Guide to Physical Examination -Test Bank
n n n n n
Chapter 01: The History and Interviewing Process Ball
n n n n n n n
: Seidel G ide
n n n Ph ical E a i a i , 9 h Edi i
n n n n n n n n n n n
MULTIPLEn CHOICE
1.nnn Which en i ldn ben c iden edn an leadin g e i ?
a. Plean en de cn iben a a cian ed m mn in h headachen ?
b. Y d gen headachen fn en ,n d ?
c. Whan acn i in ien affecn hen en en i f headachen ?
d. Whan ime fn hen dan an e headachen hen m en en e?
e. Wha ie m ab headache?
ANS:n B
Thineninldnliminheninfnmanininhenanien an en .n Then hen chn icen alln hen patientn morendiscretionn a
boutn then extentn ofn ann answer.
TOP:n Discipline:n Behavioraln SciencennnnnnnnMSC:n Organn System:n General
2. Whichn actionn wouldn bestn promoten accuraten translationsn asn welln asn confidentialityn whennthe
n can egin en dn e eakn hen anien lan gn age?
a. Askn an personn unfamiliarn withn then patientn ton translate.
b. Haven an friendn ofn then patientn translate.
c. Askn simplen leadingn questionsn thatn then patientn mayn understand.
d. Usen an neighborn asn translator.
e. Involven then familyn withn then translation.
ANS:n A NURSINGTB.COM
Whe d
eaknhenanienlangnage,nfamiln memben fn ien dn man en ancommunicationnbarrierna
ndnmaynhavenissuesnofnconfidentiality;nanstrangernasnanninterpretern isn lessn biased.
TOP:n Discipline:n Behavioraln SciencennnnnnnnMSC:n Organn System:n General
3. Periodsn ofn silencen duringn then interviewn cann serven importantn purposes,n suchn as:
a. allowingn then cliniciann ton catchn upn onn documentation.
b. givingn youn an cluen thatn youn shouldn speedn upn then interview.
c. providingn timen forn reflection.
d. increasingn then lengthn ofn then visit.
e. promotingn an calmn environment.
ANS:n C
, Seidel'sn Guiden ton Physicaln Examinationn 9thn Editionn Balln Testn Bank
Silencen isn an usefuln tooln duringn interviewsn forn then purposesn ofn reflection,n summoning
ofn courage,n andn displayingn compassion.n Itn isn usuallyn an cluen forn youn ton gon slowern andnn
otn ton pushn toon hard.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
4. Whichn echn in en in m likel e ln in hen an ie de an din gn f en i ?
a. Usen phrasesn thatn aren commonlyn usedn byn othern patientsn inn then area.
b. Un en hen an ie en mn if ible.
c. Usen languagen thatn keepsn then patientn fromn beingn expansiven inn hisn orn hern answer.
d. Usen propern medicaln andn technicaln terminology.
e. Usen then simplestn languagen possible.
ANS:n B
Ton ensuren thatn yourn questionsn haven beenn correctlyn understood,n ben clear,n andnexpli
citn whilen in gn henan ien idin mnan dnlen eln fn den andin g.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
5. An an ie becn men en len d in gn hen hi an dn a,n In d han en imen f
allnofn thisnc en an i .n In en g gen back k.n Y m a
ian en e e ldn be :
a. stopn usingn open-endedn questionsn andn becomen moren direct.
b. askn anothern open-endedn questionn andn insistn onn ann answer.
c. askn questionsn aboutn hisn angern andn moven closern ton him.
d. acknowledgen hisn angern andn proceedn withn then historyn andn examination.
e. ignoren hisn displeasuren andn becomen moren assertiven aboutn gettingn answers.
ANS:n D
Thisnisn then onlyn answern thatn resistsn then tendencyn forn patientnmanipulation,npursues
n then in fn man in ,n an dn cn fn hen an ien an gen .
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
6. When en in in gn an an ien egan din gn alcn hn ln in ake,n hen ell
han hen in ln an cialn dn in ken .n Whichn inin
ialn en en in anian e?
a. In mn gladn ha an en an e iblen dn in ken .
MaWhan amn elen hn an en ealln alcn hn licn an hen an e
b.c. an dn han kin dn fn alcn hn ln d
NURSINGTB.COMndn in kn in an eek?cialn din ken .
d. If ln dn in kn cialln , eed abn aln an han in gn an den ign an edn dn in en .
e. Dn hen hen e len i h ehn ldn c men alcn hn l?
ANS:n C
, Guide to Physical Examination -Test Bank
n n n n n
Thin a en clan ifien hen an ie en mn in h an kin gn an leadin g en i
beingnjudgmental.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
7. An 50-year-
oldnmann comesn tonthen primaryn caren clinic.n Hen tellsn youn hen isn worriednbecausen hen hasn ha
dn severenchestn painsn fornthen pastn 2n weeks.n Whichn initialn historyninterviewn questionn isnmost
appropriate?
a. Ca den cn iben hen ain ?
b. Then ain dn e adian e an m,n dn en in ?
c. Han e been ean edn f a ie bef e?
d. Dn e fan hen han en hean din ean e?
e. An en hen ai en afn e ean ?
ANS:n A
Initially,n ann open-en dedn en in in an mn en an ian en en e.n Ca den cn iben hen ain ?n isn ann open-
nendedn questionn thatn offersn cluesn ton then chiefn concern.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
8. Mn .n A.n an en ,n Mn lifen in j
ain fnl.n In in hn in .nShen an eanden en ed.nWhichn en ofn thenfollowingn
statementsn isn then mostn appropriaten caregivern response?
a. T hin kn ab hen gn dn hin gn in life.
b. Y h ld feeln han an ;n l kn an alln hen gnndn hin gn i life.
c. Y ca mean ha en an in g.
d. If hin kn ab in , hin gn i hn gen in gn hi en ab .
e. Whan in lifen in ca in g chn ain ?
ANS:n E
Specificn yetn open-
endedn questionsn aren bestn usedn whenn then patientn hasn feelingsn ofn lossnofnself-
worthn andn depression.n Then othern responsesn hurryn then patientn andn offernsuperficialn assur
ance.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
9. Duringn ann interview,n youn haven thenimpressionn thatn an patientn mayn ben consideringnsuicide.
Whichn actionn isn essential?
a. Immediatelyn beginn proceedingsn forn ann involuntaryn commitment.
b. Askn whethern then patientn hasn consideredn self-harm.
c. Askn whethern then patientn wouldn liken ton visitn an psychiatrist.
d. Rec dn hen im e i in hen an ie chan an dn efen hen an ie
fnhospitalization.
e. Avoidn directlyn confrontingn then patientn regardingn yourn impression.
, Seidel'sn Guiden ton Physicaln Examinationn 9thn Editionn Balln Testn Bank
ANS:n B
Ifn youn thinkn then patientn mayn ben consideringn suicide,n hen orn shen probablyn is.nMentio
ningn itn givesn NURSINGTB.COMn permissionn ton talknaboutn it.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
10. Youn aren collectingn an historyn fromn ann 11-year-
oldn girl.n Hern mothern isn sittingn nextn ton herninn then examinationn room.n Whenn collectingn histo
ryn fromn oldern childrenn orn adolescents,ntheyn should:n a.n nevern ben interviewedn alonen becausen thi
sn mayn alienaten thenparent.
b. ben mailedn an questionnairen inn advancen ton avoidn then needn forn hern ton talk.
c. ben givenn then opportunityn ton ben interviewedn withoutn then parentn atn somen point.
d. ben allowedn ton directn then flown ofn then interview.
e. ben ignoredn whilen youn addressn alln questionsn ton then parent.
ANS:n C
Ann oldern childn shouldn ben givenn then opportunityn ton given informationn directly.n Thisnenhan
cesn then probabilityn thatnthen childn willn follown yourn advice.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
11. Whenn communicatingn withn oldern childrenn andn teenagers,n youn shouldn ben sensitiven tontheir:
a. an e eedn .
b. naturaln urgen ton communicate.
c. needn forn verbaln instructions.
d. typicaln reluctancen ton talk.
e. desiren forn adultn companionship.
ANS:n D
Adolescentsn aren usuallyn reluctantn ton talk;n therefore,n then providernshouldn clearlynco
mmunicaten an respectn forntheirn confidentiality.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
12. Whenn youn suspectn thatn yourn 81-year-oldn patientn hasn short-
termn memoryn lossn becausen hencannotn remembern whatn hen hadn forn breakfast,n youn should:n a.n order
n an neurologyn consult.
b. stopn alln ofn hisn medications.
c. continuen ton pressn then patientn forn appropriaten answers.
d. validaten then concernn withn hisn familyn orn caregivers.
e. dismissn then findingn asn an normaln age-relatedn change.
ANS:n D
Whenn oldernadultsn experiencenmemoryn lossn forn recentn events,n consultn othernfamilynmem
bersn ton clarifyn discrepanciesn ornton filln innthen gaps.
n n n n n
Chapter 01: The History and Interviewing Process Ball
n n n n n n n
: Seidel G ide
n n n Ph ical E a i a i , 9 h Edi i
n n n n n n n n n n n
MULTIPLEn CHOICE
1.nnn Which en i ldn ben c iden edn an leadin g e i ?
a. Plean en de cn iben a a cian ed m mn in h headachen ?
b. Y d gen headachen fn en ,n d ?
c. Whan acn i in ien affecn hen en en i f headachen ?
d. Whan ime fn hen dan an e headachen hen m en en e?
e. Wha ie m ab headache?
ANS:n B
Thineninldnliminheninfnmanininhenanien an en .n Then hen chn icen alln hen patientn morendiscretionn a
boutn then extentn ofn ann answer.
TOP:n Discipline:n Behavioraln SciencennnnnnnnMSC:n Organn System:n General
2. Whichn actionn wouldn bestn promoten accuraten translationsn asn welln asn confidentialityn whennthe
n can egin en dn e eakn hen anien lan gn age?
a. Askn an personn unfamiliarn withn then patientn ton translate.
b. Haven an friendn ofn then patientn translate.
c. Askn simplen leadingn questionsn thatn then patientn mayn understand.
d. Usen an neighborn asn translator.
e. Involven then familyn withn then translation.
ANS:n A NURSINGTB.COM
Whe d
eaknhenanienlangnage,nfamiln memben fn ien dn man en ancommunicationnbarrierna
ndnmaynhavenissuesnofnconfidentiality;nanstrangernasnanninterpretern isn lessn biased.
TOP:n Discipline:n Behavioraln SciencennnnnnnnMSC:n Organn System:n General
3. Periodsn ofn silencen duringn then interviewn cann serven importantn purposes,n suchn as:
a. allowingn then cliniciann ton catchn upn onn documentation.
b. givingn youn an cluen thatn youn shouldn speedn upn then interview.
c. providingn timen forn reflection.
d. increasingn then lengthn ofn then visit.
e. promotingn an calmn environment.
ANS:n C
, Seidel'sn Guiden ton Physicaln Examinationn 9thn Editionn Balln Testn Bank
Silencen isn an usefuln tooln duringn interviewsn forn then purposesn ofn reflection,n summoning
ofn courage,n andn displayingn compassion.n Itn isn usuallyn an cluen forn youn ton gon slowern andnn
otn ton pushn toon hard.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
4. Whichn echn in en in m likel e ln in hen an ie de an din gn f en i ?
a. Usen phrasesn thatn aren commonlyn usedn byn othern patientsn inn then area.
b. Un en hen an ie en mn if ible.
c. Usen languagen thatn keepsn then patientn fromn beingn expansiven inn hisn orn hern answer.
d. Usen propern medicaln andn technicaln terminology.
e. Usen then simplestn languagen possible.
ANS:n B
Ton ensuren thatn yourn questionsn haven beenn correctlyn understood,n ben clear,n andnexpli
citn whilen in gn henan ien idin mnan dnlen eln fn den andin g.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
5. An an ie becn men en len d in gn hen hi an dn a,n In d han en imen f
allnofn thisnc en an i .n In en g gen back k.n Y m a
ian en e e ldn be :
a. stopn usingn open-endedn questionsn andn becomen moren direct.
b. askn anothern open-endedn questionn andn insistn onn ann answer.
c. askn questionsn aboutn hisn angern andn moven closern ton him.
d. acknowledgen hisn angern andn proceedn withn then historyn andn examination.
e. ignoren hisn displeasuren andn becomen moren assertiven aboutn gettingn answers.
ANS:n D
Thisnisn then onlyn answern thatn resistsn then tendencyn forn patientnmanipulation,npursues
n then in fn man in ,n an dn cn fn hen an ien an gen .
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
6. When en in in gn an an ien egan din gn alcn hn ln in ake,n hen ell
han hen in ln an cialn dn in ken .n Whichn inin
ialn en en in anian e?
a. In mn gladn ha an en an e iblen dn in ken .
MaWhan amn elen hn an en ealln alcn hn licn an hen an e
b.c. an dn han kin dn fn alcn hn ln d
NURSINGTB.COMndn in kn in an eek?cialn din ken .
d. If ln dn in kn cialln , eed abn aln an han in gn an den ign an edn dn in en .
e. Dn hen hen e len i h ehn ldn c men alcn hn l?
ANS:n C
, Guide to Physical Examination -Test Bank
n n n n n
Thin a en clan ifien hen an ie en mn in h an kin gn an leadin g en i
beingnjudgmental.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
7. An 50-year-
oldnmann comesn tonthen primaryn caren clinic.n Hen tellsn youn hen isn worriednbecausen hen hasn ha
dn severenchestn painsn fornthen pastn 2n weeks.n Whichn initialn historyninterviewn questionn isnmost
appropriate?
a. Ca den cn iben hen ain ?
b. Then ain dn e adian e an m,n dn en in ?
c. Han e been ean edn f a ie bef e?
d. Dn e fan hen han en hean din ean e?
e. An en hen ai en afn e ean ?
ANS:n A
Initially,n ann open-en dedn en in in an mn en an ian en en e.n Ca den cn iben hen ain ?n isn ann open-
nendedn questionn thatn offersn cluesn ton then chiefn concern.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
8. Mn .n A.n an en ,n Mn lifen in j
ain fnl.n In in hn in .nShen an eanden en ed.nWhichn en ofn thenfollowingn
statementsn isn then mostn appropriaten caregivern response?
a. T hin kn ab hen gn dn hin gn in life.
b. Y h ld feeln han an ;n l kn an alln hen gnndn hin gn i life.
c. Y ca mean ha en an in g.
d. If hin kn ab in , hin gn i hn gen in gn hi en ab .
e. Whan in lifen in ca in g chn ain ?
ANS:n E
Specificn yetn open-
endedn questionsn aren bestn usedn whenn then patientn hasn feelingsn ofn lossnofnself-
worthn andn depression.n Then othern responsesn hurryn then patientn andn offernsuperficialn assur
ance.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
9. Duringn ann interview,n youn haven thenimpressionn thatn an patientn mayn ben consideringnsuicide.
Whichn actionn isn essential?
a. Immediatelyn beginn proceedingsn forn ann involuntaryn commitment.
b. Askn whethern then patientn hasn consideredn self-harm.
c. Askn whethern then patientn wouldn liken ton visitn an psychiatrist.
d. Rec dn hen im e i in hen an ie chan an dn efen hen an ie
fnhospitalization.
e. Avoidn directlyn confrontingn then patientn regardingn yourn impression.
, Seidel'sn Guiden ton Physicaln Examinationn 9thn Editionn Balln Testn Bank
ANS:n B
Ifn youn thinkn then patientn mayn ben consideringn suicide,n hen orn shen probablyn is.nMentio
ningn itn givesn NURSINGTB.COMn permissionn ton talknaboutn it.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
10. Youn aren collectingn an historyn fromn ann 11-year-
oldn girl.n Hern mothern isn sittingn nextn ton herninn then examinationn room.n Whenn collectingn histo
ryn fromn oldern childrenn orn adolescents,ntheyn should:n a.n nevern ben interviewedn alonen becausen thi
sn mayn alienaten thenparent.
b. ben mailedn an questionnairen inn advancen ton avoidn then needn forn hern ton talk.
c. ben givenn then opportunityn ton ben interviewedn withoutn then parentn atn somen point.
d. ben allowedn ton directn then flown ofn then interview.
e. ben ignoredn whilen youn addressn alln questionsn ton then parent.
ANS:n C
Ann oldern childn shouldn ben givenn then opportunityn ton given informationn directly.n Thisnenhan
cesn then probabilityn thatnthen childn willn follown yourn advice.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
11. Whenn communicatingn withn oldern childrenn andn teenagers,n youn shouldn ben sensitiven tontheir:
a. an e eedn .
b. naturaln urgen ton communicate.
c. needn forn verbaln instructions.
d. typicaln reluctancen ton talk.
e. desiren forn adultn companionship.
ANS:n D
Adolescentsn aren usuallyn reluctantn ton talk;n therefore,n then providernshouldn clearlynco
mmunicaten an respectn forntheirn confidentiality.
TOP:n Discipline:n Behavioraln Science MSC:n Organn System:n General
12. Whenn youn suspectn thatn yourn 81-year-oldn patientn hasn short-
termn memoryn lossn becausen hencannotn remembern whatn hen hadn forn breakfast,n youn should:n a.n order
n an neurologyn consult.
b. stopn alln ofn hisn medications.
c. continuen ton pressn then patientn forn appropriaten answers.
d. validaten then concernn withn hisn familyn orn caregivers.
e. dismissn then findingn asn an normaln age-relatedn change.
ANS:n D
Whenn oldernadultsn experiencenmemoryn lossn forn recentn events,n consultn othernfamilynmem
bersn ton clarifyn discrepanciesn ornton filln innthen gaps.
