SCIENCE 29 l l
ADVANCED l
PRACTICE
Seidel's Guide to Ph
l l l
ysical Examination
l
9th EditionBallTE
l l l l
STBANK 2022-
l l
2023
,SCIENCE 29 ADVANCED PRACTICE Seidel's Guide toP
l l l l l l l
hysical Examination 9th Edition Ball TEST BANK 202
l l l l l l l
2-2023.
Chapterl01:lThelHistorylandlInterviewinglProcess
MULTIPLElCHOICE
1. Whichlquestionlwouldlbelconsideredlal ―leadinglquestion?‖
a.
―Pleaseldescribelanylassociatedlsymptomslwithlyourlheadaches?‖
b.
―Youldon'tlgetlheadachesloften,ldolyou?‖
c.
―Whatlactivitieslaffectlthelseverityloflyourlheadaches?l‖
d.
―Whatltimeslofltheldaylarelyourlheadachelslthelmostlsevere?‖
e.
―Whatl worriesl youlmostlaboutlyourlheadache?‖
ANS:lB
Thislquestionlwouldllimitlthelinformationlinlthelpatient'slanswer.lThelotherlchoiceslallowlthelpatie
ntlmoreldiscretionlaboutlthelextentloflanlanswer.
TOP:l Discipline:lBehaviorallScience MSC:l OrganlSystem:lGeneral
2. Whichlactionlwouldlbestlpromotelaccurateltranslationslaslwelllaslconfidentialitylwhenlthel
caregiverldoeslnotlspeaklthelpatient'sllanguage?
a.
Asklalpersonlunfamiliarlwithlthelpatientltoltranslate.
b.
Havelalfriendloflthelpatientltranslate.
c.
Asklsimplelleadinglquestionslthatlthelpatientlmaylunderstand.
d.
Uselalneighborlasltranslator.
e.
Involvelthelfamilylwithltheltranslation.
ANS:
A
Whenlyouldolnotlspeaklthelpatient'sllanguage,lfamilylmemberslorlfriendslmaylposelalcommunica
tionlbarrierlandlmaylhavelissuesloflconfidentiality;lalstrangerlaslanlinterpreterlisllesslbiased.
TOP:l Discipline:lBehaviorallScience MSC:l OrganlSystem:lGeneral
3. Periodsloflsilencelduringlthelinterviewlcanlservelimportantlpurposes,lsuchlas:
a.
allowinglthelclinicianltolcatchluplonldocumentation.
b.
givinglyoulalcluelthatlyoulshouldlspeedluplthelinterview.
c.
providingltimelforlreflection.
d.
increasinglthellengthloflthelvisit.
e.
promotinglalcalmlenvironment.
ANS:lC
SCIENCE 29 ADVANCED PRACTICE Seidel's Guide toP
l l l l l l l
hysical Examination 9th Edition Ball TEST BANK 202
l l l l l l l
2-2023
,SCIENCE 29 ADVANCED PRACTICE Seidel's Guide toP
l l l l l l l
hysical Examination 9th Edition Ball TEST BANK 202
l l l l l l l
2-2023.
Silencelislalusefulltoollduringlinterviewslforlthelpurposesloflreflection,lsummoningloflcourage,lan
dldisplayinglcompassion.lItlislusuallylalcluelforlyoultolgolslowerlandlnotltolpushltoolhard.
TOP:l Discipline:lBehaviorallScience MSC:l OrganlSystem:lGeneral
4. Whichltechniquelislmostllikelyltolresultlinlthelpatient'slunderstandingloflquestions?
a.
Uselphraseslthatlarelcommonlylusedlbylotherlpatientslinlthelarea.
b.
Uselthelpatient'slownltermsliflpossible.
c.
Usellanguagelthatlkeepslthelpatientlfromlbeinglexpansivelinlhislorlherlanswer.
d.
Uselproperlmedicallandltechnicallterminology.
e.
Uselthelsimplestllanguagelpossible.
ANS:lB
Tolensurelthatlyourlquestionslhavelbeenlcorrectlylunderstood,lbelclear,landlexplicitlwhi
lelusinglthelpatient'slidiomlandllevelloflunderstanding.
TOP:l Discipline:lBehaviorallScience MSC:l OrganlSystem:lGeneral
5. Alpatientlbecomeslrestlesslduringlthelhistorylandlsays,l―Ildon'tlhaveltimelforlallloflthislconv
ersation.lI'velgotltolgetlbackltolwork.‖lYourlmostlappropriatelresponselwouldlbelto:
a.
stoplusinglopen-endedlquestionslandlbecomelmoreldirect.
b.
asklanotherlopen-endedlquestionlandlinsistlonlanlanswer.
c.
asklquestionslaboutlhislangerlandlmovelcloserltolhim.
d.
acknowledgelhislangerlandlproceedlwithlthelhistorylandlexamination.
e.
ignorelhisldispleasurelandlbecomelmorelassertivelaboutlgettinglanswers.
ANS:lD
Thislislthelonlylanswerlthatlresistsltheltendencylforlpatientlmanipulation,lpursuesltheli
nformation,landlconfrontslthelpatient'slanger.
TOP:l Discipline:lBehaviorallScience MSC:l OrganlSystem:lGeneral
6. Whenlquestioninglalpatientlregardinglalcohollintake,l sheltellslyoulthatlshelisl―onlylalsoci
alldrinker.‖lWhichlinitiallresponselislappropriate?
a.
―I'mlgladlthatlyoularelalrelsponsibleldrinker.‖
b.
―Manylpeoplel wholarelreNallyRalcoIholiclsBay.tCheyMarelsocialldrinkers.‖
c.
―Whatlamountlandl whatlkindUlof lSlN
lalcoholldolyouldrinklinlalweek?‖
d.
―Iflyoulonlyldrinklsocially,lyoullwon'tlneedltol worrylaboutlalwayslhavinglald
esignatedldriver.‖
e.
―Dolthelotherlpeoplelinlyourlhouseholdlconsumelalcohol?l‖
ANS:lC
SCIENCE 29 ADVANCED PRACTICE Seidel's Guide toP
l l l l l l l
hysical Examination 9th Edition Ball TEST BANK 202
l l l l l l l
2-2023
, SCIENCE 29 ADVANCED PRACTICE Seidel's Guide toP
l l l l l l l
hysical Examination 9th Edition Ball TEST BANK 202
l l l l l l l
2-2023.
Thislanswerlclarifieslthelpatient'slownltermlwithoutlaskinglalleadinglquestionlorlbeingljudgmental
.
TOP:l Discipline:lBehaviorallScience MSC:l OrganlSystem:lGeneral
7. Al50-year-
oldlmanlcomesltolthelprimarylcarelclinic.lHeltellslyoulhelislworriedlbecauselhelhaslhadlseverelc
hestlpainslforlthelpastl2lweeks.lWhichlinitiallhistorylinterviewlquestionlislmostlappropriate?
a.
―Canlyouldescribelthelpain?‖
b.
―Thelpainldoesn'tlradiateltolyourlarm,ldoelslit?‖
c.
―Havelyoulbeenltreatedlforlanxietylbefore?l‖
d.
―Doeslyourlfatherlhavelheartldisease?‖
e.
―Arelthelpainsl worsel afterlyouleat?‖
ANS:lA
Initially,lanlopen-
endedlquestilonlislalmorelappropriatelresponse.l ―Canlyouldescribelthelpain?‖lislanlopen-
endedlquestionlthatlofferslcluesltolthelchieflconcern.
SCIENCE 29 ADVANCED PRACTICE Seidel's Guide toP
l l l l l l l
hysical Examination 9th Edition Ball TEST BANK 202
l l l l l l l
2-2023