Exam (elaborations)
Test Bank for Seidel's Guide to Physical Examination 9th Edition by Jane W.
Seidel's Guide to Physical Examination 9th Edition by Jane W.
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
1,Chapteri01:iTheiHistoryiandiInterviewingiProcess
Ball:iSeidel’siGuideitoiPhysicaliExamination,i9thiEdition
MULTIPLEiCHOICE
1. Whichiquestioniwouldibeiconsiderediai“leadingiquestion?”
a. “Whatidoiyouithinkiisicausingiyouriheadaches?”
b. “Youidon’tigetiheadachesioften,idoiyou?”
c. “Oniaiscaleiofi1itoi10,ihowiwouldiyouirateitheiseverityiofiyouriheadaches?”
d. “Atiwhatitimeiofitheidayiareiyouriheadachesitheimostisevere?”
ANS:i B
Statingitoitheipatientithatiheiorisheidoesinotigetiheadachesiwouldilimititheiinformationiinitheipa
tient’sianswer.iAskingitheipatientiwhatiheiorisheithinksiisicausingitheiheadachesiisianiopen-
endediquestion.iAskingitheipatientihowiheiorisheiwouldirateitheiseverityiofitheiheadachesiandi
askingiwhatitimeiofitheidayitheiheadachesiareitheimostisevereiareidirectiquestions.
DIF: CognitiveiLevel:iApplyingi(Application)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
2. Wheniareiopen-endediquestionsigenerallyimostiuseful?
a. Duringisensitiveiareaipartiofitheiinterview
b. Afteriseveraliclosed-endediquestionsihaveibeeniasked
c. Whileidesigningitheigenogram
d. Duringitheireviewiofisystems
N RiI
ANS:i A
Askingiopen-
endediquestionsiduringitheisensitiveipartiofitheiinterviewiallowsiyouitoigatherimoreiinformation
iandiestablishesiyouiasianiempathicilistener,iwhichiisitheifirstistepiofieffectiveicommunication.i
Askingiclosed-
endediquestionsimayistifleitheipatient’sidesireitoidiscussitheihistoryiofitheiillness.iInterviewingif
oritheipurposeiofidesigningiaigenogramioriconductingiaireviewiofisystemsirequiresimoreifocuse
didataithanicanibeimoreieasilyigatherediwithidirectiquestioning.
DIF: CognitiveiLevel:iUnderstandingi(Comprehension)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
3. Periodsiofisilenceiduringitheiinterviewicaniserveiimportantipurposes,isuchias:
a. allowingitheiclinicianitoicatchiupionidocumentation.
b. promotingicalm.
c. providingitimeiforireflection.
d. increasingitheilengthiofitheivisit.
ANS:i C
Silenceiisiaiusefulitooliduringiinterviewsiforitheipurposesiofireflection,isummoningicourage,ian
didisplayingicompassion.iThisiisinotiaitimeitoidocumentiinitheichart,ibutiratheritoifocusionitheip
atient.iPeriodsiofisilenceimayicauseianxietyiratherithanipromoteicalm.iTheilengthiofitheivisitiisil
essiimportantithanigettingicriticaliinformation.
2
, DIF: CognitiveiLevel:iUnderstandingi(Comprehension)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
4. Mr.iFrankliniisispeakingiwithiyou,itheihealthcareiprovider,iaboutihisirespiratoryiproblem.iMr.iFr
anklinisays,i“I’veihadithisicoughifori3idays,iandiit’sigettingiworse.”iYouireply,i“Tellimeimoreia
boutiyouricough.”iMr.iFranklinistates,i“IiwishiIicoulditelliyouimore.iThat’siwhyiI’mihere.iYouit
ellimeiwhat’siwrong!”iWhichicaregiveriresponseiwouldibeimostiappropriateiforienhancingico
mmunication?
a. “Afteri3idays,iyou’reitiredioficoughing.iHaveiyouihadiaifever?”
b. “I’dilikeitoihearimoreiaboutiyouriexperiences.iWhereiwereiyouiborn?”
c. “Iidon’tiknowiwhat’siwrong.iYouicouldihaveialmostianyidisease.”
d. “I’lliexamineiyouiandifigureioutilateriwhatitheiproblemiis.”
ANS:i A
“Afteri3idays,iyou’reitiredioficoughing.iHaveiyouihadiaifever?”iisitheionlyiresponseiaimediatifo
cusingionitheichieficompliantitoigatherimoreidataiandidoesinotidigressifromitheiissue.
DIF: CognitiveiLevel:iAnalyzingi(Analysis)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
5. Afteriyouiaskiaipatientiaboutiherifamilyihistory,isheisays,i“Tellimeiaboutiyourifamilyinow.”iW
hichiresponseiisigenerallyimostiappropriate?
a. Ignoreitheipatient’sicommentiandicontinueiwithitheiinterview.
b. Giveiaibrief,iundetailedianswer.
c. Askitheipatientiwhyisheineedsitoiknow.
d. Tellitheipatientithatiyouidoinotidiscussiyourifamilyiwithipatients.
ANS:i B
Givingiaibrief,iundetailediansweriwillisatisfyitheipatient’sicuriosityiaboutiyourselfiwithout
invadingiyouriprivateilife.iIgnoringitheipatient’sicomment,icontinuingiwithitheiinterview,iandite
llingitheipatientithatiyouidoinotidiscussiyourifamilyiwithipatientsiwillipotentiallyiangeriorifrustr
ateiheriandikeepiherifromisharingiopenly.iAskingitheipatientiwhyisheineedsitoiknowiwillidistracti
fromitheirealireasonisheiisiseekingicareiandiinsteadimoveitheiinterviewiconversationiawayifromi
theitopicsithatishouldibeidiscussed.
DIF: CognitiveiLevel:iApplyingi(Application)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
6. Ai36-year-
oldiwomanicomplainsithatisheihasihadicrushingichestipainiforitheipasti2idays.iSheiseemsinervo
usiasisheispeaksitoiyou.iAniappropriateiresponseiisito:
a. continueitoicollectiinformationiregardingitheichieficomplaintiinianiunhurriedi
manner.
b. finishitheiinterviewiasirapidlyiasipossible.
c. askitheipatientitoitakeiaideepibreathiandicalmidown.
d. askitheipatientiifisheiwantsitoiwaitiuntilianotheridayitoitalkitoiyou.
ANS:i A
3
, Withianianxious,ivulnerableipatient,iitiisibestitoinotihurry;iaicalmidemeanoriwillicommunicateica
ringitoitheipatient.iIfiyouiasiaihealthcareiprovideriareihurried,itheipatientiwillibeimoreianxious.iT
heibestiwayitoiassistianianxiousipatientiisitoinotihurryiandiremainicalm,ibecauseithisiwillicommu
nicateicaringitoitheipatient.iAskingitheipatientiifisheiwantsitoiwaitiuntilianotheridayitoitalkitoiyo
uidelaysitheineededihealthicare.
DIF: CognitiveiLevel:iApplyingi(Application)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
7. Ms.iAistates,i“Myilifeiisijustitooipainful.iItiisn’tiworthiit.”iSheiappearsidepressed.iWhichioneiofi
theifollowingistatementsiisitheimostiappropriateicaregiveriresponse?
a. “Tryitoithinkiaboutitheigoodithingsiinilife.”
b. “Whatiinilifeiisicausingiyouisuchipain?”
c. “Youican’timeaniwhatiyou’reisaying.”
d. “Ifiyouithinkiaboutiit,inothingiisiworthigettingithisiupsetiabout.”
ANS:i B
Specificibutiopen-endediquestionsiareibestiusediwhenitheipatientihasifeelingsiofilossiof
self-
worthiandidepression.i“Tryitoithinkiaboutitheigoodithingsiinilife,”i“Youican’timeaniwhatiyou’reis
aying,”iandi“Ifiyouithinkiaboutiit,inothingiisiworthigettingithisiupsetiabout”iareistatementsithati
willihurryitheipatientiandiofferionlyisuperficialiassurance.
DIF: CognitiveiLevel:iAnalyzingi(Analysis)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
8. Youiareicollectingiaihistoryifromiai16-year-
oldigirl.iHerimotheriisisittinginextitoiheriinitheiexaminationiroom.iWhenicollectingihistoryifr
omiolderichildrenioriadolescents,itheyishouldibe:
a. givenitheiopportunityitoibeiinterviewediwithoutitheiparentiatisomeipointiduringithe
interview.
b. mailediaiquestionnaireiiniadvanceitoiavoiditheineediforithemitoitalk.
c. ignorediwhileiyouiaddressialliquestionsitoitheiparent.
d. alloweditoidirectitheiflowiofitheiinterview.
ANS:i A
Theiadolescentishouldibeigivenitheiopportunityitoigiveiinformationidirectly.iThisienhancesithei
probabilityithatitheiadolescentiwillifollowiyouriadvice.iMailingiaiquestionnaireiiniadvanceitoiav
oiditheineediforiheritoitalkidoesinotiassistitheiadolescentiinilearningitoiresponditoianswersiregar
dingiherihealth.iTheiparenticanihelpifilliinigapsiatitheiend.iIfisheiisiignorediwhileiyouiaddressiall
iquestionsitoitheiparent,itheipatientiwillifeeliasithoughisheiisijustibeingidiscussediandiisinotiparti
ofitheiprocessiforitheihealthicare.iTheihealthcareiproviderishouldialwaysidirectitheiflowiofitheiin
terviewiaccordingitoitheipatient’siresponses.
DIF: CognitiveiLevel:iApplyingi(Application)
OBJ:iiiNursingiprocess—assessment MSC:i PhysiologiciIntegrity:iPhysiologiciAdaptation
9. Informationithatiisineedediduringitheiinitialiinterviewiofiaipregnantiwomaniincludesiallitheifo
llowingiexcept:
a. theigenderithatitheiwomanihopesitheibabyiwillibe.
b. pastimedicalihistory.
4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Tulips. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79835 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now