NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
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est Bank New Update 2023
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Chapter 01: The History and Interviewing Process
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Ball: Seidel’s Guide to Physical Examination, 9th Edition
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MULTIPLE CHOI w
CE
1. Which question would be considered a “leading question?”
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a. “What do you think is causing your headaches?”
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b. “You don’t get headaches often, do you?”
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c. “On a scale of 1 to 10, how would you rate the severity of your headaches?”
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d. “At what time of the day are your headaches the most severe?”
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ANS: B w
Stating to the patient that he or she does not get headaches would limit the info
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rmation in the patient’s answer. Asking the patient what he or she thinks is caus
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ing the headaches is an open-
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ended question. Asking the patient how he or she would rate the severity of the
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w headaches and asking what time of the day the headaches are the most severe
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are direct questions.
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DIF: Cognitive Level: Applying (Application) w w w
OBJ: Nursing process—assessment
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MSC: Physiologic Integrity: Physiologic Adap
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tation
NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
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est Bank New Update 2023
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, NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
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est Bank New Update 2023
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2. When are open-ended questions generally most useful?
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a. During sensitive area part of the interview
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b. After several closed-ended questions have been asked
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c. While designing the genogram
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d. During the review of systN
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ANS: w
A
Asking open- w
ended questions during the sensitive part of the interview allows you to gather
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more information and establishes you as an empathic listener, which is the first
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step of effective communication. Asking closed-
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ended questions may stifle the patient’s desire to discuss the history of the illne
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ss. Interviewing for the purpose of designing a genogram or conducting a revie
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w of systems requires more focused data than can be more easily gathered with
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direct questioning.
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DIF: Cognitive Level: Understanding (Comprehension)
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OBJ: Nursing process—assessment
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MSC: Physiologic Integrity: Physiologic Adap
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tation
3. Periods of silence during the interview can serve important purposes, such as:
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a. allowing the clinician to catch up on documentation.
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b. promoting calm. w
c. providing time for reflection. w w w
NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
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est Bank New Update 2023
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,NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
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est Bank New Update 2023
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d. increasing the length of the visit.
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ANS: C w
Silence is a useful tool during interviews for the purposes of reflection, summo
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ning courage, and displaying compassion. This is not a time to document in the
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chart, but rather to focus on the patient. Periods of silence may cause anxiety rat
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her than promote calm. The length of the visit is less important than getting criti
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cal information.
w
NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
, NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
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est Bank New Update 2023
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DIF: Cognitive Level: Understanding (Comprehension) w w w
OBJ: Nursing process—assessment
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MSC: Physiologic Integrity: Physiologic Adap
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tation
4. Mr. Franklin is speaking with you, the healthcare provider, about his respiratory
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problem. Mr. Franklin says, “I’ve had this cough for 3 days, and it’s getting wo
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rse.” You reply, “Tell me more about your cough.” Mr. Franklin states, “I wish
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I could tell you more. That’s why I’m here. You tell me what’s wrong!” Which
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caregiver response would be most appropriate for enhancing communication?
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a. “After 3 days, you’re tired of coughing. Have you had a fever?”
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b. “I’d like to hear more about your experiences. Where were you born?”
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c. “I don’t know what’s wrong. You could have almost any disease.”
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d. “I’ll examine you and figure out later what the problem is.”
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ANS: A w
“After 3 days, you’re tired of coughing. Have you had a fever?” is the only respon
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se aimed at focusing on the chief compliant to gather more data and does not digre
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ss from the issue.
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DIF: Cognitive Level: Analyzing (Analysis) w w w
OBJ: Nursing process—assessment
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MSC: Physiologic Integrity: Physiologic Adap
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tation
5. After you ask a patient about her family history, she says, “Tell me about your
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family now.” Which response is generally most appropriate?
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a. Ignore the patient’s comment and continue with the interview.
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NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
w w w w w w w w w w
est Bank New Update 2023
w w w w
Chapter 01: The History and Interviewing Process
w w w w w w
Ball: Seidel’s Guide to Physical Examination, 9th Edition
w w w w w w w
MULTIPLE CHOI w
CE
1. Which question would be considered a “leading question?”
w w w w w w w
a. “What do you think is causing your headaches?”
w w w w w w w
b. “You don’t get headaches often, do you?”
w w w w w w
c. “On a scale of 1 to 10, how would you rate the severity of your headaches?”
w w w w w w w w w w w w w w w
d. “At what time of the day are your headaches the most severe?”
w w w w w w w w w w w
ANS: B w
Stating to the patient that he or she does not get headaches would limit the info
w w w w w w w w w w w w w w w
rmation in the patient’s answer. Asking the patient what he or she thinks is caus
w w w w w w w w w w w w w w
ing the headaches is an open-
w w w w w
ended question. Asking the patient how he or she would rate the severity of the
w w w w w w w w w w w w w w
w headaches and asking what time of the day the headaches are the most severe
w w w w w w w w w w w w w w
are direct questions.
w w
DIF: Cognitive Level: Applying (Application) w w w
OBJ: Nursing process—assessment
www w
MSC: Physiologic Integrity: Physiologic Adap
w w w w
tation
NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
, NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
2. When are open-ended questions generally most useful?
w w w w w w
a. During sensitive area part of the interview
w w w w w w
b. After several closed-ended questions have been asked
w w w w w w
c. While designing the genogram
w w w
d. During the review of systN
w w emsR w w
w
w
ANS: w
A
Asking open- w
ended questions during the sensitive part of the interview allows you to gather
w w w w w w w w w w w w w
more information and establishes you as an empathic listener, which is the first
w w w w w w w w w w w w
step of effective communication. Asking closed-
w w w w w w
ended questions may stifle the patient’s desire to discuss the history of the illne
w w w w w w w w w w w w w
ss. Interviewing for the purpose of designing a genogram or conducting a revie
w w w w w w w w w w w w
w of systems requires more focused data than can be more easily gathered with
w w w w w w w w w w w w w w
direct questioning.
w
DIF: Cognitive Level: Understanding (Comprehension)
w w w
OBJ: Nursing process—assessment
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MSC: Physiologic Integrity: Physiologic Adap
w w w w
tation
3. Periods of silence during the interview can serve important purposes, such as:
w w w w w w w w w w w
a. allowing the clinician to catch up on documentation.
w w w w w w w
b. promoting calm. w
c. providing time for reflection. w w w
NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
,NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
d. increasing the length of the visit.
w w w w w
ANS: C w
Silence is a useful tool during interviews for the purposes of reflection, summo
w w w w w w w w w w w w
ning courage, and displaying compassion. This is not a time to document in the
w w w w w w w w w w w w w w
chart, but rather to focus on the patient. Periods of silence may cause anxiety rat
w w w w w w w w w w w w w w
her than promote calm. The length of the visit is less important than getting criti
w w w w w w w w w w w w w w
cal information.
w
NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
, NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
w w w w w w w w w w
est Bank New Update 2023
w w w w
DIF: Cognitive Level: Understanding (Comprehension) w w w
OBJ: Nursing process—assessment
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MSC: Physiologic Integrity: Physiologic Adap
w w w w
tation
4. Mr. Franklin is speaking with you, the healthcare provider, about his respiratory
w w w w w w w w w w w
problem. Mr. Franklin says, “I’ve had this cough for 3 days, and it’s getting wo
w w w w w w w w w w w w w w w
rse.” You reply, “Tell me more about your cough.” Mr. Franklin states, “I wish
w w w w w w w w w w w w w w
I could tell you more. That’s why I’m here. You tell me what’s wrong!” Which
w w w w w w w w w w w w w w w
caregiver response would be most appropriate for enhancing communication?
w w w w w w w w
a. “After 3 days, you’re tired of coughing. Have you had a fever?”
w w w w w w w w w w w
b. “I’d like to hear more about your experiences. Where were you born?”
w w w w w w w w w w w
c. “I don’t know what’s wrong. You could have almost any disease.”
w w w w w w w w w w
d. “I’ll examine you and figure out later what the problem is.”
w w w w w w w w w w
ANS: A w
“After 3 days, you’re tired of coughing. Have you had a fever?” is the only respon
w w w w w w w w w w w w w w w
se aimed at focusing on the chief compliant to gather more data and does not digre
w w w w w w w w w w w w w w w
ss from the issue.
w w w
DIF: Cognitive Level: Analyzing (Analysis) w w w
OBJ: Nursing process—assessment
www w
MSC: Physiologic Integrity: Physiologic Adap
w w w w
tation
5. After you ask a patient about her family history, she says, “Tell me about your
w w w w w w w w w w w w w w
family now.” Which response is generally most appropriate?
w w w w w w w w
a. Ignore the patient’s comment and continue with the interview.
w w w w w w w w
NR 601 seidel's Guide to Physical Examination 9th Edition Ball T
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est Bank New Update 2023
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