Guide to Physical Examination -Test Bank
x x x x x
Chapter 01: The History and Interviewing Process Ba
x x x x x x x
ll: Seidel G ide
x x x Ph ical E a i a i , 9 h Edi i
x x x x x x x x x x x
MULTIPLEx CHOICE
1.x x Which ex i ldx bex c idex edx ax leadix g e i ?
a. Pleax ex de cx ibex a a ciax ed m mx ix h headachex ?
b. Y d gex headachex fx ex ,x d ?
c. Whax acx i ix iex affecx hex ex ex i f headachex ?
d. Whax ime fx hex dax ax e headachex hex m ex ex e?
e. Wha ie m ab headache?
ANS:x B
Thix ex ix ldx limix hex ix fx max ix ix hex ax iex ax ex .x Thex hex chx icex allx hex patientx morexdiscretio
nx aboutx thex extentx ofx anx answer.
TOP:x Discipline:x Behavioralx Sciencex x x x MSC:x Organx System:x General
2. Whichx actionx wouldx bestx promotex accuratex translationsx asx wellx asx confidentialityx whenx th
ex cax egix ex dx e eakx hex ax iex lax gx age?
a. Askx ax personx unfamiliarx withx thex patientx tox translate.
b. Havex ax friendx ofx thex patientx translate.
c. Askx simplex leadingx questionsx thatx thex patientx mayx understand.
d. Usex ax neighborx asx translator.
e. Involvex thex familyx withx thex translation.
ANS:x A NURSINGTB.COM
Whe d
eakxhexaxiex laxgxage,xfamilxmembex x fxiexdxmax x exaxcommunicationxbarrierxan
dxmayxhavexissuesxofxconfidentiality;xaxstrangerxasxanxinterpreterx isx lessx biased.
TOP:x Discipline:x Behavioralx Sciencex x x x MSC:x Organx System:x General
3. Periodsx ofx silencex duringx thex interviewx canx servex importantx purposes,x suchx as:
a. allowingx thex clinicianx tox catchx upx onx documentation.
b. givingx youx ax cluex thatx youx shouldx speedx upx thex interview.
c. providingx timex forx reflection.
d. increasingx thex lengthx ofx thex visit.
e. promotingx ax calmx environment.
ANS:x C
, Seidel'sx Guidex tox Physicalx Examinationx 9thx Editionx Ballx Testx Bank
Silencex isx ax usefulx toolx duringx interviewsx forx thex purposesx ofx reflection,x summoning
ofx courage,x andx displayingx compassion.x Itx isx usuallyx ax cluex forx youx tox gox slowerx andxn
otx tox pushx toox hard.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
4. Whichx echx ix ex ix m likel e lx ix hex ax ie de ax dix gx f ex i ?
a. Usex phrasesx thatx arex commonlyx usedx byx otherx patientsx inx thex area.
b. Ux ex hex ax ie ex mx if ible.
c. Usex languagex thatx keepsx thex patientx fromx beingx expansivex inx hisx orx herx answer.
d. Usex properx medicalx andx technicalx terminology.
e. Usex thex simplestx languagex possible.
ANS:x B
Tox ensurex thatx yourx questionsx havex beenx correctlyx understood,x bex clear,x andx expl
icitx whilex ix gx hex ax iex idix mx ax dx lex elx fx dex ax dix g.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
5. Ax ax ie becx mex ex lex d ix gx hex hi ax dx a,x Ix d hax ex imex f
allx ofx thisxc ex ax i .x Ix ex g gex back k.x Y m a
iax ex e e ldx be :
a. stopx usingx open-endedx questionsx andx becomex morex direct.
b. askx anotherx open-endedx questionx andx insistx onx anx answer.
c. askx questionsx aboutx hisx angerx andx movex closerx tox him.
d. acknowledgex hisx angerx andx proceedx withx thex historyx andx examination.
e. ignorex hisx displeasurex andx becomex morex assertivex aboutx gettingx answers.
ANS:x D
Thisx isx thex onlyx answerx thatx resistsx thex tendencyx forx patientx manipulation,x pursue
sx thex ix fx max ix ,x ax dx cx fx hex ax iex ax gex .
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
6. Whex ex ix ix gx ax ax iex egax dix gx alcx hx lx ix ake,x hex ell
hax hex ix lx ax cialx dx ix kex .x Whichx ixi
xialx ex ex ix ax iax e?
a. Ix mx gladx ha ax ex ax e iblex dx ix kex .
MaWhax amx elex hx ax ex eallx alcx hx licx ax hex ax e
b.c. ax dx hax kix dx fx alcx hx lx d
NURSINGTB.COMxdx ix kx ix ax eek?cialx dix kex .
d. If lx dx ix kx ciallx , eed abx alx ax hax ix gx ax dex igx ax edx dx ix ex .
e. Dx hex hex e lex i h ehx ldx c mex alcx hx l?
ANS:x C
, Guide to Physical Examination -Test Bank
x x x x x
Thix a ex clax ifiex hex ax ie ex mx ix h ax kix gx ax leadix g ex i
beix gxjudgmental.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
7. Ax 50-year-
oldx manx comesx tox thex primaryx carex clinic.x Hex tellsx youx hex isx worriedxbecausex hex
hasx hadx severex chestx painsx forx thex pastx 2x weeks.x Whichx initialx historyxinterviewx que
stionx isx most
appropriate?
a. Ca dex cx ibex hex aix ?
b. Thex aix dx e adiax e ax m,x dx ex ix ?
c. Hax e beex eax edx f a ie bef e?
d. Dx e fax hex hax ex heax dix eax e?
e. Ax ex hex ai ex afx e eax ?
ANS:x A
Initially,x anx open-ex dedx ex ix ix ax mx ex ax iax ex ex e.x Ca dex cx ibex hex aix ?x isx anx open-
x endedx questionx thatx offersx cluesx tox thex chiefx concern.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
8. Mx .x A.x ax ex ,x Mx lifex ix j
aix fx l.x Ix ix hx ix .x Shex ax eax dex ex ed.x Whichx ex ofx thexf
ollowingx statementsx isx thex mostx appropriatex caregiverx response?
a. T hix kx ab hex gx dx hix gx ix life.
b. Y h ld feelx hax ax ;x l kx ax allx hex gx dx hix gx i life.
c. Y ca meax ha ex ax ix g.
d. If hix kx ab ix , hix gx i hx gex ix gx hi ex ab .
e. Whax ix lifex ix ca ix g chx aix ?
ANS:x E
Specificx yetx open-
endedx questionsx arex bestx usedx whenx thex patientx hasx feelingsx ofx lossxofx self-
worthx andx depression.x Thex otherx responsesx hurryx thex patientx andx offerx superficialx assura
nce.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
9. Duringx anx interview,x youx havex thex impressionx thatx ax patientx mayx bex consideringx su
icide.
Whichx actionx isx essential?
a. Immediatelyx beginx proceedingsx forx anx involuntaryx commitment.
b. Askx whetherx thex patientx hasx consideredx self-harm.
c. Askx whetherx thex patientx wouldx likex tox visitx ax psychiatrist.
d. Rec dx hex im e i ix hex ax ie chax ax dx efex hex ax ie
fxhospitalization.
e. Avoidx directlyx confrontingx thex patientx regardingx yourx impression.
, Seidel'sx Guidex tox Physicalx Examinationx 9thx Editionx Ballx Testx Bank
ANS:x B
Ifx youx thinkx thex patientx mayx bex consideringx suicide,x hex orx shex probablyx is.xMe
ntioningx itx givesx NURSINGTB.COMxxpermissionx tox talkx aboutx it.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
10. Youx arex collectingx ax historyx fromx anx 11-year-
oldx girl.x Herx motherx isx sittingx nextx tox herxinx thex examinationx room.x Whenx collectingx hi
storyx fromx olderx childrenx orx adolescents,xtheyx should:x a.x neverx bex interviewedx alonex be
causex thisx mayx alienatex thex parent.
b. bex mailedx ax questionnairex inx advancex tox avoidx thex needx forx herx tox talk.
c. bex givenx thex opportunityx tox bex interviewedx withoutx thex parentx atx somex point.
d. bex allowedx tox directx thex flowx ofx thex interview.
e. bex ignoredx whilex youx addressx allx questionsx tox thex parent.
ANS:x C
Anx olderx childx shouldx bex givenx thex opportunityx tox givex informationx directly.x Thisx enhance
sx thex probabilityx thatx thex childx willx followx yourx advice.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
11. Whenx communicatingx withx olderx childrenx andx teenagers,x youx shouldx bex sensitivex tox th
eir:
a. ax e eedx .
b. naturalx urgex tox communicate.
c. needx forx verbalx instructions.
d. typicalx reluctancex tox talk.
e. desirex forx adultx companionship.
ANS:x D
Adolescentsx arex usuallyx reluctantx tox talk;x therefore,x thex providerx shouldx clearlyx communica
tex ax respectx forx theirx confidentiality.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
12. Whenx youx suspectx thatx yourx 81-year-oldx patientx hasx short-
termx memoryx lossx becausex hex cannotx rememberx whatx hex hadx forx breakfast,x youx should:x
a.x orderx ax neurologyx consult.
b. stopx allx ofx hisx medications.
c. continuex tox pressx thex patientx forx appropriatex answers.
d. validatex thex concernx withx hisx familyx orx caregivers.
e. dismissx thex findingx asx ax normalx age-relatedx change.
ANS:x D
Whenx olderx adultsx experiencex memoryx lossx forx recentx events,x consultx otherx familyx membe
rsx tox clarifyx discrepanciesx orx tox fillx inx thex gaps.
x x x x x
Chapter 01: The History and Interviewing Process Ba
x x x x x x x
ll: Seidel G ide
x x x Ph ical E a i a i , 9 h Edi i
x x x x x x x x x x x
MULTIPLEx CHOICE
1.x x Which ex i ldx bex c idex edx ax leadix g e i ?
a. Pleax ex de cx ibex a a ciax ed m mx ix h headachex ?
b. Y d gex headachex fx ex ,x d ?
c. Whax acx i ix iex affecx hex ex ex i f headachex ?
d. Whax ime fx hex dax ax e headachex hex m ex ex e?
e. Wha ie m ab headache?
ANS:x B
Thix ex ix ldx limix hex ix fx max ix ix hex ax iex ax ex .x Thex hex chx icex allx hex patientx morexdiscretio
nx aboutx thex extentx ofx anx answer.
TOP:x Discipline:x Behavioralx Sciencex x x x MSC:x Organx System:x General
2. Whichx actionx wouldx bestx promotex accuratex translationsx asx wellx asx confidentialityx whenx th
ex cax egix ex dx e eakx hex ax iex lax gx age?
a. Askx ax personx unfamiliarx withx thex patientx tox translate.
b. Havex ax friendx ofx thex patientx translate.
c. Askx simplex leadingx questionsx thatx thex patientx mayx understand.
d. Usex ax neighborx asx translator.
e. Involvex thex familyx withx thex translation.
ANS:x A NURSINGTB.COM
Whe d
eakxhexaxiex laxgxage,xfamilxmembex x fxiexdxmax x exaxcommunicationxbarrierxan
dxmayxhavexissuesxofxconfidentiality;xaxstrangerxasxanxinterpreterx isx lessx biased.
TOP:x Discipline:x Behavioralx Sciencex x x x MSC:x Organx System:x General
3. Periodsx ofx silencex duringx thex interviewx canx servex importantx purposes,x suchx as:
a. allowingx thex clinicianx tox catchx upx onx documentation.
b. givingx youx ax cluex thatx youx shouldx speedx upx thex interview.
c. providingx timex forx reflection.
d. increasingx thex lengthx ofx thex visit.
e. promotingx ax calmx environment.
ANS:x C
, Seidel'sx Guidex tox Physicalx Examinationx 9thx Editionx Ballx Testx Bank
Silencex isx ax usefulx toolx duringx interviewsx forx thex purposesx ofx reflection,x summoning
ofx courage,x andx displayingx compassion.x Itx isx usuallyx ax cluex forx youx tox gox slowerx andxn
otx tox pushx toox hard.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
4. Whichx echx ix ex ix m likel e lx ix hex ax ie de ax dix gx f ex i ?
a. Usex phrasesx thatx arex commonlyx usedx byx otherx patientsx inx thex area.
b. Ux ex hex ax ie ex mx if ible.
c. Usex languagex thatx keepsx thex patientx fromx beingx expansivex inx hisx orx herx answer.
d. Usex properx medicalx andx technicalx terminology.
e. Usex thex simplestx languagex possible.
ANS:x B
Tox ensurex thatx yourx questionsx havex beenx correctlyx understood,x bex clear,x andx expl
icitx whilex ix gx hex ax iex idix mx ax dx lex elx fx dex ax dix g.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
5. Ax ax ie becx mex ex lex d ix gx hex hi ax dx a,x Ix d hax ex imex f
allx ofx thisxc ex ax i .x Ix ex g gex back k.x Y m a
iax ex e e ldx be :
a. stopx usingx open-endedx questionsx andx becomex morex direct.
b. askx anotherx open-endedx questionx andx insistx onx anx answer.
c. askx questionsx aboutx hisx angerx andx movex closerx tox him.
d. acknowledgex hisx angerx andx proceedx withx thex historyx andx examination.
e. ignorex hisx displeasurex andx becomex morex assertivex aboutx gettingx answers.
ANS:x D
Thisx isx thex onlyx answerx thatx resistsx thex tendencyx forx patientx manipulation,x pursue
sx thex ix fx max ix ,x ax dx cx fx hex ax iex ax gex .
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
6. Whex ex ix ix gx ax ax iex egax dix gx alcx hx lx ix ake,x hex ell
hax hex ix lx ax cialx dx ix kex .x Whichx ixi
xialx ex ex ix ax iax e?
a. Ix mx gladx ha ax ex ax e iblex dx ix kex .
MaWhax amx elex hx ax ex eallx alcx hx licx ax hex ax e
b.c. ax dx hax kix dx fx alcx hx lx d
NURSINGTB.COMxdx ix kx ix ax eek?cialx dix kex .
d. If lx dx ix kx ciallx , eed abx alx ax hax ix gx ax dex igx ax edx dx ix ex .
e. Dx hex hex e lex i h ehx ldx c mex alcx hx l?
ANS:x C
, Guide to Physical Examination -Test Bank
x x x x x
Thix a ex clax ifiex hex ax ie ex mx ix h ax kix gx ax leadix g ex i
beix gxjudgmental.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
7. Ax 50-year-
oldx manx comesx tox thex primaryx carex clinic.x Hex tellsx youx hex isx worriedxbecausex hex
hasx hadx severex chestx painsx forx thex pastx 2x weeks.x Whichx initialx historyxinterviewx que
stionx isx most
appropriate?
a. Ca dex cx ibex hex aix ?
b. Thex aix dx e adiax e ax m,x dx ex ix ?
c. Hax e beex eax edx f a ie bef e?
d. Dx e fax hex hax ex heax dix eax e?
e. Ax ex hex ai ex afx e eax ?
ANS:x A
Initially,x anx open-ex dedx ex ix ix ax mx ex ax iax ex ex e.x Ca dex cx ibex hex aix ?x isx anx open-
x endedx questionx thatx offersx cluesx tox thex chiefx concern.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
8. Mx .x A.x ax ex ,x Mx lifex ix j
aix fx l.x Ix ix hx ix .x Shex ax eax dex ex ed.x Whichx ex ofx thexf
ollowingx statementsx isx thex mostx appropriatex caregiverx response?
a. T hix kx ab hex gx dx hix gx ix life.
b. Y h ld feelx hax ax ;x l kx ax allx hex gx dx hix gx i life.
c. Y ca meax ha ex ax ix g.
d. If hix kx ab ix , hix gx i hx gex ix gx hi ex ab .
e. Whax ix lifex ix ca ix g chx aix ?
ANS:x E
Specificx yetx open-
endedx questionsx arex bestx usedx whenx thex patientx hasx feelingsx ofx lossxofx self-
worthx andx depression.x Thex otherx responsesx hurryx thex patientx andx offerx superficialx assura
nce.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
9. Duringx anx interview,x youx havex thex impressionx thatx ax patientx mayx bex consideringx su
icide.
Whichx actionx isx essential?
a. Immediatelyx beginx proceedingsx forx anx involuntaryx commitment.
b. Askx whetherx thex patientx hasx consideredx self-harm.
c. Askx whetherx thex patientx wouldx likex tox visitx ax psychiatrist.
d. Rec dx hex im e i ix hex ax ie chax ax dx efex hex ax ie
fxhospitalization.
e. Avoidx directlyx confrontingx thex patientx regardingx yourx impression.
, Seidel'sx Guidex tox Physicalx Examinationx 9thx Editionx Ballx Testx Bank
ANS:x B
Ifx youx thinkx thex patientx mayx bex consideringx suicide,x hex orx shex probablyx is.xMe
ntioningx itx givesx NURSINGTB.COMxxpermissionx tox talkx aboutx it.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
10. Youx arex collectingx ax historyx fromx anx 11-year-
oldx girl.x Herx motherx isx sittingx nextx tox herxinx thex examinationx room.x Whenx collectingx hi
storyx fromx olderx childrenx orx adolescents,xtheyx should:x a.x neverx bex interviewedx alonex be
causex thisx mayx alienatex thex parent.
b. bex mailedx ax questionnairex inx advancex tox avoidx thex needx forx herx tox talk.
c. bex givenx thex opportunityx tox bex interviewedx withoutx thex parentx atx somex point.
d. bex allowedx tox directx thex flowx ofx thex interview.
e. bex ignoredx whilex youx addressx allx questionsx tox thex parent.
ANS:x C
Anx olderx childx shouldx bex givenx thex opportunityx tox givex informationx directly.x Thisx enhance
sx thex probabilityx thatx thex childx willx followx yourx advice.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
11. Whenx communicatingx withx olderx childrenx andx teenagers,x youx shouldx bex sensitivex tox th
eir:
a. ax e eedx .
b. naturalx urgex tox communicate.
c. needx forx verbalx instructions.
d. typicalx reluctancex tox talk.
e. desirex forx adultx companionship.
ANS:x D
Adolescentsx arex usuallyx reluctantx tox talk;x therefore,x thex providerx shouldx clearlyx communica
tex ax respectx forx theirx confidentiality.
TOP:x Discipline:x Behavioralx Science MSC:x Organx System:x General
12. Whenx youx suspectx thatx yourx 81-year-oldx patientx hasx short-
termx memoryx lossx becausex hex cannotx rememberx whatx hex hadx forx breakfast,x youx should:x
a.x orderx ax neurologyx consult.
b. stopx allx ofx hisx medications.
c. continuex tox pressx thex patientx forx appropriatex answers.
d. validatex thex concernx withx hisx familyx orx caregivers.
e. dismissx thex findingx asx ax normalx age-relatedx change.
ANS:x D
Whenx olderx adultsx experiencex memoryx lossx forx recentx events,x consultx otherx familyx membe
rsx tox clarifyx discrepanciesx orx tox fillx inx thex gaps.
