Seidel's Guide to Physical Examination 9th Edition Ball Test Bank / Ball: Seidel’s Guide to Physical Examination, 9th Edition, complete test bank; questions and answers (deeply explained)

Seidel's Guide to Physical Examination 9th Edition Ball Test Bank / Ball: Seidel’s Guide to Physical Examination, 9th Edition, complete test bank; questions and answers (deeply explained) Seidel's Guide to Physical Examination 9th Edition Ball Test Bank. Which action would best promote accurate translations as well as confidentiality when the ca egie de eak he a ie lagage? 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 Whe d eak he a ie lagage, famil membe f ie d ma e a 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 echie i m likel e l i he a ie de a dig f e i ? a. Use phrases that are commonly used by other patients in the area. b. Ue he a ie e m if ible. 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 ig he a ie idi m ad le el f de a dig. TOP: Discipline: Behavioral Science MSC: Organ System: General 5. A a ie bec me e le dig he hi a d a , I d hae ime f all of this c e a i . I e g 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 ifmai, ad c f he a ie a ge . TOP: Discipline: Behavioral Science MSC: Organ System: General 6. Whe e i ig a a ie ega dig alc hl i ake, he ell ha he i l a cial dike . Which iiial e e i a ia e? a. I m glad ha a e a e b. Ma e le h a e eall . c. Wha am ad a eek? d. If l dik ciall , eed ab ala ha ig a de igaed die . e. D he he e le i h ehld cme alc hl? ANS: C Thi ae cla ifie he a ie e m ih akig a leadig ei beig 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 de adiae a m, de i? c. Ha e bee ea ed f a ie bef e? d. De fa he ha e hea diea e? e. Ae he ai e afe ea ? ANS: A Initially, an open-e ded e i i a me a ia e e e. Ca de c ibe he ai? is an open-ended question that offers clues to the chief concern. TOP: Discipline: Behavioral Science MSC: Organ System: General 8. M. A. a e, M life i j aif 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 hik ab he g d hi g i life. b. Y hld feel ha a ; l k a all he gd hi g i life. c. Y ca mea ha e a ig. d. If hi k ab i , hig i h gei g hi e ab. e. Wha i life i ca ig 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 If you think the patient may be considering suicide, he or she probably is. Mentioning it gives 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. 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