Seidel'sdGuidedtodPhysicaldExaminationd9thdEditiondTestdBankd
2
Chapter 01: The History and Interviewing Process
d d d d d d
Ball: Seidel’s Guide to Physical Examination, 9th Edition
d d d d d d d
MULTIPLEdCHOICE
1. Whichdquestiondwoulddbedconsidereddad“leadingdquestion?”
a. “Whatddodyoudthinkdisdcausingdyourdheadaches?”
b. “Youddon’tdgetdheadachesdoften,ddodyou?”
c. “Ondadscaledofd1dtod10,dhowdwoulddyoudratedthedseveritydofdyourdheadaches?”
d. “Atdwhatdtimedofdtheddaydaredyourdheadachesdthedmostdsevere?”
ANS:d B
Statingdtodthedpatientdthatdhedordsheddoesdnotdgetdheadachesdwoulddlimitdthedinformationdindthedp
atient’sdanswer.dAskingdthedpatientdwhatdhedordshedthinksdisdcausingdthedheadachesdisdandopen-
endeddquestion.dAskingdthedpatientdhowdhedordshedwoulddratedthedseveritydofdthedheadachesdand
daskingdwhatdtimedofdtheddaydthedheadachesdaredthedmostdseveredareddirectdquestions.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
2. Whendaredopen-endeddquestionsdgenerallydmostduseful?
a. Duringdsensitivedareadpartdofdthedinterview
b. Afterdseveraldclosed-endeddquestionsdhavedbeendasked
c. Whileddesigningdthedgenogram
d. Duringdthedreviewdofds yst ems GdB.CdM
N RI d d
ANS:d A
USNT
d d d O
Askingdopen-
endeddquestionsdduringdthedsensitivedpartdofdthedinterviewdallowsdyoudtodgatherdmoredinformatio
ndanddestablishesdyoudasdandempathicdlistener,dwhichdisdthedfirstdstepdofdeffectivedcommunication
.dAskingdclosed-
endeddquestionsdmaydstifledthedpatient’sddesiredtoddiscussdthedhistorydofdthedillness.dInterviewingd
fordthedpurposedofddesigningdadgenogramdordconductingdadreviewdofdsystemsdrequiresdmoredfocus
edddatadthandcandbedmoredeasilydgathereddwithddirectdquestioning.
DIF: CognitivedLevel:dUnderstandingd(Comprehension)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
3. Periodsdofdsilencedduringdthedinterviewdcandservedimportantdpurposes,dsuchdas:
a. allowingdthedcliniciandtodcatchdupdonddocumentation.
b. promotingdcalm.
c. providingdtimedfordreflection.
d. increasingdthedlengthdofdthedvisit.
ANS:d C
Silencedisdadusefuldtooldduringdinterviewsdfordthedpurposesdofdreflection,dsummoningdcourage,da
ndddisplayingdcompassion.dThisdisdnotdadtimedtoddocumentdindthedchart,dbutdratherdtodfocusdondth
edpatient.dPeriodsdofdsilencedmaydcausedanxietydratherdthandpromotedcalm.dThedlengthdofdthedvis
itdisdlessdimportantdthandgettingdcriticaldinformation.
,Seidel'sdGuidedtodPhysicaldExaminationd9thdEditiondTestdBankd
2
DIF: CognitivedLevel:dUnderstandingd(Comprehension)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
4. Mr.dFranklindisdspeakingdwithdyou,dthedhealthcaredprovider,daboutdhisdrespiratorydproblem.dMr.d
Franklindsays,d“I’vedhaddthisdcoughdford3ddays,danddit’sdgettingdworse.”dYoudreply,d“Telldmedmo
redaboutdyourdcough.”dMr.dFranklindstates,d“IdwishdIdcoulddtelldyoudmore.dThat’sdwhydI’m
here.dYoudtelldmedwhat’sdwrong!”dWhichdcaregiverdresponsedwoulddbedmostdappropriatedfordenhan
cingdcommunication?
a. “Afterd3ddays,dyou’redtireddofdcoughing.dHavedyoudhaddadfever?”
b. “I’ddlikedtodheardmoredaboutdyourdexperiences.dWheredweredyoudborn?”
c. “Iddon’tdknowdwhat’sdwrong.dYoudcoulddhavedalmostdanyddisease.”
d. “I’lldexaminedyoudanddfiguredoutdlaterdwhatdthedproblemdis.”
ANS:d A
“Afterd3ddays,dyou’redtireddofdcoughing.dHavedyoudhaddadfever?”disdthedonlydresponsedaimeddatdfocu
singdondthedchiefdcompliantdtodgatherdmoreddatadandddoesdnotddigressdfromdthedissue.
DIF: CognitivedLevel:dAnalyzingd(Analysis)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
5. Afterdyoudaskdadpatientdaboutdherdfamilydhistory,dshedsays,d“Telldmedaboutdyourdfamilydnow.”d
Whichdresponsedisdgenerallydmostdappropriate?
a.Ignoredthedpatient’sdcommentdanddcontinuedwithdthedinterview.
b.Givedadbrief,dundetaileddanswer.
c.Askdthedpatientdwhydshedneedsdtodknow.
d.Telldthedpatientdthatdyouddodnotddiscussdyourdfamilydwithdpatients.
ANS:d B NURSINGTB.C M O
d
d
d
d
d
d
d d
Givingdadbrief,dundetaileddanswerdwilldsatisfydthedpatient’sdcuriositydaboutdyourselfdwithout
invadingdyourdprivatedlife.dIgnoringdthedpatient’sdcomment,dcontinuingdwithdthedinterview,danddtel
lingdthedpatientdthatdyouddodnotddiscussdyourdfamilydwithdpatientsdwilldpotentiallydangerdordfrustrat
edherdanddkeepdherdfromdsharingdopenly.dAskingdthedpatientdwhydshedneedsdtodknowdwillddistractdfr
omdthedrealdreasondshedisdseekingdcaredanddinsteaddmovedthedinterviewdconversationdawaydfromdth
edtopicsdthatdshoulddbeddiscussed.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
6. Ad36-year-
olddwomandcomplainsdthatdshedhasdhaddcrushingdchestdpaindfordthedpastd2ddays.dShedseemsdnervo
usdasdshedspeaksdtodyou.dAndappropriatedresponsedisdto:
a. continuedtodcollectdinformationdregardingdthedchiefdcomplaintdindandunhurriedd
manner.
b. finishdthedinterviewdasdrapidlydasdpossible.
c. askdthedpatientdtodtakedaddeepdbreathdanddcalmddown.
d. askdthedpatientdifdshedwantsdtodwaitduntildanotherddaydtodtalkdtodyou.
ANS:d A
,Seidel'sdGuidedtodPhysicaldExaminationd9thdEditiondTestdBankd
2
Withdandanxious,dvulnerabledpatient,ditdisdbestdtodnotdhurry;dadcalmddemeanordwilldcommunicatedc
aringdtodthedpatient.dIfdyoudasdadhealthcaredproviderdaredhurried,dthedpatientdwilldbedmoredanxious.
dThedbestdwaydtodassistdandanxiousdpatientdisdtodnotdhurrydanddremaindcalm,dbecausedthisdwilldcom
municatedcaringdtodthedpatient.dAskingdthedpatientdifdshedwantsdtodwaitduntildanotherddaydtodtalkdt
odyouddelaysdthedneededdhealthdcare.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
7. Ms.dAdstates,d“Mydlifedisdjustdtoodpainful.dItdisn’tdworthdit.”dShedappearsddepressed.dWhichdonedo
fdthedfollowingdstatementsdisdthedmostdappropriatedcaregiverdresponse?
a. “Trydtodthinkdaboutdthedgooddthingsdindlife.”
b. “Whatdindlifedisdcausingdyoudsuchdpain?”
c. “Youdcan’tdmeandwhatdyou’redsaying.”
d. “Ifdyoudthinkdaboutdit,dnothingdisdworthdgettingdthisdupsetdabout.”
ANS:d B
Specificdbutdopen-endeddquestionsdaredbestduseddwhendthedpatientdhasdfeelingsdofdlossdof
self-
worthdandddepression.d“Trydtodthinkdaboutdthedgooddthingsdindlife,”d“Youdcan’tdmeandwhatdyou’re
dsaying,”dandd“Ifdyoudthinkdaboutdit,dnothingdisdworthdgettingdthisdupsetdabout”daredstatementsdtha
tdwilldhurrydthedpatientdanddofferdonlydsuperficialdassurance.
DIF: CognitivedLevel:dAnalyzingd(Analysis)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
8. Youdaredcollectingdadhistorydfromdad16-year-olddgirl.dHerdmotherdisdsittingdnextdtodherdindthe
examinationdroom.dWhendcollectingdhistorydfromdolderdchildrendordadolescents,dtheydshoulddb
e: NURSINGTB.COM
a. givendthedopportunitydtodbedintervieweddwithoutdthedparentdatdsomedpointdduringdthe
interview.
b. maileddadquestionnairedindadvancedtodavoiddthedneeddfordthemdtodtalk.
c. ignoreddwhiledyoudaddressdalldquestionsdtodthedparent.
d. alloweddtoddirectdthedflowdofdthedinterview.
ANS:d A
Thedadolescentdshoulddbedgivendthedopportunitydtodgivedinformationddirectly.dThisdenhancesdthed
probabilitydthatdthedadolescentdwilldfollowdyourdadvice.dMailingdadquestionnairedindadvancedtoda
voiddthedneeddfordherdtodtalkddoesdnotdassistdthedadolescentdindlearningdtodresponddtodanswersdreg
ardingdherdhealth.dThedparentdcandhelpdfilldindgapsdatdthedend.dIfdshedisdignoreddwhiledyoudaddress
dalldquestionsdtodthedparent,dthedpatientdwilldfeeldasdthoughdshedisdjustdbeingddiscusseddanddisdnotd
partdofdthedprocessdfordthedhealthdcare.dThedhealthcaredproviderdshoulddalwaysddirectdthedflowdofd
thedinterviewdaccordingdtodthedpatient’sdresponses.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
9. Informationdthatdisdneededdduringdthedinitialdinterviewdofdadpregnantdwomandincludesdalldthedf
ollowingdexcept:
a. thedgenderdthatdthedwomandhopesdthedbabydwilldbe.
b. pastdmedicaldhistory.
, Seidel'sdGuidedtodPhysicaldExaminationd9thdEditiondTestdBankd
2
c. healthcaredpractices.
2
Chapter 01: The History and Interviewing Process
d d d d d d
Ball: Seidel’s Guide to Physical Examination, 9th Edition
d d d d d d d
MULTIPLEdCHOICE
1. Whichdquestiondwoulddbedconsidereddad“leadingdquestion?”
a. “Whatddodyoudthinkdisdcausingdyourdheadaches?”
b. “Youddon’tdgetdheadachesdoften,ddodyou?”
c. “Ondadscaledofd1dtod10,dhowdwoulddyoudratedthedseveritydofdyourdheadaches?”
d. “Atdwhatdtimedofdtheddaydaredyourdheadachesdthedmostdsevere?”
ANS:d B
Statingdtodthedpatientdthatdhedordsheddoesdnotdgetdheadachesdwoulddlimitdthedinformationdindthedp
atient’sdanswer.dAskingdthedpatientdwhatdhedordshedthinksdisdcausingdthedheadachesdisdandopen-
endeddquestion.dAskingdthedpatientdhowdhedordshedwoulddratedthedseveritydofdthedheadachesdand
daskingdwhatdtimedofdtheddaydthedheadachesdaredthedmostdseveredareddirectdquestions.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
2. Whendaredopen-endeddquestionsdgenerallydmostduseful?
a. Duringdsensitivedareadpartdofdthedinterview
b. Afterdseveraldclosed-endeddquestionsdhavedbeendasked
c. Whileddesigningdthedgenogram
d. Duringdthedreviewdofds yst ems GdB.CdM
N RI d d
ANS:d A
USNT
d d d O
Askingdopen-
endeddquestionsdduringdthedsensitivedpartdofdthedinterviewdallowsdyoudtodgatherdmoredinformatio
ndanddestablishesdyoudasdandempathicdlistener,dwhichdisdthedfirstdstepdofdeffectivedcommunication
.dAskingdclosed-
endeddquestionsdmaydstifledthedpatient’sddesiredtoddiscussdthedhistorydofdthedillness.dInterviewingd
fordthedpurposedofddesigningdadgenogramdordconductingdadreviewdofdsystemsdrequiresdmoredfocus
edddatadthandcandbedmoredeasilydgathereddwithddirectdquestioning.
DIF: CognitivedLevel:dUnderstandingd(Comprehension)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
3. Periodsdofdsilencedduringdthedinterviewdcandservedimportantdpurposes,dsuchdas:
a. allowingdthedcliniciandtodcatchdupdonddocumentation.
b. promotingdcalm.
c. providingdtimedfordreflection.
d. increasingdthedlengthdofdthedvisit.
ANS:d C
Silencedisdadusefuldtooldduringdinterviewsdfordthedpurposesdofdreflection,dsummoningdcourage,da
ndddisplayingdcompassion.dThisdisdnotdadtimedtoddocumentdindthedchart,dbutdratherdtodfocusdondth
edpatient.dPeriodsdofdsilencedmaydcausedanxietydratherdthandpromotedcalm.dThedlengthdofdthedvis
itdisdlessdimportantdthandgettingdcriticaldinformation.
,Seidel'sdGuidedtodPhysicaldExaminationd9thdEditiondTestdBankd
2
DIF: CognitivedLevel:dUnderstandingd(Comprehension)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
4. Mr.dFranklindisdspeakingdwithdyou,dthedhealthcaredprovider,daboutdhisdrespiratorydproblem.dMr.d
Franklindsays,d“I’vedhaddthisdcoughdford3ddays,danddit’sdgettingdworse.”dYoudreply,d“Telldmedmo
redaboutdyourdcough.”dMr.dFranklindstates,d“IdwishdIdcoulddtelldyoudmore.dThat’sdwhydI’m
here.dYoudtelldmedwhat’sdwrong!”dWhichdcaregiverdresponsedwoulddbedmostdappropriatedfordenhan
cingdcommunication?
a. “Afterd3ddays,dyou’redtireddofdcoughing.dHavedyoudhaddadfever?”
b. “I’ddlikedtodheardmoredaboutdyourdexperiences.dWheredweredyoudborn?”
c. “Iddon’tdknowdwhat’sdwrong.dYoudcoulddhavedalmostdanyddisease.”
d. “I’lldexaminedyoudanddfiguredoutdlaterdwhatdthedproblemdis.”
ANS:d A
“Afterd3ddays,dyou’redtireddofdcoughing.dHavedyoudhaddadfever?”disdthedonlydresponsedaimeddatdfocu
singdondthedchiefdcompliantdtodgatherdmoreddatadandddoesdnotddigressdfromdthedissue.
DIF: CognitivedLevel:dAnalyzingd(Analysis)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
5. Afterdyoudaskdadpatientdaboutdherdfamilydhistory,dshedsays,d“Telldmedaboutdyourdfamilydnow.”d
Whichdresponsedisdgenerallydmostdappropriate?
a.Ignoredthedpatient’sdcommentdanddcontinuedwithdthedinterview.
b.Givedadbrief,dundetaileddanswer.
c.Askdthedpatientdwhydshedneedsdtodknow.
d.Telldthedpatientdthatdyouddodnotddiscussdyourdfamilydwithdpatients.
ANS:d B NURSINGTB.C M O
d
d
d
d
d
d
d d
Givingdadbrief,dundetaileddanswerdwilldsatisfydthedpatient’sdcuriositydaboutdyourselfdwithout
invadingdyourdprivatedlife.dIgnoringdthedpatient’sdcomment,dcontinuingdwithdthedinterview,danddtel
lingdthedpatientdthatdyouddodnotddiscussdyourdfamilydwithdpatientsdwilldpotentiallydangerdordfrustrat
edherdanddkeepdherdfromdsharingdopenly.dAskingdthedpatientdwhydshedneedsdtodknowdwillddistractdfr
omdthedrealdreasondshedisdseekingdcaredanddinsteaddmovedthedinterviewdconversationdawaydfromdth
edtopicsdthatdshoulddbeddiscussed.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
6. Ad36-year-
olddwomandcomplainsdthatdshedhasdhaddcrushingdchestdpaindfordthedpastd2ddays.dShedseemsdnervo
usdasdshedspeaksdtodyou.dAndappropriatedresponsedisdto:
a. continuedtodcollectdinformationdregardingdthedchiefdcomplaintdindandunhurriedd
manner.
b. finishdthedinterviewdasdrapidlydasdpossible.
c. askdthedpatientdtodtakedaddeepdbreathdanddcalmddown.
d. askdthedpatientdifdshedwantsdtodwaitduntildanotherddaydtodtalkdtodyou.
ANS:d A
,Seidel'sdGuidedtodPhysicaldExaminationd9thdEditiondTestdBankd
2
Withdandanxious,dvulnerabledpatient,ditdisdbestdtodnotdhurry;dadcalmddemeanordwilldcommunicatedc
aringdtodthedpatient.dIfdyoudasdadhealthcaredproviderdaredhurried,dthedpatientdwilldbedmoredanxious.
dThedbestdwaydtodassistdandanxiousdpatientdisdtodnotdhurrydanddremaindcalm,dbecausedthisdwilldcom
municatedcaringdtodthedpatient.dAskingdthedpatientdifdshedwantsdtodwaitduntildanotherddaydtodtalkdt
odyouddelaysdthedneededdhealthdcare.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
7. Ms.dAdstates,d“Mydlifedisdjustdtoodpainful.dItdisn’tdworthdit.”dShedappearsddepressed.dWhichdonedo
fdthedfollowingdstatementsdisdthedmostdappropriatedcaregiverdresponse?
a. “Trydtodthinkdaboutdthedgooddthingsdindlife.”
b. “Whatdindlifedisdcausingdyoudsuchdpain?”
c. “Youdcan’tdmeandwhatdyou’redsaying.”
d. “Ifdyoudthinkdaboutdit,dnothingdisdworthdgettingdthisdupsetdabout.”
ANS:d B
Specificdbutdopen-endeddquestionsdaredbestduseddwhendthedpatientdhasdfeelingsdofdlossdof
self-
worthdandddepression.d“Trydtodthinkdaboutdthedgooddthingsdindlife,”d“Youdcan’tdmeandwhatdyou’re
dsaying,”dandd“Ifdyoudthinkdaboutdit,dnothingdisdworthdgettingdthisdupsetdabout”daredstatementsdtha
tdwilldhurrydthedpatientdanddofferdonlydsuperficialdassurance.
DIF: CognitivedLevel:dAnalyzingd(Analysis)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
8. Youdaredcollectingdadhistorydfromdad16-year-olddgirl.dHerdmotherdisdsittingdnextdtodherdindthe
examinationdroom.dWhendcollectingdhistorydfromdolderdchildrendordadolescents,dtheydshoulddb
e: NURSINGTB.COM
a. givendthedopportunitydtodbedintervieweddwithoutdthedparentdatdsomedpointdduringdthe
interview.
b. maileddadquestionnairedindadvancedtodavoiddthedneeddfordthemdtodtalk.
c. ignoreddwhiledyoudaddressdalldquestionsdtodthedparent.
d. alloweddtoddirectdthedflowdofdthedinterview.
ANS:d A
Thedadolescentdshoulddbedgivendthedopportunitydtodgivedinformationddirectly.dThisdenhancesdthed
probabilitydthatdthedadolescentdwilldfollowdyourdadvice.dMailingdadquestionnairedindadvancedtoda
voiddthedneeddfordherdtodtalkddoesdnotdassistdthedadolescentdindlearningdtodresponddtodanswersdreg
ardingdherdhealth.dThedparentdcandhelpdfilldindgapsdatdthedend.dIfdshedisdignoreddwhiledyoudaddress
dalldquestionsdtodthedparent,dthedpatientdwilldfeeldasdthoughdshedisdjustdbeingddiscusseddanddisdnotd
partdofdthedprocessdfordthedhealthdcare.dThedhealthcaredproviderdshoulddalwaysddirectdthedflowdofd
thedinterviewdaccordingdtodthedpatient’sdresponses.
DIF: CognitivedLevel:dApplyingd(Application)
OBJ:d d Nursingdprocess—assessment MSC:d PhysiologicdIntegrity:dPhysiologicdAdaptation
9. Informationdthatdisdneededdduringdthedinitialdinterviewdofdadpregnantdwomandincludesdalldthedf
ollowingdexcept:
a. thedgenderdthatdthedwomandhopesdthedbabydwilldbe.
b. pastdmedicaldhistory.
, Seidel'sdGuidedtodPhysicaldExaminationd9thdEditiondTestdBankd
2
c. healthcaredpractices.
