TEST BANK FOR TEXTBOOK OF PHYSICAL
DIAGNOSIS HISTORY AND EXAMINATION 7TH
EDITION BY MARK SWARTZ 9780323221481 ALL
29 CHAPTERS GRADED A+
,Textbook of Physical Diagnosis: History and Examination — Chapters 1–29
1. The Interview and History
2. Principles of Physical Diagnosis
3. Vital Signs and General Survey
4. Skin, Hair, and Nails
5. Head and Neck
6. Eyes
7. Ears, Nose, and Throat
8. The Breast and Axillae
9. The Thorax and Lungs
10. The Cardiovascular System
11. Peripheral Vascular System
12. Abdomen
13. The Liver, Biliary Tract, and Pancreas
14. The Spleen
15. The Rectum and Anus
16. Male Genitalia
17. Female Genitalia
18. The Musculoskeletal System
19. The Nervous System
20. Mental Status Examination
21. Pediatric History and Physical Examination
22. Geriatric History and Physical Examination
23. The Pregnant Patient
24. The Critically Ill Patient
25. Nutrition and Nutritional Assessment
26. Pain Assessment
27. Functional Assessment
28. Cultural Competence in History and Examination
29. The Complete Physical Examination
,CHAPTER 1: THE INTERVIEW AND HISTORY
This chapter focuses on the health history interview as the foundation of accurate diagnosis
and safe nursing care. It emphasizes communication techniques, therapeutic relationships,
cultural sensitivity, complete and focused histories, symptom analysis, and documentation.
Nurses use clinical judgment during interviews to gather accurate data, build trust, identify
priorities, ensure patient safety, and guide physical examination and clinical decision-making
across diverse healthcare settings.
CHAPTER 1 TEST BANK QUESTIONS
1. A nurse begins an interview by asking an open-ended question. What is the primary
purpose of this approach?
A. To save time
B. To control the interview
C. To allow the patient to tell their story
D. To limit emotional responses
CORRECT ANSWER - C
Rationale: Open-ended questions encourage patients to describe concerns in their own
words, providing richer, more accurate data than closed or leading questions.
2. A 45-year-old patient hesitates to answer questions about alcohol use. What is the
nurse’s best response?
A. Skip the question
B. Reassure confidentiality
C. Change the subject
D. Document refusal
CORRECT ANSWER - B
Rationale: Reassuring confidentiality promotes trust and honesty, which improves the
accuracy of sensitive health information.
3. Which component of the health history focuses on the patient’s perception of their
illness?
A. Past medical history
B. Chief complaint
C. Review of systems
D. Family history
CORRECT ANSWER - B
Rationale: The chief complaint reflects the patient’s reason for seeking care, stated in
their own words, and guides further assessment.
4. A nurse uses the OLDCARTS framework to assess pain. What does the “R”
represent?
A. Radiation
B. Relief
C. Response
D. Region
CORRECT ANSWER - A
, Rationale: Radiation identifies whether symptoms spread to other areas, helping
differentiate potential causes.
5. During an interview, a patient avoids eye contact and gives short answers. What
should the nurse do first?
A. End the interview
B. Confront the behavior
C. Adjust communication approach
D. Assume the patient is uncooperative
CORRECT ANSWER - C
Rationale: Modifying communication style may improve comfort and trust; nonverbal
cues can reflect anxiety or cultural norms.
6. Which question best assesses the onset of symptoms?
A. “How severe is the pain?”
B. “What makes it better?”
C. “When did this begin?”
D. “Does it radiate?”
CORRECT ANSWER - C
Rationale: Onset establishes the timeline of illness, which is critical for diagnosis and
urgency determination.
7. A nurse documents a patient history. Which entry is most appropriate?
A. Patient is exaggerating pain
B. Patient states pain is “sharp and constant”
C. Patient appears anxious and dramatic
D. Pain is probably psychological
CORRECT ANSWER - B
Rationale: Documentation should be objective and reflect the patient’s own words,
avoiding assumptions or judgments.
8. Which factor most influences the accuracy of the health history?
A. Nurse’s clinical experience
B. Length of the interview
C. Patient–nurse trust
D. Use of medical terminology
CORRECT ANSWER - C
Rationale: Trust encourages honesty and completeness, directly affecting data quality
and clinical decision-making.
9. A nurse interviews a patient from a different cultural background. What action best
promotes effective communication?
A. Speaking louder
B. Using medical jargon
C. Assessing cultural preferences
D. Avoiding personal questions
CORRECT ANSWER - C
Rationale: Cultural assessment helps tailor communication, reduce
misunderstandings, and improve patient-centered care.
10. Which source of information is considered secondary?
A. Patient report
B. Medical record
C. Symptom description
D. Chief complaint
DIAGNOSIS HISTORY AND EXAMINATION 7TH
EDITION BY MARK SWARTZ 9780323221481 ALL
29 CHAPTERS GRADED A+
,Textbook of Physical Diagnosis: History and Examination — Chapters 1–29
1. The Interview and History
2. Principles of Physical Diagnosis
3. Vital Signs and General Survey
4. Skin, Hair, and Nails
5. Head and Neck
6. Eyes
7. Ears, Nose, and Throat
8. The Breast and Axillae
9. The Thorax and Lungs
10. The Cardiovascular System
11. Peripheral Vascular System
12. Abdomen
13. The Liver, Biliary Tract, and Pancreas
14. The Spleen
15. The Rectum and Anus
16. Male Genitalia
17. Female Genitalia
18. The Musculoskeletal System
19. The Nervous System
20. Mental Status Examination
21. Pediatric History and Physical Examination
22. Geriatric History and Physical Examination
23. The Pregnant Patient
24. The Critically Ill Patient
25. Nutrition and Nutritional Assessment
26. Pain Assessment
27. Functional Assessment
28. Cultural Competence in History and Examination
29. The Complete Physical Examination
,CHAPTER 1: THE INTERVIEW AND HISTORY
This chapter focuses on the health history interview as the foundation of accurate diagnosis
and safe nursing care. It emphasizes communication techniques, therapeutic relationships,
cultural sensitivity, complete and focused histories, symptom analysis, and documentation.
Nurses use clinical judgment during interviews to gather accurate data, build trust, identify
priorities, ensure patient safety, and guide physical examination and clinical decision-making
across diverse healthcare settings.
CHAPTER 1 TEST BANK QUESTIONS
1. A nurse begins an interview by asking an open-ended question. What is the primary
purpose of this approach?
A. To save time
B. To control the interview
C. To allow the patient to tell their story
D. To limit emotional responses
CORRECT ANSWER - C
Rationale: Open-ended questions encourage patients to describe concerns in their own
words, providing richer, more accurate data than closed or leading questions.
2. A 45-year-old patient hesitates to answer questions about alcohol use. What is the
nurse’s best response?
A. Skip the question
B. Reassure confidentiality
C. Change the subject
D. Document refusal
CORRECT ANSWER - B
Rationale: Reassuring confidentiality promotes trust and honesty, which improves the
accuracy of sensitive health information.
3. Which component of the health history focuses on the patient’s perception of their
illness?
A. Past medical history
B. Chief complaint
C. Review of systems
D. Family history
CORRECT ANSWER - B
Rationale: The chief complaint reflects the patient’s reason for seeking care, stated in
their own words, and guides further assessment.
4. A nurse uses the OLDCARTS framework to assess pain. What does the “R”
represent?
A. Radiation
B. Relief
C. Response
D. Region
CORRECT ANSWER - A
, Rationale: Radiation identifies whether symptoms spread to other areas, helping
differentiate potential causes.
5. During an interview, a patient avoids eye contact and gives short answers. What
should the nurse do first?
A. End the interview
B. Confront the behavior
C. Adjust communication approach
D. Assume the patient is uncooperative
CORRECT ANSWER - C
Rationale: Modifying communication style may improve comfort and trust; nonverbal
cues can reflect anxiety or cultural norms.
6. Which question best assesses the onset of symptoms?
A. “How severe is the pain?”
B. “What makes it better?”
C. “When did this begin?”
D. “Does it radiate?”
CORRECT ANSWER - C
Rationale: Onset establishes the timeline of illness, which is critical for diagnosis and
urgency determination.
7. A nurse documents a patient history. Which entry is most appropriate?
A. Patient is exaggerating pain
B. Patient states pain is “sharp and constant”
C. Patient appears anxious and dramatic
D. Pain is probably psychological
CORRECT ANSWER - B
Rationale: Documentation should be objective and reflect the patient’s own words,
avoiding assumptions or judgments.
8. Which factor most influences the accuracy of the health history?
A. Nurse’s clinical experience
B. Length of the interview
C. Patient–nurse trust
D. Use of medical terminology
CORRECT ANSWER - C
Rationale: Trust encourages honesty and completeness, directly affecting data quality
and clinical decision-making.
9. A nurse interviews a patient from a different cultural background. What action best
promotes effective communication?
A. Speaking louder
B. Using medical jargon
C. Assessing cultural preferences
D. Avoiding personal questions
CORRECT ANSWER - C
Rationale: Cultural assessment helps tailor communication, reduce
misunderstandings, and improve patient-centered care.
10. Which source of information is considered secondary?
A. Patient report
B. Medical record
C. Symptom description
D. Chief complaint
