SEIDEL'S GUIDE TO PHYSICAL EXAMINATION 9TH EDITION BALL TEST BANK UPDATED :COMPLETE SOLUTION

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?‖
SELECTED \ANSWER:
\B
This \question \would \limit \the \information \in \the \patient's \selected \answerwer. \The \other
\choices \allow \the
patient \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 \patient's \language?
a. Ask \a \person \unfamiliar \with \the \patient \to \trselected \answerlate.
b. Have \a \friend \of \the \patient \trselected \answerlate.
c. Ask \simple \leading \questions \that \the \patient \may \understand.
d. Use \a \neighbor \as \trselected \answerlator.

,e. Involve \the \family \with \the \trselected \answerlation.

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SELECT
\ED
\ANSW
E \R: \ A
When \you \do \not \speak \the \patient'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.
SELECTED \ANSWER: \ C
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 \patient's \understanding \of \questions?
a. Use \phrases \that \are \commonly \used \by \other \patients \in \the \area.
b. Use \the \patient's \own \terms \if \possible.

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c. Use \language \that \keeps \the \patient \from \being \expselected \answerive \in \his \or \her
\selected \answerwer.
d. Use \proper \medical \and \technical \terminology.
e. Use \the \simplest \language \possible.
SELECTED \ANSWER: \ B
To \ensure \that \your \questions \have \been \correctly \understood, \be \clear, \and \explicit
\while \using \the \patient's \idiom \and \level \of \understanding.

TOPIC: \ Discipline: \Behavioral \Science MSC: \ Organ \System: \General

5. 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. 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.

SELECTED \ANSWER: \ D
This \is \the \only \selected \answerwer \that \resists \the \tendency \for \patient \manipulation,
\pursues \the
information, \and \confronts \the \patient's \anger.

TOPIC: \ Discipline: \Behavioral \Science MSC: \ Organ \System: \General

6. When \questioning \a \patient \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
allyRalcIo hoG l ic \ sBay.tCh e yMar e \ social \ drinkers.‖
c. ―What \amount \and \what U \S \N
\kind \of \alcohol \do \you \drink \in \a \week?‖
d. ―If \you \only \drink \socially, T \you \won't \need \to \worry \about \always
\having \a \designated \driver.‖
e. ―Do \the \other \people \in \your \household \consume \alcohol?‖
SELECTED \ANSWER: \ C
This \selected \answerwer \clarifies \the \patient'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?‖
SELECTED \ANSWER: \ 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.