t
t
t
Chapter 01: The History and Interviewing Process
t t t t t t t
Ball: Seidel’s Guide to Physical Examination, 9th Edition
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, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank t t t t t t t t t t
t
MULTIPLE CHOICE t t
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1. Which question would be considered a ―leading question?‖
t t t t t t t t
a. ―Please describe any associated symptoms with your headaches?‖
t t t t t t t t
b. ―You don't get headaches often, do you?‖
t t t t t t t
c. ―What activities affect the severity of your headaches?‖
t t t t t t t t
d. ―What times of the day are your headaches the most severe?‖
t t t t t t t t t t t
e. ―What worries you most about your headache?‖ t t t t t t t
ANS: B t t
This question would limit the information in the patient's answer. The other choices allow the patien
t t t t t t t t t t t t t t t
t more discretion about the extent of an answer.
t t t t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
2. Which action would best promote accurate translations as well as confidentiality when the caregive
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r does not speak the patient's language?
t t t t t t t
a. Ask a person unfamiliar with the patient to translate.
t t t t t t t t t
b. Have a friend of the patient translate.
t t t t t t t
c. Ask simple leading questions that the patient may understand.
t t t t t t t t t
d. Use a neighbor as translator. t t t t t
e. Involve the family with the translation. t t t t t t
ANS: A t t t
When you do not speak the patient's language, family members or friends may pose a
t t t t t t t t t t t t t t t
communication barrier and may have issues of confidentiality; a stranger as an interpreter is less bia
t t t t t t t t t t t t t t t
sed. t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
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. t t t t t t t t
b. giving you a clue that you should speed up the interview.
t t t t t t t t t t t
c. providing time for reflection. t t t t
d. increasing the length of the visit. t t t t t t
e. promoting a calm environment. t t t t
ANS: C t t
Silence is a useful tool during interviews for the purposes of reflection, summoning of courage, and
t t t t t t t t t t t t t t t t
displaying compassion. It is usually a clue for you to go slower and not to push too hard.
t t t t t t t t t t t t t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
4. Which technique is most likely to result in the patient's understanding of questions?
t t t t t t t t t t t t t
a. Use phrases that are commonly used by other patients in the area.
t t t t t t t t t t t t
b. Use the patient's own terms if possible.
t t t t t t t
c. Use language that keeps the patient from being expansive in his or her answer.
t t t t t t t t t t t t t t
d. Use proper medical and technical terminology.
t t t t t t
e. Use the simplest language possible.
t t t t t
ANS: B t t
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank t t t t t t t t t t
t
To ensure that your questions have been correctly understood, be clear, and explicit while using the
t t t t t t t t t t t t t t t t
patient's idiom and level of understanding. t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
5. A patient becomes restless during the history and says, ―I don't have time for all of this conversation.
t t t t t t t t t t t t t t t t t
I've got to get back to work.‖ Your most appropriate response would be to: a. stop using open-
t t t t t t t t t t t t t t t t t t
ended questions and become more direct.
t t t t t t
b. ask another open-ended question and insist on an answer.
t t t t t t t t t
c. ask questions about his anger and move closer to him.
t t t t t t t t t t
d. acknowledge his anger and proceed with the history and examination. t t t t t t t t t t
e. ignore his displeasure and become more assertive about getting answers. t t t t t t t t t t
ANS: D t t
This is the only answer that resists the tendency for patient manipulation, pursues the information, a
t t t t t t t t t t t t t t t
nd confronts the patient's anger.
t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
6. When questioning a patient regarding alcohol intake, she tells you that she is ―only a social drinker.‖
t t t t t t t t t t t t t t t t
Which initial response is appropriate?
t t t t t t
a. ―I'm glad that you are a responsible drinker.‖
t t t t t t t t
b.c. ―Many people whand whato are re all y aoflcoh alcohololic s adoy the youy adrinkre soc inial a
tt t t t t t tt t
t
t t
t t
t t t tt t t tt
dweek?‖rinkers .‖
t t t
―What amount kind t t
d. ―If you only drink socially, you won't need to worry about always having a designated driver.‖
t t t t t t t t t t t t t t t
t
e. ―Do the other people in your household consume alcohol?‖
t t t t t t t t t
ANS: C t t
This answer clarifies the patient's own term without asking a leading question or being judgmental.
t t t t t t t t t t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
7. A 50-year-
t
old man comes to the primary care clinic. He tells you he is worried because he has had severe chest p
t t t t t t t t t t t t t t t t t t t t
ains for the past 2 weeks. Which initial history interview question is most appropriate?
t t t t t t t t t t t t t t
a. ―Can you describe the pain?‖ t t t t t
b. ―The pain doesn't radiate to your arm, does it?‖ t t t t t t t t t
c. ―Have you been treated for anxiety before?‖ t t t t t t t
d. ―Does your father have heart disease?‖ t t t t t t
e. ―Are the pains worse after you eat?‖ t t t t t t t
ANS: A t t
Initially, an open- t t
ended question is a more appropriate response. ―Can you describe the pain?‖ is an open-
t t t t t t t t t t t t t t
ended question that offers clues to the chief concern.
t t t t t t t t t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
t NURSINGTB.COM t
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank t t t t t t t t t t
8. Ms. A. states, ―My life is just too painful. It isn't worth it.‖ She appears depressed. Which one of the f
t t t t t t t t t t t t t t t t t t t t
ollowing statements is the most appropriate caregiver response? a. ―Try to think about the good thin
t t t t t t t t t t t t t t t
gs in life.‖t t t
b. ―You shouldn't feel that way; look at all the good things in your life.‖
t t t t t t t t t t t t t t
c. ―You can't mean what you're saying.‖ t t t t t t
d. ―If you think about it, nothing is worth getting this upset about.‖
t t t t t t t t t t t t
e. ―What in life is causing you such pain?‖ t t t t t t t t
ANS: E t t
Specific yet open-ended questions are best used when the patient has feelings of loss of self-
t t t t t t t t t t t t t t t
worth and depression. The other responses hurry the patient and offer superficial assurance.
t t t t t t t t t t t t t
t
TOP: Discipline: Behavioral Science t t t t MSC: Organ System: General t t t t
t
9. During an interview, you have the impression that a patient may be considering suicide.
t t t t t t t t t t t t t t
Which action is essential? t t t t
a. Immediately begin proceedings for an involuntary commitment. t t t t t t t
b. Ask whether the patient has considered self-harm. t t t t t t t
c. Ask whether the patient would like to visit a psychiatrist.
t t t t t t t t t t
d. Record the impression in the patient's chart and refer the patient for t t t t t t t t t t t t
hospitalization. t
e. Avoid directly confronting the patient regarding your impression. t t t t t t t t
ANS: B t t
If you think the patient may bNeUcRonSsiIdeNrGinTg Bsu.icCidOe,Mhe or she probably is.
t t t t t t t t t t t t
Mentioning it gives permission to talk about it. t t t t t t t t
t
TOP: Discipline: Behavioral Science t t t t MSC: Organ System: General t t t t
t
10. You are collecting a history from an 11-year-
t t t t t t t
old girl. Her mother is sitting next to her in the examination room. When collecting history from old
t t t t t t t t t t t t t t t t t
er children or adolescents, they should: a. never be interviewed alone because this may alienate the p
t t t t t t t t t t t t t t t t
arent. t
b. be mailed a questionnaire in advance to avoid the need for her to talk.
t t t t t t t t t t t t t t
c. be given the opportunity to be interviewed without the parent at some point.
t t t t t t t t t t t t t
d. be allowed to direct the flow of the interview.
t t t t t t t t t
e. be ignored while you address all questions to the parent.
t t t t t t t t t t
ANS: C t t
An older child should be given the opportunity to give information directly. This enhances the proba
t t t t t t t t t t t t t t t
bility that the child will follow your advice.
t t t t t t t t
t
TOP: Discipline: Behavioral Science t t t t MSC: Organ System: General t t t t
t
11. When communicating with older children and teenagers, you should be sensitive to their: a. parent's
t t t t t t t t t t t t t t
needs.
t t
b. natural urge to communicate. t t t t
c. need for verbal instructions. t t t t
d. typical reluctance to talk. t t t t
e. desire for adult companionship. t t t t
t
t
Chapter 01: The History and Interviewing Process
t t t t t t t
Ball: Seidel’s Guide to Physical Examination, 9th Edition
t t t t t t t t
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank t t t t t t t t t t
t
MULTIPLE CHOICE t t
t
1. Which question would be considered a ―leading question?‖
t t t t t t t t
a. ―Please describe any associated symptoms with your headaches?‖
t t t t t t t t
b. ―You don't get headaches often, do you?‖
t t t t t t t
c. ―What activities affect the severity of your headaches?‖
t t t t t t t t
d. ―What times of the day are your headaches the most severe?‖
t t t t t t t t t t t
e. ―What worries you most about your headache?‖ t t t t t t t
ANS: B t t
This question would limit the information in the patient's answer. The other choices allow the patien
t t t t t t t t t t t t t t t
t more discretion about the extent of an answer.
t t t t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
2. Which action would best promote accurate translations as well as confidentiality when the caregive
t t t t t t t t t t t t t
r does not speak the patient's language?
t t t t t t t
a. Ask a person unfamiliar with the patient to translate.
t t t t t t t t t
b. Have a friend of the patient translate.
t t t t t t t
c. Ask simple leading questions that the patient may understand.
t t t t t t t t t
d. Use a neighbor as translator. t t t t t
e. Involve the family with the translation. t t t t t t
ANS: A t t t
When you do not speak the patient's language, family members or friends may pose a
t t t t t t t t t t t t t t t
communication barrier and may have issues of confidentiality; a stranger as an interpreter is less bia
t t t t t t t t t t t t t t t
sed. t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
3. Periods of silence during the interview can serve important purposes, such as:
t t t t t t t t t t t t
a. allowing the clinician to catch up on documentation. t t t t t t t t
b. giving you a clue that you should speed up the interview.
t t t t t t t t t t t
c. providing time for reflection. t t t t
d. increasing the length of the visit. t t t t t t
e. promoting a calm environment. t t t t
ANS: C t t
Silence is a useful tool during interviews for the purposes of reflection, summoning of courage, and
t t t t t t t t t t t t t t t t
displaying compassion. It is usually a clue for you to go slower and not to push too hard.
t t t t t t t t t t t t t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
4. Which technique is most likely to result in the patient's understanding of questions?
t t t t t t t t t t t t t
a. Use phrases that are commonly used by other patients in the area.
t t t t t t t t t t t t
b. Use the patient's own terms if possible.
t t t t t t t
c. Use language that keeps the patient from being expansive in his or her answer.
t t t t t t t t t t t t t t
d. Use proper medical and technical terminology.
t t t t t t
e. Use the simplest language possible.
t t t t t
ANS: B t t
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank t t t t t t t t t t
t
To ensure that your questions have been correctly understood, be clear, and explicit while using the
t t t t t t t t t t t t t t t t
patient's idiom and level of understanding. t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
5. A patient becomes restless during the history and says, ―I don't have time for all of this conversation.
t t t t t t t t t t t t t t t t t
I've got to get back to work.‖ Your most appropriate response would be to: a. stop using open-
t t t t t t t t t t t t t t t t t t
ended questions and become more direct.
t t t t t t
b. ask another open-ended question and insist on an answer.
t t t t t t t t t
c. ask questions about his anger and move closer to him.
t t t t t t t t t t
d. acknowledge his anger and proceed with the history and examination. t t t t t t t t t t
e. ignore his displeasure and become more assertive about getting answers. t t t t t t t t t t
ANS: D t t
This is the only answer that resists the tendency for patient manipulation, pursues the information, a
t t t t t t t t t t t t t t t
nd confronts the patient's anger.
t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
6. When questioning a patient regarding alcohol intake, she tells you that she is ―only a social drinker.‖
t t t t t t t t t t t t t t t t
Which initial response is appropriate?
t t t t t t
a. ―I'm glad that you are a responsible drinker.‖
t t t t t t t t
b.c. ―Many people whand whato are re all y aoflcoh alcohololic s adoy the youy adrinkre soc inial a
tt t t t t t tt t
t
t t
t t
t t t tt t t tt
dweek?‖rinkers .‖
t t t
―What amount kind t t
d. ―If you only drink socially, you won't need to worry about always having a designated driver.‖
t t t t t t t t t t t t t t t
t
e. ―Do the other people in your household consume alcohol?‖
t t t t t t t t t
ANS: C t t
This answer clarifies the patient's own term without asking a leading question or being judgmental.
t t t t t t t t t t t t t t t
t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
7. A 50-year-
t
old man comes to the primary care clinic. He tells you he is worried because he has had severe chest p
t t t t t t t t t t t t t t t t t t t t
ains for the past 2 weeks. Which initial history interview question is most appropriate?
t t t t t t t t t t t t t t
a. ―Can you describe the pain?‖ t t t t t
b. ―The pain doesn't radiate to your arm, does it?‖ t t t t t t t t t
c. ―Have you been treated for anxiety before?‖ t t t t t t t
d. ―Does your father have heart disease?‖ t t t t t t
e. ―Are the pains worse after you eat?‖ t t t t t t t
ANS: A t t
Initially, an open- t t
ended question is a more appropriate response. ―Can you describe the pain?‖ is an open-
t t t t t t t t t t t t t t
ended question that offers clues to the chief concern.
t t t t t t t t t
TOP: Discipline: Behavioral Science
t t t t MSC: Organ System: General t t t t
t
t NURSINGTB.COM t
, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank t t t t t t t t t t
8. Ms. A. states, ―My life is just too painful. It isn't worth it.‖ She appears depressed. Which one of the f
t t t t t t t t t t t t t t t t t t t t
ollowing statements is the most appropriate caregiver response? a. ―Try to think about the good thin
t t t t t t t t t t t t t t t
gs in life.‖t t t
b. ―You shouldn't feel that way; look at all the good things in your life.‖
t t t t t t t t t t t t t t
c. ―You can't mean what you're saying.‖ t t t t t t
d. ―If you think about it, nothing is worth getting this upset about.‖
t t t t t t t t t t t t
e. ―What in life is causing you such pain?‖ t t t t t t t t
ANS: E t t
Specific yet open-ended questions are best used when the patient has feelings of loss of self-
t t t t t t t t t t t t t t t
worth and depression. The other responses hurry the patient and offer superficial assurance.
t t t t t t t t t t t t t
t
TOP: Discipline: Behavioral Science t t t t MSC: Organ System: General t t t t
t
9. During an interview, you have the impression that a patient may be considering suicide.
t t t t t t t t t t t t t t
Which action is essential? t t t t
a. Immediately begin proceedings for an involuntary commitment. t t t t t t t
b. Ask whether the patient has considered self-harm. t t t t t t t
c. Ask whether the patient would like to visit a psychiatrist.
t t t t t t t t t t
d. Record the impression in the patient's chart and refer the patient for t t t t t t t t t t t t
hospitalization. t
e. Avoid directly confronting the patient regarding your impression. t t t t t t t t
ANS: B t t
If you think the patient may bNeUcRonSsiIdeNrGinTg Bsu.icCidOe,Mhe or she probably is.
t t t t t t t t t t t t
Mentioning it gives permission to talk about it. t t t t t t t t
t
TOP: Discipline: Behavioral Science t t t t MSC: Organ System: General t t t t
t
10. You are collecting a history from an 11-year-
t t t t t t t
old girl. Her mother is sitting next to her in the examination room. When collecting history from old
t t t t t t t t t t t t t t t t t
er children or adolescents, they should: a. never be interviewed alone because this may alienate the p
t t t t t t t t t t t t t t t t
arent. t
b. be mailed a questionnaire in advance to avoid the need for her to talk.
t t t t t t t t t t t t t t
c. be given the opportunity to be interviewed without the parent at some point.
t t t t t t t t t t t t t
d. be allowed to direct the flow of the interview.
t t t t t t t t t
e. be ignored while you address all questions to the parent.
t t t t t t t t t t
ANS: C t t
An older child should be given the opportunity to give information directly. This enhances the proba
t t t t t t t t t t t t t t t
bility that the child will follow your advice.
t t t t t t t t
t
TOP: Discipline: Behavioral Science t t t t MSC: Organ System: General t t t t
t
11. When communicating with older children and teenagers, you should be sensitive to their: a. parent's
t t t t t t t t t t t t t t
needs.
t t
b. natural urge to communicate. t t t t
c. need for verbal instructions. t t t t
d. typical reluctance to talk. t t t t
e. desire for adult companionship. t t t t
