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TEST BANK FOR SEIDEL'S GUIDE TO PHYSICAL EXAMINATION AN INTERPROFESSIONAL APPROACH 9TH EDITION
TEST BANK FOR SEIDEL'S GUIDE TO PHYSICAL EXAMINATION AN INTERPROFESSIONAL APPROACH 9TH EDITION
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TEST BANK FOR SEIDEL'S GUIDE TO PHYSICALEXAMINATION AN INTERPROFESSIONAL APPROACH
9TH EDITION
, Chapter 01: The History and Interviewing Process
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. Which question would be considered a ―leading question?‖
a. ―Please describe any associated symptoms with your headaches?‖
b. ―You don't get headaches often, do you?‖
c. ―What activities affect the severity of your headaches?‖
d. ―What times of the day are your headaches the most severe?‖
e. ―What worries you most about your headache?‖
CORRECT CHOICE:-B
Feedback:->>>This question would limit the information in the client's selected answerwer.
The other choices allow the
client more discretion about the extent of an selected answerwer.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
2. Which action would best promote accurate trselected answerlations as well as confidentiality
when the
caregiver does not speak the client's language?
a. Ask a person unfamiliar with the client to trselected answerlate.
b. Have a friend of the client trselected answerlate.
c. Ask simple leading questions that the client may understand.
d. Use a neighbor as trselected answerlator.
e. Involve the family with the trselected answerlation.
CORRECT CHOICE: A
Feedback:->>>When you do not speak the client's language, family members or friends may
pose a communication barrier and may have issues of confidentiality; a stranger as an
interpreter is less biased.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
3. Periods of silence during the interview can serve important purposes, such as:
a. allowing the clinician to catch up on documentation.
b. giving you a clue that you should speed up the interview.
c. providing time for reflection.
d. increasing the length of the visit.
e. promoting a calm environment.
CORRECT CHOICE:-C
Feedback:->>>Silence is a useful tool during interviews for the purposes of reflection,
summoning of courage, and displaying compassion. It is usually a clue for you to go slower
and not to push too hard.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
4. Which technique is most likely to result in the client's understanding of questions?
a. Use phrases that are commonly used by other clients in the area.
, b. Use the client's own terms if possible.
c. Use language that keeps the client from being expselected answerive in his or her selected
answerwer.
d. Use proper medical and technical terminology.
e. Use the simplest language possible.
CORRECT CHOICE:-B
Feedback:->>>To ensure that your questions have been correctly understood, be clear, and
explicit while using the client's idiom and level of understanding.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
5. A client becomes restless during the history and says, ―I don't have time for all of this
conversation. I've got to get back to work.‖ Your most appropriate response would be to:
a. sTOPIC using open-ended questions and become more direct.
b. ask another open-ended question and insist on an selected answerwer.
c. ask questions about his anger and move closer to him.
d. acknowledge his anger and proceed with the history and examination.
e. ignore his displeasure and become more assertive about getting selected answerwers.
CORRECT CHOICE:-D
Feedback:->>>This is the only selected answerwer that resists the tendency for client
manipulation, pursues the
information, and confronts the client's anger.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
6. When questioning a client regarding alcohol intake, she tells you that she is ―only a social
drinker.‖ Which initial response is appropriate?
a. ―I'm glad that you are a responsible drinker.‖
b. ―Many people who are reN allyRalcI
o hoG
c. ―What amount and what kind U S Nl ic TsBaydo
of alcohol
.tCh e yMa r e social drinkers.‖
you drink in a week?‖
d. ―If you only drink socially, you won't need to worry about always having a
designated driver.‖
e. ―Do the other people in your household consume alcohol?‖
CORRECT CHOICE:-C
Feedback:->>>This selected answerwer clarifies the client's own term without asking a leading
question or being
judgmental.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
7. A 50-year-old man comes to the primary care clinic. He tells you he is worried because he has
had severe chest pains for the past 2 weeks. Which initial history interview question is most
appropriate?
a. ―Can you describe the pain?‖
b. ―The pain doesn't radiate to your arm, does it?‖
c. ―Have you been treated for anxiety before?‖
d. ―Does your father have heart disease?‖
e. ―Are the pains worse after you eat?‖
CORRECT CHOICE:-A
Feedback:->>>Initially, an open-ended question is a more appropriate response. ―Can you
describe the pain?‖ is an open-ended question that offers clues to the chief concern.
, TOPIC: Discipline: Behavioral Science MSC: Organ System: General
8. Ms. A. states, ―My life is just too painful. It isn't worth it.‖ She appears depressed. Which one
of the following statements is the most appropriate caregiver response?
a. ―Try to think about the good things in life.‖
b. ―You shouldn't feel that way; look at all the good things in your life.‖
c. ―You can't mean what you're saying.‖
d. ―If you think about it, nothing is worth getting this upset about.‖
e. ―What in life is causing you such pain?‖
CORRECT CHOICE:-E
Feedback:->>>Specific yet open-ended questions are best used when the client has
feelings of loss of self-worth and depression. The other responses hurry the client and
offer superficial assurance.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
9. During an interview, you have the impression that a client may be considering suicide.
Which action is essential?
a. Immediately begin proceedings for an involuntary commitment.
b. Ask whether the client has considered self-harm.
c. Ask whether the client would like to visit a psychiatrist.
d. Record the impression in the client's chart and refer the client for
hospitalization.
e. Avoid directly confronting the client regarding your impression.
CORRECT CHOICE:-B
Feedback:->>>If you think the U client N bNTe c Ro n sOiId e r iGn g B
S may
Mentioning it gives permission to talk about it.
su.
icC
ide,Mhe or she probably is.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
10. You are collecting a history from an 11-year-old girl. Her mother is sitting next to her in the
examination room. When collecting history from older children or adolescents, they should:
a. never be interviewed alone because this may alienate the parent.
b. be mailed a questionnaire in advance to avoid the need for her to talk.
c. be given the opportunity to be interviewed without the parent at some point.
d. be allowed to direct the flow of the interview.
e. be ignored while you address all questions to the parent.
CORRECT CHOICE:-C
Feedback:->>>An older child should be given the opportunity to give information directly. This
enhances the probability that the child will follow your advice.
TOPIC: Discipline: Behavioral Science MSC: Organ System: General
11. When communicating with older children and teenagers, you should be sensitive to their:
a. parent's needs.
b. natural urge to communicate.
c. need for verbal instructions.
d. typical reluctance to talk.
e. desire for adult companionship.
CORRECT CHOICE:-D
Feedback:->>>Adolescents are usually reluctant to talk; therefore, the provider should clearly
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