Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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New Update
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, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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New Update
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Chapter 01: The History and Interviewing Process
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Ball: Seidel’s Guide to Physical Examination, 9th Edition
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MULTIPLE
CHOICE
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1. Which question would be considered a “leading question?”
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a. “What do you think is causing your headaches?”
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b. “You don’t get headaches often, do you?”
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c. “On a scale of 1 to 10, how would you rate the severity of your headaches?”
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d. “At what time of the day are your headaches the most severe?”
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ANS: B h
Stating to the patient that he or she does not get headaches would limit the
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h information in thepatient’s answer. Asking the patient what he or she thinks is
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h causing the headaches is an open-ended question. Asking the patient how he or
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h she would rate the severity of the headaches and asking what time of the day the
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h headaches are the most severe are direct questions.
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DIF: Cognitive Level: Applying (Application) h h h
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
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h Adaptation
2. When are open-ended questions generally most useful?
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a. During sensitive area part of the interview
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b. After several closed-ended questions have been asked
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c. While designing the genogram h h h
d. During the review of systN
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,Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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ANS:
h A
Asking open-ended questions during the sensitive part of the interview allows
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h you to gather more information and establishes you as an empathic listener,
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h which is the first step of effective communication. Asking closed-ended
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h questions may stifle the patient’s desire to discuss the history of the illness.
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h Interviewing for the purpose of designing a genogram or conducting a review of
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h systems requires more focused data than can be more easily gatheredwith direct
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h questioning.
DIF: Cognitive Level: Understanding (Comprehension) h h h
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
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h Adaptation
3. Periods of silence during the interview can serve important purposes, such as:
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a. allowing the clinician to catch up on documentation.
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b. promoting calm. h
c. providing time for reflection. h h h
d. increasing the length of the visit. h h h h h
ANS: C h
Silence is a useful tool during interviews for the purposes of reflection,
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h summoning courage, and displaying compassion. This is not a time to document
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h in the chart, but rather to focus on the patient. Periods of silence may cause
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h anxiety rather than promote calm. The length of the visit is less important than
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h getting critical information.
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, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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New Update
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DIF: Cognitive Level: Understanding (Comprehension) h h h
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
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h Adaptation
4. Mr. Franklin is speaking with you, the healthcare provider, about his respiratory
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h problem. Mr.Franklin says, “I’ve had this cough for 3 days, and it’s getting
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h worse.” You reply, “Tell me more about your cough.” Mr. Franklin states, “I
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h wish I could tell you more. That’s why I’m here. You tell me what’s wrong!”
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h Which caregiver response would be most appropriate for enhancing
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h communication?
a. “After 3 days, you’re tired of coughing. Have you had a fever?”
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b. “I’d like to hear more about your experiences. Where were you born?”
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c. “I don’t know what’s wrong. You could have almost any disease.”
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d. “I’ll examine you and figure out later what the problem is.”
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ANS: A h
“After 3 days, you’re tired of coughing. Have you had a fever?” is the only response
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h aimed atfocusing on the chief compliant to gather more data and does not digress
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h from the issue.
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DIF: Cognitive Level: Analyzing (Analysis) h h h
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic
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h Adaptation
5. After you ask a patient about her family history, she says, “Tell me about your
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h family now.”Which response is generally most appropriate?
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a. Ignore the patient’s comment and continue with the interview.
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b. Give a brief, undetailed answer.
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c. Ask the patient why she needs to know.
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