TESTBANK f
Seidel's Guide to f f
Physical Examination: A
f f
n Interprofessional Ap
f f
proach9thEdition
f f
Test Bank Questions with
f f f f
Complete Solutions f
,Chapter 01: The History and Interviewing Process
f f f f f f
Ball: Seidel’s Guide to Physical Examination, 9th Edition
f f f f f f f
MULTIPLEfCHOICE
1. Whichfquestionfwouldfbefconsideredfaf“leadingfquestion?”
a. “Whatfdofyoufthinkfisfcausingfyourfheadaches?”
b. “Youfdon’tfgetfheadachesfoften,fdofyou?”
c. “Onfafscalefoff1ftof10,fhowfwouldfyoufratefthefseverityfoffyourfheadaches?”
d. “Atfwhatftimefoffthefdayfarefyourfheadachesfthefmostfsevere?”
ANS:f B
Statingftofthefpatientfthatfheforfshefdoesfnotfgetfheadachesfwouldflimitfthefinformationfinfthefpatie
nt’sfanswer.fAskingfthefpatientfwhatfheforfshefthinksfisfcausingfthefheadachesfisfanfopen-
endedfquestion.fAskingfthefpatientfhowfheforfshefwouldfratefthefseverityfoffthefheadachesfandfas
kingfwhatftimefoffthefdayfthefheadachesfarefthefmostfseverefarefdirectfquestions.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
2. Whenfarefopen-endedfquestionsfgenerallyfmostfuseful?
a. Duringfsensitivefareafpartfoffthefinterview
b. Afterfseveralfclosed-endedfquestionsfhavefbeenfasked
c. Whilefdesigningfthefgenogram
d. Duringfthefreviewfoffsyst ems
N RIGfB.CfM
USNT O
f
f f f
ANS:f A
Askingfopen-
endedfquestionsfduringfthefsensitivefpartfoffthefinterviewfallowsfyouftofgatherfmorefinformationfa
ndfestablishesfyoufasfanfempathicflistener,fwhichfisftheffirstfstepfoffeffectivefcommunication.fAsk
ingfclosed-
endedfquestionsfmayfstiflefthefpatient’sfdesireftofdiscussfthefhistoryfoffthefillness.fInterviewingffo
rfthefpurposefoffdesigningfafgenogramforfconductingfafreviewfoffsystemsfrequiresfmoreffocusedfd
atafthanfcanfbefmorefeasilyfgatheredfwithfdirectfquestioning.
DIF: CognitivefLevel:fUnderstandingf(Comprehension)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
3. Periodsfoffsilencefduringfthefinterviewfcanfservefimportantfpurposes,fsuchfas:
a. allowingfthefclinicianftofcatchfupfonfdocumentation.
b. promotingfcalm.
c. providingftimefforfreflection.
d. increasingftheflengthfoffthefvisit.
ANS:f C
Silencefisfafusefulftoolfduringfinterviewsfforfthefpurposesfoffreflection,fsummoningfcourage,fand
fdisplayingfcompassion. fThisfisfnotfaftimeftofdocumentfinfthefchart,fbutfratherftoffocusfonfthefpatie
nt.fPeriodsfoffsilencefmayfcausefanxietyfratherfthanfpromotefcalm.fTheflengthfoffthefvisitfisflessfi
mportantfthanfgettingfcriticalfinformation.
, DIF: CognitivefLevel:fUnderstandingf(Comprehension)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
4. Mr.fFranklinfisfspeakingfwithfyou,fthefhealthcarefprovider,faboutfhisfrespiratoryfproblem.fMr.
Franklinfsays,f“I’vefhadfthisfcoughfforf3fdays,fandfit’sfgettingfworse.”fYoufreply,f“Tellfmefmor
efaboutfyourfcough.”fMr.fFranklinfstates,f“IfwishfIfcouldftellfyoufmore.fThat’sfwhyfI’mfhere.fYo
uftellfmefwhat’sfwrong!”fWhichfcaregiverfresponsefwouldfbefmostfappropriatefforfenhancingfc
ommunication?
a. “Afterf3fdays,fyou’reftiredfoffcoughing.fHavefyoufhadfaffever?”
b. “I’dflikeftofhearfmorefaboutfyourfexperiences.fWherefwerefyoufborn?”
c. “Ifdon’tfknowfwhat’sfwrong.fYoufcouldfhavefalmostfanyfdisease.”
d. “I’llfexaminefyoufandffigurefoutflaterfwhatfthefproblemfis.”
ANS:f A
“Afterf3fdays,fyou’reftiredfoffcoughing.fHavefyoufhadfaffever?”fisfthefonlyfresponsefaimedfat
focusingfonfthefchieffcompliantftofgatherfmorefdatafandfdoesfnotfdigressffromfthefissue.
DIF: CognitivefLevel:fAnalyzingf(Analysis)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
5. Afterfyoufaskfafpatientfaboutfherffamilyfhistory,fshefsays,f“Tellfmefaboutfyourffamilyfnow.”
Whichfresponsefisfgenerallyfmostfappropriate?
a. Ignorefthefpatient’sfcommentfandfcontinuefwithfthefinterview.
b. Givefafbrief,fundetailedfanswer.
c. Askfthefpatientfwhyfshefneedsftofknow.
d. Tellfthefpatientfthatfyoufdofnotfdiscussfyourffamilyfwithfpatients.
ANS:f B NURSINGTB.COM
Givingfafbrief,fundetailedfanswerfwillfsatisfyfthefpatient’sfcuriosityfaboutfyourselffwithoutfinvadi
ngfyourfprivateflife.fIgnoringfthefpatient’sfcomment,fcontinuingfwithfthefinterview,fandftellingfthe
fpatient fthatfyoufdofnotfdiscussfyourffamilyfwithfpatientsfwillfpotentiallyfangerforffrustratefherfandf
keepfherffromfsharingfopenly.fAskingfthefpatientfwhyfshefneedsftofknowfwillfdistractffromfthefrealf
reasonfshefisfseekingfcarefandfinsteadfmovefthefinterviewfconversationfawayffromftheftopicsfthatfs
houldfbefdiscussed.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
6. Af36-year-
oldfwomanfcomplainsfthatfshefhasfhadfcrushingfchestfpainfforfthefpastf2fdays.fShefseemsfnervousf
asfshefspeaksftofyou.fAnfappropriatefresponsefisfto:
a. continueftofcollectfinformationfregardingfthefchieffcomplaintfinfanfunhurriedfm
anner.
b. finishfthefinterviewfasfrapidlyfasfpossible.
c. askfthefpatientftoftakefafdeepfbreathfandfcalmfdown.
d. askfthefpatientfiffshefwantsftofwaitfuntilfanotherfdayftoftalkftofyou.
ANS:f A
, Withfanfanxious,fvulnerablefpatient,fitfisfbestftofnotfhurry;fafcalmfdemeanorfwillfcommunicatefcari
ngftofthefpatient.fIffyoufasfafhealthcarefproviderfarefhurried,fthefpatientfwillfbefmorefanxious.fThef
bestfwayftofassistfanfanxiousfpatientfisftofnotfhurryfandfremainfcalm,fbecausefthisfwillfcommunicat
efcaringftofthefpatient.fAskingfthefpatientfiffshefwantsftofwaitfuntilfanotherfdayftoftalkftofyoufdelays
fthefneededfhealthfcare.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
7. Ms.fAfstates,f“Myflifefisfjustftoofpainful.fItfisn’tfworthfit.”fShefappearsfdepressed.fWhichfone
offtheffollowingfstatementsfisfthefmostfappropriatefcaregiverfresponse?
a. “Tryftofthinkfaboutfthefgoodfthingsfinflife.”
b. “Whatfinflifefisfcausingfyoufsuchfpain?”
c. “Youfcan’tfmeanfwhatfyou’refsaying.”
d. “Iffyoufthinkfaboutfit,fnothingfisfworthfgettingfthisfupsetfabout.”
ANS:f B
Specificfbutfopen-endedfquestionsfarefbestfusedfwhenfthefpatientfhasffeelingsfofflossfof
self-
worthfandfdepression.f“Tryftofthinkfaboutfthefgoodfthingsfinflife,”f“Youfcan’tfmeanfwhatfyou’refsay
ing,”fandf“Iffyoufthinkfaboutfit,fnothingfisfworthfgettingfthisfupsetfabout”farefstatementsfthatfwillfhu
rryfthefpatientfandfofferfonlyfsuperficialfassurance.
DIF: CognitivefLevel:fAnalyzingf(Analysis)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
8. Youfarefcollectingfafhistoryffromfaf16-year-
oldfgirl.fHerfmotherfisfsittingfnextftofherfinfthefexaminationfroom.fWhenfcollectingfhistoryffro
mfolderfchildrenforfadolescents,ftheyfshould
be: NURSINGTB.COM
a. givenfthefopportunityftofbefinterviewedfwithoutfthefparentfatfsomefpointfduringfthefinte
rview.
b. mailedfafquestionnairefinfadvanceftofavoidfthefneedfforfthemftoftalk.
c. ignoredfwhilefyoufaddressfallfquestionsftofthefparent.
d. allowedftofdirectfthefflowfoffthefinterview.
ANS:f A
Thefadolescentfshouldfbefgivenfthefopportunityftofgivefinformationfdirectly.fThisfenhancesfthefpr
obabilityfthatfthefadolescentfwillffollowfyourfadvice.fMailingfafquestionnairefinfadvanceftofavoidft
hefneedfforfherftoftalkfdoesfnotfassistfthefadolescentfinflearningftofrespondftofanswersfregardingfhe
rfhealth.fThefparentfcanfhelpffillfinfgapsfatfthefend.fIffshefisfignoredfwhilefyoufaddressfallfquestions
ftofthefparent,fthefpatientfwillffeelfasfthoughfshefis fjustfbeingfdiscussedfandfis fnotfpartfoffthefproces
sfforfthefhealthfcare.fThefhealthcarefproviderfshould
alwaysfdirectfthefflowfoffthefinterviewfaccordingftofthefpatient’sfresponses.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
9. Informationfthatfisfneededfduringfthefinitialfinterviewfoffafpregnantfwomanfincludesfallftheffoll
owingfexcept:
a. thefgenderfthatfthefwomanfhopesfthefbabyfwillfbe.
b. pastfmedicalfhistory.
c. healthcarefpractices.
Seidel's Guide to f f
Physical Examination: A
f f
n Interprofessional Ap
f f
proach9thEdition
f f
Test Bank Questions with
f f f f
Complete Solutions f
,Chapter 01: The History and Interviewing Process
f f f f f f
Ball: Seidel’s Guide to Physical Examination, 9th Edition
f f f f f f f
MULTIPLEfCHOICE
1. Whichfquestionfwouldfbefconsideredfaf“leadingfquestion?”
a. “Whatfdofyoufthinkfisfcausingfyourfheadaches?”
b. “Youfdon’tfgetfheadachesfoften,fdofyou?”
c. “Onfafscalefoff1ftof10,fhowfwouldfyoufratefthefseverityfoffyourfheadaches?”
d. “Atfwhatftimefoffthefdayfarefyourfheadachesfthefmostfsevere?”
ANS:f B
Statingftofthefpatientfthatfheforfshefdoesfnotfgetfheadachesfwouldflimitfthefinformationfinfthefpatie
nt’sfanswer.fAskingfthefpatientfwhatfheforfshefthinksfisfcausingfthefheadachesfisfanfopen-
endedfquestion.fAskingfthefpatientfhowfheforfshefwouldfratefthefseverityfoffthefheadachesfandfas
kingfwhatftimefoffthefdayfthefheadachesfarefthefmostfseverefarefdirectfquestions.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
2. Whenfarefopen-endedfquestionsfgenerallyfmostfuseful?
a. Duringfsensitivefareafpartfoffthefinterview
b. Afterfseveralfclosed-endedfquestionsfhavefbeenfasked
c. Whilefdesigningfthefgenogram
d. Duringfthefreviewfoffsyst ems
N RIGfB.CfM
USNT O
f
f f f
ANS:f A
Askingfopen-
endedfquestionsfduringfthefsensitivefpartfoffthefinterviewfallowsfyouftofgatherfmorefinformationfa
ndfestablishesfyoufasfanfempathicflistener,fwhichfisftheffirstfstepfoffeffectivefcommunication.fAsk
ingfclosed-
endedfquestionsfmayfstiflefthefpatient’sfdesireftofdiscussfthefhistoryfoffthefillness.fInterviewingffo
rfthefpurposefoffdesigningfafgenogramforfconductingfafreviewfoffsystemsfrequiresfmoreffocusedfd
atafthanfcanfbefmorefeasilyfgatheredfwithfdirectfquestioning.
DIF: CognitivefLevel:fUnderstandingf(Comprehension)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
3. Periodsfoffsilencefduringfthefinterviewfcanfservefimportantfpurposes,fsuchfas:
a. allowingfthefclinicianftofcatchfupfonfdocumentation.
b. promotingfcalm.
c. providingftimefforfreflection.
d. increasingftheflengthfoffthefvisit.
ANS:f C
Silencefisfafusefulftoolfduringfinterviewsfforfthefpurposesfoffreflection,fsummoningfcourage,fand
fdisplayingfcompassion. fThisfisfnotfaftimeftofdocumentfinfthefchart,fbutfratherftoffocusfonfthefpatie
nt.fPeriodsfoffsilencefmayfcausefanxietyfratherfthanfpromotefcalm.fTheflengthfoffthefvisitfisflessfi
mportantfthanfgettingfcriticalfinformation.
, DIF: CognitivefLevel:fUnderstandingf(Comprehension)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
4. Mr.fFranklinfisfspeakingfwithfyou,fthefhealthcarefprovider,faboutfhisfrespiratoryfproblem.fMr.
Franklinfsays,f“I’vefhadfthisfcoughfforf3fdays,fandfit’sfgettingfworse.”fYoufreply,f“Tellfmefmor
efaboutfyourfcough.”fMr.fFranklinfstates,f“IfwishfIfcouldftellfyoufmore.fThat’sfwhyfI’mfhere.fYo
uftellfmefwhat’sfwrong!”fWhichfcaregiverfresponsefwouldfbefmostfappropriatefforfenhancingfc
ommunication?
a. “Afterf3fdays,fyou’reftiredfoffcoughing.fHavefyoufhadfaffever?”
b. “I’dflikeftofhearfmorefaboutfyourfexperiences.fWherefwerefyoufborn?”
c. “Ifdon’tfknowfwhat’sfwrong.fYoufcouldfhavefalmostfanyfdisease.”
d. “I’llfexaminefyoufandffigurefoutflaterfwhatfthefproblemfis.”
ANS:f A
“Afterf3fdays,fyou’reftiredfoffcoughing.fHavefyoufhadfaffever?”fisfthefonlyfresponsefaimedfat
focusingfonfthefchieffcompliantftofgatherfmorefdatafandfdoesfnotfdigressffromfthefissue.
DIF: CognitivefLevel:fAnalyzingf(Analysis)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
5. Afterfyoufaskfafpatientfaboutfherffamilyfhistory,fshefsays,f“Tellfmefaboutfyourffamilyfnow.”
Whichfresponsefisfgenerallyfmostfappropriate?
a. Ignorefthefpatient’sfcommentfandfcontinuefwithfthefinterview.
b. Givefafbrief,fundetailedfanswer.
c. Askfthefpatientfwhyfshefneedsftofknow.
d. Tellfthefpatientfthatfyoufdofnotfdiscussfyourffamilyfwithfpatients.
ANS:f B NURSINGTB.COM
Givingfafbrief,fundetailedfanswerfwillfsatisfyfthefpatient’sfcuriosityfaboutfyourselffwithoutfinvadi
ngfyourfprivateflife.fIgnoringfthefpatient’sfcomment,fcontinuingfwithfthefinterview,fandftellingfthe
fpatient fthatfyoufdofnotfdiscussfyourffamilyfwithfpatientsfwillfpotentiallyfangerforffrustratefherfandf
keepfherffromfsharingfopenly.fAskingfthefpatientfwhyfshefneedsftofknowfwillfdistractffromfthefrealf
reasonfshefisfseekingfcarefandfinsteadfmovefthefinterviewfconversationfawayffromftheftopicsfthatfs
houldfbefdiscussed.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
6. Af36-year-
oldfwomanfcomplainsfthatfshefhasfhadfcrushingfchestfpainfforfthefpastf2fdays.fShefseemsfnervousf
asfshefspeaksftofyou.fAnfappropriatefresponsefisfto:
a. continueftofcollectfinformationfregardingfthefchieffcomplaintfinfanfunhurriedfm
anner.
b. finishfthefinterviewfasfrapidlyfasfpossible.
c. askfthefpatientftoftakefafdeepfbreathfandfcalmfdown.
d. askfthefpatientfiffshefwantsftofwaitfuntilfanotherfdayftoftalkftofyou.
ANS:f A
, Withfanfanxious,fvulnerablefpatient,fitfisfbestftofnotfhurry;fafcalmfdemeanorfwillfcommunicatefcari
ngftofthefpatient.fIffyoufasfafhealthcarefproviderfarefhurried,fthefpatientfwillfbefmorefanxious.fThef
bestfwayftofassistfanfanxiousfpatientfisftofnotfhurryfandfremainfcalm,fbecausefthisfwillfcommunicat
efcaringftofthefpatient.fAskingfthefpatientfiffshefwantsftofwaitfuntilfanotherfdayftoftalkftofyoufdelays
fthefneededfhealthfcare.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
7. Ms.fAfstates,f“Myflifefisfjustftoofpainful.fItfisn’tfworthfit.”fShefappearsfdepressed.fWhichfone
offtheffollowingfstatementsfisfthefmostfappropriatefcaregiverfresponse?
a. “Tryftofthinkfaboutfthefgoodfthingsfinflife.”
b. “Whatfinflifefisfcausingfyoufsuchfpain?”
c. “Youfcan’tfmeanfwhatfyou’refsaying.”
d. “Iffyoufthinkfaboutfit,fnothingfisfworthfgettingfthisfupsetfabout.”
ANS:f B
Specificfbutfopen-endedfquestionsfarefbestfusedfwhenfthefpatientfhasffeelingsfofflossfof
self-
worthfandfdepression.f“Tryftofthinkfaboutfthefgoodfthingsfinflife,”f“Youfcan’tfmeanfwhatfyou’refsay
ing,”fandf“Iffyoufthinkfaboutfit,fnothingfisfworthfgettingfthisfupsetfabout”farefstatementsfthatfwillfhu
rryfthefpatientfandfofferfonlyfsuperficialfassurance.
DIF: CognitivefLevel:fAnalyzingf(Analysis)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
8. Youfarefcollectingfafhistoryffromfaf16-year-
oldfgirl.fHerfmotherfisfsittingfnextftofherfinfthefexaminationfroom.fWhenfcollectingfhistoryffro
mfolderfchildrenforfadolescents,ftheyfshould
be: NURSINGTB.COM
a. givenfthefopportunityftofbefinterviewedfwithoutfthefparentfatfsomefpointfduringfthefinte
rview.
b. mailedfafquestionnairefinfadvanceftofavoidfthefneedfforfthemftoftalk.
c. ignoredfwhilefyoufaddressfallfquestionsftofthefparent.
d. allowedftofdirectfthefflowfoffthefinterview.
ANS:f A
Thefadolescentfshouldfbefgivenfthefopportunityftofgivefinformationfdirectly.fThisfenhancesfthefpr
obabilityfthatfthefadolescentfwillffollowfyourfadvice.fMailingfafquestionnairefinfadvanceftofavoidft
hefneedfforfherftoftalkfdoesfnotfassistfthefadolescentfinflearningftofrespondftofanswersfregardingfhe
rfhealth.fThefparentfcanfhelpffillfinfgapsfatfthefend.fIffshefisfignoredfwhilefyoufaddressfallfquestions
ftofthefparent,fthefpatientfwillffeelfasfthoughfshefis fjustfbeingfdiscussedfandfis fnotfpartfoffthefproces
sfforfthefhealthfcare.fThefhealthcarefproviderfshould
alwaysfdirectfthefflowfoffthefinterviewfaccordingftofthefpatient’sfresponses.
DIF: CognitivefLevel:fApplyingf(Application)
OBJ:f f Nursingfprocess—assessment MSC:f PhysiologicfIntegrity:fPhysiologicfAdaptation
9. Informationfthatfisfneededfduringfthefinitialfinterviewfoffafpregnantfwomanfincludesfallftheffoll
owingfexcept:
a. thefgenderfthatfthefwomanfhopesfthefbabyfwillfbe.
b. pastfmedicalfhistory.
c. healthcarefpractices.
