussed a lot of information today; how confident are you with scheduling an appointment for yourself?"

Correct Answer:

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