Advanced_Practice_ Test Bank(Dr. Fs Class)
Chapter 01: The History and Interviewing Process
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Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
Chapter 01: The History and Interviewing Process
Ball: Seidel G ide Ph ical E a i a i , 9 h Edi i
MULTIPLE CHOICE
1. Which e i ld be c ide ed a leadi g e i ?
a. Plea e de c ibe a a cia ed m m i h .
headache ?
b. Y d ge headache f e , d ?
c. Wha ac i i ie affec he e e i f headache ?
d. Wha ime f he da a e headache he m e e e?
e. Wha ie m ab headache?
ANS: B
Thi e i ld limi he i f ma i i he a ie a e . The he ch ice all he
patient more discretion about the extent of an answer.
TOP: Discipline: Behavioral Science MSC: Organ System: General
2. Which action would best promote accurate translations as well as confidentiality when the
ca egi e d e eak he a ie la g age?
a. Ask a person unfamiliar with the patient to translate.
b. Have a friend of the patient translate.
c. Ask simple leading questions that the patient may understand.
d. Use a neighbor as translator.
e. Involve the family with the translation.
ANS: A NURSINGTB.COM
Whe d eak he a ie la g age, famil membe f ie d ma ea
communication barrier and may have issues of confidentiality; a stranger as an interpreter is
less biased.
TOP: 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.
ANS: 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.
TOP: Discipline: Behavioral Science MSC: Organ System: General
4. Which ech i e i m likel e l i he a ie de a di g f e i ?
a. Use phrases that are commonly used by other patients in the area.
b. U e he a ie e m if ible.
NURSINGTB.COM
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
c. Use language that keeps the patient from being expansive in his or her answer.
d. Use proper medical and technical terminology.
e. Use the simplest language possible.
ANS: B
To ensure that your questions have been correctly understood, be clear, and explicit while
i g he a ie idi m a d le el f de a di g.
TOP: Discipline: Behavioral Science MSC: Organ System: General
5. A a ie bec me e le d i g he hi a d a , Id ha e ime f all of this
c e ai .I eg ge back k. Y m a ia e e e ld be :
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.
ANS: D
This is the only answer that resists the tendency for patient manipulation, pursues the
i f ma i , a d c f he a ie a ge .
TOP: Discipline: Behavioral Science MSC: Organ System: General
6. Whe e i i g a a ie ega di g alc h l i ake, he ell ha he i l a cial
di ke . Which i i ial e ei a ia e?
a. I m glad ha a ea e ible d i ke .
b. Ma e le h a e eall NURalc IhNGlic B.C
a he Ma e cial d i ke .
c. Wha am
S T
a d ha ki d f alc h l d
O d i k i a eek?
d. If l d i k ciall , eed ab al a ha i g a
de ig a ed d i e .
e. D he he e le i h eh ld c me alc h l?
ANS: C
Thi a e cla ifie he a ie em ih a ki g a leadi g e i bei g
judgmental.
TOP: 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. Ca de c ibe he ai ?
b. The ai d e adia e a m, d e i ?
c. Ha e bee ea ed f a ie bef e?
d. D e fa he ha e hea di ea e?
e. A e he ai e af e ea ?
ANS: A
Initially, an open-e ded e i i a m e a ia e e e. Ca de c ibe he ai ?
is an open-ended question that offers clues to the chief concern.
NURSINGTB.COM
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
TOP: Discipline: Behavioral Science MSC: Organ System: General
8. M . A. a e , M life i j ai f l. I i h i . She a ea de e ed. Which e
of the following statements is the most appropriate caregiver response?
a. T hi k ab he g d hi g i life.
b. Y h ld feel ha a ; l k a all he g d hi g i life.
c. Y ca mea ha e a i g.
d. If hi k ab i, hi g i h ge i g hi e ab .
e. Wha i life i ca i g ch ai ?
ANS: E
Specific yet open-ended questions are best used when the patient has feelings of loss of
self-worth and depression. The other responses hurry the patient and offer superficial
assurance.
TOP: Discipline: Behavioral Science MSC: Organ System: General
9. During an interview, you have the impression that a patient may be considering suicide.
Which action is essential?
a. Immediately begin proceedings for an involuntary commitment.
b. Ask whether the patient has considered self-harm.
c. Ask whether the patient would like to visit a psychiatrist.
d. Rec d he im e i i he a ie cha a d efe he a ie f
hospitalization.
e. Avoid directly confronting the patient regarding your impression.
ANS: B
NUconsidering
If you think the patient may be RSINGTB.C OMhe or she probably is. Mentioning it gives
suicide,
permission to talk about it.
TOP: 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.
ANS: C
An older child should be given the opportunity to give information directly. This enhances the
probability that the child will follow your advice.
TOP: Discipline: Behavioral Science MSC: Organ System: General
11. When communicating with older children and teenagers, you should be sensitive to their:
a. a e eed .
b. natural urge to communicate.
c. need for verbal instructions.
d. typical reluctance to talk.
NURSINGTB.COM
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
e. desire for adult companionship.
ANS: D
Adolescents are usually reluctant to talk; therefore, the provider should clearly communicate a
respect for their confidentiality.
TOP: Discipline: Behavioral Science MSC: Organ System: General
12. When you suspect that your 81-year-old patient has short-term memory loss because he
cannot remember what he had for breakfast, you should:
a. order a neurology consult.
b. stop all of his medications.
c. continue to press the patient for appropriate answers.
d. validate the concern with his family or caregivers.
e. dismiss the finding as a normal age-related change.
ANS: D
When older adults experience memory loss for recent events, consult other family members to
clarify discrepancies or to fill in the gaps.
TOP: Discipline: Behavioral Science MSC: Organ System: General
13. To what extent should the patient with a physical disability or emotional disorder be involved
in providing health history information to the health professional?
a. All information should be obtained from family members.
b. All information should be collected from past records while the patient is in
another room.
c. The patient should be involved
NURSonly
INGwhen you sense
B.C M that he or she may feel
ignored.
T O
d. The patient should be fully involved to the limit of his or her ability.
e. The patient should be present during information collection but should not be
addressed directly.
ANS: D
Patients with disabilities may not give an effective history, but they must be respected, and the
history must be obtained from them to the greatest extent possible. Family members may help
provide a more complete history but not at the exclusion of the patient.
TOP: Discipline: Behavioral Science MSC: Organ System: General
14. When taking a history, you should:
a. ask patients to give you any information they can recall about their health.
b. a he i e ie i h he a ie famil hi .
c. use a chronologic and sequential framework.
d. use a holistic and eclectic structure.
e. start the interview with the social history.
ANS: C
NURSINGTB.COM
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