, Seidel'sxGuidextoxPhysicalxExaminationx9thxEditionxBallxTestxBank
Seidel's Guide to Physical Examination 9th Edition Ball Te
x x x x x x x x
st Bank x
Chapterx01:xThexHistoryxandxInterviewingxProcess
Ball:xSeidel’sxGuidextoxPhysicalxExamination,x9thxEdition
MULTIPLExCHOICE
1. Whichxquestionxwouldxbexconsideredxax“leadingxquestion?”
a. “Pleasexdescribexanyxassociatedxsymptomsxwithxyourxheadaches?”
b. “Youxdon'txgetxheadachesxoften,xdoxyou?”
c. “Whatxactivitiesxaffectxthexseverityxofxyourxheadaches?”
d. “Whatxtimesxofxthexdayxarexyourxheadachesxthexmostxsevere?”
e. “Whatxworriesxyouxmostxaboutxyourxheadache?”
ANS:x B
Thisxquestionxwouldxlimitxthexinformationxinxthexpatient'sxanswer.xThexotherxchoicesxallowxthexpa
tientxmorexdiscretionxaboutxthexextentxofxanxanswer.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
2. Whichxactionxwouldxbestxpromotexaccuratextranslationsxasxwellxasxconfidentialityxwhenxthex
caregiverx doesxnotxspeakx thexpatient'sxlanguage?
a. Askxaxpersonxunfamiliarxwithxthexpatientxtoxtranslate.
b. Havexaxfriendxofxthexpatientxtranslate.
c. Askxsimplexleadingxquestionsxthatxthexpatientxmayxunderstand.
d. Usexaxneighborxasxtranslator.
e. Involvexthexfamilyxwithxthextranslation.
ANS:x A
Whenxyouxdoxnotxspeakxthexpatient'sxlanguage,xfamilyxmembersxorxfriendsxmayxposexaxcommu
nicationxbarrierxandxmayxhavexissuesxofxconfidentiality;xaxstrangerxasxanxinterpreterxislessxbiase
d.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
3. Periodsxofxsilencexduringxthexinterviewxcanxserveximportantxpurposes,xsuchxas:
a. allowingxthexclinicianxtoxcatchxupxonxdocumentation.
b. givingxyouxaxcluexthatxyouxshouldxspeedxupxthexinterview.
c. providingxtimexforxreflection.
d. increasingxthexlengthxofxthexvisit.
e. promotingxaxcalmxenvironment.x
ANS:x C
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, Seidel'sxGuidextoxPhysicalxExaminationx9thxEditionxBallxTestxBank
Silencexisxaxusefulxtoolxduringxinterviewsxforxthexpurposesxofxreflection,xsummoningxofxcourage
,xandxdisplayingxcompassion.xItxisxusuallyxaxcluexforxyouxtoxgoxslowerxandxnotxtoxpushxtooxhard.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
4. Whichxtechniquexisxmostxlikelyxtoxresultxinxthexpatient'sxunderstandingxofxquestions?
a. Usexphrasesxthatxarexcommonlyxusedxbyxotherxpatientsxinxthexarea.
b. Usexthexpatient'sxownxtermsxifxpossible.
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, Seidel'sxGuidextoxPhysicalxExaminationx9thxEditionxBallxTestxBank
c. Usexlanguagexthatxkeepsxthexpatientxfromxbeingxexpansivexinxhisxorxherxanswer.
d. Usexproperxmedicalxandxtechnicalxterminology.
e. Usexthexsimplestxlanguagexpossible.
ANS:x B
Toxensurexthatxyourxquestionsxhavexbeenxcorrectlyxunderstood,xbexclear,xandxexplicitxwhilexusin
gxthex patient'sx idiomxandxlevelx ofxunderstanding.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
5. Axpatientxbecomesxrestlessxduringxthexhistoryxandxsays,x“Ixdon'txhavextimexforxallxofxthisxc
onversation.xI'vexgotxtoxgetxbackxtoxwork.”xYourxmostxappropriatexresponsexwouldxbexto:
a. stopxusingxopen-endedxquestionsxandxbecomexmorexdirect.
b. askxanotherxopen-endedxquestionxandxinsistxonxanxanswer.
c. askxquestionsxaboutxhisxangerxandxmovexcloserxtoxhim.
d. acknowledgexhisxangerxandxproceedxwithxthexhistoryxandxexamination.
e. ignorexhisxdispleasurexandxbecomexmorexassertivexaboutxgettingxanswers.
ANS:x D
Thisxisxthexonlyxanswerxthatxresistsxthextendencyxforxpatientxmanipulation,xpursuesxthexinformatio
n,x andxconfrontsx thexpatient'sx anger.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
6. Whenxquestioningxaxpatientxregardingxalcoholxintake,xshextellsxyouxthatxshexisx“onlyxax
socialdrinker.”xWhichxinitialxresponsexisxappropriate?
a. “I'mxgladxthatxyouxarexaxresponsiblexdrinker.”
b. “ManyxpeoplexwhoxarexreN allyRalco
U SIxhoNlGicxsBT
ay.theyMarexsocialxdrinkers.”
c. “Whatxamountxandxwhatxkindxofxalcoholxdoxyouxdrinkxinxaxweek?”
d. “Ifxyouxonlyxdrinkxsocially,xyouxwon'txneedxtoxworryxaboutxalwaysxhavingxax
designatedxdriver.”
e. “Doxthexotherxpeoplexinxyourxhouseholdxconsumexalcohol?”
ANS:x C
Thisxanswerxclarifiesxthexpatient'sxownxtermxwithoutxaskingxaxleadingxquestionxorxbeingxjudgment
al.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
7. Ax50-year-
oldxmanxcomesxtoxthexprimaryxcarexclinic.xHextellsxyouxhexisxworriedxbecausexhexhasxhadxseverex
chestxpainsxforxthexpastx2xweeks.xWhichxinitialxhistoryxinterviewxquestionxisxmostxappropriate
?
a. “Canxyouxdescribexthexpain?”
b. “Thexpainxdoesn'txradiatextoxyourxarm,xdoesxit?”
c. “Havexyouxbeenxtreatedxforxanxietyxbefore?”
d. “Doesxyourxfatherxhavexheartxdisease?”
e. “Arexthexpainsxworsexafterxyouxeat?”
ANS:x A
Initially,xanxopen-endedxquestionxisxaxmorexappropriatexresponse.x“Canxyouxdescribexthexpain?”
NURSINGTB.COM
Seidel's Guide to Physical Examination 9th Edition Ball Te
x x x x x x x x
st Bank x
Chapterx01:xThexHistoryxandxInterviewingxProcess
Ball:xSeidel’sxGuidextoxPhysicalxExamination,x9thxEdition
MULTIPLExCHOICE
1. Whichxquestionxwouldxbexconsideredxax“leadingxquestion?”
a. “Pleasexdescribexanyxassociatedxsymptomsxwithxyourxheadaches?”
b. “Youxdon'txgetxheadachesxoften,xdoxyou?”
c. “Whatxactivitiesxaffectxthexseverityxofxyourxheadaches?”
d. “Whatxtimesxofxthexdayxarexyourxheadachesxthexmostxsevere?”
e. “Whatxworriesxyouxmostxaboutxyourxheadache?”
ANS:x B
Thisxquestionxwouldxlimitxthexinformationxinxthexpatient'sxanswer.xThexotherxchoicesxallowxthexpa
tientxmorexdiscretionxaboutxthexextentxofxanxanswer.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
2. Whichxactionxwouldxbestxpromotexaccuratextranslationsxasxwellxasxconfidentialityxwhenxthex
caregiverx doesxnotxspeakx thexpatient'sxlanguage?
a. Askxaxpersonxunfamiliarxwithxthexpatientxtoxtranslate.
b. Havexaxfriendxofxthexpatientxtranslate.
c. Askxsimplexleadingxquestionsxthatxthexpatientxmayxunderstand.
d. Usexaxneighborxasxtranslator.
e. Involvexthexfamilyxwithxthextranslation.
ANS:x A
Whenxyouxdoxnotxspeakxthexpatient'sxlanguage,xfamilyxmembersxorxfriendsxmayxposexaxcommu
nicationxbarrierxandxmayxhavexissuesxofxconfidentiality;xaxstrangerxasxanxinterpreterxislessxbiase
d.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
3. Periodsxofxsilencexduringxthexinterviewxcanxserveximportantxpurposes,xsuchxas:
a. allowingxthexclinicianxtoxcatchxupxonxdocumentation.
b. givingxyouxaxcluexthatxyouxshouldxspeedxupxthexinterview.
c. providingxtimexforxreflection.
d. increasingxthexlengthxofxthexvisit.
e. promotingxaxcalmxenvironment.x
ANS:x C
NURSINGTB.COM
, Seidel'sxGuidextoxPhysicalxExaminationx9thxEditionxBallxTestxBank
Silencexisxaxusefulxtoolxduringxinterviewsxforxthexpurposesxofxreflection,xsummoningxofxcourage
,xandxdisplayingxcompassion.xItxisxusuallyxaxcluexforxyouxtoxgoxslowerxandxnotxtoxpushxtooxhard.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
4. Whichxtechniquexisxmostxlikelyxtoxresultxinxthexpatient'sxunderstandingxofxquestions?
a. Usexphrasesxthatxarexcommonlyxusedxbyxotherxpatientsxinxthexarea.
b. Usexthexpatient'sxownxtermsxifxpossible.
NURSINGTB.COM
, Seidel'sxGuidextoxPhysicalxExaminationx9thxEditionxBallxTestxBank
c. Usexlanguagexthatxkeepsxthexpatientxfromxbeingxexpansivexinxhisxorxherxanswer.
d. Usexproperxmedicalxandxtechnicalxterminology.
e. Usexthexsimplestxlanguagexpossible.
ANS:x B
Toxensurexthatxyourxquestionsxhavexbeenxcorrectlyxunderstood,xbexclear,xandxexplicitxwhilexusin
gxthex patient'sx idiomxandxlevelx ofxunderstanding.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
5. Axpatientxbecomesxrestlessxduringxthexhistoryxandxsays,x“Ixdon'txhavextimexforxallxofxthisxc
onversation.xI'vexgotxtoxgetxbackxtoxwork.”xYourxmostxappropriatexresponsexwouldxbexto:
a. stopxusingxopen-endedxquestionsxandxbecomexmorexdirect.
b. askxanotherxopen-endedxquestionxandxinsistxonxanxanswer.
c. askxquestionsxaboutxhisxangerxandxmovexcloserxtoxhim.
d. acknowledgexhisxangerxandxproceedxwithxthexhistoryxandxexamination.
e. ignorexhisxdispleasurexandxbecomexmorexassertivexaboutxgettingxanswers.
ANS:x D
Thisxisxthexonlyxanswerxthatxresistsxthextendencyxforxpatientxmanipulation,xpursuesxthexinformatio
n,x andxconfrontsx thexpatient'sx anger.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
6. Whenxquestioningxaxpatientxregardingxalcoholxintake,xshextellsxyouxthatxshexisx“onlyxax
socialdrinker.”xWhichxinitialxresponsexisxappropriate?
a. “I'mxgladxthatxyouxarexaxresponsiblexdrinker.”
b. “ManyxpeoplexwhoxarexreN allyRalco
U SIxhoNlGicxsBT
ay.theyMarexsocialxdrinkers.”
c. “Whatxamountxandxwhatxkindxofxalcoholxdoxyouxdrinkxinxaxweek?”
d. “Ifxyouxonlyxdrinkxsocially,xyouxwon'txneedxtoxworryxaboutxalwaysxhavingxax
designatedxdriver.”
e. “Doxthexotherxpeoplexinxyourxhouseholdxconsumexalcohol?”
ANS:x C
Thisxanswerxclarifiesxthexpatient'sxownxtermxwithoutxaskingxaxleadingxquestionxorxbeingxjudgment
al.
TOP:x Discipline:xBehavioralxScience MSC:x OrganxSystem:xGeneral
7. Ax50-year-
oldxmanxcomesxtoxthexprimaryxcarexclinic.xHextellsxyouxhexisxworriedxbecausexhexhasxhadxseverex
chestxpainsxforxthexpastx2xweeks.xWhichxinitialxhistoryxinterviewxquestionxisxmostxappropriate
?
a. “Canxyouxdescribexthexpain?”
b. “Thexpainxdoesn'txradiatextoxyourxarm,xdoesxit?”
c. “Havexyouxbeenxtreatedxforxanxietyxbefore?”
d. “Doesxyourxfatherxhavexheartxdisease?”
e. “Arexthexpainsxworsexafterxyouxeat?”
ANS:x A
Initially,xanxopen-endedxquestionxisxaxmorexappropriatexresponse.x“Canxyouxdescribexthexpain?”
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