Seidel's Guide to Physical Examination 9th Edition Ball Te
b b b b b b b b
st Bank b
Chapterb01:bThebHistorybandbInterviewingbProcess
Ball:bSeidel’sbGuidebtobPhysicalbExamination,b9thbEdition
MULTIPLEbCHOICE
1. Whichbquestionbwouldbbebconsideredbab“leadingbquestion?”
a. “Pleasebdescribebanybassociatedbsymptomsbwithbyourbheadaches?”
b. “Youbdon'tbgetbheadachesboften,bdobyou?”
c. “Whatbactivitiesbaffectbthebseveritybofbyourbheadaches?”
d. “Whatbtimesbofbthebdaybarebyourbheadachesbthebmostbsevere?”
e. “Whatbworriesbyoubmostbaboutbyourbheadache?”
ANS:b B
Thisbquestionbwouldblimitbthebinformationbinbthebpatient'sbanswer.bThebotherbchoicesballowbthe
patientbmorebdiscretionbaboutbthebextentbofbanbanswer.
TOP:b Discipline:bBehavioralbScience MSC:b OrganbSystem:bGeneral
2. Whichbactionbwouldbbestbpromotebaccuratebtranslationsbasbwellbasbconfidentialitybwhenbthe
caregiverbdoesbnotbspeakbthebpatient'sblanguage?
a. Askbabpersonbunfamiliarbwithbthebpatientbtobtranslate.
b. Havebabfriendbofbthebpatientbtranslate.
c. Askbsimplebleadingbquestionsbthatbthebpatientbmaybunderstand.
d. Usebabneighborbasbtranslator.
e. Involvebthebfamilybwithbthebtranslation.
ANS:b A
Whenbyoubdobnotbspeakbthebpatient'sblanguage,bfamilybmembersborbfriendsbmaybposebabcom
municationbbarrierbandbmaybhavebissuesbofbconfidentiality;babstrangerbasbanbinterpreterbisbles
sbbiased.
TOP:b Discipline:bBehavioralbScience MSC:b OrganbSystem:bGeneral
3. Periodsbofbsilencebduringbthebinterviewbcanbservebimportantbpurposes,bsuchbas:
a. allowingbthebclinicianbtobcatchbupbonbdocumentation.
b. givingbyoubabcluebthatbyoubshouldbspeedbupbthebinterview.
c. providingbtimebforbreflection.
d. increasingbtheblengthbofbthebvisit.
e. promotingbabcalmbenvironment.
ANS:b C
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, Seidel'sbGuidebtobPhysicalbExaminationb9thbEditionbBallbTestbBank
Silencebisbabusefulbtoolbduringbinterviewsbforbthebpurposesbofbreflection,bsummoningbofbcour
age,bandbdisplayingbcompassion.bItbisbusuallybabcluebforbyoubtobgobslowerbandbnotbtobpushbtoob
hard.
TOP:b Discipline:bBehavioralbScience MSC:b OrganbSystem:bGeneral
4. Whichbtechniquebisbmostblikelybtobresultbinbthebpatient'sbunderstandingbofbquestions?
a. Usebphrasesbthatbarebcommonlybusedbbybotherbpatientsbinbthebarea.
b. Usebthebpatient'sbownbtermsbifbpossible.
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, Seidel'sbGuidebtobPhysicalbExaminationb9thbEditionbBallbTestbBank
c. Useblanguagebthatbkeepsbthebpatientbfrombbeingbexpansivebinbhisborbherbanswer.
d. Usebproperbmedicalbandbtechnicalbterminology.
e. Usebthebsimplestblanguagebpossible.
ANS:b B
Tobensurebthatbyourbquestionsbhavebbeenbcorrectlybunderstood,bbebclear,bandbexplicitbwhile
usingbthebpatient'sbidiombandblevelbofbunderstanding.
TOP:b Discipline:bBehavioralbScience MSC:b OrganbSystem:bGeneral
5. Abpatientbbecomesbrestlessbduringbthebhistorybandbsays,b“Ibdon'tbhavebtimebforballbofbthis
conversation.bI'vebgotbtobgetbbackbtobwork.”bYourbmostbappropriatebresponsebwouldbbebto:
a. stopbusingbopen-endedbquestionsbandbbecomebmorebdirect.
b. askbanotherbopen-endedbquestionbandbinsistbonbanbanswer.
c. askbquestionsbaboutbhisbangerbandbmovebcloserbtobhim.
d. acknowledgebhisbangerbandbproceedbwithbthebhistorybandbexamination.
e. ignorebhisbdispleasurebandbbecomebmorebassertivebaboutbgettingbanswers.
ANS:b D
Thisbisbthebonlybanswerbthatbresistsbthebtendencybforbpatientbmanipulation,bpursuesbthe
information,bandbconfrontsbthebpatient'sbanger.
TOP:b Discipline:bBehavioralbScience MSC:b OrganbSystem:bGeneral
6. Whenbquestioningbabpatientbregardingbalcoholbintake,bshebtellsbyoubthatbshebisb“onlybabsocia
lbdrinker.”bWhichbinitialbresponsebisbappropriate?
a. “I'mbgladbthatbyoubarebabresponsiblebdrinker.”
b. “ManybpeoplebwhobarebreN allyRalcIohoG
licbsB
ay.tC
heyMarebsocialbdrinkers.”
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c. “Whatbamountbandbwhatbkindbofbalcoholbdobyoubdrinkbinbabweek?”
d. “Ifbyoubonlybdrinkbsocially,byoubwon'tbneedbtobworrybaboutbalwaysbhavingbab
designatedbdriver.”
e. “Dobthebotherbpeoplebinbyourbhouseholdbconsumebalcohol?”
ANS:b C
Thisbanswerbclarifiesbthebpatient'sbownbtermbwithoutbaskingbableadingbquestionborbbeing
judgmental.
TOP:b Discipline:bBehavioralbScience MSC:b OrganbSystem:bGeneral
7. Ab50-year-
oldbmanbcomesbtobthebprimarybcarebclinic.bHebtellsbyoubhebisbworriedbbecausebhebhasbhadbsever
ebchestbpainsbforbthebpastb2bweeks.bWhichbinitialbhistorybinterviewbquestionbisbmostbappropria
te?
a. “Canbyoubdescribebthebpain?”
b. “Thebpainbdoesn'tbradiatebtobyourbarm,bdoesbit?”
c. “Havebyoubbeenbtreatedbforbanxietybbefore?”
d. “Doesbyourbfatherbhavebheartbdisease?”
e. “Arebthebpainsbworsebafterbyoubeat?”
ANS:b A
Initially,banbopen-endedbquestionbisbabmorebappropriatebresponse.b“Canbyoubdescribebthebpain?”
NURSINGTB.COM
, Seidel'sbGuidebtobPhysicalbExaminationb9thbEditionbBallbTestbBank
isbanbopen-endedbquestionbthatboffersbcluesbtobthebchiefbconcern.
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