G
G
G
Chapter 01:
G The History and Interviewing Process
G G G G G G
Ball: Seidel’s Guide to Physical Examination, 9th Edition
G G G G G G G G
, Seidel'sGGuideGtoGPhysicalGExaminationG9thGEditionGBallGTestGBankG
G
MULTIPLEGCHOICEG
G
1. WhichGquestionGwouldGbeGconsideredGaG“leadingGquestion?”G
a. “PleaseGdescribeGanyGassociatedGsymptomsGwithGyourGheadaches?”G
b. “YouGdon'tGgetGheadachesGoften,GdoGyou?”G
c. “WhatGactivitiesGaffectGtheGseverityGofGyourGheadaches?”G
d. “WhatGtimesGofGtheGdayGareGyourGheadachesGtheGmostGsevere?”G
e. “WhatGworriesGyouGmostGaboutGyourGheadache?”G
ANS:GBG
ThisGquestionGwouldGlimitGtheGinformationGinGtheGpatient'sGanswer.GTheGotherGchoicesGallowGth
eGpatientGmoreGdiscretionGaboutGtheGextentGofGanGanswer.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
2. WhichGactionGwouldGbestGpromoteGaccurateGtranslationsGasGwellGasGconfidentialityGwhenGtheGc
aregiverGdoesGnotGspeakGtheGpatient'sGlanguage?G
a. AskGaGpersonGunfamiliarGwithGtheGpatientGtoGtranslate.G
b. HaveGaGfriendGofGtheGpatientGtranslate.G
c. AskGsimpleGleadingGquestionsGthatGtheGpatientGmayGunderstand.G
d. UseGaGneighborGasGtranslator.G
e. InvolveGtheGfamilyGwithGtheGtranslation.G
ANS:GAG G
WhenGyouGdoGnotGspeakGtheGpatient'sGlanguage,GfamilyGmembersGorGfriendsGmayGposeGaG
communicationGbarrierGandGmayGhaveGissuesGofGconfidentiality;GaGstrangerGasGanGinterpreterGisG
lessGbiased.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
3. PeriodsGofGsilenceGduringGtheGinterviewGcanGserveGimportantGpurposes,GsuchGas:G
a. allowingGtheGclinicianGtoGcatchGupGonGdocumentation.G
b. givingGyouGaGclueGthatGyouGshouldGspeedGupGtheGinterview.G
c. providingGtimeGforGreflection.G
d. increasingGtheGlengthGofGtheGvisit.G
e. promotingGaGcalmGenvironment.G
ANS:GCG
SilenceGisGaGusefulGtoolGduringGinterviewsGforGtheGpurposesGofGreflection,GsummoningGofGcoura
ge,GandGdisplayingGcompassion.GItGisGusuallyGaGclueGforGyouGtoGgoGslowerGandGnotGtoGpushGtooG
hard.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
4. WhichGtechniqueGisGmostGlikelyGtoGresultGinGtheGpatient'sGunderstandingGofGquestions?G
a. UseGphrasesGthatGareGcommonlyGusedGbyGotherGpatientsGinGtheGarea.G
b. UseGtheGpatient'sGownGtermsGifGpossible.G
c. UseGlanguageGthatGkeepsGtheGpatientGfromGbeingGexpansiveGinGhisGorGherGanswer.G
d. UseGproperGmedicalGandGtechnicalGterminology.G
e. UseGtheGsimplestGlanguageGpossible.G
, Seidel'sGGuideGtoGPhysicalGExaminationG9thGEditionGBallGTestGBankG
G
ANS:GBG
ToGensureGthatGyourGquestionsGhaveGbeenGcorrectlyGunderstood,GbeGclear,GandGexplicitGwhileGus
ingGtheGpatient'sGidiomGandGlevelGofGunderstanding.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
5. AGpatientGbecomesGrestlessGduringGtheGhistoryGandGsays,G“IGdon'tGhaveGtimeGforGallGofGthisGcon
versation.GI'veGgotGtoGgetGbackGtoGwork.”GYourGmostGappropriateGresponseGwouldGbeGto:Ga.Gstop
GusingGopen-endedGquestionsGandGbecomeGmoreGdirect.G
b. askGanotherGopen-endedGquestionGandGinsistGonGanGanswer.G
c. askGquestionsGaboutGhisGangerGandGmoveGcloserGtoGhim.G
d. acknowledgeGhisGangerGandGproceedGwithGtheGhistoryGandGexamination.G
e. ignoreGhisGdispleasureGandGbecomeGmoreGassertiveGaboutGgettingGanswers.G
ANS:GDG
ThisGisGtheGonlyGanswerGthatGresistsGtheGtendencyGforGpatientGmanipulation,GpursuesGtheGinform
ation,GandGconfrontsGtheGpatient'sGanger.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
6. WhenGquestioningGaGpatientGregardingGalcoholGintake,GsheGtellsGyouGthatGsheGisG“onlyGaGsocialG
drinker.”GWhichGinitialGresponseGisGappropriate?G
a.G“I'mGgladGthatGyouGareGaGresponsibleGdrinker.”G
N
b.c.GG“ManyGpeopleGwhandGwhatoGareGreG allUy
R G
G G
G
aofSlcGIoh alcoholNo licGTs
G
B G
adoy.t
G
CheyouOy M adrinkre soc inial
G G G G G GGaGdweek?”rinkersG.”G
“WhatGamountG kind
d. “IfGyouGonlyGdrinkGsocially,GyouGwon'tGneedGtoGworryGaboutGalwaysGhavingGaGdesignated
Gdriver.”G
e. “DoGtheGotherGpeopleGinGyourGhouseholdGconsumeGalcohol?”G
ANS:GCG
ThisGanswerGclarifiesGtheGpatient'sGownGtermGwithoutGaskingGaGleadingGquestionGorGbeingGjudg
mental.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
7. AG50-year-
oldGmanGcomesGtoGtheGprimaryGcareGclinic.GHeGtellsGyouGheGisGworriedGbecauseGheGhasGhadGsev
ereGchestGpainsGforGtheGpastG2Gweeks.GWhichGinitialGhistoryGinterviewGquestionGisGmostGapprop
riate?G
a. “CanGyouGdescribeGtheGpain?”G
b. “TheGpainGdoesn'tGradiateGtoGyourGarm,GdoesGit?”G
c. “HaveGyouGbeenGtreatedGforGanxietyGbefore?”G
d. “DoesGyourGfatherGhaveGheartGdisease?”G
e. “AreGtheGpainsGworseGafterGyouGeat?”G
G NURSINGTB.COMG
, Seidel'sGGuideGtoGPhysicalGExaminationG9thGEditionGBallGTestGBankG
ANS:GAG
Initially,GanGopen-
endedGquestionGisGaGmoreGappropriateGresponse.G“CanGyouGdescribeGtheGpain?”GisGanGopen-
endedGquestionGthatGoffersGcluesGtoGtheGchiefGconcern.G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
8. Ms.GA.Gstates,G“MyGlifeGisGjustGtooGpainful.GItGisn'tGworthGit.”GSheGappearsGdepressed.GWhichGo
neGofGtheGfollowingGstatementsGisGtheGmostGappropriateGcaregiverGresponse?Ga.G“TryGtoGthinkGa
boutGtheGgoodGthingsGinGlife.”G
b. “YouGshouldn'tGfeelGthatGway;GlookGatGallGtheGgoodGthingsGinGyourGlife.”G
c. “YouGcan'tGmeanGwhatGyou'reGsaying.”G
d. “IfGyouGthinkGaboutGit,GnothingGisGworthGgettingGthisGupsetGabout.”G
e. “WhatGinGlifeGisGcausingGyouGsuchGpain?”G
ANS:GEG
SpecificGyetGopen-endedGquestionsGareGbestGusedGwhenGtheGpatientGhasGfeelingsGofGlossGofGself-
worthGandGdepression.GTheGotherGresponsesGhurryGtheGpatientGandGofferGsuperficialGassurance.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
9. DuringGanGinterview,GyouGhaveGtheGimpressionGthatGaGpatientGmayGbeGconsideringGsuicide.G
WhichGactionGisGessential?G
a. ImmediatelyGbeginGproceedingsGforGanGinvoluntaryGcommitment.G
b. AskGwhetherGtheGpatientGhasGconsideredGself-harm.G
c. AskGwhetherGtheGpatientGwouldGlikeGtoGvisitGaGpsychiatrist.G
d. RecordGtheGimpressionGinGtheGpatient'sGchartGandGreferGtheGpatientGforG
hospitalization.G
e. AvoidGdirectlyGconfrontingGtheGpatientGregardingGyourGimpression.G
ANS:GBG
IfGyouGthinkGtheGpatientGmayGbNeUcRonSsiIdeNrGinTgGBsu.icCidOe,MheGorGsheGproba
blyGis.GMentioningGitGgivesGpermissionGtoGtalkGaboutGit.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
10. YouGareGcollectingGaGhistoryGfromGanG11-year-
oldGgirl.GHerGmotherGisGsittingGnextGtoGherGinGtheGexaminationGroom.GWhenGcollectingGhistoryGf
romGolderGchildrenGorGadolescents,GtheyGshould:Ga.GneverGbeGinterviewedGaloneGbecauseGthisGm
ayGalienateGtheGparent.G
b. beGmailedGaGquestionnaireGinGadvanceGtoGavoidGtheGneedGforGherGtoGtalk.G
c. beGgivenGtheGopportunityGtoGbeGinterviewedGwithoutGtheGparentGatGsomeGpoint.G
d. beGallowedGtoGdirectGtheGflowGofGtheGinterview.G
e. beGignoredGwhileGyouGaddressGallGquestionsGtoGtheGparent.G
ANS:GCG
AnGolderGchildGshouldGbeGgivenGtheGopportunityGtoGgiveGinformationGdirectly.GThisGenhancesGt
heGprobabilityGthatGtheGchildGwillGfollowGyourGadvice.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
G
G
Chapter 01:
G The History and Interviewing Process
G G G G G G
Ball: Seidel’s Guide to Physical Examination, 9th Edition
G G G G G G G G
, Seidel'sGGuideGtoGPhysicalGExaminationG9thGEditionGBallGTestGBankG
G
MULTIPLEGCHOICEG
G
1. WhichGquestionGwouldGbeGconsideredGaG“leadingGquestion?”G
a. “PleaseGdescribeGanyGassociatedGsymptomsGwithGyourGheadaches?”G
b. “YouGdon'tGgetGheadachesGoften,GdoGyou?”G
c. “WhatGactivitiesGaffectGtheGseverityGofGyourGheadaches?”G
d. “WhatGtimesGofGtheGdayGareGyourGheadachesGtheGmostGsevere?”G
e. “WhatGworriesGyouGmostGaboutGyourGheadache?”G
ANS:GBG
ThisGquestionGwouldGlimitGtheGinformationGinGtheGpatient'sGanswer.GTheGotherGchoicesGallowGth
eGpatientGmoreGdiscretionGaboutGtheGextentGofGanGanswer.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
2. WhichGactionGwouldGbestGpromoteGaccurateGtranslationsGasGwellGasGconfidentialityGwhenGtheGc
aregiverGdoesGnotGspeakGtheGpatient'sGlanguage?G
a. AskGaGpersonGunfamiliarGwithGtheGpatientGtoGtranslate.G
b. HaveGaGfriendGofGtheGpatientGtranslate.G
c. AskGsimpleGleadingGquestionsGthatGtheGpatientGmayGunderstand.G
d. UseGaGneighborGasGtranslator.G
e. InvolveGtheGfamilyGwithGtheGtranslation.G
ANS:GAG G
WhenGyouGdoGnotGspeakGtheGpatient'sGlanguage,GfamilyGmembersGorGfriendsGmayGposeGaG
communicationGbarrierGandGmayGhaveGissuesGofGconfidentiality;GaGstrangerGasGanGinterpreterGisG
lessGbiased.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
3. PeriodsGofGsilenceGduringGtheGinterviewGcanGserveGimportantGpurposes,GsuchGas:G
a. allowingGtheGclinicianGtoGcatchGupGonGdocumentation.G
b. givingGyouGaGclueGthatGyouGshouldGspeedGupGtheGinterview.G
c. providingGtimeGforGreflection.G
d. increasingGtheGlengthGofGtheGvisit.G
e. promotingGaGcalmGenvironment.G
ANS:GCG
SilenceGisGaGusefulGtoolGduringGinterviewsGforGtheGpurposesGofGreflection,GsummoningGofGcoura
ge,GandGdisplayingGcompassion.GItGisGusuallyGaGclueGforGyouGtoGgoGslowerGandGnotGtoGpushGtooG
hard.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
4. WhichGtechniqueGisGmostGlikelyGtoGresultGinGtheGpatient'sGunderstandingGofGquestions?G
a. UseGphrasesGthatGareGcommonlyGusedGbyGotherGpatientsGinGtheGarea.G
b. UseGtheGpatient'sGownGtermsGifGpossible.G
c. UseGlanguageGthatGkeepsGtheGpatientGfromGbeingGexpansiveGinGhisGorGherGanswer.G
d. UseGproperGmedicalGandGtechnicalGterminology.G
e. UseGtheGsimplestGlanguageGpossible.G
, Seidel'sGGuideGtoGPhysicalGExaminationG9thGEditionGBallGTestGBankG
G
ANS:GBG
ToGensureGthatGyourGquestionsGhaveGbeenGcorrectlyGunderstood,GbeGclear,GandGexplicitGwhileGus
ingGtheGpatient'sGidiomGandGlevelGofGunderstanding.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
5. AGpatientGbecomesGrestlessGduringGtheGhistoryGandGsays,G“IGdon'tGhaveGtimeGforGallGofGthisGcon
versation.GI'veGgotGtoGgetGbackGtoGwork.”GYourGmostGappropriateGresponseGwouldGbeGto:Ga.Gstop
GusingGopen-endedGquestionsGandGbecomeGmoreGdirect.G
b. askGanotherGopen-endedGquestionGandGinsistGonGanGanswer.G
c. askGquestionsGaboutGhisGangerGandGmoveGcloserGtoGhim.G
d. acknowledgeGhisGangerGandGproceedGwithGtheGhistoryGandGexamination.G
e. ignoreGhisGdispleasureGandGbecomeGmoreGassertiveGaboutGgettingGanswers.G
ANS:GDG
ThisGisGtheGonlyGanswerGthatGresistsGtheGtendencyGforGpatientGmanipulation,GpursuesGtheGinform
ation,GandGconfrontsGtheGpatient'sGanger.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
6. WhenGquestioningGaGpatientGregardingGalcoholGintake,GsheGtellsGyouGthatGsheGisG“onlyGaGsocialG
drinker.”GWhichGinitialGresponseGisGappropriate?G
a.G“I'mGgladGthatGyouGareGaGresponsibleGdrinker.”G
N
b.c.GG“ManyGpeopleGwhandGwhatoGareGreG allUy
R G
G G
G
aofSlcGIoh alcoholNo licGTs
G
B G
adoy.t
G
CheyouOy M adrinkre soc inial
G G G G G GGaGdweek?”rinkersG.”G
“WhatGamountG kind
d. “IfGyouGonlyGdrinkGsocially,GyouGwon'tGneedGtoGworryGaboutGalwaysGhavingGaGdesignated
Gdriver.”G
e. “DoGtheGotherGpeopleGinGyourGhouseholdGconsumeGalcohol?”G
ANS:GCG
ThisGanswerGclarifiesGtheGpatient'sGownGtermGwithoutGaskingGaGleadingGquestionGorGbeingGjudg
mental.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
7. AG50-year-
oldGmanGcomesGtoGtheGprimaryGcareGclinic.GHeGtellsGyouGheGisGworriedGbecauseGheGhasGhadGsev
ereGchestGpainsGforGtheGpastG2Gweeks.GWhichGinitialGhistoryGinterviewGquestionGisGmostGapprop
riate?G
a. “CanGyouGdescribeGtheGpain?”G
b. “TheGpainGdoesn'tGradiateGtoGyourGarm,GdoesGit?”G
c. “HaveGyouGbeenGtreatedGforGanxietyGbefore?”G
d. “DoesGyourGfatherGhaveGheartGdisease?”G
e. “AreGtheGpainsGworseGafterGyouGeat?”G
G NURSINGTB.COMG
, Seidel'sGGuideGtoGPhysicalGExaminationG9thGEditionGBallGTestGBankG
ANS:GAG
Initially,GanGopen-
endedGquestionGisGaGmoreGappropriateGresponse.G“CanGyouGdescribeGtheGpain?”GisGanGopen-
endedGquestionGthatGoffersGcluesGtoGtheGchiefGconcern.G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
8. Ms.GA.Gstates,G“MyGlifeGisGjustGtooGpainful.GItGisn'tGworthGit.”GSheGappearsGdepressed.GWhichGo
neGofGtheGfollowingGstatementsGisGtheGmostGappropriateGcaregiverGresponse?Ga.G“TryGtoGthinkGa
boutGtheGgoodGthingsGinGlife.”G
b. “YouGshouldn'tGfeelGthatGway;GlookGatGallGtheGgoodGthingsGinGyourGlife.”G
c. “YouGcan'tGmeanGwhatGyou'reGsaying.”G
d. “IfGyouGthinkGaboutGit,GnothingGisGworthGgettingGthisGupsetGabout.”G
e. “WhatGinGlifeGisGcausingGyouGsuchGpain?”G
ANS:GEG
SpecificGyetGopen-endedGquestionsGareGbestGusedGwhenGtheGpatientGhasGfeelingsGofGlossGofGself-
worthGandGdepression.GTheGotherGresponsesGhurryGtheGpatientGandGofferGsuperficialGassurance.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
9. DuringGanGinterview,GyouGhaveGtheGimpressionGthatGaGpatientGmayGbeGconsideringGsuicide.G
WhichGactionGisGessential?G
a. ImmediatelyGbeginGproceedingsGforGanGinvoluntaryGcommitment.G
b. AskGwhetherGtheGpatientGhasGconsideredGself-harm.G
c. AskGwhetherGtheGpatientGwouldGlikeGtoGvisitGaGpsychiatrist.G
d. RecordGtheGimpressionGinGtheGpatient'sGchartGandGreferGtheGpatientGforG
hospitalization.G
e. AvoidGdirectlyGconfrontingGtheGpatientGregardingGyourGimpression.G
ANS:GBG
IfGyouGthinkGtheGpatientGmayGbNeUcRonSsiIdeNrGinTgGBsu.icCidOe,MheGorGsheGproba
blyGis.GMentioningGitGgivesGpermissionGtoGtalkGaboutGit.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
10. YouGareGcollectingGaGhistoryGfromGanG11-year-
oldGgirl.GHerGmotherGisGsittingGnextGtoGherGinGtheGexaminationGroom.GWhenGcollectingGhistoryGf
romGolderGchildrenGorGadolescents,GtheyGshould:Ga.GneverGbeGinterviewedGaloneGbecauseGthisGm
ayGalienateGtheGparent.G
b. beGmailedGaGquestionnaireGinGadvanceGtoGavoidGtheGneedGforGherGtoGtalk.G
c. beGgivenGtheGopportunityGtoGbeGinterviewedGwithoutGtheGparentGatGsomeGpoint.G
d. beGallowedGtoGdirectGtheGflowGofGtheGinterview.G
e. beGignoredGwhileGyouGaddressGallGquestionsGtoGtheGparent.G
ANS:GCG
AnGolderGchildGshouldGbeGgivenGtheGopportunityGtoGgiveGinformationGdirectly.GThisGenhancesGt
heGprobabilityGthatGtheGchildGwillGfollowGyourGadvice.G
G
TOP:GDiscipline:GBehavioralGScienceG MSC:GOrganGSystem:GGeneralG
G
