Test bank Exam View - Chapter 01
Seidel's Guide to Physical examination (University of California San Francisco)
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Chapter 01: The History and Interviewing Process
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. Which question would be considered a “leading question?”
a. “What do you think is causing your headaches?”
b. “You don’t get headaches often, do you?”
c. “On a scale of 1 to 10, how would you rate the severity of your headaches?”
d. “At what time of the day are your headaches the most severe?”
ANS: B
Stating to the patient that he or she does not get headaches would limit the information in the patient’s
what he or she thinks is causing the headaches is an open-ended question. Asking the patient how he or
of the headaches and asking what time of the day the headaches are the most severe are direct question
DIF: Cognitive Level: Applying (Application)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
2. When are open-ended questions generally most useful?
a. During sensitive area part of the interview
b. After several closed-ended questions have been asked
c. While designing the genogram
d. During the review of systems
ANS: A
Asking open-ended questions during the sensitive part of the interview allows you to gather more infor
as an empathic listener, which is the first step of effective communication. Asking closed-ended questi
desire to discuss the history of the illness. Interviewing for the purpose of designing a genogram or con
requires more focused data than can be more easily gathered with direct questioning.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
3. Periods of silence during the interview can serve important purposes, such as:
a. allowing the clinician to catch up on documentation.
b. promoting calm.
c. providing time for reflection.
d. increasing the length of the visit.
ANS: C
Silence is a useful tool during interviews for the purposes of reflection, summoning courage, and displa
not a time to document in the chart, but rather to focus on the patient. Periods of silence may cause anx
calm. The length of the visit is less important than getting critical information.
DIF: Cognitive Level: Understanding (Comprehension)
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
4. Mr. Franklin is speaking with you, the healthcare provider, about his respiratory problem. Mr. Franklin
for 3 days, and it’s getting worse.” You reply, “Tell me more about your cough.” Mr. Franklin states, “
more. That’s why I’m here. You tell me what’s wrong!” Which caregiver response would be most appr
communication?
a. “After 3 days, you’re tired of coughing. Have you had a fever?”
b. “I’d like to hear more about your experiences. Where were you born?”
c. “I don’t know what’s wrong. You could have almost any disease.”
d. “I’ll examine you and figure out later what the problem is.”
ANS: A
“After 3 days, you’re tired of coughing. Have you had a fever?” is the only response aimed at focusing
gather more data and does not digress from the issue.