Chapter 12: History Taking
b b b
Adler: Introduction to Radiologic and Imaging Sciences and Patient Care, 8th Edition
b b b b b b b b b b b
MULTIPLEbCHOICE
1. Whenbtakingbabpatientbhistory,bitbisbimportantbto
a. remainbimpersonalbandbshowblittlebemotionborbempathybtowardbthebpatient.
b. consistentlybcallbthebpatientbbybhisborbherbfirstbnamebtobestablishbpatientbrapport.
c. maintainbabpolitebandbprofessionalbdemeanorbwhenbgatheringbinformation.
d. makebabmentalbnotebofbthebpatient’sbmannerismsbtobsharebwithbthebradiologist.
ANS:b b C
Becausebhistorybtakingbisbonebofbthebmostbcriticalbandbvaluablebdiagnosticbtools,bpossessingbgo
odbhistory-
takingbskillsbisbanbessentialbresponsibilitybofbthebradiologicbandbimagingbsciencesbprofessionalb
andbrequiresbabpolitebandbprofessionalbdemeanorbduringbthebinterview.
REF: p.b157
2. Inbpreparingbtobradiographbabpatientbwhobhasbcomebtobthebmedicalbimagingbdepartmentbwithbabc
omplaintbofbabdominalbpain,byoubbeginbtobquestionbthebpatientbasbpartbofbthebhistory.bAbgoodbini
tialbquestionbtobaskbthebpatientbwouldbbe
a. “Canbyoubratebthebpainbonbabscalebfrombonebtobfive?”
b. “Canbyoubtellbmebaboutbthebnaturebofbyourbpain?”
c. “Yourbrequestbstatesbthatbyoubhavebstomachbpain,bisbthatbcorrect?”
d. “Doesbanyonebinbyourbfamilybhavebsimilarbpain?”
ANS:b b B
Allbhistoriesbshouldbbeginbwithbopen-
endedbquestionsbtobencouragebthebpatient’sbspontaneousbassociationsbaboutbthebclinicalbproblem.bT
hebusebofbleadingbquestionsbshouldbbebavoidedbwheneverbpossiblebbecausebtheybintroducebbiasesbin
tobthebhistory.
REF: p.b158
3. Anbimportantbpiecebofbinformationbregardingbabpatient’sbneedbforbmedicalbcarebisbsoughtbbybp
hysiciansbandbmedicalbprofessionals.bManybtimes,bpatientsbarebvaguebaboutbtheirbpainborbrea
sonbforbseeingbthebdoctor.bItbisbimportantbtobdiscoverbthebpatient’sb
forbseekingbme
dicalbcare.
a. chiefbcomplaint
b. painbthreshold
c. tolerance
d. primarybreason
ANS:b b A
Physiciansbattemptbtobdeterminebthebpatient’sbchiefbcomplaint.bThisbeffortbisbvaluablebbecauseb
itbfocusesbthebhistorybtowardbthebsinglebmostbimportantbissue.bInbmanybinstances,bthebchiefbco
mplaintbisbdirectlybrelatedbtobthebfirstbsymptombthatbisbdiscussed.
REF: p.b158
,4. InbthebprocessbofbquestioningbabpatientbaboutbthebreasonbforbhavingbthebrequestedbX-
raybexamination,bthebpatientbbecomesbirritatedbandbcomplainsbthatbsheb“isbgettingbprettybtiredb
ofbsayingbthebsamebthingsboverbandboverbtoballbthesebnurses.”bAnbeffectivebmethodbtobdealbwit
hbthisbpatient’sbattitudebwouldbbebto
a. allowbthebpatientbtobsignbabstatementbdecliningbtobanswerbquestions.
b. askbthebpatientbwhatbpiecesbofbinformationbothersbhaveblearned.
c. limitbthebquestioningbtobsimpleb“YesborbNo”banswers.
d. explainbthatbeachbpersonbisbaskingbquestionsbspecificbtobtheirbpatientbcarebtask.
ANS:b b D
Abusefulbtoolbisbtobrepeatbinformationbobtainedbasbabpartbofbthebhistorybforbtwobreasons:btobverif
ybthatbthebradiologicbtechnologistbhasbperceivedbthebinformationbcorrectlybandbtobensurebthatbth
ebpatientbhasbnotbchangedbhisborbherbmind.bAskingbforblikebinformationbfrombdifferentbpeoplebc
anboftenbrevealbnewbinformation.
REF: p.b158
5. Goodbhistorybtakingbinvolvesbthebcollectionbofbobjectivebandbsubjectivebdata.bAllbofbthebf
ollowingbarebexamplesbofbsubjectivebdatabexceptbthebpatient’s
a. emotions.
b. respiratorybrate.
c. speechbpattern.
d. abilitybtobfollowbyourbinstructions.
ANS:b b B
Objectivebdatabarebperceptiblebtobthebsenses,bsuchbasbsignsbthatbcanbbebseen,bheard,borbfeltbandbs
uchbthingsbasblaboratorybreports.bSubjectivebdatabpertainbtoborbarebperceivedbbybthebaffectedbind
ividualbonly.bRespiratorybratebisbabphysiologicbmeasurementbandbconsideredbobjectivebdata.
REF: p.b157
6. Objectivebdatabregardingbabpatient’sbhistory
a. arebmorebimportantbthanbsubjectivebdata.
b. dealbwithbabpatient’sbfeelings.
c. consistbofbabpatient’sbvitalbsigns.
d. arebanbeffectivebwaybtobexplainbthebpatient’sbpainblevel.
ANS:b b C
Objectivebdatabarebperceptiblebtobthebsenses,bsuchbasbsignsbthatbcanbbebseen,bheard,borbfeltbandbs
uchbthingsbasblaboratorybreports.bManybobjectivebsignsbarebphysiologicbmeasurementsbsuchbasb
temperature,bpulse,brespiration,bandbbloodbpressure.
REF: p.b157
7. Whenbaskingbaboutbabpatient’sbpain,bitbisbeffectivebto
a. identifybthebthreeb(3)bmostbcommonbareasbforbpatientbpain.
b. assurebthebpatientbthatbquestionsbaboutbpainbarebrequiredbandbstandardbquestions.
c. askbthebpatientbifbpainbisbinbthebabdomen.
d. askbthebpatientbtobpointbtoborbtouchbthebareabthatbhurtsbandbrecordbthebinformation.
, ANS:b b D
Localizationbisbdefiningbasbexactbandbprecisebanbareabasbpossiblebforbthebpatient’sbcomplaint.bT
wobtypesbofbtouchbthatbthebradiologicbandbimagingbsciencesbprofessionalbcommonlybusesbinbga
theringbabclinicalbhistorybareb(1)btouchingbforbemphasisbandb(2)btouchingbforbpalpation.
Touchingbforbemphasisbinvolvesbusingbtouchbtobhighlightborbtobspecifybinstructionsborbspecifybl
ocations.bAbhistorybcanbbebclarifiedbbybablightbtouchbtobspecifybthebregion.
REF:b b pp.b158-159
8. Whenbquestioningbpatientsbtobobtainbanbaccuratebpatientbhistory,
a. keepbyourbquestionsbgeneralbinbnaturebsobasbnotbtoboffendbthebpatient.
b. startbwithbopen-endedbquestionsbandbthenbfollowbupbwithbmorebdirectbinquiries.
c. dobnotbletbthebpatientbtalkbtoobmuchbinborderbtobkeepbthebexaminationbmoving.
d. usebshortbquestionsbthatbarebspecificbtobtheirbsuspectedbmedicalbcondition.
ANS:b b B
Allbhistoriesbshouldbbeginbwithbopen-
endedbquestionsbtobencouragebthebpatient’sbspontaneousbassociationsbaboutbthebclinicalbproble
m.bAnswersbtobthesebquestionsbcanboftenbenablebmorebdirect,bprobingbquestionsbforbclarificatio
nbandbprecision.
REF: p.b158
9. Itbwouldbbebinappropriatebto
a. repeatbthebpatient’sbcommentsbregardingbthebsymptomsbtobkeepbthebexaminationbt
imebshort.
b. callbthebpatientbbybhisborbherbsurnameb(precededbbybMr.,bMs.,borbMrs.)btobestablishbabp
rofessionalbimage.
c. askbthebpatientbleadingbquestionsbregardingbhisborbherbsymptoms.
d. describebthebpatient’sbsymptomsbtobthebradiologistbinbprecisebmedicalbterms.
ANS:b b C
Thebusebofbleadingbquestionsbshouldbbebavoidedbwheneverbpossiblebbecausebtheybintroducebbia
sesbintobthebhistory.
REF: p.b158
10. Asbabpatientbbeginsbtobexplainbtheirbreasonsbforbcomingbtobthebclinicbforbabradiographicbexamin
ation,btheybbeginbtobusebmedicalbtermsbtobdescribebconditions.bThebinformationbappearsbtobbeba
ccuratebmedicallybandbhelpsbclarifybtheirbsymptoms.bTobdealbwithbthisbpatient,byoubshould
a. politelyblisten,brecordbtheirbcomments,bandbrepeatbthebstatementsbtobclarify.
b. askbaboutbtheirbapparentbmedicalbbackgroundbandbtellbthebradiologist.
c. beginbthebprocedurebasbitbisbsafebtobassumebtheybknowbwhatbthey’rebtalkingbabout.
d. disregardbthebinformationbandbrecordbyourbimpressionsbofbhiddenbsymptoms.
ANS:b b A
Thebabilitybtobassessbthebpatient’sbbackgroundbcanbbebabdifficultbskillbtobdevelop.bProbablybth
ebmostbhelpfulbtechniquebisbtobbeginbwithbabquestionbthatbprovidesbanbopportunitybforbthebpatie
ntbtobrespondbinbabmannerbthatbreflectsbhisborbherblifebexperiencebandbeducationalbbackground.
, REF: p.b158
11. Whichbofbthebfollowingbisbnotbonebofbthebsacredbsevenbofbmedicalbhistories?
a. Severity
b. Familybhistory
c. Onset
d. Chronology
ANS:b b B
Thebinterviewer’sbrolebisbtobcollectbabfocusedbhistorybspecificbtobthebprocedurebthatbisbtobbebperform
ed.bSevenbelementsbarebrecognizedbforbabcompletebhistory.bThesebelementsbareboftenbreferredbtobasbt
hebsacredbseven.bTheybareblocalization,bchronology,bquality,bseverity,bonset,baggravatingborballevia
tingbfactors,bandbassociatedbmanifestations.
REF: p.b158
12. Inbdeterminingbabpatient’sbdescriptionbofbtheirbpain,babgoodbquestionbtobaskbwouldbbe
a. “Howbwouldbyoubdescribebthebpain?”
b. “Whenbdidbthebpainbfirstbhappen?”
c. “Ifbthebpainbcomesbandbgoes,bhowboftenbdoesbitboccur,bandbwhatbisbthebtimebspanbb
etweenboccurrences?”
d. Allbofbthese
ANS:b b D
Allbhistoriesbshouldbbeginbwithbopen-
endedbquestionsbtobencouragebthebpatient’sbspontaneousbassociationsbaboutbthebclinicalbproble
m.bAllbofbthebchoicesbinbthisbquestionbarebopen-
endedbtypesbofbquestionsbandbdealbwithbabSacredbSevenbpiecebofbinformation.
REF: p.b158
13. Whenbtakingbabpatientbhistory,babcompetentbradiologicbandbimagingbsciencesbprofessional
a. relatesbtheirbpersonalbexperiencesbtobthebpatient’s,bwhenbtakingbabhistory.
b. usesbthebpatient’sbnicknamebtobencouragebabmorebpersonalbandbintimateb
atmosphere.
c. reliesbexclusivelybonbobjectivebpatientbdatabsobasbnotbtobbiasbthebpatientbhistory.
d. doesbnonebofbthese.
ANS:b b D
Takingbabhistorybmustbbebabcooperativebeventbbetweenbthebpatientbandbthebradiologicbandbimagi
ngbsciencesbprofessional.bYoubshouldbmaintainbabpolitebandbprofessionalbdemeanorbduringbtheb
interview.bUsingb“petbnames”bandbnicknamesbforbthebpatientbisbunprofessionalbandboftenboffen
sive.bHistorybtakingbnecessarilybisbabprecisebprocessbthatbconsistsbofbbothbobjectivebandbsubjecti
vebdata.
REF: p.b157
b b b
Adler: Introduction to Radiologic and Imaging Sciences and Patient Care, 8th Edition
b b b b b b b b b b b
MULTIPLEbCHOICE
1. Whenbtakingbabpatientbhistory,bitbisbimportantbto
a. remainbimpersonalbandbshowblittlebemotionborbempathybtowardbthebpatient.
b. consistentlybcallbthebpatientbbybhisborbherbfirstbnamebtobestablishbpatientbrapport.
c. maintainbabpolitebandbprofessionalbdemeanorbwhenbgatheringbinformation.
d. makebabmentalbnotebofbthebpatient’sbmannerismsbtobsharebwithbthebradiologist.
ANS:b b C
Becausebhistorybtakingbisbonebofbthebmostbcriticalbandbvaluablebdiagnosticbtools,bpossessingbgo
odbhistory-
takingbskillsbisbanbessentialbresponsibilitybofbthebradiologicbandbimagingbsciencesbprofessionalb
andbrequiresbabpolitebandbprofessionalbdemeanorbduringbthebinterview.
REF: p.b157
2. Inbpreparingbtobradiographbabpatientbwhobhasbcomebtobthebmedicalbimagingbdepartmentbwithbabc
omplaintbofbabdominalbpain,byoubbeginbtobquestionbthebpatientbasbpartbofbthebhistory.bAbgoodbini
tialbquestionbtobaskbthebpatientbwouldbbe
a. “Canbyoubratebthebpainbonbabscalebfrombonebtobfive?”
b. “Canbyoubtellbmebaboutbthebnaturebofbyourbpain?”
c. “Yourbrequestbstatesbthatbyoubhavebstomachbpain,bisbthatbcorrect?”
d. “Doesbanyonebinbyourbfamilybhavebsimilarbpain?”
ANS:b b B
Allbhistoriesbshouldbbeginbwithbopen-
endedbquestionsbtobencouragebthebpatient’sbspontaneousbassociationsbaboutbthebclinicalbproblem.bT
hebusebofbleadingbquestionsbshouldbbebavoidedbwheneverbpossiblebbecausebtheybintroducebbiasesbin
tobthebhistory.
REF: p.b158
3. Anbimportantbpiecebofbinformationbregardingbabpatient’sbneedbforbmedicalbcarebisbsoughtbbybp
hysiciansbandbmedicalbprofessionals.bManybtimes,bpatientsbarebvaguebaboutbtheirbpainborbrea
sonbforbseeingbthebdoctor.bItbisbimportantbtobdiscoverbthebpatient’sb
forbseekingbme
dicalbcare.
a. chiefbcomplaint
b. painbthreshold
c. tolerance
d. primarybreason
ANS:b b A
Physiciansbattemptbtobdeterminebthebpatient’sbchiefbcomplaint.bThisbeffortbisbvaluablebbecauseb
itbfocusesbthebhistorybtowardbthebsinglebmostbimportantbissue.bInbmanybinstances,bthebchiefbco
mplaintbisbdirectlybrelatedbtobthebfirstbsymptombthatbisbdiscussed.
REF: p.b158
,4. InbthebprocessbofbquestioningbabpatientbaboutbthebreasonbforbhavingbthebrequestedbX-
raybexamination,bthebpatientbbecomesbirritatedbandbcomplainsbthatbsheb“isbgettingbprettybtiredb
ofbsayingbthebsamebthingsboverbandboverbtoballbthesebnurses.”bAnbeffectivebmethodbtobdealbwit
hbthisbpatient’sbattitudebwouldbbebto
a. allowbthebpatientbtobsignbabstatementbdecliningbtobanswerbquestions.
b. askbthebpatientbwhatbpiecesbofbinformationbothersbhaveblearned.
c. limitbthebquestioningbtobsimpleb“YesborbNo”banswers.
d. explainbthatbeachbpersonbisbaskingbquestionsbspecificbtobtheirbpatientbcarebtask.
ANS:b b D
Abusefulbtoolbisbtobrepeatbinformationbobtainedbasbabpartbofbthebhistorybforbtwobreasons:btobverif
ybthatbthebradiologicbtechnologistbhasbperceivedbthebinformationbcorrectlybandbtobensurebthatbth
ebpatientbhasbnotbchangedbhisborbherbmind.bAskingbforblikebinformationbfrombdifferentbpeoplebc
anboftenbrevealbnewbinformation.
REF: p.b158
5. Goodbhistorybtakingbinvolvesbthebcollectionbofbobjectivebandbsubjectivebdata.bAllbofbthebf
ollowingbarebexamplesbofbsubjectivebdatabexceptbthebpatient’s
a. emotions.
b. respiratorybrate.
c. speechbpattern.
d. abilitybtobfollowbyourbinstructions.
ANS:b b B
Objectivebdatabarebperceptiblebtobthebsenses,bsuchbasbsignsbthatbcanbbebseen,bheard,borbfeltbandbs
uchbthingsbasblaboratorybreports.bSubjectivebdatabpertainbtoborbarebperceivedbbybthebaffectedbind
ividualbonly.bRespiratorybratebisbabphysiologicbmeasurementbandbconsideredbobjectivebdata.
REF: p.b157
6. Objectivebdatabregardingbabpatient’sbhistory
a. arebmorebimportantbthanbsubjectivebdata.
b. dealbwithbabpatient’sbfeelings.
c. consistbofbabpatient’sbvitalbsigns.
d. arebanbeffectivebwaybtobexplainbthebpatient’sbpainblevel.
ANS:b b C
Objectivebdatabarebperceptiblebtobthebsenses,bsuchbasbsignsbthatbcanbbebseen,bheard,borbfeltbandbs
uchbthingsbasblaboratorybreports.bManybobjectivebsignsbarebphysiologicbmeasurementsbsuchbasb
temperature,bpulse,brespiration,bandbbloodbpressure.
REF: p.b157
7. Whenbaskingbaboutbabpatient’sbpain,bitbisbeffectivebto
a. identifybthebthreeb(3)bmostbcommonbareasbforbpatientbpain.
b. assurebthebpatientbthatbquestionsbaboutbpainbarebrequiredbandbstandardbquestions.
c. askbthebpatientbifbpainbisbinbthebabdomen.
d. askbthebpatientbtobpointbtoborbtouchbthebareabthatbhurtsbandbrecordbthebinformation.
, ANS:b b D
Localizationbisbdefiningbasbexactbandbprecisebanbareabasbpossiblebforbthebpatient’sbcomplaint.bT
wobtypesbofbtouchbthatbthebradiologicbandbimagingbsciencesbprofessionalbcommonlybusesbinbga
theringbabclinicalbhistorybareb(1)btouchingbforbemphasisbandb(2)btouchingbforbpalpation.
Touchingbforbemphasisbinvolvesbusingbtouchbtobhighlightborbtobspecifybinstructionsborbspecifybl
ocations.bAbhistorybcanbbebclarifiedbbybablightbtouchbtobspecifybthebregion.
REF:b b pp.b158-159
8. Whenbquestioningbpatientsbtobobtainbanbaccuratebpatientbhistory,
a. keepbyourbquestionsbgeneralbinbnaturebsobasbnotbtoboffendbthebpatient.
b. startbwithbopen-endedbquestionsbandbthenbfollowbupbwithbmorebdirectbinquiries.
c. dobnotbletbthebpatientbtalkbtoobmuchbinborderbtobkeepbthebexaminationbmoving.
d. usebshortbquestionsbthatbarebspecificbtobtheirbsuspectedbmedicalbcondition.
ANS:b b B
Allbhistoriesbshouldbbeginbwithbopen-
endedbquestionsbtobencouragebthebpatient’sbspontaneousbassociationsbaboutbthebclinicalbproble
m.bAnswersbtobthesebquestionsbcanboftenbenablebmorebdirect,bprobingbquestionsbforbclarificatio
nbandbprecision.
REF: p.b158
9. Itbwouldbbebinappropriatebto
a. repeatbthebpatient’sbcommentsbregardingbthebsymptomsbtobkeepbthebexaminationbt
imebshort.
b. callbthebpatientbbybhisborbherbsurnameb(precededbbybMr.,bMs.,borbMrs.)btobestablishbabp
rofessionalbimage.
c. askbthebpatientbleadingbquestionsbregardingbhisborbherbsymptoms.
d. describebthebpatient’sbsymptomsbtobthebradiologistbinbprecisebmedicalbterms.
ANS:b b C
Thebusebofbleadingbquestionsbshouldbbebavoidedbwheneverbpossiblebbecausebtheybintroducebbia
sesbintobthebhistory.
REF: p.b158
10. Asbabpatientbbeginsbtobexplainbtheirbreasonsbforbcomingbtobthebclinicbforbabradiographicbexamin
ation,btheybbeginbtobusebmedicalbtermsbtobdescribebconditions.bThebinformationbappearsbtobbeba
ccuratebmedicallybandbhelpsbclarifybtheirbsymptoms.bTobdealbwithbthisbpatient,byoubshould
a. politelyblisten,brecordbtheirbcomments,bandbrepeatbthebstatementsbtobclarify.
b. askbaboutbtheirbapparentbmedicalbbackgroundbandbtellbthebradiologist.
c. beginbthebprocedurebasbitbisbsafebtobassumebtheybknowbwhatbthey’rebtalkingbabout.
d. disregardbthebinformationbandbrecordbyourbimpressionsbofbhiddenbsymptoms.
ANS:b b A
Thebabilitybtobassessbthebpatient’sbbackgroundbcanbbebabdifficultbskillbtobdevelop.bProbablybth
ebmostbhelpfulbtechniquebisbtobbeginbwithbabquestionbthatbprovidesbanbopportunitybforbthebpatie
ntbtobrespondbinbabmannerbthatbreflectsbhisborbherblifebexperiencebandbeducationalbbackground.
, REF: p.b158
11. Whichbofbthebfollowingbisbnotbonebofbthebsacredbsevenbofbmedicalbhistories?
a. Severity
b. Familybhistory
c. Onset
d. Chronology
ANS:b b B
Thebinterviewer’sbrolebisbtobcollectbabfocusedbhistorybspecificbtobthebprocedurebthatbisbtobbebperform
ed.bSevenbelementsbarebrecognizedbforbabcompletebhistory.bThesebelementsbareboftenbreferredbtobasbt
hebsacredbseven.bTheybareblocalization,bchronology,bquality,bseverity,bonset,baggravatingborballevia
tingbfactors,bandbassociatedbmanifestations.
REF: p.b158
12. Inbdeterminingbabpatient’sbdescriptionbofbtheirbpain,babgoodbquestionbtobaskbwouldbbe
a. “Howbwouldbyoubdescribebthebpain?”
b. “Whenbdidbthebpainbfirstbhappen?”
c. “Ifbthebpainbcomesbandbgoes,bhowboftenbdoesbitboccur,bandbwhatbisbthebtimebspanbb
etweenboccurrences?”
d. Allbofbthese
ANS:b b D
Allbhistoriesbshouldbbeginbwithbopen-
endedbquestionsbtobencouragebthebpatient’sbspontaneousbassociationsbaboutbthebclinicalbproble
m.bAllbofbthebchoicesbinbthisbquestionbarebopen-
endedbtypesbofbquestionsbandbdealbwithbabSacredbSevenbpiecebofbinformation.
REF: p.b158
13. Whenbtakingbabpatientbhistory,babcompetentbradiologicbandbimagingbsciencesbprofessional
a. relatesbtheirbpersonalbexperiencesbtobthebpatient’s,bwhenbtakingbabhistory.
b. usesbthebpatient’sbnicknamebtobencouragebabmorebpersonalbandbintimateb
atmosphere.
c. reliesbexclusivelybonbobjectivebpatientbdatabsobasbnotbtobbiasbthebpatientbhistory.
d. doesbnonebofbthese.
ANS:b b D
Takingbabhistorybmustbbebabcooperativebeventbbetweenbthebpatientbandbthebradiologicbandbimagi
ngbsciencesbprofessional.bYoubshouldbmaintainbabpolitebandbprofessionalbdemeanorbduringbtheb
interview.bUsingb“petbnames”bandbnicknamesbforbthebpatientbisbunprofessionalbandboftenboffen
sive.bHistorybtakingbnecessarilybisbabprecisebprocessbthatbconsistsbofbbothbobjectivebandbsubjecti
vebdata.
REF: p.b157
