TEST BANK FOR BATES' GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 12TH EDITION
LATEST UPDATED Graded A+
Bates’ Guide to Physical Examination and History Taking, 12th Edition
Chapter 3: Interviewing and the Health History
Multiple Choice
1. A patient complains of knee pain on your arrival in the room. What should your first sentence
be after greeting the patient? A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened?
Ans: D Chapter:
03
Feedback: When looking into a complaint, it is best to start with an invitation for the patient to tell you in
his or her own words. More specific questions should be used later in the interview to fill in any gaps.
2. You have just asked a patient how he feels about his emphysema. He becomes silent, folds his
arms across his chest and leans back in his chair, and then replies, “It is what it is.” How should you
respond?
A) “You seem bothered by this question.”
B) “Next, I would like to talk with you about your smoking habit.”
C) “Okay, let's move on to your other problems.”
D) “You have adopted a practical attitude toward your problem.”
, TEST BANK FOR BATES' GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 12TH EDITION
LATEST UPDATED Graded A+
Ans: A Chapter:
03
Feedback: You have astutely noted that the patient's body language changed at the time you asked this
question, and despite the patient's response, you suspect there is more beneath the surface. Maybe he is
afraid of being browbeaten about his smoking, maybe a relative has recently died from this disorder, or
maybe a friend told him 20 years ago that he would eventually get emphysema. Regardless, by sharing
your observation and leaving a pause, he may begin to talk about some issues which are very important to
him.
3. A patient tells you about her experience with prolonged therapy for her breast cancer. You
comment, “That must have been a very trying time for you.” What is this an example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation
Ans: D Chapter:
03
Feedback: This is an example of validation to legitimize her emotional experience. “Now that you have
had your treatment, you should not have any further troubles” is an example of
reassurance. “I understand what you went through because I am a cancer survivor myself” is an example
of empathy. “So, you have had a lumpectomy and multiple radiation treatments” is an example of
summarization as applied to this vignette.
4. You are performing a young woman's first pelvic examination. You make sure to tell her verbally
what is coming next and what to expect. Then you carry out each maneuver of the
examination. You let her know at the outset that if she needs a break or wants to stop, this is possible.
You ask several times during the examination, “How are you doing, Brittney?” What are you
accomplishing with these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above
Ans: D Chapter:
03
LATEST UPDATED Graded A+
Bates’ Guide to Physical Examination and History Taking, 12th Edition
Chapter 3: Interviewing and the Health History
Multiple Choice
1. A patient complains of knee pain on your arrival in the room. What should your first sentence
be after greeting the patient? A) How much pain are you having?
B) Have you injured this knee in the past?
C) When did this first occur?
D) Could you please describe what happened?
Ans: D Chapter:
03
Feedback: When looking into a complaint, it is best to start with an invitation for the patient to tell you in
his or her own words. More specific questions should be used later in the interview to fill in any gaps.
2. You have just asked a patient how he feels about his emphysema. He becomes silent, folds his
arms across his chest and leans back in his chair, and then replies, “It is what it is.” How should you
respond?
A) “You seem bothered by this question.”
B) “Next, I would like to talk with you about your smoking habit.”
C) “Okay, let's move on to your other problems.”
D) “You have adopted a practical attitude toward your problem.”
, TEST BANK FOR BATES' GUIDE TO PHYSICAL EXAMINATION AND HISTORY TAKING 12TH EDITION
LATEST UPDATED Graded A+
Ans: A Chapter:
03
Feedback: You have astutely noted that the patient's body language changed at the time you asked this
question, and despite the patient's response, you suspect there is more beneath the surface. Maybe he is
afraid of being browbeaten about his smoking, maybe a relative has recently died from this disorder, or
maybe a friend told him 20 years ago that he would eventually get emphysema. Regardless, by sharing
your observation and leaving a pause, he may begin to talk about some issues which are very important to
him.
3. A patient tells you about her experience with prolonged therapy for her breast cancer. You
comment, “That must have been a very trying time for you.” What is this an example of?
A) Reassurance
B) Empathy
C) Summarization
D) Validation
Ans: D Chapter:
03
Feedback: This is an example of validation to legitimize her emotional experience. “Now that you have
had your treatment, you should not have any further troubles” is an example of
reassurance. “I understand what you went through because I am a cancer survivor myself” is an example
of empathy. “So, you have had a lumpectomy and multiple radiation treatments” is an example of
summarization as applied to this vignette.
4. You are performing a young woman's first pelvic examination. You make sure to tell her verbally
what is coming next and what to expect. Then you carry out each maneuver of the
examination. You let her know at the outset that if she needs a break or wants to stop, this is possible.
You ask several times during the examination, “How are you doing, Brittney?” What are you
accomplishing with these techniques?
A) Increasing the patient's sense of control
B) Increasing the patient's trust in you as a caregiver
C) Decreasing her sense of vulnerability
D) All of the above
Ans: D Chapter:
03
