n
n
n
Chapter 01: The History and Interviewing Process
n n n n n n n
Ball: Seidel’s Guide to Physical Examination, 9th Edition
n n n n n n n n
, Seidel'snGuidentonPhysicalnExaminationn9thnEditionnBallnTestnBankn
n
MULTIPLEnCHOICEn
n
1. Whichnquestionnwouldnbenconsiderednan“leadingnquestion?”n
a. “Pleasendescribenanynassociatednsymptomsnwithnyournheadaches?”n
b. “Youndon'tngetnheadachesnoften,ndonyou?”n
c. “Whatnactivitiesnaffectnthenseveritynofnyournheadaches?”n
d. “Whatntimesnofnthendaynarenyournheadachesnthenmostnsevere?”n
e. “Whatnworriesnyounmostnaboutnyournheadache?”n
ANS:nBn
Thisnquestionnwouldnlimitntheninformationninnthenpatient'snanswer.nThenothernchoicesnallownthenp
atientnmorendiscretionnaboutnthenextentnofnannanswer.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
2. Whichnactionnwouldnbestnpromotenaccuratentranslationsnasnwellnasnconfidentialitynwhennthencare
giverndoesnnotnspeaknthenpatient'snlanguage?n
a. Asknanpersonnunfamiliarnwithnthenpatientntontranslate.n
b. Havenanfriendnofnthenpatientntranslate.n
c. Asknsimplenleadingnquestionsnthatnthenpatientnmaynunderstand.n
d. Usenanneighbornasntranslator.n
e. Involventhenfamilynwithnthentranslation.n
ANS:nAn n
Whennyoundonnotnspeaknthenpatient'snlanguage,nfamilynmembersnornfriendsnmaynposenan
communicationnbarriernandnmaynhavenissuesnofnconfidentiality;nanstrangernasnanninterpreternisnles
snbiased.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
3. Periodsnofnsilencenduringntheninterviewncannservenimportantnpurposes,nsuchnas:n
a. allowingnthenclinicianntoncatchnupnonndocumentation.n
b. givingnyounancluenthatnyounshouldnspeednupntheninterview.n
c. providingntimenfornreflection.n
d. increasingnthenlengthnofnthenvisit.n
e. promotingnancalmnenvironment.n
ANS:nCn
Silencenisnanusefulntoolnduringninterviewsnfornthenpurposesnofnreflection,nsummoningnofncourage,n
andndisplayingncompassion.nItnisnusuallynancluenfornyountongonslowernandnnotntonpushntoonhard.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
4. Whichntechniquenisnmostnlikelyntonresultninnthenpatient'snunderstandingnofnquestions?n
a. Usenphrasesnthatnarencommonlynusednbynothernpatientsninnthenarea.n
b. Usenthenpatient'snownntermsnifnpossible.n
c. Usenlanguagenthatnkeepsnthenpatientnfromnbeingnexpansiveninnhisnornhernanswer.n
d. Usenpropernmedicalnandntechnicalnterminology.n
e. Usenthensimplestnlanguagenpossible.n
ANS:nBn
, Seidel'snGuidentonPhysicalnExaminationn9thnEditionnBallnTestnBankn
n
Tonensurenthatnyournquestionsnhavenbeenncorrectlynunderstood,nbenclear,nandnexplicitnwhilenusing
nthenpatient'snidiomnandnlevelnofnunderstanding.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
5. Anpatientnbecomesnrestlessnduringnthenhistorynandnsays,n“Indon'tnhaventimenfornallnofnthisnconvers
ation.nI'vengotntongetnbackntonwork.”nYournmostnappropriatenresponsenwouldnbento:na.nstopnusingno
pen-endednquestionsnandnbecomenmorendirect.n
b. asknanothernopen-endednquestionnandninsistnonnannanswer.n
c. asknquestionsnaboutnhisnangernandnmovencloserntonhim.n
d. acknowledgenhisnangernandnproceednwithnthenhistorynandnexamination.n
e. ignorenhisndispleasurenandnbecomenmorenassertivenaboutngettingnanswers.n
ANS:nDn
Thisnisnthenonlynanswernthatnresistsnthentendencynfornpatientnmanipulation,npursuesntheninformati
on,nandnconfrontsnthenpatient'snanger.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
6. Whennquestioningnanpatientnregardingnalcoholnintake,nshentellsnyounthatnshenisn“onlynansocialndrin
ker.”nWhichninitialnresponsenisnappropriate?n
a.n“I'mngladnthatnyounarenanresponsiblendrinker.”n
b.c.nn“Manynpeoplenwhandnwhatonarenren allUy
N R aof lc Ioh alcohol oG lic sB adoy.t C
n
n S n n
N n
Tn n
n
n
heyouOy n
M adrinkre soc inial
n n n nn andweek?”rinkersn.”n
“Whatnamountn kind
d. “Ifnyounonlyndrinknsocially,nyounwon'tnneedntonworrynaboutnalwaysnhavingnandesignatedndri
ver.”n
e. “Donthenothernpeopleninnyournhouseholdnconsumenalcohol?”n
ANS:nCn
Thisnanswernclarifiesnthenpatient'snownntermnwithoutnaskingnanleadingnquestionnornbeingnjudgmen
tal.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
7. An50-year-
oldnmanncomesntonthenprimaryncarenclinic.nHentellsnyounhenisnworriednbecausenhenhasnhadnseverenc
hestnpainsnfornthenpastn2nweeks.nWhichninitialnhistoryninterviewnquestionnisnmostnappropriate?n
a. “Cannyoundescribenthenpain?”n
b. “Thenpainndoesn'tnradiatentonyournarm,ndoesnit?”n
c. “Havenyounbeenntreatednfornanxietynbefore?”n
d. “Doesnyournfathernhavenheartndisease?”n
e. “Arenthenpainsnworsenafternyouneat?”n
ANS:nAn
n NURSINGTB.COMn
, Seidel'snGuidentonPhysicalnExaminationn9thnEditionnBallnTestnBankn
Initially,nannopen-
endednquestionnisnanmorenappropriatenresponse.n“Cannyoundescribenthenpain?”nisnannopen-
endednquestionnthatnoffersncluesntonthenchiefnconcern.n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
8. Ms.nA.nstates,n“Mynlifenisnjustntoonpainful.nItnisn'tnworthnit.”nShenappearsndepressed.nWhichnoneno
fnthenfollowingnstatementsnisnthenmostnappropriatencaregivernresponse?na.n“Tryntonthinknaboutnthe
ngoodnthingsninnlife.”n
b. “Younshouldn'tnfeelnthatnway;nlooknatnallnthengoodnthingsninnyournlife.”n
c. “Youncan'tnmeannwhatnyou'rensaying.”n
d. “Ifnyounthinknaboutnit,nnothingnisnworthngettingnthisnupsetnabout.”n
e. “Whatninnlifenisncausingnyounsuchnpain?”n
ANS:nEn
Specificnyetnopen-endednquestionsnarenbestnusednwhennthenpatientnhasnfeelingsnofnlossnofnself-
worthnandndepression.nThenothernresponsesnhurrynthenpatientnandnoffernsuperficialnassurance.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
9. Duringnanninterview,nyounhaventhenimpressionnthatnanpatientnmaynbenconsideringnsuicide.n
Whichnactionnisnessential?n
a. Immediatelynbeginnproceedingsnfornanninvoluntaryncommitment.n
b. Asknwhethernthenpatientnhasnconsiderednself-harm.n
c. Asknwhethernthenpatientnwouldnlikentonvisitnanpsychiatrist.n
d. Recordnthenimpressionninnthenpatient'snchartnandnrefernthenpatientnforn
hospitalization.n
e. Avoidndirectlynconfrontingnthenpatientnregardingnyournimpression.n
ANS:nBn
IfnyounthinknthenpatientnmaynbNeUcRonSsiIdeNrGinTgnBsu.icCidOe,Mhenornshenprobably
n is.nMentioningnitngivesnpermissionntontalknaboutnit.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
10. Younarencollectingnanhistorynfromnann11-year-
oldngirl.nHernmothernisnsittingnnextntonherninnthenexaminationnroom.nWhenncollectingnhistorynfro
mnoldernchildrennornadolescents,ntheynshould:na.nnevernbeninterviewednalonenbecausenthisnmaynali
enatenthenparent.n
b. benmailednanquestionnaireninnadvancentonavoidnthenneednfornherntontalk.n
c. bengivennthenopportunityntonbeninterviewednwithoutnthenparentnatnsomenpoint.n
d. benallowedntondirectnthenflownofntheninterview.n
e. benignorednwhilenyounaddressnallnquestionsntonthenparent.n
ANS:nCn
Annoldernchildnshouldnbengivennthenopportunityntongiveninformationndirectly.nThisnenhancesnthenp
robabilitynthatnthenchildnwillnfollownyournadvice.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
n
n
Chapter 01: The History and Interviewing Process
n n n n n n n
Ball: Seidel’s Guide to Physical Examination, 9th Edition
n n n n n n n n
, Seidel'snGuidentonPhysicalnExaminationn9thnEditionnBallnTestnBankn
n
MULTIPLEnCHOICEn
n
1. Whichnquestionnwouldnbenconsiderednan“leadingnquestion?”n
a. “Pleasendescribenanynassociatednsymptomsnwithnyournheadaches?”n
b. “Youndon'tngetnheadachesnoften,ndonyou?”n
c. “Whatnactivitiesnaffectnthenseveritynofnyournheadaches?”n
d. “Whatntimesnofnthendaynarenyournheadachesnthenmostnsevere?”n
e. “Whatnworriesnyounmostnaboutnyournheadache?”n
ANS:nBn
Thisnquestionnwouldnlimitntheninformationninnthenpatient'snanswer.nThenothernchoicesnallownthenp
atientnmorendiscretionnaboutnthenextentnofnannanswer.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
2. Whichnactionnwouldnbestnpromotenaccuratentranslationsnasnwellnasnconfidentialitynwhennthencare
giverndoesnnotnspeaknthenpatient'snlanguage?n
a. Asknanpersonnunfamiliarnwithnthenpatientntontranslate.n
b. Havenanfriendnofnthenpatientntranslate.n
c. Asknsimplenleadingnquestionsnthatnthenpatientnmaynunderstand.n
d. Usenanneighbornasntranslator.n
e. Involventhenfamilynwithnthentranslation.n
ANS:nAn n
Whennyoundonnotnspeaknthenpatient'snlanguage,nfamilynmembersnornfriendsnmaynposenan
communicationnbarriernandnmaynhavenissuesnofnconfidentiality;nanstrangernasnanninterpreternisnles
snbiased.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
3. Periodsnofnsilencenduringntheninterviewncannservenimportantnpurposes,nsuchnas:n
a. allowingnthenclinicianntoncatchnupnonndocumentation.n
b. givingnyounancluenthatnyounshouldnspeednupntheninterview.n
c. providingntimenfornreflection.n
d. increasingnthenlengthnofnthenvisit.n
e. promotingnancalmnenvironment.n
ANS:nCn
Silencenisnanusefulntoolnduringninterviewsnfornthenpurposesnofnreflection,nsummoningnofncourage,n
andndisplayingncompassion.nItnisnusuallynancluenfornyountongonslowernandnnotntonpushntoonhard.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
4. Whichntechniquenisnmostnlikelyntonresultninnthenpatient'snunderstandingnofnquestions?n
a. Usenphrasesnthatnarencommonlynusednbynothernpatientsninnthenarea.n
b. Usenthenpatient'snownntermsnifnpossible.n
c. Usenlanguagenthatnkeepsnthenpatientnfromnbeingnexpansiveninnhisnornhernanswer.n
d. Usenpropernmedicalnandntechnicalnterminology.n
e. Usenthensimplestnlanguagenpossible.n
ANS:nBn
, Seidel'snGuidentonPhysicalnExaminationn9thnEditionnBallnTestnBankn
n
Tonensurenthatnyournquestionsnhavenbeenncorrectlynunderstood,nbenclear,nandnexplicitnwhilenusing
nthenpatient'snidiomnandnlevelnofnunderstanding.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
5. Anpatientnbecomesnrestlessnduringnthenhistorynandnsays,n“Indon'tnhaventimenfornallnofnthisnconvers
ation.nI'vengotntongetnbackntonwork.”nYournmostnappropriatenresponsenwouldnbento:na.nstopnusingno
pen-endednquestionsnandnbecomenmorendirect.n
b. asknanothernopen-endednquestionnandninsistnonnannanswer.n
c. asknquestionsnaboutnhisnangernandnmovencloserntonhim.n
d. acknowledgenhisnangernandnproceednwithnthenhistorynandnexamination.n
e. ignorenhisndispleasurenandnbecomenmorenassertivenaboutngettingnanswers.n
ANS:nDn
Thisnisnthenonlynanswernthatnresistsnthentendencynfornpatientnmanipulation,npursuesntheninformati
on,nandnconfrontsnthenpatient'snanger.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
6. Whennquestioningnanpatientnregardingnalcoholnintake,nshentellsnyounthatnshenisn“onlynansocialndrin
ker.”nWhichninitialnresponsenisnappropriate?n
a.n“I'mngladnthatnyounarenanresponsiblendrinker.”n
b.c.nn“Manynpeoplenwhandnwhatonarenren allUy
N R aof lc Ioh alcohol oG lic sB adoy.t C
n
n S n n
N n
Tn n
n
n
heyouOy n
M adrinkre soc inial
n n n nn andweek?”rinkersn.”n
“Whatnamountn kind
d. “Ifnyounonlyndrinknsocially,nyounwon'tnneedntonworrynaboutnalwaysnhavingnandesignatedndri
ver.”n
e. “Donthenothernpeopleninnyournhouseholdnconsumenalcohol?”n
ANS:nCn
Thisnanswernclarifiesnthenpatient'snownntermnwithoutnaskingnanleadingnquestionnornbeingnjudgmen
tal.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
7. An50-year-
oldnmanncomesntonthenprimaryncarenclinic.nHentellsnyounhenisnworriednbecausenhenhasnhadnseverenc
hestnpainsnfornthenpastn2nweeks.nWhichninitialnhistoryninterviewnquestionnisnmostnappropriate?n
a. “Cannyoundescribenthenpain?”n
b. “Thenpainndoesn'tnradiatentonyournarm,ndoesnit?”n
c. “Havenyounbeenntreatednfornanxietynbefore?”n
d. “Doesnyournfathernhavenheartndisease?”n
e. “Arenthenpainsnworsenafternyouneat?”n
ANS:nAn
n NURSINGTB.COMn
, Seidel'snGuidentonPhysicalnExaminationn9thnEditionnBallnTestnBankn
Initially,nannopen-
endednquestionnisnanmorenappropriatenresponse.n“Cannyoundescribenthenpain?”nisnannopen-
endednquestionnthatnoffersncluesntonthenchiefnconcern.n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
8. Ms.nA.nstates,n“Mynlifenisnjustntoonpainful.nItnisn'tnworthnit.”nShenappearsndepressed.nWhichnoneno
fnthenfollowingnstatementsnisnthenmostnappropriatencaregivernresponse?na.n“Tryntonthinknaboutnthe
ngoodnthingsninnlife.”n
b. “Younshouldn'tnfeelnthatnway;nlooknatnallnthengoodnthingsninnyournlife.”n
c. “Youncan'tnmeannwhatnyou'rensaying.”n
d. “Ifnyounthinknaboutnit,nnothingnisnworthngettingnthisnupsetnabout.”n
e. “Whatninnlifenisncausingnyounsuchnpain?”n
ANS:nEn
Specificnyetnopen-endednquestionsnarenbestnusednwhennthenpatientnhasnfeelingsnofnlossnofnself-
worthnandndepression.nThenothernresponsesnhurrynthenpatientnandnoffernsuperficialnassurance.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
9. Duringnanninterview,nyounhaventhenimpressionnthatnanpatientnmaynbenconsideringnsuicide.n
Whichnactionnisnessential?n
a. Immediatelynbeginnproceedingsnfornanninvoluntaryncommitment.n
b. Asknwhethernthenpatientnhasnconsiderednself-harm.n
c. Asknwhethernthenpatientnwouldnlikentonvisitnanpsychiatrist.n
d. Recordnthenimpressionninnthenpatient'snchartnandnrefernthenpatientnforn
hospitalization.n
e. Avoidndirectlynconfrontingnthenpatientnregardingnyournimpression.n
ANS:nBn
IfnyounthinknthenpatientnmaynbNeUcRonSsiIdeNrGinTgnBsu.icCidOe,Mhenornshenprobably
n is.nMentioningnitngivesnpermissionntontalknaboutnit.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
10. Younarencollectingnanhistorynfromnann11-year-
oldngirl.nHernmothernisnsittingnnextntonherninnthenexaminationnroom.nWhenncollectingnhistorynfro
mnoldernchildrennornadolescents,ntheynshould:na.nnevernbeninterviewednalonenbecausenthisnmaynali
enatenthenparent.n
b. benmailednanquestionnaireninnadvancentonavoidnthenneednfornherntontalk.n
c. bengivennthenopportunityntonbeninterviewednwithoutnthenparentnatnsomenpoint.n
d. benallowedntondirectnthenflownofntheninterview.n
e. benignorednwhilenyounaddressnallnquestionsntonthenparent.n
ANS:nCn
Annoldernchildnshouldnbengivennthenopportunityntongiveninformationndirectly.nThisnenhancesnthenp
robabilitynthatnthenchildnwillnfollownyournadvice.n
n
TOP:nDiscipline:nBehavioralnSciencen MSC:nOrgannSystem:nGeneraln
n
