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CH. 1 Seidel's Guide to Physical Exam SOLUTION!
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CH. 1 Seidel's Guide to Physical Exam SOLUTION!
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CH. 1 Seidel'sGuide to Physical
Exam SOLUTION!
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?" - answer
✅✅ANS: A
,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.
A patient 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. stop using open-ended questions and become
more direct.
b. ask another open-ended question and insist on an
answer.
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 answers. - answer ✅✅ANS: D
This is the only answer that resists the tendency for
patient manipulation, pursues the information, and
confronts the patient's anger.
, A patient is curt, avoids eye contact, and states that
he or she does not know why he or she bothered to
seek medical attention. How should the nurse
address this behavior?
a. Ignore the behavior and continue with the
examination.
b. Tell the patient he or she seems angry and ask
him or her to state his or her concerns.
c. Explain that his or her behavior is disrespectful
and not in his or her best interest.
d. Explain that this behavior is inappropriate and
other patients are waiting. - answer ✅✅ANS: B. Tell
the patient he or she seems angry and ask him or
her to state his or her concerns.
A patient tells the nurse that his wife, who is the
patient's caregiver, becomes irritable when more
assistance is needed. How should the nurse respond
to the patient initially?
a. Explain that his wife is probably fatigued.
b. Explain that caregiving involves a lot of work.
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