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SEIDEL’S GUIDE TO PHYSICA se se se
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,Seidel's Guide to Physical Examination 9th Edition
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Chapterse01:seTheseHistoryseandseInterviewingseProcess
Ball:seSeidel’sseGuidesetosePhysicalseExamination,se9thseEdition
MULTIPLEseCHOICE
1. Whichsequestionsewouldsebeseconsideredsease―leadingsequestion?‖
a. ―Pleasesedescribeseanyseassociatedsesymptomssewithseyourseheadaches?‖
b. ―Yousedon'tsegetseheadachesseoften,sedoseyou?‖
c. ―Whatseactivitiesseaffectsetheseseverityseofse yourseheadaches?‖
d. ―Whatsetimesseofsethesedayseareseyourseheadachessethesemostsesevere?‖
e. ―Whatseworriesseyousemostseaboutseyourseheadache?‖
ANS:s e B
Thissequestionsewouldselimitsetheseinformationseinsethesepatient'sseanswer.seTheseothersechoicesseallowsethese
patientsemoresediscretionseaboutsetheseextentseofseanseanswer.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
2. Whichseactionsewouldsebestsepromoteseaccuratesetranslationsseassewellseasseconfidentialitysewhen
thesecaregiversedoessenotsespeaksethesepatient'sselanguage?
se
a. Askseasepersonseunfamiliarsewithsethesepatientsetosetranslate.
b. Haveseasefriendseofsethesepatientsetranslate.
c. Asksesimpleseleadingsequestionssethatsethesepatientsemayseunderstand.
d. Useseaseneighborseassetranslator.
e. Involvesethesefamilysewithsethesetranslation.
ANS:s e A NURSINGTB.COM
Whenseyousedosenotsespeaksethesepatient'sselanguage,sefamilysemembersseorsefriendssemayseposesea
communicationsebarrierseandsemaysehaveseissuesseofseconfidentiality;seasestrangerseasseanseinterpreters
eisselesssebiased.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
3. Periodsseofsesilenceseduringsetheseinterviewsecanseserveseimportantsepurposes,sesuchseas:
a. allowingsethesecliniciansetosecatchseupseonsedocumentation.
b. givingseyouseasecluesethatse youseshouldsespeedseupsetheseinterview.
c. providingsetimeseforsereflection.
d. increasingsetheselengthseofsethesevisit.
e. promotingseasecalmseenvironment.
ANS:s e C
Silenceseisseaseusefulsetoolseduringseinterviewsseforsethesepurposesseofsereflection,sesummoningseofsec
ourage,seandsedisplayingsecompassion.seItseisseusuallyseaseclueseforseyousetosegoseslowerseandsenotsetosep
ushsetoosehard.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
4. Whichsetechniqueseissemostse likelysetoseresultseinsethesepatient'sseunderstandingseofsequestions?
a. Usesephrasessethatsearesecommonlyseusedsebyseothersepatientsseinsethesearea.
b. Usesethesepatient'sseownsetermsseifsepossible.
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se se se se se se
c. Useselanguagesethatsekeepssethesepatientsefromsebeingseexpansiveseinsehisseorseherseanswer.
d. Usesepropersemedicalseandsetechnicalseterminology.
e. Usesethesesimplestselanguagesepossible.
ANS:s e B
Toseensuresethatseyoursequestionssehavesebeensecorrectlyseunderstood,sebeseclear,seandseexplicitsewhile
seusingsethesepatient'sseidiomseandselevelseofseunderstanding.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
5. Asepatientsebecomesserestlessseduringsethesehistoryseandsesays,se―Isedon'tsehavesetimeseforseallse
ofsethisseconversation.seI'vesegotsetosegetsebacksetosework.‖seYoursemostseappropriateseresponsese
wouldsebeseto:
a. stopseusingseopen-endedsequestionsseandsebecomesemoresedirect.
b. askseanotherseopen-endedsequestionseandseinsistseonseanseanswer.
c. asksequestionsseaboutsehisseangerseandsemoveseclosersetosehim.
d. acknowledgesehisseangerseandseproceedsewithsethesehistoryseandseexamination.
e. ignoresehissedispleasureseandsebecomesemoreseassertiveseaboutsegettingseanswers.
ANS:s e D
Thisseissetheseonlyseanswersethatseresistssethesetendencyseforsepatientsemanipulation,sepursuesset
heseinformation,seandseconfrontssethesepatient'sseanger.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
6. Whensequestioningseasepatientseregardingsealcoholseintake,seshesetellsseyousethatsesheseisse―onlyseases
ocialsedrinker.‖seWhichseinitialseresponseseisseappropriate?
a. ―I'msegladsethatseyouseareseaseresponsiblesedrinker.‖
b. ―Manysepeoples e whos e ares e reNallyRalcI o hoGl ic s e sBa y.tCh e yMar e s e socials e drinkers.‖
c. ―WhatseamountseandsewhatseU seSseNseT
kind seofsealcoholsedoseyousedrinkseinseaseweek?‖
d. ―Ifseyouseonlysedrinksesocially,seyousewon'tseneedsetoseworryseaboutsealwayssehavi
ngseasedesignatedsedriver.‖
e. ―Dosetheseothersepeopleseinseyoursehouseholdseconsumesealcohol?‖
ANS:s e C
Thisseanswerseclarifiessethesepatient'sseownsetermsewithoutseaskingseaseleadingsequestionseorseb
eingsejudgmental.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
7. Ase50-year-
oldsemansecomessetosetheseprimarysecareseclinic.seHesetellsseyouseheseisseworriedsebecausesehesehassehads
eseveresechestsepainsseforsethesepastse2seweeks.seWhichseinitialsehistoryseinterviewsequestionseissemost
seappropriate?
a. ―Canseyousedescribesethesepain?‖
b. ―Thesepainsedoesn'tseradiatesetoseyoursearm,sedoesseit?‖
c. ―Haveseyousebeensetreatedseforseanxietysebefore?‖
d. ―Doesse yoursefathersehaveseheartsedisease?‖
e. ―Aresethesepainsseworseseafterseyouseeat?‖
ANS:s e A
Initially,seanseopen-
endedsequestionseisseasemoreseappropriateseresponse.se―Canseyousedescribesethesepain?‖seisseanseopen-
endedsequestionsethatseofferssecluessetosethesechiefseconcern.
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se se se se se se
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
8. Ms.seA.sestates,se―Myselifeseissejustsetoosepainful.seItseisn'tseworthseit.‖seSheseappearssedepressed.seWhic
hseoneseofsethesefollowingsestatementsseissethesemostseappropriatesecaregiverseresponse?
a. ―Trysetosethinkseaboutsethesegoodsethingsseinselife.‖
b. ―Youseshouldn'tsefeelsethatseway;selookseatseallsethesegoodsethingsseinseyourselife.‖
c. ―Yousecan'tsemeansewhatseyou'resesaying.‖
d. ―Ifseyousethinkseaboutseit,senothingseisseworthsegettingsethisseupsetseabout.‖
e. ―Whatseinselifeseissecausingseyousesuchsepain?‖
ANS:s e E
Specificseyetseopen-
endedsequestionssearesebestseusedsewhensethesepatientsehassefeelingsseofselossseofseself-
worthseandsedepression.seTheseotherseresponsessehurrysethesepatientseandseoffersesuperficialsea
ssurance.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
9. Duringseanseinterview,seyousehavesetheseimpressionsethatseasepatientsemaysebeseconsideringsesui
cide.seWhichseactionseisseessential?
a. Immediatelysebeginseproceedingsseforseanseinvoluntarysecommitment.
b. Asksewhethersethesepatientsehasseconsideredseself-harm.
c. Asksewhethersethesepatientsewouldselikesetosevisitseasepsychiatrist.
d. Recordsetheseimpressionseinsethesepatient'ssechartseandserefersethesepatient
seforsehospitalization.
e. Avoidsedirectlyseconfrontingsethesepatientseregardingseyourseimpression.
ANS:s e B
IfseyousethinksethesepatientsemaysebNesec R
o n s iId e r iGn g seB
su.
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ide,Mheseorsesheseprobablyseis.seMentioningseitsegivessep
ermissionsetosetalkseaboutseit. UseSseNseT
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
10. Yousearesecollectingseasehistorysefromseanse11-year-
oldsegirl.seHersemotherseissesittingsenextsetoseherseinsetheseexaminationseroom.seWhensecollectingsehi
storysefromseoldersechildrenseorseadolescents,setheyseshould:
a. neversebeseinterviewedsealonesebecausesethissemaysealienatesetheseparent.
b. besemailedseasequestionnaireseinseadvancesetoseavoidsetheseneedseforsehersetosetalk.
c. besegivensetheseopportunitysetosebeseinterviewedsewithoutsetheseparentseatsesomesepoint.
d. beseallowedsetosedirectsetheseflowseofsetheseinterview.
e. beseignoredsewhilese youseaddressseallsequestionssetosetheseparent.
ANS:s e C
Anseoldersechildseshouldsebesegivensetheseopportunitysetosegiveseinformationsedirectly.seThisseenhancessethes
eprobabilitysethatsethesechildsewillsefollowse yourseadvice.
TOP:s e Discipline:seBehavioralseScience MSC:s e OrganseSystem:seGeneral
11. Whensecommunicatingsewithseoldersechildrenseandseteenagers,se youseshouldsebesesensitivesetosetheir:
a. parent'sseneeds.
b. naturalseurgesetosecommunicate.
c. needseforseverbalseinstructions.
d. typicalsereluctancesetosetalk.
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