Seidel'sgGuidegtogPhysicalgExaminationg9thgEditiongBallgTestgBank
Test Bank For Seidel's Guide to Physical Examination 9t
g g g g g g g gg
h g
Edition Ball g
Chapterg01:gThegHistorygandgInterviewinggProcess
Ball:gSeidel’sgGuidegtogPhysicalgExamination,g9thgEdition
MULTIPLEgCHOICE
1. Whichgquestiongwouldgbegconsideredgag“leadinggquestion?”
a. “Pleasegdescribeganygassociatedgsymptomsgwithgyourgheadaches?”
b. “Yougdon'tggetgheadachesgoften,gdogyou?”
c. “Whatgactivitiesgaffectgthegseveritygofgyourgheadaches?”
d. “Whatgtimesgofgthegdaygaregyourgheadachesgthegmostgsevere?”
e. “Whatgworriesgyougmostgaboutgyourgheadache?”
ANS:g B
Thisgquestiongwouldglimitgtheginformationgingthegpatient'sganswer.gThegothergchoicesgallowgtheg
patientgmoregdiscretiongaboutgthegextentgofganganswer.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
2. Whichgactiongwouldgbestgpromotegaccurategtranslationsgasgwellgasgconfidentialitygwhengtheg
caregivergdoesgnotgspeakgthegpatient'sglanguage?
a. Askgagpersongunfamiliargwithgthegpatientgtogtranslate.
b. Havegagfriendgofgthegpatientgtranslate.
c. Askgsimplegleadinggquestionsgthatgthegpatientgmaygunderstand.
d. Usegagneighborgasgtranslator.
e. Involvegthegfamilygwithgthegtranslation.
ANS:g A
Whengyougdognotgspeakgthegpatient'sglanguage,gfamilygmembersgorgfriendsgmaygposegagcommu
nicationgbarriergandgmayghavegissuesgofgconfidentiality;gagstrangergasganginterpretergislessgbiase
d.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
3. Periodsgofgsilencegduringgtheginterviewgcangservegimportantgpurposes,gsuchgas:
a. allowinggthegcliniciangtogcatchgupgongdocumentation.
b. givinggyougagcluegthatgyougshouldgspeedgupgtheginterview.
c. providinggtimegforgreflection.
d. increasinggtheglengthgofgthegvisit.
e. promotinggagcalmgenvironment.
NURSINGTB.COM
, Seidel'sgGuidegtogPhysicalgExaminationg9thgEditiongBallgTestgBank
ANS:g C
Silencegisgagusefulgtoolgduringginterviewsgforgthegpurposesgofgreflection,gsummoninggofgcoura
ge,gandgdisplayinggcompassion.gItgisgusuallygagcluegforgyougtoggogslowergandgnotgtogpushgtoogh
ard.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
4. Whichgtechniquegisgmostglikelygtogresultgingthegpatient'sgunderstandinggofgquestions?
a. Usegphrasesgthatgaregcommonlygusedgbygothergpatientsgingthegarea.
b. Usegthegpatient'sgowngtermsgifgpossible.
NURSINGTB.COM
, Seidel'sgGuidegtogPhysicalgExaminationg9thgEditiongBallgTestgBank
c. Useglanguagegthatgkeepsgthegpatientgfromgbeinggexpansiveginghisgorgherganswer.
d. Usegpropergmedicalgandgtechnicalgterminology.
e. Usegthegsimplestglanguagegpossible.
ANS:g B
Togensuregthatgyourgquestionsghavegbeengcorrectlygunderstood,gbegclear,gandgexplicitgwhilegusin
ggthegpatient'sgidiomgandglevelgofgunderstanding.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
5. Agpatientgbecomesgrestlessgduringgtheghistorygandgsays,g“Igdon'tghavegtimegforgallgofgthisgc
onversation.gI'veggotgtoggetgbackgtogwork.”gYourgmostgappropriategresponsegwouldgbegto:
a. stopgusinggopen-endedgquestionsgandgbecomegmoregdirect.
b. askganothergopen-endedgquestiongandginsistgonganganswer.
c. askgquestionsgaboutghisgangergandgmovegclosergtoghim.
d. acknowledgeghisgangergandgproceedgwithgtheghistorygandgexamination.
e. ignoreghisgdispleasuregandgbecomegmoregassertivegaboutggettingganswers.
ANS:g D
Thisgisgthegonlyganswergthatgresistsgthegtendencygforgpatientgmanipulation,gpursuesgtheginforma
tion,gandgconfrontsgthegpatient'sganger.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
6. Whengquestioninggagpatientgregardinggalcoholgintake,gshegtellsgyougthatgshegisg“onlygag
socialdrinker.”gWhichginitialgresponsegisgappropriate?
a. “I'mggladgthatgyougaregagresponsiblegdrinker.”
b. “ManygpeoplegwhogaregreN allyRalcIoholGicgsB
ay.th
CeyMaregsocialgdrinkers.”
U S N T
c. “Whatgamountgandgwhatgkindgofgalcoholgdogyougdrinkgingagweek?”
d. “Ifgyougonlygdrinkgsocially,gyougwon'tgneedgtogworrygaboutgalwaysghavinggag
designatedgdriver.”
e. “Dogthegothergpeoplegingyourghouseholdgconsumegalcohol?”
ANS:g C
Thisganswergclarifiesgthegpatient'sgowngtermgwithoutgaskinggagleadinggquestiongorgbeinggjudgm
ental.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
7. Ag50-year-
oldgmangcomesgtogthegprimarygcaregclinic.gHegtellsgyoughegisgworriedgbecausegheghasghadgsevere
gchestgpainsgforgthegpastg2gweeks.gWhichginitialghistoryginterviewgquestiongisgmostgappropriate
?
a. “Cangyougdescribegthegpain?”
b. “Thegpaingdoesn'tgradiategtogyourgarm,gdoesgit?”
c. “Havegyougbeengtreatedgforganxietygbefore?”
d. “Doesgyourgfatherghavegheartgdisease?”
e. “Aregthegpainsgworsegaftergyougeat?”
ANS:g A
Initially,gangopen-endedgquestiongisgagmoregappropriategresponse.g“Cangyougdescribegthegpain?”
NURSINGTB.COM
, Seidel'sgGuidegtogPhysicalgExaminationg9thgEditiongBallgTestgBank
isgangopen-endedgquestiongthatgoffersgcluesgtogthegchiefgconcern.
NURSINGTB.COM
Test Bank For Seidel's Guide to Physical Examination 9t
g g g g g g g gg
h g
Edition Ball g
Chapterg01:gThegHistorygandgInterviewinggProcess
Ball:gSeidel’sgGuidegtogPhysicalgExamination,g9thgEdition
MULTIPLEgCHOICE
1. Whichgquestiongwouldgbegconsideredgag“leadinggquestion?”
a. “Pleasegdescribeganygassociatedgsymptomsgwithgyourgheadaches?”
b. “Yougdon'tggetgheadachesgoften,gdogyou?”
c. “Whatgactivitiesgaffectgthegseveritygofgyourgheadaches?”
d. “Whatgtimesgofgthegdaygaregyourgheadachesgthegmostgsevere?”
e. “Whatgworriesgyougmostgaboutgyourgheadache?”
ANS:g B
Thisgquestiongwouldglimitgtheginformationgingthegpatient'sganswer.gThegothergchoicesgallowgtheg
patientgmoregdiscretiongaboutgthegextentgofganganswer.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
2. Whichgactiongwouldgbestgpromotegaccurategtranslationsgasgwellgasgconfidentialitygwhengtheg
caregivergdoesgnotgspeakgthegpatient'sglanguage?
a. Askgagpersongunfamiliargwithgthegpatientgtogtranslate.
b. Havegagfriendgofgthegpatientgtranslate.
c. Askgsimplegleadinggquestionsgthatgthegpatientgmaygunderstand.
d. Usegagneighborgasgtranslator.
e. Involvegthegfamilygwithgthegtranslation.
ANS:g A
Whengyougdognotgspeakgthegpatient'sglanguage,gfamilygmembersgorgfriendsgmaygposegagcommu
nicationgbarriergandgmayghavegissuesgofgconfidentiality;gagstrangergasganginterpretergislessgbiase
d.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
3. Periodsgofgsilencegduringgtheginterviewgcangservegimportantgpurposes,gsuchgas:
a. allowinggthegcliniciangtogcatchgupgongdocumentation.
b. givinggyougagcluegthatgyougshouldgspeedgupgtheginterview.
c. providinggtimegforgreflection.
d. increasinggtheglengthgofgthegvisit.
e. promotinggagcalmgenvironment.
NURSINGTB.COM
, Seidel'sgGuidegtogPhysicalgExaminationg9thgEditiongBallgTestgBank
ANS:g C
Silencegisgagusefulgtoolgduringginterviewsgforgthegpurposesgofgreflection,gsummoninggofgcoura
ge,gandgdisplayinggcompassion.gItgisgusuallygagcluegforgyougtoggogslowergandgnotgtogpushgtoogh
ard.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
4. Whichgtechniquegisgmostglikelygtogresultgingthegpatient'sgunderstandinggofgquestions?
a. Usegphrasesgthatgaregcommonlygusedgbygothergpatientsgingthegarea.
b. Usegthegpatient'sgowngtermsgifgpossible.
NURSINGTB.COM
, Seidel'sgGuidegtogPhysicalgExaminationg9thgEditiongBallgTestgBank
c. Useglanguagegthatgkeepsgthegpatientgfromgbeinggexpansiveginghisgorgherganswer.
d. Usegpropergmedicalgandgtechnicalgterminology.
e. Usegthegsimplestglanguagegpossible.
ANS:g B
Togensuregthatgyourgquestionsghavegbeengcorrectlygunderstood,gbegclear,gandgexplicitgwhilegusin
ggthegpatient'sgidiomgandglevelgofgunderstanding.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
5. Agpatientgbecomesgrestlessgduringgtheghistorygandgsays,g“Igdon'tghavegtimegforgallgofgthisgc
onversation.gI'veggotgtoggetgbackgtogwork.”gYourgmostgappropriategresponsegwouldgbegto:
a. stopgusinggopen-endedgquestionsgandgbecomegmoregdirect.
b. askganothergopen-endedgquestiongandginsistgonganganswer.
c. askgquestionsgaboutghisgangergandgmovegclosergtoghim.
d. acknowledgeghisgangergandgproceedgwithgtheghistorygandgexamination.
e. ignoreghisgdispleasuregandgbecomegmoregassertivegaboutggettingganswers.
ANS:g D
Thisgisgthegonlyganswergthatgresistsgthegtendencygforgpatientgmanipulation,gpursuesgtheginforma
tion,gandgconfrontsgthegpatient'sganger.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
6. Whengquestioninggagpatientgregardinggalcoholgintake,gshegtellsgyougthatgshegisg“onlygag
socialdrinker.”gWhichginitialgresponsegisgappropriate?
a. “I'mggladgthatgyougaregagresponsiblegdrinker.”
b. “ManygpeoplegwhogaregreN allyRalcIoholGicgsB
ay.th
CeyMaregsocialgdrinkers.”
U S N T
c. “Whatgamountgandgwhatgkindgofgalcoholgdogyougdrinkgingagweek?”
d. “Ifgyougonlygdrinkgsocially,gyougwon'tgneedgtogworrygaboutgalwaysghavinggag
designatedgdriver.”
e. “Dogthegothergpeoplegingyourghouseholdgconsumegalcohol?”
ANS:g C
Thisganswergclarifiesgthegpatient'sgowngtermgwithoutgaskinggagleadinggquestiongorgbeinggjudgm
ental.
TOP:g Discipline:gBehavioralgScience MSC:g OrgangSystem:gGeneral
7. Ag50-year-
oldgmangcomesgtogthegprimarygcaregclinic.gHegtellsgyoughegisgworriedgbecausegheghasghadgsevere
gchestgpainsgforgthegpastg2gweeks.gWhichginitialghistoryginterviewgquestiongisgmostgappropriate
?
a. “Cangyougdescribegthegpain?”
b. “Thegpaingdoesn'tgradiategtogyourgarm,gdoesgit?”
c. “Havegyougbeengtreatedgforganxietygbefore?”
d. “Doesgyourgfatherghavegheartgdisease?”
e. “Aregthegpainsgworsegaftergyougeat?”
ANS:g A
Initially,gangopen-endedgquestiongisgagmoregappropriategresponse.g“Cangyougdescribegthegpain?”
NURSINGTB.COM
, Seidel'sgGuidegtogPhysicalgExaminationg9thgEditiongBallgTestgBank
isgangopen-endedgquestiongthatgoffersgcluesgtogthegchiefgconcern.
NURSINGTB.COM
