SCIENCE 29 n n
ADVANCED n
PRACTICE
Seidel's Guide to P
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hysical Examinati
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on 9th Edition Ball
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TESTBANK 2022-
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Chaptern01:nThenHistorynandnInterviewingnProcess
MULTIPLEnCHOICE
1. Whichnquestionnwouldnbenconsiderednan ―leadingnquestion?‖
a.
―Pleasendescribenanynassociatedn symptomsnwithnyournheadaches?‖
b.
―Youndon'tngetnheadachesnoften,ndonyou?‖
c.
―Whatnactivitiesnaffectnthen severitynofnyournheadaches?n‖
d.
―Whatntimesnofnthendaynarenyournheadachensnthenmostnsevere?‖
e.
―Whatnworriesn younmostnaboutnyournheadache?‖
ANS:nB
Thisnquestionnwouldnlimitntheninformationninnthenpatient'snanswer.nThenothernchoicesnallownthenp
atientnmorendiscretionnaboutnthenextentnofnannanswer.
TOP:n Discipline:nBehavioralnScience MSC:n OrgannSystem:nGeneral
2. Whichnactionnwouldnbestnpromotenaccuratentranslationsnasnwellnasnconfidentialitynwhennt
hencaregiverndoesnnotnspeaknthenpatient'snlanguage?
a.
Asknanpersonnunfamiliarnwithnthenpatientntontranslate.
b.
Havenanfriendnofnthenpatientntranslate.
c.
Asknsimplenleadingnquestionsnthatnthenpatientnmaynunderstand.
d.
Usenanneighbornasntranslator.
e.
Involventhenfamilynwithnthentranslation.
ANS:
A
Whennyoundonnotnspeaknthenpatient'snlanguage,nfamilynmembersnornfriendsnmaynposenancommun
icationnbarriernandnmaynhavenissuesnofnconfidentiality;nanstrangernasnanninterpreternisnlessnbiased.
TOP:n Discipline:nBehavioralnScience MSC:n OrgannSystem:nGeneral
3. Periodsnofnsilencenduringntheninterviewncannservenimportantnpurposes,nsuchnas:
a.
allowingnthenclinicianntoncatchnupnonndocumentation.
b.
givingnyounancluenthatnyounshouldnspeednupntheninterview.
c.
providingntimenfornreflection.
d.
increasingnthenlengthnofnthenvisit.
e.
promotingnancalmnenvironment.
ANS:nC
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Silencenisnanusefulntoolnduringninterviewsnfornthenpurposesnofnreflection,nsummoningnofncourage
,nandndisplayingncompassion.nItnisnusuallynancluenfornyountongonslowernandnnotntonpushntoonhard.
TOP:n Discipline:nBehavioralnScience MSC:n OrgannSystem:nGeneral
4. Whichntechniquenisnmostnlikelyntonresultninnthenpatient'snunderstandingnofnquestions?
a.
Usenphrasesnthatnarencommonlynusednbynothernpatientsninnthenarea.
b.
Usenthenpatient'snownntermsnifnpossible.
c.
Usenlanguagenthatnkeepsnthenpatientnfromnbeingnexpansiveninnhisnornhernanswer.
d.
Usenpropernmedicalnandntechnicalnterminology.
e.
Usenthensimplestnlanguagenpossible.
ANS:nB
Tonensurenthatnyournquestionsnhavenbeenncorrectlynunderstood,nbenclear,nandnexplicitn
whilenusingnthenpatient'snidiomnandnlevelnofnunderstanding.
TOP:n Discipline:nBehavioralnScience MSC:n OrgannSystem:nGeneral
5. Anpatientnbecomesnrestlessnduringnthenhistorynandnsays,n―Indon'tnhaventimenfornallnofnthisnc
onversation.nI'vengotntongetnbackntonwork.‖nYournmostnappropriatenresponsenwouldnbento:
a.
stopnusingnopen-endednquestionsnandnbecomenmorendirect.
b.
asknanothernopen-endednquestionnandninsistnonnannanswer.
c.
asknquestionsnaboutnhisnangernandnmovencloserntonhim.
d.
acknowledgenhisnangernandnproceednwithnthenhistorynandnexamination.
e.
ignorenhisndispleasurenandnbecomenmorenassertivenaboutngettingnanswers.
ANS:nD
Thisnisnthenonlynanswernthatnresistsnthentendencynfornpatientnmanipulation,npursuesnt
heninformation,nandnconfrontsnthenpatient'snanger.
TOP:n Discipline:nBehavioralnScience MSC:n OrgannSystem:nGeneral
6. Whennquestioningnanpatientnregardingnalcoholnintake,n shentellsnyounthatnshenisn―onlynans
ocialndrinker.‖nWhichninitialnresponsenisnappropriate?
a.
―I'mngladnthatnyounarenanrensponsiblendrinker.‖
b.
―Manynpeoplen whonarenreNallyRalcoIholicnsBay.tCheyMarensocialndrinkers.‖
c.
―Whatnamountnandn whatnkind UnnS
ofnnN
alcoholndonyoundrinkninnanweek?‖
d.
―Ifnyounonlyndrinknsocially,nyounnwon'tnneednton worrynaboutnalwaysnhaving
nandesignatedndriver.‖
e.
―Donthenothernpeopleninnyournhouseholdnconsumenalcohol?n‖
ANS:nC
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Thisnanswernclarifiesnthenpatient'snownntermnwithoutnaskingnanleadingnquestionnornbeingnjudgme
ntal.
TOP:n Discipline:nBehavioralnScience MSC:n OrgannSystem:nGeneral
7. An50-year-
oldnmanncomesntonthenprimaryncarenclinic.nHentellsnyounhenisnworriednbecausenhenhasnhadnseve
renchestnpainsnfornthenpastn2nweeks.nWhichninitialnhistoryninterviewnquestionnisnmostnappropri
ate?
a.
―Cannyoundescribenthenpain?‖
b.
―Thenpainndoesn'tnradiatentonyournarm,ndoensnit?‖
c.
―Havenyounbeenntreatednfornanxietynbefore?n‖
d.
―Doesnyournfathernhavenheartndisease?‖
e.
―Arenthenpainsnworsen afternyouneat?‖
ANS:nA
Initially,nannopen-
endednquestinonnisnanmorenappropriatenresponse.n ―Cannyoundescribenthenpain?‖nisnannopen-
endednquestionnthatnoffersncluesntonthenchiefnconcern.
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