Seidel's Guide to Physical Examination 9th Edition Ball Test Bank

Seidel's Guide to Physical Examination 9th Edition Ball Test Bank. Which e i ld be c ide ed a leadig e i ? a. Plea e de c ibe a a ciaed m m ih headache ? b. Y d ge headache fe , d ? c. Wha ac i iie affec he e e i f headache ? d. Wha ime f he da a e headache he m e e e? e. Wha ie m ab headache? ANS: B Thi ei ld limi he ifmai i he a ie a e . The he chice all he patient more discretion about the extent of an answer. TOP: Discipline: Behavioral Science MSC: Organ System: General 2. Which action would best promote accurate translations as well as confidentiality when the ca egie de eak he a ie lagage? a. Ask a person unfamiliar with the patient to translate. b. Have a friend of the patient translate. c. Ask simple leading questions that the patient may understand. d. Use a neighbor as translator. e. Involve the family with the translation. ANS: A Whe d eak he a ie lagage, famil membe f ie d ma e a communication barrier and may have issues of confidentiality; a stranger as an interpreter is less biased. TOP: Discipline: Behavioral Science MSC: Organ System: General 3. Periods of silence during the interview can serve important purposes, such as: a. allowing the clinician to catch up on documentation. b. giving you a clue that you should speed up the interview. c. providing time for reflection. d. increasing the length of the visit. e. promoting a calm environment. ANS: C Silence is a useful tool during interviews for the purposes of reflection, summoning of courage, and displaying compassion. It is usually a clue for you to go slower and not to push too hard. TOP: Discipline: Behavioral Science MSC: Organ System: General 4. Which echie i m likel e l i he a ie de a dig f e i ? a. Use phrases that are commonly used by other patients in the area. b. Ue he a ie e m if ible. Seidel's Guide to Physical Examination 9th Edition Ball Test Bank NU RS IN GT B.CO M c. Use language that keeps the patient from being expansive in his or her answer. d. Use proper medical and technical terminology. e. Use the simplest language possible. ANS: B To ensure that your questions have been correctly understood, be clear, and explicit while ig he a ie idi m ad le el f de a dig. TOP: Discipline: Behavioral Science MSC: Organ System: General 5. A a ie bec me e le dig he hi a d a , I d hae ime f all of this c e a i . I e g ge back k. Y m a ia e e e ld be : a. stop using open-ended questions and become more direct. b. ask another open-ended question and insist on an answer. c. ask questions about his anger and move closer to him. d. acknowledge his anger and proceed with the history and examination. e. ignore his displeasure and become more assertive about getting answers. ANS: D This is the only answer that resists the tendency for patient manipulation, pursues the ifmai, ad c f he a ie a ge . TOP: Discipline: Behavioral Science MSC: Organ System: General 6. Whe e i ig a a ie ega dig alc hl i ake, he ell ha he i l a cial dike . Which iiial e e i a ia e? a. I m glad ha a e a e ible dike. b. Ma e le h a e eall alchlic a he a e cial d ike . c. Wha am ad ha kid f alchl d dik i a eek? d. If l dik ciall , eed ab ala ha ig a de igaed die . e. D he he e le i h ehld cme alc hl? ANS: C Thi ae cla ifie he a ie e m ih akig a leadig ei beig judgmental. TOP: Discipline: Behavioral Science MSC: Organ System: General 7. A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has had severe chest pains for the past 2 weeks. Which initial history interview question is most appropriate? a. Ca de c ibe he ai? b. The ai de adiae a m, de i? c. Ha e bee ea ed f a ie bef e? d. De fa he ha e hea diea e? e. Ae he ai e afe ea ? ANS: A Initially, an open-e ded e i i a me a ia e e e. Ca de c ibe he ai? is an open-ended question that offers clues to the chief concern. NU RS IN GT B.CO M TOP: Discipline: Behavioral Science MSC: Organ System: General 8. M. A. a e, M life i j aif l. I i h i . She a ea de e ed. Which e of the following statements is the most appropriate caregiver response? a. T hik ab he g d hi g i life. b. Y hld feel ha a ; l k a all he gd hi g i life. c. Y ca mea ha e a ig. d. If hi k ab i , hig i h gei g hi e ab. e. Wha i life i ca ig ch ai? ANS: E Specific yet open-ended questions are best used when the patient has feelings of loss of self-worth and depression. The other responses hurry the patient and offer superficial assurance. TOP: Discipline: Behavioral Science MSC: Organ System: General 9. During an interview, you have the impression that a patient may be considering suicide. Which action is essential? a. Immediately begin proceedings for an involuntary commitment. b. Ask whether the patient has considered self-harm. c. Ask whether the patient would like to visit a psychiatrist. d. Rec d he im e i i he a ie cha a d efe he a ie f hospitalization. e. Avoid directly confronting the patient regarding your impression. ANS: B If you think the patient may be considering suicide, he or she probably is. Mentioning it gives permission to talk about it. TOP: Discipline: Behavioral Science MSC: Organ System: General 10. You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the examination room. When collecting history from older children or adolescents, they should: a. never be interviewed alone because this may alienate the parent. b. be mailed a questionnaire in advance to avoid the need for her to talk. c. be given the opportunity to be interviewed without the parent at some point. d. be allowed to direct the flow of the interview. e. be ignored while you address all questions to the parent. ANS: C An older child should be given the opportunity to give information directly. This enhances the probability that the child will follow your advice. TOP: Discipline: Behavioral Science MSC: Organ System: General 11. When communicating with older children and teenagers, you should be sensitive to their: a. a e eed. b. natural urge to communicate. c. need for verbal instructions. d. typical reluctance to talk. NU RS IN GT B.CO M e. desire for adult companionship. ANS: D Adolescents are usually reluctant to talk; therefore, the provider should clearly communicate a respect for their confidentiality. TOP: Discipline: Behavioral Science MSC: Organ System: General 12. When you suspect that your 81-year-old patient has short-term memory loss because he cannot remember what he had for breakfast, you should: a. order a neurology consult. b. stop all of his medications. c. continue to press the patient for appropriate answers. d. validate the concern with his family or caregivers. e. dismiss the finding as a normal age-related change. ANS: D When older adults experience memory loss for recent events, consult other family members to clarify discrepancies or to fill in the gaps. TOP: Discipline: Behavioral Science MSC: Organ System: General 13. To what extent should the patient with a physical disability or emotional disorder be involved in providing health history information to the health professional? a. All information should be obtained from family members. b. All information should be collected from past records while the patient is in another room. c. The patient should be involved only when you sense that he or she may feel ignored. d. The patient should be fully involved to the limit of his or her ability. e. The patient should be present during information collection but should not be addressed directly. ANS: D Patients with disabilities may not give an effective history, but they must be respected, and the history must be obtained from them to the greatest extent possible. Family members may help provide a more complete history but not at the exclusion of the patient. TOP: Discipline: Behavioral Science MSC: Organ System: General 14. When taking a history, you should: a. ask patients to give you any information they can recall about their health. b. a he ie ie ih he a ie famil hi . c. use a chronologic and sequential framework. d. use a holistic and eclectic structure. e. start the interview with the social history. ANS: C Email me; Seidel's Guide to Physical Examination 9th Edition Ball Test Bank NU RS IN GT B.CO M To give structure to the present problem or chief concern, the provider should proceed in a chronologic and sequential framework. Asking patients to give you any information they can recall about their health and using a holistic and eclectic structure do not provide for structure. S a i g he ie ie ih he a ie famil hi a d ih he cial hi a e ic ec because gathering data about the chief concern is the initial step. TOP: Discipline: Behavioral Science MSC: Organ System: General 15. When questioning the patient regarding his or her sexual history, which question should be asked initially? a. D ha e a a ic la e al like dilike? b. D ha e a ie c ce ega dig e life? c. H fe d ha e ie c e a d ih hm? d. D ha e a ea hik ma ha e bee e ed a e all a mi ed ifec i ? e. Wha eall a mi ed diea e ha e had i he a ? ANS: B When approaching questioning about a sensitive area, it is recommended that the provider first ask open-e ded e i ha ele he a ie feeli g ab he i e. TOP: Discipline: Behavioral Science MSC: Organ System: General 16. Direct questioning about intimate partner violence in the home should be: a. a routine component of history taking with female patients. b. a ided f fea f ffe dig he ma a e . c. conducted only in cases in which there is a history of abuse. d. used only when the patient is obviously being victimized. e. used only when bruises are found on physical examination. ANS: A The presence of intimate partner violence should be routinely queried, and the questioning should be direct for all female patients. TOP: Discipline: Behavioral Science MSC: Organ System: General 17. Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the: a. Miller Analogies Test. b. PACE Assessment Instrument. c. CAGE questionnaire. d. Glasgow Coma Scale. e. HITS questionnaire. ANS: C The CAGE questionnaire is a model for approaching a discussion of the use of alcohol. TOP: Discipline: Behavioral Science MSC: Organ System: General 18. When you enter the examination room of a 3-year- ld gi l, fid he i i g he fa he lap. She turns away from you when you greet her. Initially, your best response is to: a. screen the child for sexual abuse. Email me; Seidel's Guide to Physical Examination 9th Edition Ball Test Bank NU RS IN GT B.CO M b. ask the child to be seated on the examination table so you can talk to her father. c. explain to the child that you will not hurt her and that she will have to trust you. d. ask the father to persuade the child to cooperate with you. e. lea e he child i ig i he fa he la hile alk he fa he. ANS: E Interaction with children must be modified according to age and in a manner that promotes trust. TOP: Discipline: Behavioral Science MSC: Organ System: General We offer online tutoring, help with assignments and essay writing for all Majors with a guaranteed pass. For assistance Contact Tutor Lucas: