Chapterv01:vThevHistoryvandvInterviewingvProcess
,Ball:vSeidel’svGuidevtovPhysicalvExamination,v9thvEdition
MULTIPLEvCHOICE
1. Whichvquestionvwouldvbevconsideredvav“leadingvquestion?”
a. “Pleasevdescribevanyvassociatedvsymptomsvwithvyourvheadaches?”
b. “Youvdon'tvgetvheadachesvoften,vdovyou?”
c. “Whatvactivitiesvaffectvthevseverityvofvyourvheadaches?”
d. “Whatvtimesvofvthevdayvarevyourvheadachesvthevmostvsevere?”
e. “Whatvworriesvyouvmostvaboutvyourvheadache?”
ANS:v B
Thisvquestionvwouldvlimitvthevinformationvinvthevpatient'svanswer.vThevothervchoicesvallowvthevpati
entvmorevdiscretionvaboutvthevextentvofvanvanswer.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
2. Whichvactionvwouldvbestvpromotevaccuratevtranslationsvasvwellvasvconfidentialityvwhenvthev
caregivervdoesvnotvspeakvthevpatient'svlanguage?
a. Askvavpersonvunfamiliarvwithvthevpatientvtovtranslate.
b. Havevavfriendvofvthevpatientvtranslate.
c. Askvsimplevleadingvquestionsvthatvthevpatientvmayvunderstand.
d. Usevavneighborvasvtranslator.
e. Involvevthevfamilyvwithvthevtranslation.
ANS:v A
Whenvyouvdovnotvspeakvthevpatient'svlanguage,vfamilyvmembersvorvfriendsvmayvposevavcommu
nicationvbarriervandvmayvhavevissuesvofvconfidentiality;vavstrangervasvanvinterpretervislessvbiase
d.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
3. Periodsvofvsilencevduringvthevinterviewvcanvservevimportantvpurposes,vsuchvas:
a. allowingvthevclinicianvtovcatchvupvonvdocumentation.
b. givingvyouvavcluevthatvyouvshouldvspeedvupvthevinterview.
c. providingvtimevforvreflection.
d. increasingvthevlengthvofvthevvisit.
e. promotingvavcalmvenvironment.
, ANS:v C
Silencevisvavusefulvtoolvduringvinterviewsvforvthevpurposesvofvreflection,vsummoningvofvcourag
e,vandvdisplayingvcompassion.vItvisvusuallyvavcluevforvyouvtovgovslowervandvnotvtovpushvtoovhard.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
4. Whichvtechniquevisvmostvlikelyvtovresultvinvthevpatient'svunderstandingvofvquestions?
a. Usevphrasesvthatvarevcommonlyvusedvbyvothervpatientsvinvthevarea.
b. Usevthevpatient'svownvtermsvifvpossible.
, c. Usevlanguagevthatvkeepsvthevpatientvfromvbeingvexpansivevinvhisvorvhervanswer.
d. Usevpropervmedicalvandvtechnicalvterminology.
e. Usevthevsimplestvlanguagevpossible.
ANS:v B
Tovensurevthatvyourvquestionsvhavevbeenvcorrectlyvunderstood,vbevclear,vandvexplicitvwhilevusin
gvthevpatient'svidiomvandvlevelv ofvunderstanding.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
5. Avpatientvbecomesvrestlessvduringvthevhistoryvandvsays,v“Ivdon'tvhavevtimevforvallvofvthisvc
onversation.vI'vevgotvtovgetvbackvtovwork.”vYourvmostvappropriatevresponsevwouldvbevto:
a. stopvusingvopen-endedvquestionsvandvbecomevmorevdirect.
b. askvanothervopen-endedvquestionvandvinsistvonvanvanswer.
c. askvquestionsvaboutvhisvangervandvmovevcloservtovhim.
d. acknowledgevhisvangervandvproceedvwithvthevhistoryvandvexamination.
e. ignorevhisvdispleasurevandvbecomevmorevassertivevaboutvgettingvanswers.
ANS:v D
Thisvisvthevonlyvanswervthatvresistsvthevtendencyvforvpatientvmanipulation,vpursuesvthevinformation
,v andvconfrontsv thevpatient'sv anger.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
6. Whenvquestioningvavpatientvregardingvalcoholvintake,vshevtellsvyouvthatvshevisv“onlyvav
socialdrinker.”vWhichvinitialvresponsevisvappropriate?
a. “I'mvgladvthatvyouvarevavresponsiblevdrinker.”
b. “ManyvpeoplevwhovarevreN allyRalco
U SIvhoNlGicvsBT
ay.theyMarevsocialvdrinkers.”
c. “Whatvamountvandvwhatvkindvofvalcoholvdovyouvdrinkvinvavweek?”
d. “Ifvyouvonlyvdrinkvsocially,vyouvwon'tvneedvtovworryvaboutvalwaysvhavingvav
designatedvdriver.”
e. “Dovthevothervpeoplevinvyourvhouseholdvconsumevalcohol?”
ANS:v C
Thisvanswervclarifiesvthevpatient'svownvtermvwithoutvaskingvavleadingvquestionvorvbeingvjudgmental
.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
7. Av50-year-
oldvmanvcomesvtovthevprimaryvcarevclinic.vHevtellsvyouvhevisvworriedvbecausevhevhasvhadvseverev
chestvpainsvforvthevpastv2vweeks.vWhichvinitialvhistoryvinterviewvquestionvisvmostvappropriate
?
a. “Canvyouvdescribevthevpain?”
b. “Thevpainvdoesn'tvradiatevtovyourvarm,vdoesvit?”
c. “Havevyouvbeenvtreatedvforvanxietyvbefore?”
d. “Doesvyourvfathervhavevheartvdisease?”
e. “Arevthevpainsvworsevaftervyouveat?”
ANS:v A
Initially,vanvopen-
endedvquestionvisvavmorevappropriatevresponse.v“Canvyouvdescribevthevpain?”visvanvopen-
endedvquestionvthatvoffersvcluesvtovthevchiefvconcern.
,Ball:vSeidel’svGuidevtovPhysicalvExamination,v9thvEdition
MULTIPLEvCHOICE
1. Whichvquestionvwouldvbevconsideredvav“leadingvquestion?”
a. “Pleasevdescribevanyvassociatedvsymptomsvwithvyourvheadaches?”
b. “Youvdon'tvgetvheadachesvoften,vdovyou?”
c. “Whatvactivitiesvaffectvthevseverityvofvyourvheadaches?”
d. “Whatvtimesvofvthevdayvarevyourvheadachesvthevmostvsevere?”
e. “Whatvworriesvyouvmostvaboutvyourvheadache?”
ANS:v B
Thisvquestionvwouldvlimitvthevinformationvinvthevpatient'svanswer.vThevothervchoicesvallowvthevpati
entvmorevdiscretionvaboutvthevextentvofvanvanswer.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
2. Whichvactionvwouldvbestvpromotevaccuratevtranslationsvasvwellvasvconfidentialityvwhenvthev
caregivervdoesvnotvspeakvthevpatient'svlanguage?
a. Askvavpersonvunfamiliarvwithvthevpatientvtovtranslate.
b. Havevavfriendvofvthevpatientvtranslate.
c. Askvsimplevleadingvquestionsvthatvthevpatientvmayvunderstand.
d. Usevavneighborvasvtranslator.
e. Involvevthevfamilyvwithvthevtranslation.
ANS:v A
Whenvyouvdovnotvspeakvthevpatient'svlanguage,vfamilyvmembersvorvfriendsvmayvposevavcommu
nicationvbarriervandvmayvhavevissuesvofvconfidentiality;vavstrangervasvanvinterpretervislessvbiase
d.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
3. Periodsvofvsilencevduringvthevinterviewvcanvservevimportantvpurposes,vsuchvas:
a. allowingvthevclinicianvtovcatchvupvonvdocumentation.
b. givingvyouvavcluevthatvyouvshouldvspeedvupvthevinterview.
c. providingvtimevforvreflection.
d. increasingvthevlengthvofvthevvisit.
e. promotingvavcalmvenvironment.
, ANS:v C
Silencevisvavusefulvtoolvduringvinterviewsvforvthevpurposesvofvreflection,vsummoningvofvcourag
e,vandvdisplayingvcompassion.vItvisvusuallyvavcluevforvyouvtovgovslowervandvnotvtovpushvtoovhard.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
4. Whichvtechniquevisvmostvlikelyvtovresultvinvthevpatient'svunderstandingvofvquestions?
a. Usevphrasesvthatvarevcommonlyvusedvbyvothervpatientsvinvthevarea.
b. Usevthevpatient'svownvtermsvifvpossible.
, c. Usevlanguagevthatvkeepsvthevpatientvfromvbeingvexpansivevinvhisvorvhervanswer.
d. Usevpropervmedicalvandvtechnicalvterminology.
e. Usevthevsimplestvlanguagevpossible.
ANS:v B
Tovensurevthatvyourvquestionsvhavevbeenvcorrectlyvunderstood,vbevclear,vandvexplicitvwhilevusin
gvthevpatient'svidiomvandvlevelv ofvunderstanding.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
5. Avpatientvbecomesvrestlessvduringvthevhistoryvandvsays,v“Ivdon'tvhavevtimevforvallvofvthisvc
onversation.vI'vevgotvtovgetvbackvtovwork.”vYourvmostvappropriatevresponsevwouldvbevto:
a. stopvusingvopen-endedvquestionsvandvbecomevmorevdirect.
b. askvanothervopen-endedvquestionvandvinsistvonvanvanswer.
c. askvquestionsvaboutvhisvangervandvmovevcloservtovhim.
d. acknowledgevhisvangervandvproceedvwithvthevhistoryvandvexamination.
e. ignorevhisvdispleasurevandvbecomevmorevassertivevaboutvgettingvanswers.
ANS:v D
Thisvisvthevonlyvanswervthatvresistsvthevtendencyvforvpatientvmanipulation,vpursuesvthevinformation
,v andvconfrontsv thevpatient'sv anger.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
6. Whenvquestioningvavpatientvregardingvalcoholvintake,vshevtellsvyouvthatvshevisv“onlyvav
socialdrinker.”vWhichvinitialvresponsevisvappropriate?
a. “I'mvgladvthatvyouvarevavresponsiblevdrinker.”
b. “ManyvpeoplevwhovarevreN allyRalco
U SIvhoNlGicvsBT
ay.theyMarevsocialvdrinkers.”
c. “Whatvamountvandvwhatvkindvofvalcoholvdovyouvdrinkvinvavweek?”
d. “Ifvyouvonlyvdrinkvsocially,vyouvwon'tvneedvtovworryvaboutvalwaysvhavingvav
designatedvdriver.”
e. “Dovthevothervpeoplevinvyourvhouseholdvconsumevalcohol?”
ANS:v C
Thisvanswervclarifiesvthevpatient'svownvtermvwithoutvaskingvavleadingvquestionvorvbeingvjudgmental
.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
7. Av50-year-
oldvmanvcomesvtovthevprimaryvcarevclinic.vHevtellsvyouvhevisvworriedvbecausevhevhasvhadvseverev
chestvpainsvforvthevpastv2vweeks.vWhichvinitialvhistoryvinterviewvquestionvisvmostvappropriate
?
a. “Canvyouvdescribevthevpain?”
b. “Thevpainvdoesn'tvradiatevtovyourvarm,vdoesvit?”
c. “Havevyouvbeenvtreatedvforvanxietyvbefore?”
d. “Doesvyourvfathervhavevheartvdisease?”
e. “Arevthevpainsvworsevaftervyouveat?”
ANS:v A
Initially,vanvopen-
endedvquestionvisvavmorevappropriatevresponse.v“Canvyouvdescribevthevpain?”visvanvopen-
endedvquestionvthatvoffersvcluesvtovthevchiefvconcern.
