Seidel'scGuidectocPhysicalcExaminationc9thcEditioncBallcTestcBank
Test Bank For Seidel's Guide to Physical Examination 9th
c c c c c c c c
c
Edition Ball c
Chapterc01:cThecHistorycandcInterviewingcProcess
Ball:cSeidel’scGuidectocPhysicalcExamination,c9thcEdition
MULTIPLEcCHOICE
1. Whichcquestioncwouldcbecconsideredcac“leadingcquestion?”
a. “Pleasecdescribecanycassociatedcsymptomscwithcyourcheadaches?”
b. “Youcdon'tcgetcheadachescoften,cdocyou?”
c. “Whatcactivitiescaffectcthecseveritycofcyourcheadaches?”
d. “Whatctimescofcthecdaycarecyourcheadachescthecmostcsevere?”
e. “Whatcworriescyoucmostcaboutcyourcheadache?”
ANS:c B
Thiscquestioncwouldclimitcthecinformationcincthecpatient'scanswer.cThecothercchoicescallowcthecpat
ientcmorecdiscretioncaboutcthecextentcofcancanswer.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
2. Whichcactioncwouldcbestcpromotecaccuratectranslationscascwellcascconfidentialitycwhencthecc
aregiverc doescnotcspeakc thecpatient'sclanguage?
a. Askcacpersoncunfamiliarcwithcthecpatientctoctranslate.
b. Havecacfriendcofcthecpatientctranslate.
c. Askcsimplecleadingcquestionscthatcthecpatientcmaycunderstand.
d. Usecacneighborcasctranslator.
e. Involvecthecfamilycwithcthectranslation.
ANS:c A
Whencyoucdocnotcspeakcthecpatient'sclanguage,cfamilycmemberscorcfriendscmaycposecaccommun
icationcbarriercandcmaychavecissuescofcconfidentiality;cacstrangercascancinterpretercislesscbiased.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
3. Periodscofcsilencecduringcthecinterviewccancservecimportantcpurposes,csuchcas:
a. allowingcthecclinicianctoccatchcupconcdocumentation.
b. givingcyoucaccluecthatcyoucshouldcspeedcupcthecinterview.
c. providingctimecforcreflection.
d. increasingctheclengthcofcthecvisit.
e. promotingcaccalmcenvironment.
NURSINGTB.COM
, Seidel'scGuidectocPhysicalcExaminationc9thcEditioncBallcTestcBank
ANS:c C
Silenceciscacusefulctoolcduringcinterviewscforcthecpurposescofcreflection,csummoningcofccourage,
candcdisplayingccompassion.cItciscusuallycaccluecforcyouctocgocslowercandcnotctocpushctoochard.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
4. Whichctechniqueciscmostclikelyctocresultcincthecpatient'scunderstandingcofcquestions?
a. Usecphrasescthatcareccommonlycusedcbycothercpatientscincthecarea.
b. Usecthecpatient'scownctermscifcpossible.
NURSINGTB.COM
, Seidel'scGuidectocPhysicalcExaminationc9thcEditioncBallcTestcBank
c. Useclanguagecthatckeepscthecpatientcfromcbeingcexpansivecinchiscorchercanswer.
d. Usecpropercmedicalcandctechnicalcterminology.
e. Usecthecsimplestclanguagecpossible.
ANS:c B
Tocensurecthatcyourcquestionschavecbeenccorrectlycunderstood,cbecclear,candcexplicitcwhilecusing
c thec patient'sc idiomcandclevelc ofcunderstanding.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
5. Acpatientcbecomescrestlesscduringcthechistorycandcsays,c“Icdon'tchavectimecforcallcofcthiscco
nversation.cI'vecgotctocgetcbackctocwork.”cYourcmostcappropriatecresponsecwouldcbecto:
a. stopcusingcopen-endedcquestionscandcbecomecmorecdirect.
b. askcanothercopen-endedcquestioncandcinsistconcancanswer.
c. askcquestionscaboutchiscangercandcmoveccloserctochim.
d. acknowledgechiscangercandcproceedcwithcthechistorycandcexamination.
e. ignorechiscdispleasurecandcbecomecmorecassertivecaboutcgettingcanswers.
ANS:c D
Thiscisctheconlycanswercthatcresistscthectendencycforcpatientcmanipulation,cpursuescthecinformatio
n,c andcconfrontsc thecpatient'sc anger.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
6. Whencquestioningcacpatientcregardingcalcoholcintake,cshectellscyoucthatcshecisc“onlycacs
ocialdrinker.”cWhichcinitialcresponseciscappropriate?
a. “I'mcgladcthatcyoucarecacresponsiblecdrinker.”
b. “ManycpeoplecwhocarecreN allyRalco
U SIchoNlGiccsBT
ay.theyMarecsocialcdrinkers.”
c. “Whatcamountcandcwhatckindcofcalcoholcdocyoucdrinkcincacweek?”
d. “Ifcyouconlycdrinkcsocially,cyoucwon'tcneedctocworrycaboutcalwayschavingcacd
esignatedcdriver.”
e. “Docthecothercpeoplecincyourchouseholdcconsumecalcohol?”
ANS:c C
Thiscanswercclarifiescthecpatient'scownctermcwithoutcaskingcacleadingcquestioncorcbeingcjudgment
al.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
7. Ac50-year-
oldcmanccomesctocthecprimaryccarecclinic.cHectellscyoucheciscworriedcbecausechechaschadcseverecc
hestcpainscforcthecpastc2cweeks.cWhichcinitialchistorycinterviewcquestionciscmostcappropriate?
a. “Cancyoucdescribecthecpain?”
b. “Thecpaincdoesn'tcradiatectocyourcarm,cdoescit?”
c. “Havecyoucbeenctreatedcforcanxietycbefore?”
d. “Doescyourcfatherchavecheartcdisease?”
e. “Arecthecpainscworsecaftercyouceat?”
ANS:c A
Initially,cancopen-endedcquestionciscacmorecappropriatecresponse.c“Cancyoucdescribecthecpain?”
iscancopen-endedcquestioncthatcoffersccluesctocthecchiefcconcern.
NURSINGTB.COM
, Seidel'scGuidectocPhysicalcExaminationc9thcEditioncBallcTestcBank
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
8. Ms.cA.cstates,c“Myclifeciscjustctoocpainful.cItcisn'tcworthcit.”cShecappearscdepressed.cWhichconeco
fcthecfollowingcstatementsciscthecmostcappropriateccaregivercresponse?
a. “Tryctocthinkcaboutcthecgoodcthingscinclife.”
b. “Youcshouldn'tcfeelcthatcway;clookcatcallcthecgoodcthingscincyourclife.”
c. “Youc can'tc meanc whatcyou'recsaying.”
d. “Ifcyoucthinkcaboutcit,cnothingciscworthcgettingcthiscupsetcabout.”
e. “Whatcinclifecisccausingcyoucsuchcpain?”
ANS:c E
Specificcyetcopen-
endedcquestionscarecbestcusedcwhencthecpatientchascfeelingscofclosscofself-
worthcandcdepression.cThecothercresponseschurrycthecpatientcandcoffercsuperficialcass
urance.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
9. Duringcancinterview,cyouchavecthecimpressioncthatcacpatientcmaycbecconsideringcs
uicide.Whichcactionciscessential?
a. Immediatelycbegincproceedingscforcancinvoluntaryccommitment.
b. Askcwhethercthecpatientchascconsideredcself-harm.
c. Askcwhethercthecpatientcwouldclikectocvisitcacpsychiatrist.
d. Recordcthecimpressioncincthecpatient'scchartcandcrefercthecpatientcforc
hospitalization.
e. Avoidcdirectlycconfrontingcthecpatientcregardingcyourcimpression.
ANS:c B
IfcyoucthinkcthecpatientcmaycbNeUcR
onS
sid
IceNriGng
TcsBui.cC
idO
e,Mhecorcshecprobablycis.cMentioningcitcgivescper
missionctoctalkcaboutcit.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
10. Youcareccollectingcachistorycfromcanc11-year-
oldcgirl.cHercmotherciscsittingcnextctochercincthecexaminationcroom.cWhenccollectingchistorycf
romcoldercchildrencorcadolescents,ctheycshould:
a. nevercbecinterviewedcalonecbecausecthiscmaycalienatecthecparent.
b. becmailedcacquestionnairecincadvancectocavoidcthecneedcforcherctoctalk.
c. becgivencthecopportunityctocbecinterviewedcwithoutcthecparentcatcsomecpoint.
d. becallowedctocdirectcthecflowcofcthecinterview.
e. becignoredcwhilecyoucaddresscallcquestionsctocthecparent.
ANS:c C
Ancoldercchildcshouldcbecgivencthecopportunityctocgivecinformationcdirectly.cThiscenhancescthepro
babilitycthatcthecchildcwillcfollowcyourcadvice.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
11. Whenccommunicatingcwithcoldercchildrencandcteenagers,cyoucshouldcbecsensitivectoctheir:
a. parent'sc needs.
NURSINGTB.COM
Test Bank For Seidel's Guide to Physical Examination 9th
c c c c c c c c
c
Edition Ball c
Chapterc01:cThecHistorycandcInterviewingcProcess
Ball:cSeidel’scGuidectocPhysicalcExamination,c9thcEdition
MULTIPLEcCHOICE
1. Whichcquestioncwouldcbecconsideredcac“leadingcquestion?”
a. “Pleasecdescribecanycassociatedcsymptomscwithcyourcheadaches?”
b. “Youcdon'tcgetcheadachescoften,cdocyou?”
c. “Whatcactivitiescaffectcthecseveritycofcyourcheadaches?”
d. “Whatctimescofcthecdaycarecyourcheadachescthecmostcsevere?”
e. “Whatcworriescyoucmostcaboutcyourcheadache?”
ANS:c B
Thiscquestioncwouldclimitcthecinformationcincthecpatient'scanswer.cThecothercchoicescallowcthecpat
ientcmorecdiscretioncaboutcthecextentcofcancanswer.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
2. Whichcactioncwouldcbestcpromotecaccuratectranslationscascwellcascconfidentialitycwhencthecc
aregiverc doescnotcspeakc thecpatient'sclanguage?
a. Askcacpersoncunfamiliarcwithcthecpatientctoctranslate.
b. Havecacfriendcofcthecpatientctranslate.
c. Askcsimplecleadingcquestionscthatcthecpatientcmaycunderstand.
d. Usecacneighborcasctranslator.
e. Involvecthecfamilycwithcthectranslation.
ANS:c A
Whencyoucdocnotcspeakcthecpatient'sclanguage,cfamilycmemberscorcfriendscmaycposecaccommun
icationcbarriercandcmaychavecissuescofcconfidentiality;cacstrangercascancinterpretercislesscbiased.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
3. Periodscofcsilencecduringcthecinterviewccancservecimportantcpurposes,csuchcas:
a. allowingcthecclinicianctoccatchcupconcdocumentation.
b. givingcyoucaccluecthatcyoucshouldcspeedcupcthecinterview.
c. providingctimecforcreflection.
d. increasingctheclengthcofcthecvisit.
e. promotingcaccalmcenvironment.
NURSINGTB.COM
, Seidel'scGuidectocPhysicalcExaminationc9thcEditioncBallcTestcBank
ANS:c C
Silenceciscacusefulctoolcduringcinterviewscforcthecpurposescofcreflection,csummoningcofccourage,
candcdisplayingccompassion.cItciscusuallycaccluecforcyouctocgocslowercandcnotctocpushctoochard.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
4. Whichctechniqueciscmostclikelyctocresultcincthecpatient'scunderstandingcofcquestions?
a. Usecphrasescthatcareccommonlycusedcbycothercpatientscincthecarea.
b. Usecthecpatient'scownctermscifcpossible.
NURSINGTB.COM
, Seidel'scGuidectocPhysicalcExaminationc9thcEditioncBallcTestcBank
c. Useclanguagecthatckeepscthecpatientcfromcbeingcexpansivecinchiscorchercanswer.
d. Usecpropercmedicalcandctechnicalcterminology.
e. Usecthecsimplestclanguagecpossible.
ANS:c B
Tocensurecthatcyourcquestionschavecbeenccorrectlycunderstood,cbecclear,candcexplicitcwhilecusing
c thec patient'sc idiomcandclevelc ofcunderstanding.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
5. Acpatientcbecomescrestlesscduringcthechistorycandcsays,c“Icdon'tchavectimecforcallcofcthiscco
nversation.cI'vecgotctocgetcbackctocwork.”cYourcmostcappropriatecresponsecwouldcbecto:
a. stopcusingcopen-endedcquestionscandcbecomecmorecdirect.
b. askcanothercopen-endedcquestioncandcinsistconcancanswer.
c. askcquestionscaboutchiscangercandcmoveccloserctochim.
d. acknowledgechiscangercandcproceedcwithcthechistorycandcexamination.
e. ignorechiscdispleasurecandcbecomecmorecassertivecaboutcgettingcanswers.
ANS:c D
Thiscisctheconlycanswercthatcresistscthectendencycforcpatientcmanipulation,cpursuescthecinformatio
n,c andcconfrontsc thecpatient'sc anger.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
6. Whencquestioningcacpatientcregardingcalcoholcintake,cshectellscyoucthatcshecisc“onlycacs
ocialdrinker.”cWhichcinitialcresponseciscappropriate?
a. “I'mcgladcthatcyoucarecacresponsiblecdrinker.”
b. “ManycpeoplecwhocarecreN allyRalco
U SIchoNlGiccsBT
ay.theyMarecsocialcdrinkers.”
c. “Whatcamountcandcwhatckindcofcalcoholcdocyoucdrinkcincacweek?”
d. “Ifcyouconlycdrinkcsocially,cyoucwon'tcneedctocworrycaboutcalwayschavingcacd
esignatedcdriver.”
e. “Docthecothercpeoplecincyourchouseholdcconsumecalcohol?”
ANS:c C
Thiscanswercclarifiescthecpatient'scownctermcwithoutcaskingcacleadingcquestioncorcbeingcjudgment
al.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
7. Ac50-year-
oldcmanccomesctocthecprimaryccarecclinic.cHectellscyoucheciscworriedcbecausechechaschadcseverecc
hestcpainscforcthecpastc2cweeks.cWhichcinitialchistorycinterviewcquestionciscmostcappropriate?
a. “Cancyoucdescribecthecpain?”
b. “Thecpaincdoesn'tcradiatectocyourcarm,cdoescit?”
c. “Havecyoucbeenctreatedcforcanxietycbefore?”
d. “Doescyourcfatherchavecheartcdisease?”
e. “Arecthecpainscworsecaftercyouceat?”
ANS:c A
Initially,cancopen-endedcquestionciscacmorecappropriatecresponse.c“Cancyoucdescribecthecpain?”
iscancopen-endedcquestioncthatcoffersccluesctocthecchiefcconcern.
NURSINGTB.COM
, Seidel'scGuidectocPhysicalcExaminationc9thcEditioncBallcTestcBank
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
8. Ms.cA.cstates,c“Myclifeciscjustctoocpainful.cItcisn'tcworthcit.”cShecappearscdepressed.cWhichconeco
fcthecfollowingcstatementsciscthecmostcappropriateccaregivercresponse?
a. “Tryctocthinkcaboutcthecgoodcthingscinclife.”
b. “Youcshouldn'tcfeelcthatcway;clookcatcallcthecgoodcthingscincyourclife.”
c. “Youc can'tc meanc whatcyou'recsaying.”
d. “Ifcyoucthinkcaboutcit,cnothingciscworthcgettingcthiscupsetcabout.”
e. “Whatcinclifecisccausingcyoucsuchcpain?”
ANS:c E
Specificcyetcopen-
endedcquestionscarecbestcusedcwhencthecpatientchascfeelingscofclosscofself-
worthcandcdepression.cThecothercresponseschurrycthecpatientcandcoffercsuperficialcass
urance.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
9. Duringcancinterview,cyouchavecthecimpressioncthatcacpatientcmaycbecconsideringcs
uicide.Whichcactionciscessential?
a. Immediatelycbegincproceedingscforcancinvoluntaryccommitment.
b. Askcwhethercthecpatientchascconsideredcself-harm.
c. Askcwhethercthecpatientcwouldclikectocvisitcacpsychiatrist.
d. Recordcthecimpressioncincthecpatient'scchartcandcrefercthecpatientcforc
hospitalization.
e. Avoidcdirectlycconfrontingcthecpatientcregardingcyourcimpression.
ANS:c B
IfcyoucthinkcthecpatientcmaycbNeUcR
onS
sid
IceNriGng
TcsBui.cC
idO
e,Mhecorcshecprobablycis.cMentioningcitcgivescper
missionctoctalkcaboutcit.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
10. Youcareccollectingcachistorycfromcanc11-year-
oldcgirl.cHercmotherciscsittingcnextctochercincthecexaminationcroom.cWhenccollectingchistorycf
romcoldercchildrencorcadolescents,ctheycshould:
a. nevercbecinterviewedcalonecbecausecthiscmaycalienatecthecparent.
b. becmailedcacquestionnairecincadvancectocavoidcthecneedcforcherctoctalk.
c. becgivencthecopportunityctocbecinterviewedcwithoutcthecparentcatcsomecpoint.
d. becallowedctocdirectcthecflowcofcthecinterview.
e. becignoredcwhilecyoucaddresscallcquestionsctocthecparent.
ANS:c C
Ancoldercchildcshouldcbecgivencthecopportunityctocgivecinformationcdirectly.cThiscenhancescthepro
babilitycthatcthecchildcwillcfollowcyourcadvice.
TOP:c Discipline:cBehavioralcScience MSC:c OrgancSystem:cGeneral
11. Whenccommunicatingcwithcoldercchildrencandcteenagers,cyoucshouldcbecsensitivectoctheir:
a. parent'sc needs.
NURSINGTB.COM
