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Chapter 01: The History and Interviewing Process
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Ball: Seidel’s Guide to Physical Examination, 9th Edition
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MULTIPLEaCHOICE

1. Whichaquestionawouldabeaconsideredaaa―leadingaquestion?‖
a. ―Pleaseadescribeaanyaassociatedasymptomsawithayouraheadaches?‖
b. ―Youadon'ta getaheadachesaoften,adoa you?‖
c. ―Whataactivitiesaaffectatheaseverityaofa youraheadaches?‖
d. ―Whatatimesaofatheadayaareayouraheadachesatheamostasevere?‖
e. ―Whataworriesa youamostaaboutayouraheadache?‖
ANS:a B
Thisaquestionawouldalimitatheainformationainatheapatient'saanswer.aTheaotherachoicesaallowatheapa
tientamoreadiscretionaaboutatheaextentaofaanaanswer.

TOP:a Discipline:aBehavioralaScience MSC:a OrganaSystem:aGeneral

2. Whichaactionawouldabestapromoteaaccurateatranslationsaasawellaasaconfidentialityawhenatheac
aregiveradoesanotaspeaka theapatient'salanguage?
a. Askaaapersonaunfamiliarawithatheapatientatoatranslate.
b. Haveaaafriendaofatheapatientatranslate.
c. Askasimplealeadingaquestionsathatatheapatientamayaunderstand.
d. Useaaaneighboraasatranslator.
e. Involveatheafamilyawithatheatranslation.

ANS:a A NURSINGTB.COM
Whenayouadoanotaspeakatheapatient'salanguage,afamilyamembersaorafriendsa mayaposeaa
communicationabarrieraandamayahaveaissuesaofaconfidentiality;aaastrangeraasaanainterpreteraisale
ssabiased.

TOP:a Discipline:aBehavioralaScience MSC:a OrganaSystem:aGeneral

3. Periodsaofasilenceaduringatheainterviewacanaserveaimportantapurposes,asuchaas:
a. allowingatheaclinicianatoacatchaupaonadocumentation.
b. givingayouaaaclueathatayouashouldaspeedaupatheainterview.
c. providingatimeaforareflection.
d. increasingathealengthaofatheavisit.
e. promotingaaacalmaenvironment.
ANS:a C
Silenceaisaaausefulatooladuringainterviewsaforatheapurposesaofareflection,asummoningaofacourage
,aandadisplayingacompassion.aItaisausuallyaaaclueaforayouatoagoasloweraandanotatoapushatooahard.

TOP:a Discipline:aBehavioralaScience MSC:a OrganaSystem:aGeneral

4. Whichatechniqueaisamostalikelyatoaresultainatheapatient'saunderstandingaofaquestions?
a. Useaphrasesathataareacommonlyausedabyaotherapatientsainatheaarea.
b. Useatheapatient'saownatermsaifapossible.




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, Seidel's Guide to Physical Examination 9th Edition
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c. Usealanguageathatakeepsatheapatientafromabeingaexpansiveainahisaoraheraanswer.
d. Useaproperamedicalaandatechnicalaterminology.
e. Useatheasimplestalanguageapossible.
ANS:a B
Toaensureathata youraquestionsahaveabeenacorrectlyaunderstood,abeaclear,aandaexplicitawhileausinga
theapatient'sa idioma andalevelaofaunderstanding.

TOP:a Discipline:aBehavioralaScience MSC:a OrganaSystem:aGeneral

5. Aapatientabecomesarestlessaduringatheahistoryaandasays,a―Iadon'tahaveatimeaforaallaofathisaco
nversation.a I'veagotatoagetabackatoawork.‖aYouramostaappropriatearesponseawouldabeato:
a. stopausingaopen-endedaquestionsaandabecomeamoreadirect.
b. askaanotheraopen-endedaquestionaandainsistaonaanaanswer.
c. askaquestionsaaboutahisaangeraandamoveacloseratoahim.
d. acknowledgeahisaangeraandaproceedawithatheahistoryaandaexamination.
e. ignoreahisadispleasureaandabecomeamoreaassertiveaaboutagettingaanswers.
ANS:a D
Thisaisatheaonlyaanswerathataresistsatheatendencyaforapatientamanipulation,apursuesatheainfo
rmation,aandaconfrontsa theapatient'saanger.

TOP:a Discipline:aBehavioralaScience MSC:a OrganaSystem:aGeneral

6. Whenaquestioningaaapatientaregardingaalcoholaintake,asheatellsayouathatasheaisa―onlyaaasocialadr
inker.‖aWhichainitialaresponseaisaappropriate?
a. ―I'magladathata youaareaaaresponsibleadrinker.‖
b. ―ManyapeopleawhoaareareN allyRalcIohoGlicasB
ay.tCheyMareasocialadrinkers.‖
c. ―Whataamountaandawhatakind Uaaof
SaaN aT
alcohol adoa youadrinkainaaaweek?‖

d. ―Ifa youaonlyadrinkasocially,a youa won'taneedatoaworryaaboutaalwaysahavingaaade
signatedadriver.‖
e. ―Doatheaotherapeopleaina yourahouseholdaconsumeaalcohol?‖
ANS:a C
Thisaansweraclarifiesatheapatient'saownatermawithoutaaskingaaaleadingaquestionaorabeingajudgmen
tal.

TOP:a Discipline:aBehavioralaScience MSC:a OrganaSystem:aGeneral

7. Aa50-year-
oldamanacomesatoatheaprimaryacareaclinic.aHeatellsayouaheaisaworriedabecauseaheahasahadasevereach
estapainsaforatheapasta2aweeks.aWhichainitialahistoryainterviewaquestionaisamostaappropriate?
a. ―Cana youadescribeatheapain?‖
b. ―Theapainadoesn'ta radiatea toa youraarm,adoesait?‖
c. ―Havea youabeenatreatedaforaanxietyabefore?‖
d. ―Doesa yourafatherahaveaheartadisease?‖
e. ―Areatheapainsaworseaaftera youaeat?‖

ANS:a A
Initially,aanaopen-
endedaquestionaisaaamoreaappropriatearesponse.a―Cana youadescribeatheapain?‖aisaanaopen-
endedaquestionathataoffersacluesatoatheachiefaconcern.




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