m m m m m m m
Test Bank complete
m m m
[Document subtitle]
m
[DATE]
[COMPANYmNAME]
[Companymaddress]
, TEST BANK FOR
m m
TH m
SEIDEL’S GUIDE TO PHYSICAL EXAMINATION 9
m m m m m EDITIO
N
HUMAN m PHYSIOLOGY m ANm INTEGRATED m APPROACH m 9T [AUTHORmNAME
HmEDITIONmSILVERTHORNmTESTmBANKmCOMPLETE ]
,Chapter 01: The History and Interviewing Process
m m m m m m
Ball: Seidel’s Guide to Physical Examination, 9th Edition
m m m m m m m
MULTIPLE CHOIC m
E
1. Which question would be considered a ―leading question?‖
m m m m m m m
a. ―Please describe any associated symptoms with your headaches?‖
m m m m m m m
b. ―You don't get headaches often, do you?‖
m m m m m m
c. ―What activities affect the severity of your headaches?‖
m m m m m m m
d. ―What times of the day are your headaches the most severe?‖
m m m m m m m m m m
e. ―What worries you most about your headache?‖
m m m m m m
ANS: B m
This question would limit the information in the patient's answer. The other choic
m m m m m m m m m m m m
es allow thepatient more discretion about the extent of an answer.
m m m m m m m m m m
TOP: Discipline: Behavioral Science
m m m MSC: Organ System: General
m m m
2. Which action would best promote accurate translations as well as confi
m m m m m m m m m m
dentiality when thecaregiver does not speak the patient's language?
m m m m m m m m
a. Ask a person unfamiliar with the patient to translate.
m m m m m m m m
b. Have a friend of the patient translate.
m m m m m m
c. Ask simple leading questions that the patient may understand.
m m m m m m m m
d. Use a neighbor as translator.
m m m m
e. Involve the family with the translation.
m m m m m
ANS: A m NURSINGTB.COM
When you do not speak the patient's language, family members or friends may po
m m m m m m m m m m m m m
se am
communication barrier and may have issues of confidentiality; a stranger as an int
m m m m m m m m m m m m
erpreter isless biased. m m
TOP: Discipline: Behavioral Science
m m m MSC: Organ System: General
m m m
3. Periods of silence during the interview can serve important purposes, such as:
m m m m m m m m m m m
a. allowing the clinician to catch up on documentation.
m m m m m m m
b. giving you a clue that you should speed up the interview.
m m m m m m m m m m
c. providing time for reflection. m m m
d. increasing the length of the visit. m m m m m
e. promoting a calm environment. m m m
ANS: C m
Silence is a useful tool during interviews for the purposes of reflection, summo
m m m m m m m m m m m m
ning of courage, and displaying compassion. It is usually a clue for you to go sl
m m m m m m m m m m m m m m m
ower and not to pushtoo hard.
m m m m m
Test Bank For Seidel's Guide to Physical Examination An
m m m m m m m m m
Interprofessional Approach 9th Edition
NURSINGTB.COM m m m
, TOP: Discipline: Behavioral Science
m m m MSC: Organ System: General
m m m
4. Which technique is most likely to result in the patient's understanding o
m m m m m m m m m m m
f questions?
m
a. Use phrases that are commonly used by other patients in the area.
m m m m m m m m m m m
b. Use the patient's own terms if possible.
m m m m m m
c. Use language that keeps the patient from being expansive in his or her answer.
m m m m m m m m m m m m m
d. Use proper medical and technical terminology.
m m m m m
e. Use the simplest language possible.
m m m m
ANS: B m
To ensure that your questions have been correctly understood, be clear, and exp
m m m m m m m m m m m m
licit whileusing the patient's idiom and level of understanding.
m m m m m m m m
TOP: Discipline: Behavioral Science
m m m MSC: Organ System: General
m m m
5. A patient becomes restless during the history and says, ―I don't have tim
m m m m m m m m m m m m
e for all of this conversation. I've got to get back to work.‖ Your most ap
m m m m m m m m m m m m m m m
propriate response would be to: m m m m
a. stop using open-ended questions and become more direct.
m m m m m m m
b. ask another open-ended question and insist on an answer.
m m m m m m m m
c. ask questions about his anger and move closer to him.
m m m m m m m m m
d. acknowledge his anger and proceed with the history and examination.
m m m m m m m m m
e. ignore his displeasure and become more assertive about getting answers.
m m m m m m m m m
ANS: D m
This is the only answer that resists the tendency for patient manipulation, pursues
m m m m m m m m m m m m m
theinformation, and confronts the patient's anger. m m m m m
TOP: Discipline: Behavioral Science
m m m MSC: Organ System: General
m m m
6. When questioning a patient regarding alcohol intake, she tells you that she is
m m m m m m m m m m m m
―only a socialdrinker.‖ Which initial response is appropriate?
m m m m m m m
a. ―I'm glad that you are a responsible drinker.‖
m m m m m m m
b. ―Many people who are reNallyRalcoIholGic sBa y.tCh eyMa r e social drinkers.‖
m m m m m m m
c. ―What amount and what U S Nkind
T of alcohol do you drink in a week?‖
m m m
m m
m
m
m m m m m m m m
d. ―If you only drink socially, you won't need to worry abou
m m m m m m m m m m
t always having a designated driver.‖
m m m m m
e. ―Do the other people in your household consume alcohol?‖
m m m m m m m m
ANS: C m
This answer clarifies the patient's own term without asking a leading ques
m m m m m m m m m m m
tion or beingjudgmental.
m m
TOP: Discipline: Behavioral Science
m m m MSC: Organ System: General
m m m
7. A 50-year-old man comes to the primary care clinic. He tells you he is worried
m m m m m m m m m m m m m m
Test Bank For Seidel's Guide to Physical Examination An
m m m m m m m m m
Interprofessional Approach 9th Edition
NURSINGTB.COM m m m