Guideg tog Physicalg Examinationg -Testg Bank
Chapterg 01:g Theg Historyg andg Interviewingg Processg B
all:g Seidelg Gg ide Phg icalg Eg ag ig ag ig ,g 9g hg Edig i
MULTIPLEg CHOICE
1.g g Which eg i ldg beg c ideg edg ag leadig g e i ?
a. Pleag eg de cg ibeg a a ciag ed m mg i g h headacheg ?
b. Y d geg headacheg fg eg ,g d ?
c. Whag acg i ig ieg affecg heg eg eg i f headacheg ?
d. Whag ime fg heg dag ag e headacheg heg m eg eg e?
e. Wha ie m ab headache?
ANS:g B
Thig eg ig ldg limig heg ig fg mag ig ig heg ag ieg ag eg .g Theg heg chg iceg allg heg patientg moregdis
cretiong aboutg theg extentg ofg ang answer.
TOP:g Discipline:g Behavioralg Scienceg g g g MSC:g Organg System:g General
2. Whichg actiong wouldg bestg promoteg accurateg translationsg asg wellg asg confidentialityg wheng
theg cag egig eg dg e eakg heg ag ieg lag gg age?
a. Askg ag persong unfamiliarg withg theg patientg tog translate.
b. Haveg ag friendg ofg theg patientg translate.
c. Askg simpleg leadingg questionsg thatg theg patientg mayg understand.
d. Useg ag neighborg asg translator.
e. Involveg theg familyg withg theg translation.
ANS:g A NURSINGTB.COM
Whe d
eakghegagieg lagggage,gfamilgmembeg g fgiegdgmag g egagcommunicationgbarrie
rgandgmayghavegissuesgofgconfidentiality;gagstrangergasganginterpreterg isg lessg biased.
TOP:g Discipline:g Behavioralg Scienceg g g g MSC:g Organg System:g General
3. Periodsg ofg silenceg duringg theg interviewg cang serveg importantg purposes,g suchg as:
a. allowingg theg cliniciang tog catchg upg ong documentation.
b. givingg youg ag clueg thatg youg shouldg speedg upg theg interview.
c. providingg timeg forg reflection.
d. increasingg theg lengthg ofg theg visit.
e. promotingg ag calmg environment.
ANS:g C
, Seidel'sg Guideg tog Physicalg Examinationg 9thg Editiong Ballg Testg Ban
k
Silenceg isg ag usefulg toolg duringg interviewsg forg theg purposesg ofg reflection,g summoning
ofg courage,g andg displayingg compassion.g Itg isg usuallyg ag clueg forg youg tog gog slowerg an
dgnotg tog pushg toog hard.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
4. Whichg echg ig eg ig m likel e lg ig heg ag ie de ag dig gg f eg i ?
a. Useg phrasesg thatg areg commonlyg usedg byg otherg patientsg ing theg area.
b. Ug eg heg ag ie eg mg if ible.
c. Useg languageg thatg keepsg theg patientg fromg beingg expansiveg ing hisg org herg answer.
d. Useg properg medicalg andg technicalg terminology.
e. Useg theg simplestg languageg possible.
ANS:g B
Tog ensureg thatg yourg questionsg haveg beeng correctlyg understood,g beg clear,g andg ex
plicitg whileg ig gg heg ag ieg idig mg ag dg leg elg fg deg ag dig g.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
5. Ag ag ie becg meg eg leg d ig gg heg hi ag dg a,g Ig d hag eg imeg f
allg ofg thisgc eg ag i .g Ig eg g geg back k.g Y m a
iag eg e e ldg be :
a. stopg usingg open-endedg questionsg andg becomeg moreg direct.
b. askg anotherg open-endedg questiong andg insistg ong ang answer.
c. askg questionsg aboutg hisg angerg andg moveg closerg tog him.
d. acknowledgeg hisg angerg andg proceedg withg theg historyg andg examination.
e. ignoreg hisg displeasureg andg becomeg moreg assertiveg aboutg gettingg answers.
ANS:g D
Thisg isg theg onlyg answerg thatg resistsg theg tendencyg forg patientg manipulation,g purs
uesg theg ig fg mag ig ,g ag dg cg fg heg ag ieg ag geg .
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
6. Wheg eg ig ig gg ag ag ieg egag dig gg alcg hg lg ig ake,g heg ell
hag heg ig lg ag cialg dg ig keg .g Whichg
igig ialg eg eg ig ag iag e?
a. Ig mg gladg ha ag eg ag e ibleg dg ig keg .
MaWhag amg eleg hg ag eg eallg alcg hg licg ag heg ag e ag dg hag kig dg fg alcg hg lg d
b.c.
NURSINGTB.COMgdg ig kg ig ag eek?cialg dig keg .
d. If lg dg ig kg ciallg , eed abg alg ag hag ig gg ag deg igg ag edg dg ig eg .
e. Dg heg heg e leg i h ehg ldg c meg alcg hg l?
ANS:g C
, Guideg tog Physicalg Examinationg -Testg Bank
Thig a eg clag ifieg heg ag ie eg mg ig h ag kig gg ag leadig g eg i
beig ggjudgmental.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
7. Ag 50-year-
oldg mang comesg tog theg primaryg careg clinic.g Heg tellsg youg heg isg worriedgbecauseg
heg hasg hadg severeg chestg painsg forg theg pastg 2g weeks.g Whichg initialg historygintervi
ewg questiong isg most
appropriate?
a. Ca deg cg ibeg heg aig ?
b. Theg aig dg e adiag e ag m,g dg eg ig ?
c. Hag e beeg eag edg f a ie bef e?
d. Dg e fag heg hag eg heag dig eag e?
e. Ag eg heg ai eg afg e eag ?
ANS:g A
Initially,g ang open-eg dedg eg ig ig ag mg eg ag iag eg eg e.g Ca
deg cg ibeg heg aig ?g isg ang open
-g endedg questiong thatg offersg cluesg tog theg chiefg concern.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
8. Mg .g A.g ag eg ,g Mg lifeg ig j
aig fg l.g Ig ig hg ig .g Sheg ag eag deg eg ed.g Whichg eg ofg t
hegfollowingg statementsg isg theg mostg appropriateg caregiverg response?
a. T hig kg ab heg gg dg hig gg ig life.
b. Y h ld feelg hag ag ;g l kg ag allg heg gg dg hig gg i life.
c. Y ca meag ha eg ag ig g.
d. If hig kg ab ig , hig gg i hg geg ig gg hi eg ab .
e. Whag ig lifeg ig ca ig g chg aig ?
ANS:g E
Specificg yetg open-
endedg questionsg areg bestg usedg wheng theg patientg hasg feelingsg ofg lossgofg self-
worthg andg depression.g Theg otherg responsesg hurryg theg patientg andg offerg superficialg ass
urance.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
9. Duringg ang interview,g youg haveg theg impressiong thatg ag patientg mayg beg consideringg
suicide.
Whichg actiong isg essential?
a. Immediatelyg beging proceedingsg forg ang involuntaryg commitment.
b. Askg whetherg theg patientg hasg consideredg self-harm.
c. Askg whetherg theg patientg wouldg likeg tog visitg ag psychiatrist.
d. Rec dg heg im e i ig heg ag ie chag ag dg efeg heg ag ie
fghospitalization.
e. Avoidg directlyg confrontingg theg patientg regardingg yourg impression.
, Seidel'sg Guideg tog Physicalg Examinationg 9thg Editiong Ballg Testg Ban
k
ANS:g B
Ifg youg thinkg theg patientg mayg beg consideringg suicide,g heg org sheg probablyg is.g
Mentioningg itg givesg NURSINGTB.COMggpermissiong tog talkg aboutg it.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
10. Youg areg collectingg ag historyg fromg ang 11-year-
oldg girl.g Herg motherg isg sittingg nextg tog herging theg examinationg room.g Wheng collecting
g historyg fromg olderg childreng org adolescents,gtheyg should:g a.g neverg beg interviewedg alo
neg becauseg thisg mayg alienateg theg parent.
b. beg mailedg ag questionnaireg ing advanceg tog avoidg theg needg forg herg tog talk.
c. beg giveng theg opportunityg tog beg interviewedg withoutg theg parentg atg someg point.
d. beg allowedg tog directg theg flowg ofg theg interview.
e. beg ignoredg whileg youg addressg allg questionsg tog theg parent.
ANS:g C
Ang olderg childg shouldg beg giveng theg opportunityg tog giveg informationg directly.g Thisg enha
ncesg theg probabilityg thatg theg childg willg followg yourg advice.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
11. Wheng communicatingg withg olderg childreng andg teenagers,g youg shouldg beg sensitiveg tog
their:
a. ag e eedg .
b. naturalg urgeg tog communicate.
c. needg forg verbalg instructions.
d. typicalg reluctanceg tog talk.
e. desireg forg adultg companionship.
ANS:g D
Adolescentsg areg usuallyg reluctantg tog talk;g therefore,g theg providerg shouldg clearlyg communi
categ ag respectg forg theirg confidentiality.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
12. Wheng youg suspectg thatg yourg 81-year-oldg patientg hasg short-
termg memoryg lossg becauseg heg cannotg rememberg whatg heg hadg forg breakfast,g youg shoul
d:g a.g orderg ag neurologyg consult.
b. stopg allg ofg hisg medications.
c. continueg tog pressg theg patientg forg appropriateg answers.
d. validateg theg concerng withg hisg familyg org caregivers.
e. dismissg theg findingg asg ag normalg age-relatedg change.
ANS:g D
Wheng olderg adultsg experienceg memoryg lossg forg recentg events,g consultg otherg familyg mem
bersg tog clarifyg discrepanciesg org tog fillg ing theg gaps.
Chapterg 01:g Theg Historyg andg Interviewingg Processg B
all:g Seidelg Gg ide Phg icalg Eg ag ig ag ig ,g 9g hg Edig i
MULTIPLEg CHOICE
1.g g Which eg i ldg beg c ideg edg ag leadig g e i ?
a. Pleag eg de cg ibeg a a ciag ed m mg i g h headacheg ?
b. Y d geg headacheg fg eg ,g d ?
c. Whag acg i ig ieg affecg heg eg eg i f headacheg ?
d. Whag ime fg heg dag ag e headacheg heg m eg eg e?
e. Wha ie m ab headache?
ANS:g B
Thig eg ig ldg limig heg ig fg mag ig ig heg ag ieg ag eg .g Theg heg chg iceg allg heg patientg moregdis
cretiong aboutg theg extentg ofg ang answer.
TOP:g Discipline:g Behavioralg Scienceg g g g MSC:g Organg System:g General
2. Whichg actiong wouldg bestg promoteg accurateg translationsg asg wellg asg confidentialityg wheng
theg cag egig eg dg e eakg heg ag ieg lag gg age?
a. Askg ag persong unfamiliarg withg theg patientg tog translate.
b. Haveg ag friendg ofg theg patientg translate.
c. Askg simpleg leadingg questionsg thatg theg patientg mayg understand.
d. Useg ag neighborg asg translator.
e. Involveg theg familyg withg theg translation.
ANS:g A NURSINGTB.COM
Whe d
eakghegagieg lagggage,gfamilgmembeg g fgiegdgmag g egagcommunicationgbarrie
rgandgmayghavegissuesgofgconfidentiality;gagstrangergasganginterpreterg isg lessg biased.
TOP:g Discipline:g Behavioralg Scienceg g g g MSC:g Organg System:g General
3. Periodsg ofg silenceg duringg theg interviewg cang serveg importantg purposes,g suchg as:
a. allowingg theg cliniciang tog catchg upg ong documentation.
b. givingg youg ag clueg thatg youg shouldg speedg upg theg interview.
c. providingg timeg forg reflection.
d. increasingg theg lengthg ofg theg visit.
e. promotingg ag calmg environment.
ANS:g C
, Seidel'sg Guideg tog Physicalg Examinationg 9thg Editiong Ballg Testg Ban
k
Silenceg isg ag usefulg toolg duringg interviewsg forg theg purposesg ofg reflection,g summoning
ofg courage,g andg displayingg compassion.g Itg isg usuallyg ag clueg forg youg tog gog slowerg an
dgnotg tog pushg toog hard.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
4. Whichg echg ig eg ig m likel e lg ig heg ag ie de ag dig gg f eg i ?
a. Useg phrasesg thatg areg commonlyg usedg byg otherg patientsg ing theg area.
b. Ug eg heg ag ie eg mg if ible.
c. Useg languageg thatg keepsg theg patientg fromg beingg expansiveg ing hisg org herg answer.
d. Useg properg medicalg andg technicalg terminology.
e. Useg theg simplestg languageg possible.
ANS:g B
Tog ensureg thatg yourg questionsg haveg beeng correctlyg understood,g beg clear,g andg ex
plicitg whileg ig gg heg ag ieg idig mg ag dg leg elg fg deg ag dig g.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
5. Ag ag ie becg meg eg leg d ig gg heg hi ag dg a,g Ig d hag eg imeg f
allg ofg thisgc eg ag i .g Ig eg g geg back k.g Y m a
iag eg e e ldg be :
a. stopg usingg open-endedg questionsg andg becomeg moreg direct.
b. askg anotherg open-endedg questiong andg insistg ong ang answer.
c. askg questionsg aboutg hisg angerg andg moveg closerg tog him.
d. acknowledgeg hisg angerg andg proceedg withg theg historyg andg examination.
e. ignoreg hisg displeasureg andg becomeg moreg assertiveg aboutg gettingg answers.
ANS:g D
Thisg isg theg onlyg answerg thatg resistsg theg tendencyg forg patientg manipulation,g purs
uesg theg ig fg mag ig ,g ag dg cg fg heg ag ieg ag geg .
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
6. Wheg eg ig ig gg ag ag ieg egag dig gg alcg hg lg ig ake,g heg ell
hag heg ig lg ag cialg dg ig keg .g Whichg
igig ialg eg eg ig ag iag e?
a. Ig mg gladg ha ag eg ag e ibleg dg ig keg .
MaWhag amg eleg hg ag eg eallg alcg hg licg ag heg ag e ag dg hag kig dg fg alcg hg lg d
b.c.
NURSINGTB.COMgdg ig kg ig ag eek?cialg dig keg .
d. If lg dg ig kg ciallg , eed abg alg ag hag ig gg ag deg igg ag edg dg ig eg .
e. Dg heg heg e leg i h ehg ldg c meg alcg hg l?
ANS:g C
, Guideg tog Physicalg Examinationg -Testg Bank
Thig a eg clag ifieg heg ag ie eg mg ig h ag kig gg ag leadig g eg i
beig ggjudgmental.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
7. Ag 50-year-
oldg mang comesg tog theg primaryg careg clinic.g Heg tellsg youg heg isg worriedgbecauseg
heg hasg hadg severeg chestg painsg forg theg pastg 2g weeks.g Whichg initialg historygintervi
ewg questiong isg most
appropriate?
a. Ca deg cg ibeg heg aig ?
b. Theg aig dg e adiag e ag m,g dg eg ig ?
c. Hag e beeg eag edg f a ie bef e?
d. Dg e fag heg hag eg heag dig eag e?
e. Ag eg heg ai eg afg e eag ?
ANS:g A
Initially,g ang open-eg dedg eg ig ig ag mg eg ag iag eg eg e.g Ca
deg cg ibeg heg aig ?g isg ang open
-g endedg questiong thatg offersg cluesg tog theg chiefg concern.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
8. Mg .g A.g ag eg ,g Mg lifeg ig j
aig fg l.g Ig ig hg ig .g Sheg ag eag deg eg ed.g Whichg eg ofg t
hegfollowingg statementsg isg theg mostg appropriateg caregiverg response?
a. T hig kg ab heg gg dg hig gg ig life.
b. Y h ld feelg hag ag ;g l kg ag allg heg gg dg hig gg i life.
c. Y ca meag ha eg ag ig g.
d. If hig kg ab ig , hig gg i hg geg ig gg hi eg ab .
e. Whag ig lifeg ig ca ig g chg aig ?
ANS:g E
Specificg yetg open-
endedg questionsg areg bestg usedg wheng theg patientg hasg feelingsg ofg lossgofg self-
worthg andg depression.g Theg otherg responsesg hurryg theg patientg andg offerg superficialg ass
urance.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
9. Duringg ang interview,g youg haveg theg impressiong thatg ag patientg mayg beg consideringg
suicide.
Whichg actiong isg essential?
a. Immediatelyg beging proceedingsg forg ang involuntaryg commitment.
b. Askg whetherg theg patientg hasg consideredg self-harm.
c. Askg whetherg theg patientg wouldg likeg tog visitg ag psychiatrist.
d. Rec dg heg im e i ig heg ag ie chag ag dg efeg heg ag ie
fghospitalization.
e. Avoidg directlyg confrontingg theg patientg regardingg yourg impression.
, Seidel'sg Guideg tog Physicalg Examinationg 9thg Editiong Ballg Testg Ban
k
ANS:g B
Ifg youg thinkg theg patientg mayg beg consideringg suicide,g heg org sheg probablyg is.g
Mentioningg itg givesg NURSINGTB.COMggpermissiong tog talkg aboutg it.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
10. Youg areg collectingg ag historyg fromg ang 11-year-
oldg girl.g Herg motherg isg sittingg nextg tog herging theg examinationg room.g Wheng collecting
g historyg fromg olderg childreng org adolescents,gtheyg should:g a.g neverg beg interviewedg alo
neg becauseg thisg mayg alienateg theg parent.
b. beg mailedg ag questionnaireg ing advanceg tog avoidg theg needg forg herg tog talk.
c. beg giveng theg opportunityg tog beg interviewedg withoutg theg parentg atg someg point.
d. beg allowedg tog directg theg flowg ofg theg interview.
e. beg ignoredg whileg youg addressg allg questionsg tog theg parent.
ANS:g C
Ang olderg childg shouldg beg giveng theg opportunityg tog giveg informationg directly.g Thisg enha
ncesg theg probabilityg thatg theg childg willg followg yourg advice.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
11. Wheng communicatingg withg olderg childreng andg teenagers,g youg shouldg beg sensitiveg tog
their:
a. ag e eedg .
b. naturalg urgeg tog communicate.
c. needg forg verbalg instructions.
d. typicalg reluctanceg tog talk.
e. desireg forg adultg companionship.
ANS:g D
Adolescentsg areg usuallyg reluctantg tog talk;g therefore,g theg providerg shouldg clearlyg communi
categ ag respectg forg theirg confidentiality.
TOP:g Discipline:g Behavioralg Science MSC:g Organg System:g General
12. Wheng youg suspectg thatg yourg 81-year-oldg patientg hasg short-
termg memoryg lossg becauseg heg cannotg rememberg whatg heg hadg forg breakfast,g youg shoul
d:g a.g orderg ag neurologyg consult.
b. stopg allg ofg hisg medications.
c. continueg tog pressg theg patientg forg appropriateg answers.
d. validateg theg concerng withg hisg familyg org caregivers.
e. dismissg theg findingg asg ag normalg age-relatedg change.
ANS:g D
Wheng olderg adultsg experienceg memoryg lossg forg recentg events,g consultg otherg familyg mem
bersg tog clarifyg discrepanciesg org tog fillg ing theg gaps.
