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seidels guide to physical examination 9th edition test bank.
seidels guide to physical examination 9th edition test bank.
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,Chapter 01: The History and Interviewing Processv v v v v v
Ball: Seidel’s Guide to Physical Examination, 9th Edition
v v v v v v v
MULTIPLEvCHOICE
1. Whichvquestionvwouldvbevconsideredvav“leadingvquestion?”
a. “Pleasevdescribevanyvassociatedvsymptomsvwithvyourvheadaches?”
b. “Youvdon'tv getvheadachesvoften,vdovyou?”
c. “Whatvactivitiesvaffectvthevseverityvofvyourvheadaches?”
d. “Whatvtimesvofvthevdayvarevyourvheadachesvthevmostvsevere?”
e. “Whatvworriesvyouvmostvaboutvyourvheadache?”
ANS:v B
Thisvquestionvwouldvlimitvthevinformationvinvthevpatient'svanswer.vThevothervchoicesvallowvthevp
atientvmorevdiscretionvaboutvthevextentvofvanvanswer.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
2. Whichvactionvwouldvbestvpromotevaccuratevtranslationsvasvwellvasvconfidentialityvwhenvthevc
aregivervdoesvnotvspeakvthevpatient'svlanguage?
a. Askvavpersonvunfamiliarvwithvthevpatientvtovtranslate.
b. Havevavfriendvofvthevpatientvtranslate.
c. Askvsimplevleadingvquestionsvthatvthevpatientvmayvunderstand.
d. Usevavneighborvasvtranslator.
e. Involvevthevfamilyvwithvthevtranslation.
ANS:v A NURSINGTB.COM
Whenvyouvdovnotvspeakvthevpatient'svlanguage,vfamilyvmembersvorvfriendsvmayvposeva
communicationvbarriervandvmayvhavevissuesvofvconfidentiality;vavstrangervasvanvinterpretervisvless
vbiased.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
3. Periodsvofvsilencevduringvthevinterviewvcanvservevimportantvpurposes,vsuchvas:
a. allowingvthevclinicianvtovcatchvupvonvdocumentation.
b. givingvyouvavcluevthatvyouvshouldvspeedvupvthevinterview.
c. providingvtimevforvreflection.
d. increasingvthevlengthvofvthevvisit.
e. promotingvavcalmvenvironment.
ANS:v C
Silencevisvavusefulvtoolvduringvinterviewsvforvthevpurposesvofvreflection,vsummoningvofvcourage,
vandvdisplayingvcompassion.vItvisvusuallyvavcluevforvyouvtovgovslowervandvnot vtovpushvtoovhard.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
4. Whichvtechniquevisvmostv likelyvtovresultvinvthevpatient'svunderstandingvofvquestions?
a. Usevphrasesvthatvarevcommonlyvusedvbyvothervpatientsvinvthevarea.
b. Usevthevpatient'svownvtermsvifvpossible.
, c. Usevlanguagevthatvkeepsvthevpatientvfromvbeingvexpansivevinvhisvorvhervanswer.
d. Usevpropervmedicalvandvtechnicalvterminology.
e. Usevthevsimplestvlanguagevpossible.
ANS:v B
Tovensurevthatvyourvquestionsvhavevbeenvcorrectlyvunderstood,vbevclear,vandvexplicitvwhilevusingv
thevpatient'svidiomvandvlevelvofvunderstanding.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
5. Avpatientvbecomesvrestlessvduringvthevhistoryvandvsays,v“Ivdon'tvhavevtimevforvallvofvthisvco
nversation.vI'vevgotvtovgetvbackvtovwork.”vYourvmostvappropriatevresponsevwouldvbevto:
a. stopvusingvopen-endedvquestionsvandvbecomevmorevdirect.
b. askvanothervopen-endedvquestionvandvinsistvonvanvanswer.
c. askvquestionsvaboutvhisvangervandvmovevcloservtovhim.
d. acknowledgevhisvangervandvproceedvwithvthevhistoryvandvexamination.
e. ignorevhisvdispleasurevandvbecomevmorevassertivevaboutvgettingvanswers.
ANS:v D
Thisvisvthevonlyvanswervthatvresistsvthevtendencyvforvpatientvmanipulation,vpursuesvthevinformatio
n,vandvconfrontsvthevpatient'svanger.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
6. Whenvquestioningvavpatientvregardingvalcoholvintake,vshevtellsvyouvthatvshevisv“onlyvavsocialvd
rinker.”vWhichvinitialvresponsevisvappropriate?
a. “I'mvgladvthatv youvarevavresponsiblevdrinker.”
b. “Manyv peoplev whov arev reN
allyRalcIo hoGlic v sBa y.tChe yMare v socialv drinkers.”
U vSvNvT
c. “Whatvamountvandvwhatvkindvofvalcoholvdovyouvdrinkvinvavweek?”
d. “Ifvyouvonlyvdrinkvsocially,vyouvwon'tvneedvtovworryvaboutvalwaysvhavingvavd
esignatedvdriver.”
e. “Dovthevothervpeoplevinvyourvhouseholdvconsumevalcohol?”
ANS:v C
Thisvanswervclarifiesvthevpatient'svownvtermvwithoutvaskingvavleadingvquestionvorvbeingvjudgmen
tal.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
7. Av50-year-
oldvmanvcomesvtovthevprimaryvcarevclinic.vHevtellsvyouvhevisvworriedvbecausevhevhasvhadvseverevc
hestvpainsvforvthevpastv2vweeks.vWhichvinitialvhistoryvinterviewvquestionvisvmostvappropriate?
a. “Canvyouvdescribevthevpain?”
b. “Thevpainvdoesn'tvradiatevtovyourvarm,vdoesvit?”
c. “Havevyouvbeenvtreatedvforvanxietyvbefore?”
d. “Doesvyourvfathervhavevheartvdisease?”
e. “Arevthevpainsvworsevaftervyouveat?”
ANS:v A
Initially,vanvopen-
endedvquestionvisvavmorevappropriatevresponse.v“Canvyouvdescribevthevpain?”visvanvopen-
endedvquestionvthatvoffersvcluesvtovthevchiefvconcern.
, TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
8. Ms.vA.vstates,v“Myvlifevisvjustvtoovpainful.vItvisn'tvworthvit.”vShevappearsvdepressed.vWhichvonevo
fvthevfollowingvstatementsvisvthevmostvappropriatevcaregivervresponse?
a. “Tryvtovthinkvaboutvthevgoodvthingsvinvlife.”
b. “Youvshouldn'tv feelvthatvway;vlookvatvallvthevgoodvthingsvinvyourvlife.”
c. “Youvcan'tv meanvwhatv you'revsaying.”
d. “Ifvyouvthinkvaboutvit,vnothingvisvworthvgettingvthisvupsetvabout.”
e. “Whatvinvlifevisvcausingvyouvsuchvpain?”
ANS:v E
Specificvyetvopen-
endedvquestionsvarevbestvusedvwhenvthevpatientvhasvfeelingsvofvlossvofvself-
worthvandvdepression.vThevothervresponsesvhurryvthevpatientvandvoffervsuperficialvassura
nce.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
9. Duringvanvinterview,vyouvhavevthevimpressionvthatvavpatientvmayvbevconsideringvsuicide.v
Whichvactionvisvessential?
a. Immediatelyvbeginvproceedingsvforvanvinvoluntaryvcommitment.
b. Askvwhethervthevpatientvhasvconsideredvself-harm.
c. Askvwhethervthevpatientvwouldvlikevtovvisitvavpsychiatrist.
d. Recordvthevimpressionvinvthevpatient'svchartvandvrefervthevpatientvforv
hospitalization.
e. Avoidvdirectlyvconfrontingvthevpatientvregardingvyourvimpression.
ANS:v B
IfvyouvthinkvthevpatientvmayvbNevc R
oUnvS IdvT
s ivN erG
i n g vB
su.
icC
ide,Mhevorvshevprobablyvis.vMentioningvitvgivesvpermissi
O
onvtovtalkvaboutvit.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
10. Youvarevcollectingvavhistoryvfromvanv11-year-
oldvgirl.vHervmothervisvsittingvnextvtovhervinvthevexaminationvroom.vWhenvcollectingvhistoryvfr
omvoldervchildrenvorvadolescents,vtheyvshould:
a. nevervbevinterviewedvalonevbecausevthisvmayvalienatevthevparent.
b. bevmailedvavquestionnairevinvadvancevtovavoidvthevneedvforvhervtovtalk.
c. bevgivenvthevopportunityvtovbevinterviewedvwithoutvthevparentvatvsomevpoint.
d. bevallowedvtovdirectvthevflowvofvthevinterview.
e. bevignoredvwhilevyouvaddressvallvquestionsvtovthevparent.
ANS:v C
Anvoldervchildvshouldvbevgivenvthevopportunityvtovgivevinformationvdirectly.vThisvenhancesvthevprobabi
lityvthatvthevchildvwillvfollowvyourvadvice.
TOP:v Discipline:vBehavioralvScience MSC:v OrganvSystem:vGeneral
11. Whenvcommunicatingvwithvoldervchildrenvandvteenagers,vyouvshouldvbevsensitivevtovtheir:
a. parent'sv needs.
b. naturalvurgevtov communicate.
c. needvforvverbalvinstructions.
d. typicalvreluctancevtovtalk.
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