,Chapter z01: zThe zHistory zand zInterviewing zProcess
Ball: zSeidel’s zGuide zto zPhysical zExamination, z9th zEdition
MULTIPLE zCHOICE
1. Which zquestion zwould zbe zconsidered za z―leading zquestion?‖
a. ―Please zdescribe zany zassociated zsymptoms zwith zyour zheadaches?‖
b. ―You zdon't zget zheadaches zoften, zdo z you?‖
c. ―What zactivities zaffect zthe zseverity zof zyour zheadaches?‖
d. ―What ztimes zof zthe zday zare zyour zheadaches zthe zmost zsevere?‖
e. ―What zworries zyou zmost zabout zyour zheadache?‖
ANS: z B
This zquestion zwould zlimit zthe zinformation zin zthe zpatient's zanswer. zThe zother zchoices zallow
zthe zpatient zmore zdiscretion zabout zthe zextent zof zan zanswer.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
2. Which zaction zwould zbest zpromote zaccurate ztranslations zas zwell zas zconfidentiality
zwhen zthe zcaregiver zdoes znot zspeak zthe zpatient's zlanguage?
a. Ask za zperson zunfamiliar zwith zthe zpatient zto ztranslate.
b. Have za zfriend zof zthe zpatient ztranslate.
c. Ask zsimple zleading zquestions zthat zthe zpatient zmay zunderstand.
d. Use za zneighbor zas ztranslator.
e. Involve zthe zfamily zwith zthe ztranslation.
ANS: z A
When zyou zdo znot zspeak zthe zpatient's zlanguage, zfamily zmembers zor zfriends zmay zpose za
zcommunication zbarrier zand zmay zhave zissues zof zconfidentiality; za zstranger zas zan
zinterpreter zis zless zbiased.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
3. Periods zof zsilence zduring zthe zinterview zcan zserve zimportant zpurposes, zsuch zas:
a. allowing zthe zclinician zto zcatch zup zon zdocumentation.
b. giving zyou za zclue zthat zyou zshould zspeed zup zthe zinterview.
c. providing ztime zfor zreflection.
d. increasing zthe zlength zof zthe zvisit.
e. promoting za zcalm zenvironment.
ANS: z C
Silence zis za zuseful ztool zduring zinterviews zfor zthe zpurposes zof zreflection, zsummoning zof
zcourage, zand zdisplaying zcompassion. zIt zis zusually za zclue zfor zyou zto zgo zslower zand znot
zto zpush ztoo zhard.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
4. Which ztechnique zis zmost zlikely zto zresult zin zthe zpatient's zunderstanding zof zquestions?
a. Use zphrases zthat zare zcommonly zused zby zother zpatients zin zthe zarea.
b. Use zthe zpatient's zown zterms zif zpossible.
, c. Use zlanguage zthat zkeeps zthe zpatient zfrom zbeing zexpansive zin zhis zor zher zanswer.
d. Use zproper zmedical zand ztechnical zterminology.
e. Use zthe zsimplest zlanguage zpossible.
ANS: z B
To zensure zthat zyour zquestions zhave zbeen zcorrectly zunderstood, zbe zclear, zand zexplicit
zwhile zusing zthe zpatient's zidiom zand zlevel zof zunderstanding.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
5. A zpatient zbecomes zrestless zduring zthe zhistory zand zsays, z―I zdon't zhave ztime zfor zall
zof zthis zconversation. zI've zgot zto zget zback zto zwork.‖ zYour zmost zappropriate
zresponse zwould zbe zto:
a. stop zusing zopen-ended zquestions zand zbecome zmore zdirect.
b. ask zanother zopen-ended zquestion zand zinsist zon zan zanswer.
c. ask zquestions zabout zhis zanger zand zmove zcloser zto zhim.
d. acknowledge zhis zanger zand zproceed zwith zthe zhistory zand zexamination.
e. ignore zhis zdispleasure zand zbecome zmore zassertive zabout zgetting zanswers.
ANS: z D
This zis zthe zonly zanswer zthat zresists zthe ztendency zfor zpatient zmanipulation, zpursues zthe
zinformation, zand zconfronts zthe zpatient's zanger.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
6. When zquestioning za zpatient zregarding zalcohol zintake, zshe ztells zyou zthat zshe zis z―only za
zsocial zdrinker.‖ zWhich zinitial zresponse zis zappropriate?
a. ―I'm zglad zthat z you zare za zresponsible zdrinker.‖
b. ―Many z people z who z are z reN
allyRalcI
ohoG lic z sBa y.tChe yMare z social z drinkers.‖
c. ―What zamount zand zwhat zU zS zN zT
kind zof zalcohol zdo zyou zdrink zin za zweek?‖
d. ―If zyou zonly zdrink zsocially, zyou zwon't zneed zto zworry zabout zalways
zhaving za zdesignated zdriver.‖
e. ―Do zthe zother zpeople zin zyour zhousehold zconsume zalcohol?‖
ANS: z C
This zanswer zclarifies zthe zpatient's zown zterm zwithout zasking za zleading zquestion zor zbeing
zjudgmental.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
7. A z50-year-old zman zcomes zto zthe zprimary zcare zclinic. zHe ztells zyou zhe zis zworried
zbecause zhe zhas zhad zsevere zchest zpains zfor zthe zpast z2 zweeks. zWhich zinitial zhistory
zinterview zquestion zis zmost zappropriate?
a. ―Can zyou zdescribe zthe zpain?‖
b. ―The zpain zdoesn't zradiate zto zyour zarm, zdoes zit?‖
c. ―Have zyou zbeen ztreated zfor zanxiety zbefore?‖
d. ―Does zyour zfather zhave zheart zdisease?‖
e. ―Are zthe zpains zworse zafter zyou zeat?‖
ANS: z A
Initially, zan zopen-ended zquestion zis za zmore zappropriate zresponse. z―Can zyou zdescribe zthe
zpain?‖ zis zan zopen-ended zquestion zthat zoffers zclues zto zthe zchief zconcern.
, TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
8. Ms. zA. zstates, z―My zlife zis zjust ztoo zpainful. zIt zisn't zworth zit.‖ zShe zappears zdepressed.
zWhich zone zof zthe zfollowing zstatements zis zthe zmost zappropriate zcaregiver zresponse?
a. ―Try zto zthink zabout zthe zgood zthings zin zlife.‖
b. ―You zshouldn't zfeel zthat zway; zlook zat zall zthe zgood zthings zin zyour zlife.‖
c. ―You zcan't zmean z what z you're zsaying.‖
d. ―If zyou zthink zabout zit, znothing zis zworth zgetting zthis zupset zabout.‖
e. ―What zin zlife zis zcausing zyou zsuch zpain?‖
ANS: z E
Specific zyet zopen-ended zquestions zare zbest zused zwhen zthe zpatient zhas zfeelings zof
zloss zof zself-worth zand zdepression. zThe zother zresponses zhurry zthe zpatient zand
zoffer zsuperficial zassurance.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
9. During zan zinterview, zyou zhave zthe zimpression zthat za zpatient zmay zbe zconsidering
zsuicide. zWhich zaction zis zessential?
a. Immediately zbegin zproceedings zfor zan zinvoluntary zcommitment.
b. Ask zwhether zthe zpatient zhas zconsidered zself-harm.
c. Ask zwhether zthe zpatient zwould zlike zto zvisit za zpsychiatrist.
d. Record zthe zimpression zin zthe zpatient's zchart zand zrefer zthe
zpatient zfor zhospitalization.
e. Avoid zdirectly zconfronting zthe zpatient zregarding zyour zimpression.
ANS: z B
If zyou zthink zthe zpatient zmay zbNeUzczS
Ro nzN
s iI
d e r iGn g O
zT
zB
su.
icC
ide,Mhe zor zshe zprobably zis. zMentioning zit
zgives zpermission zto ztalk zabout zit.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
10. You zare zcollecting za zhistory zfrom zan z11-year-old zgirl. zHer zmother zis zsitting znext zto
zher zin zthe zexamination zroom. zWhen zcollecting zhistory zfrom zolder zchildren zor
zadolescents, zthey zshould:
a. never zbe zinterviewed zalone zbecause zthis zmay zalienate zthe zparent.
b. be zmailed za zquestionnaire zin zadvance zto zavoid zthe zneed zfor zher zto ztalk.
c. be zgiven zthe zopportunity zto zbe zinterviewed zwithout zthe zparent zat zsome zpoint.
d. be zallowed zto zdirect zthe zflow zof zthe zinterview.
e. be zignored zwhile zyou zaddress zall zquestions zto zthe zparent.
ANS: z C
An zolder zchild zshould zbe zgiven zthe zopportunity zto zgive zinformation zdirectly. zThis zenhances
zthe zprobability zthat zthe zchild zwill zfollow zyour zadvice.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
11. When zcommunicating zwith zolder zchildren zand zteenagers, zyou zshould zbe zsensitive zto ztheir:
a. parent's zneeds.
b. natural zurge zto zcommunicate.
c. need zfor zverbal zinstructions.
d. typical zreluctance zto ztalk.
Ball: zSeidel’s zGuide zto zPhysical zExamination, z9th zEdition
MULTIPLE zCHOICE
1. Which zquestion zwould zbe zconsidered za z―leading zquestion?‖
a. ―Please zdescribe zany zassociated zsymptoms zwith zyour zheadaches?‖
b. ―You zdon't zget zheadaches zoften, zdo z you?‖
c. ―What zactivities zaffect zthe zseverity zof zyour zheadaches?‖
d. ―What ztimes zof zthe zday zare zyour zheadaches zthe zmost zsevere?‖
e. ―What zworries zyou zmost zabout zyour zheadache?‖
ANS: z B
This zquestion zwould zlimit zthe zinformation zin zthe zpatient's zanswer. zThe zother zchoices zallow
zthe zpatient zmore zdiscretion zabout zthe zextent zof zan zanswer.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
2. Which zaction zwould zbest zpromote zaccurate ztranslations zas zwell zas zconfidentiality
zwhen zthe zcaregiver zdoes znot zspeak zthe zpatient's zlanguage?
a. Ask za zperson zunfamiliar zwith zthe zpatient zto ztranslate.
b. Have za zfriend zof zthe zpatient ztranslate.
c. Ask zsimple zleading zquestions zthat zthe zpatient zmay zunderstand.
d. Use za zneighbor zas ztranslator.
e. Involve zthe zfamily zwith zthe ztranslation.
ANS: z A
When zyou zdo znot zspeak zthe zpatient's zlanguage, zfamily zmembers zor zfriends zmay zpose za
zcommunication zbarrier zand zmay zhave zissues zof zconfidentiality; za zstranger zas zan
zinterpreter zis zless zbiased.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
3. Periods zof zsilence zduring zthe zinterview zcan zserve zimportant zpurposes, zsuch zas:
a. allowing zthe zclinician zto zcatch zup zon zdocumentation.
b. giving zyou za zclue zthat zyou zshould zspeed zup zthe zinterview.
c. providing ztime zfor zreflection.
d. increasing zthe zlength zof zthe zvisit.
e. promoting za zcalm zenvironment.
ANS: z C
Silence zis za zuseful ztool zduring zinterviews zfor zthe zpurposes zof zreflection, zsummoning zof
zcourage, zand zdisplaying zcompassion. zIt zis zusually za zclue zfor zyou zto zgo zslower zand znot
zto zpush ztoo zhard.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
4. Which ztechnique zis zmost zlikely zto zresult zin zthe zpatient's zunderstanding zof zquestions?
a. Use zphrases zthat zare zcommonly zused zby zother zpatients zin zthe zarea.
b. Use zthe zpatient's zown zterms zif zpossible.
, c. Use zlanguage zthat zkeeps zthe zpatient zfrom zbeing zexpansive zin zhis zor zher zanswer.
d. Use zproper zmedical zand ztechnical zterminology.
e. Use zthe zsimplest zlanguage zpossible.
ANS: z B
To zensure zthat zyour zquestions zhave zbeen zcorrectly zunderstood, zbe zclear, zand zexplicit
zwhile zusing zthe zpatient's zidiom zand zlevel zof zunderstanding.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
5. A zpatient zbecomes zrestless zduring zthe zhistory zand zsays, z―I zdon't zhave ztime zfor zall
zof zthis zconversation. zI've zgot zto zget zback zto zwork.‖ zYour zmost zappropriate
zresponse zwould zbe zto:
a. stop zusing zopen-ended zquestions zand zbecome zmore zdirect.
b. ask zanother zopen-ended zquestion zand zinsist zon zan zanswer.
c. ask zquestions zabout zhis zanger zand zmove zcloser zto zhim.
d. acknowledge zhis zanger zand zproceed zwith zthe zhistory zand zexamination.
e. ignore zhis zdispleasure zand zbecome zmore zassertive zabout zgetting zanswers.
ANS: z D
This zis zthe zonly zanswer zthat zresists zthe ztendency zfor zpatient zmanipulation, zpursues zthe
zinformation, zand zconfronts zthe zpatient's zanger.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
6. When zquestioning za zpatient zregarding zalcohol zintake, zshe ztells zyou zthat zshe zis z―only za
zsocial zdrinker.‖ zWhich zinitial zresponse zis zappropriate?
a. ―I'm zglad zthat z you zare za zresponsible zdrinker.‖
b. ―Many z people z who z are z reN
allyRalcI
ohoG lic z sBa y.tChe yMare z social z drinkers.‖
c. ―What zamount zand zwhat zU zS zN zT
kind zof zalcohol zdo zyou zdrink zin za zweek?‖
d. ―If zyou zonly zdrink zsocially, zyou zwon't zneed zto zworry zabout zalways
zhaving za zdesignated zdriver.‖
e. ―Do zthe zother zpeople zin zyour zhousehold zconsume zalcohol?‖
ANS: z C
This zanswer zclarifies zthe zpatient's zown zterm zwithout zasking za zleading zquestion zor zbeing
zjudgmental.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
7. A z50-year-old zman zcomes zto zthe zprimary zcare zclinic. zHe ztells zyou zhe zis zworried
zbecause zhe zhas zhad zsevere zchest zpains zfor zthe zpast z2 zweeks. zWhich zinitial zhistory
zinterview zquestion zis zmost zappropriate?
a. ―Can zyou zdescribe zthe zpain?‖
b. ―The zpain zdoesn't zradiate zto zyour zarm, zdoes zit?‖
c. ―Have zyou zbeen ztreated zfor zanxiety zbefore?‖
d. ―Does zyour zfather zhave zheart zdisease?‖
e. ―Are zthe zpains zworse zafter zyou zeat?‖
ANS: z A
Initially, zan zopen-ended zquestion zis za zmore zappropriate zresponse. z―Can zyou zdescribe zthe
zpain?‖ zis zan zopen-ended zquestion zthat zoffers zclues zto zthe zchief zconcern.
, TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
8. Ms. zA. zstates, z―My zlife zis zjust ztoo zpainful. zIt zisn't zworth zit.‖ zShe zappears zdepressed.
zWhich zone zof zthe zfollowing zstatements zis zthe zmost zappropriate zcaregiver zresponse?
a. ―Try zto zthink zabout zthe zgood zthings zin zlife.‖
b. ―You zshouldn't zfeel zthat zway; zlook zat zall zthe zgood zthings zin zyour zlife.‖
c. ―You zcan't zmean z what z you're zsaying.‖
d. ―If zyou zthink zabout zit, znothing zis zworth zgetting zthis zupset zabout.‖
e. ―What zin zlife zis zcausing zyou zsuch zpain?‖
ANS: z E
Specific zyet zopen-ended zquestions zare zbest zused zwhen zthe zpatient zhas zfeelings zof
zloss zof zself-worth zand zdepression. zThe zother zresponses zhurry zthe zpatient zand
zoffer zsuperficial zassurance.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
9. During zan zinterview, zyou zhave zthe zimpression zthat za zpatient zmay zbe zconsidering
zsuicide. zWhich zaction zis zessential?
a. Immediately zbegin zproceedings zfor zan zinvoluntary zcommitment.
b. Ask zwhether zthe zpatient zhas zconsidered zself-harm.
c. Ask zwhether zthe zpatient zwould zlike zto zvisit za zpsychiatrist.
d. Record zthe zimpression zin zthe zpatient's zchart zand zrefer zthe
zpatient zfor zhospitalization.
e. Avoid zdirectly zconfronting zthe zpatient zregarding zyour zimpression.
ANS: z B
If zyou zthink zthe zpatient zmay zbNeUzczS
Ro nzN
s iI
d e r iGn g O
zT
zB
su.
icC
ide,Mhe zor zshe zprobably zis. zMentioning zit
zgives zpermission zto ztalk zabout zit.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
10. You zare zcollecting za zhistory zfrom zan z11-year-old zgirl. zHer zmother zis zsitting znext zto
zher zin zthe zexamination zroom. zWhen zcollecting zhistory zfrom zolder zchildren zor
zadolescents, zthey zshould:
a. never zbe zinterviewed zalone zbecause zthis zmay zalienate zthe zparent.
b. be zmailed za zquestionnaire zin zadvance zto zavoid zthe zneed zfor zher zto ztalk.
c. be zgiven zthe zopportunity zto zbe zinterviewed zwithout zthe zparent zat zsome zpoint.
d. be zallowed zto zdirect zthe zflow zof zthe zinterview.
e. be zignored zwhile zyou zaddress zall zquestions zto zthe zparent.
ANS: z C
An zolder zchild zshould zbe zgiven zthe zopportunity zto zgive zinformation zdirectly. zThis zenhances
zthe zprobability zthat zthe zchild zwill zfollow zyour zadvice.
TOP: z Discipline: zBehavioral zScience MSC: z Organ zSystem: zGeneral
11. When zcommunicating zwith zolder zchildren zand zteenagers, zyou zshould zbe zsensitive zto ztheir:
a. parent's zneeds.
b. natural zurge zto zcommunicate.
c. need zfor zverbal zinstructions.
d. typical zreluctance zto ztalk.
