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SEIDEL’S GUIDE TO PHYSICAL EXAMINATION 9
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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 CHOIC z
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1. Which question would be considered a ―leading question?‖
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a. ―Please describe any associated symptoms with your headaches?‖ z z z z z z z
b. ―You don't get headaches often, do you?‖ z z z z z z
c. ―What activities affect the severity of your headaches?‖ z z z z z z z
d. ―What times of the day are your headaches the most severe?‖ z z z z z z z z z z
e. ―What worries you most about your headache?‖ z z z z z z
ANS: B z
This question would limit the information in the patient's answer. The other choices a
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llow thepatient more discretion about the extent of an answer.
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TOP: Discipline: Behavioral Science
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2. Which action would best promote accurate translations as well as confiden
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tiality when thecaregiver does not speak the patient's language?
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a. Ask a person unfamiliar with the patient to translate.
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b. Have a friend of the patient translate. z z z z z z
c. Ask simple leading questions that the patient may understand.
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d. Use a neighbor as translator. z z z z
e. Involve the family with the translation. z z z z z
ANS: A zNURSINGTB.COM
When you do not speak the patient's language, family members or friends may pose a
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communication barrier and may have issues of confidentiality; a stranger as an interp z z z z z z z z z z z z
reter isless biased.
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TOP: Discipline: Behavioral Science
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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. z z z z z z z
b. giving you a clue that you should speed up the interview.
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c. providing time for reflection. z z z
d. increasing the length of the visit. z z z z z
e. promoting a calm environment. z z z
ANS: C z
Silence is a useful tool during interviews for the purposes of reflection, summonin
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g of courage, and displaying compassion. It is usually a clue for you to go slower an
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d not to pushtoo hard.
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Test Bank For Seidel's Guide to Physical Examination An In
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terprofessional Approach 9th Edition
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, TOP: Discipline: Behavioral Science
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4. Which technique is most likely to result in the patient's understanding of qu
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estions?
a. Use phrases that are commonly used by other patients in the area.
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b. Use the patient's own terms if possible.
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c. Use language that keeps the patient from being expansive in his or her answer.
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d. Use proper medical and technical terminology.
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e. Use the simplest language possible. z z z z
ANS: B z
To ensure that your questions have been correctly understood, be clear, and explici
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t whileusing the patient's idiom and level of understanding.
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TOP: Discipline: Behavioral Science
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5. A patient becomes restless during the history and says, ―I don't have time fo
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r all of this conversation. I've got to get back to work.‖ Your most appropriate
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response would be to:
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a. stop using open-ended questions and become more direct.
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b. ask another open-ended question and insist on an answer.
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c. ask questions about his anger and move closer to him.
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d. acknowledge his anger and proceed with the history and examination. z z z z z z z z z
e. ignore his displeasure and become more assertive about getting answers.
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ANS: D z
This is the only answer that resists the tendency for patient manipulation, pursues thei
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nformation, and confronts the patient's anger. z z z z z
TOP: Discipline: Behavioral Science
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6. When questioning a patient regarding alcohol intake, she tells you that she is
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―only a socialdrinker.‖ Which initial response is appropriate?
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a. ―I'm glad that you are a responsible drinker.‖ z z z z z z z
b. ―Many people who are reNallyRalcIo holGic sBay.tCheyMare social drinkers.‖
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c. ―What amount and what U kind
S N Tof alcohol do you drink in a week?‖
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d. ―If you only drink socially, you won't need to worry about al
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ways having a designated driver.‖ z z z z
e. ―Do the other people in your household consume alcohol?‖
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ANS: C z
This answer clarifies the patient's own term without asking a leading questio
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n or beingjudgmental.
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TOP: Discipline: Behavioral Science
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7. A 50-year-old man comes to the primary care clinic. He tells you he is worried
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Test Bank For Seidel's Guide to Physical Examination An In
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terprofessional Approach 9th Edition
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