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stions and answers (deeply explained)d d d d
Seidel's Guide to Physical Examination 9th Editio
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Examination, 9th Edition, complete test bank; que
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L EXAMINATION 9THEDITION
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,Seidel's Guide to Physical Examination 9th Edition
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Chapter 01: The History and Interviewing Process
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Ball: Seidel’s Guide to Physical Examination, 9th Edition
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MULTIPLEdCHOICE
1. Whichdquestiondwoulddbedconsidereddad―leadingdquestion?‖
a. ―Pleaseddescribedanydassociateddsymptomsdwithdyourdheadaches?‖
b. ―Youddon'td getdheadachesdoften,ddod you?‖
c. ―Whatdactivitiesdaffectdthedseveritydofd yourdheadaches?‖
d. ―Whatdtimesdofdtheddaydaredyourdheadachesdthedmostdsevere?‖
e. ―Whatdworriesd youdmostdaboutdyourdheadache?‖
ANS:d B
Thisdquestiondwoulddlimitdthedinformationdindthedpatient'sdanswer.dThedotherdchoicesdallowdthedp
atientdmoreddiscretiondaboutdthedextentdofdandanswer.
TOP:d Discipline:dBehavioraldScience MSC:d OrgandSystem:dGeneral
2. Whichdactiondwoulddbestdpromotedaccuratedtranslationsdasdwelldasdconfidentialitydwhendthedc
aregiverddoesdnotdspeakdthedpatient'sdlanguage?
a. Askdadpersondunfamiliardwithdthedpatientdtodtranslate.
b. Havedadfrienddofdthedpatientdtranslate.
c. Askdsimpledleadingdquestionsdthatdthedpatientdmaydunderstand.
d. Usedadneighbordasdtranslator.
e. Involvedthedfamilydwithdthedtranslation.
ANS:d A NURSINGTB.COM
Whendyouddodnotdspeakdthedpatient'sdlanguage,dfamilydmembersdordfriendsd maydposeda
communicationdbarrierdanddmaydhavedissuesdofdconfidentiality;dadstrangerdasdandinterpreterdisdl
essdbiased.
TOP:d Discipline:dBehavioraldScience MSC:d OrgandSystem:dGeneral
3. Periodsdofdsilencedduringdthedinterviewdcandservedimportantdpurposes,dsuchdas:
a. allowingdthedcliniciandtodcatchdupdonddocumentation.
b. givingdyoudadcluedthatdyoudshoulddspeeddupdthedinterview.
c. providingdtimedfordreflection.
d. increasingdthedlengthdofdthedvisit.
e. promotingdadcalmdenvironment.
ANS:d C
Silencedisdadusefuldtooldduringdinterviewsdfordthedpurposesdofdreflection,dsummoningdofdcourag
e,dandddisplayingdcompassion.dItdisdusuallydadcluedfordyoudtodgodslowerdanddnotdtodpushdtoodhard.
TOP:d Discipline:dBehavioraldScience MSC:d OrgandSystem:dGeneral
4. Whichdtechniquedisdmostdlikelydtodresultdindthedpatient'sdunderstandingdofdquestions?
a. Usedphrasesdthatdaredcommonlyduseddbydotherdpatientsdindthedarea.
b. Usedthedpatient'sdowndtermsdifdpossible.
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c. Usedlanguagedthatdkeepsdthedpatientdfromdbeingdexpansivedindhisdordherdanswer.
d. Usedproperdmedicaldanddtechnicaldterminology.
e. Usedthedsimplestdlanguagedpossible.
ANS:d B
Todensuredthatd yourdquestionsdhavedbeendcorrectlydunderstood,dbedclear,danddexplicitdwhiledusing
dthed patient'sd idiomd anddleveld ofdunderstanding.
TOP:d Discipline:dBehavioraldScience MSC:d OrgandSystem:dGeneral
5. Adpatientdbecomesdrestlessdduringdthedhistorydanddsays,d―Iddon'tdhavedtimedfordalldofdthisdc
onversation.d I'vedgotdtodgetdbackdtodwork.‖dYourdmostdappropriatedresponsedwoulddbedto:
a. stopdusingdopen-endeddquestionsdanddbecomedmoreddirect.
b. askdanotherdopen-endeddquestiondanddinsistdondandanswer.
c. askdquestionsdaboutdhisdangerdanddmovedcloserdtodhim.
d. acknowledgedhisdangerdanddproceeddwithdthedhistorydanddexamination.
e. ignoredhisddispleasuredanddbecomedmoredassertivedaboutdgettingdanswers.
ANS:d D
Thisdisdthedonlydanswerdthatdresistsdthedtendencydfordpatientdmanipulation,dpursuesdthedinf
ormation,danddconfrontsdthedpatient'sdanger.
TOP:d Discipline:dBehavioraldScience MSC:d OrgandSystem:dGeneral
6. Whendquestioningdadpatientdregardingdalcoholdintake,dshedtellsdyoudthatdshedisd―onlydadsocialdd
rinker.‖dWhichdinitialdresponsedisdappropriate?
a. ―I'mdgladdthatd youdaredadresponsibleddrinker.‖
b. ―ManydpeopledwhodaredreN allyRalcI ohoGlicdsB
ay.tC
heyMaredsocialddrinkers.‖
c. ―Whatdamountdanddwhatdkind UddS
ofddN dT
alcohol ddod youddrinkdindadweek?‖
d. ―Ifd youdonlyddrinkdsocially,d youd won'tdneeddtodworrydaboutdalwaysdhavingdadd
esignatedddriver.‖
e. ―Dodthedotherdpeopledind yourdhouseholddconsumedalcohol?‖
ANS:d C
Thisdanswerdclarifiesdthedpatient'sdowndtermdwithoutdaskingdadleadingdquestiondordbeingdjudgme
ntal.
TOP:d Discipline:dBehavioraldScience MSC:d OrgandSystem:dGeneral
7. Ad50-year-
olddmandcomesdtodthedprimarydcaredclinic.dHedtellsdyoudhedisdworrieddbecausedhedhasdhaddseveredc
hestdpainsdfordthedpastd2dweeks.dWhichdinitialdhistorydinterviewdquestiondisdmostdappropriate?
a. ―Cand youddescribedthedpain?‖
b. ―Thedpainddoesn'td radiated tod yourdarm,ddoesdit?‖
c. ―Haved youdbeendtreateddfordanxietydbefore?‖
d. ―Doesdyourdfatherdhavedheartddisease?‖
e. ―Aredthedpainsdworsedafterdyoudeat?‖
ANS:d A
Initially,dandopen-
endeddquestiondisdadmoredappropriatedresponse.d―Cand youddescribedthedpain?‖disdandopen-
endeddquestiondthatdoffersdcluesdtodthedchiefdconcern.
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