TEST BANK #
Seidel's Guide to # #
Physical Examination:
# #
An Interprofessional A
# #
pproach 9thEdition
# #
Test Bank Questions with
# # # #
Complete Solutions #
,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. “What#do#you#think#is#causing#your#headaches?”
b. “You#don’t#get#headaches#often,#do#you?”
c. “On#a#scale#of#1#to#10,#how#would#you#rate#the#severity#of#your#headaches?”
d. “At#what#time#of#the#day#are#your#headaches#the#most#severe?”
ANS:# B
Stating#to#the#patient#that#he#or#she#does#not#get#headaches#would#limit#the#information#in#the#p
atient’s#answer.#Asking#the#patient#what#he#or#she#thinks#is#causing#the#headaches#is#an#open-
ended#question.#Asking#the#patient#how#he#or#she#would#rate#the#severity#of#the#headaches#and
#asking#what#time#of#the#day#the#headaches#are#the#most#severe#are#direct#questions.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
2. When#are#open-ended#questions#generally#most#useful?
a. During#sensitive#area#part#of#the#interview
b. After#several#closed-ended#questions#have#been#asked
c. While#designing#the#genogram
d. During#the#review#of#syst ems
N RIG#B.C#M
USNT O
#
# # #
ANS:# A
Asking#open-
ended#questions#during#the#sensitive#part#of#the#interview#allows#you#to#gather#more#informatio
n#and#establishes#you#as#an#empathic#listener,#which#is#the#first#step#of#effective#communication
.#Asking#closed-
ended#questions#may#stifle#the#patient’s#desire#to#discuss#the#history#of#the#illness.#Interviewing#
for#the#purpose#of#designing#a#genogram#or#conducting#a#review#of#systems#requires#more#focus
ed#data#than#can#be#more#easily#gathered#with#direct#questioning.
DIF: Cognitive#Level:#Understanding#(Comprehension)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
3. Periods#of#silence#during#the#interview#can#serve#important#purposes,#such#as:
a. allowing#the#clinician#to#catch#up#on#documentation.
b. promoting#calm.
c. providing#time#for#reflection.
d. increasing#the#length#of#the#visit.
ANS:# C
Silence#is#a#useful#tool#during#interviews#for#the#purposes#of#reflection,#summoning#courage,#a
nd#displaying#compassion.#This#is#not#a#time#to#document#in#the#chart,#but#rather#to#focus#on#th
e#patient.#Periods#of#silence#may#cause#anxiety#rather#than#promote#calm.#The#length#of#the#vis
it#is#less#important#than#getting#critical#information.
, DIF: Cognitive#Level:#Understanding#(Comprehension)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
4. Mr.#Franklin#is#speaking#with#you,#the#healthcare#provider,#about#his#respiratory#problem.#Mr.
Franklin#says,#“I’ve#had#this#cough#for#3#days,#and#it’s#getting#worse.”#You#reply,#“Tell#me#
more#about#your#cough.”#Mr.#Franklin#states,#“I#wish#I#could#tell#you#more.#That’s#why#I’m#h
ere.#You#tell#me#what’s#wrong!”#Which#caregiver#response#would#be#most#appropriate#for#en
hancing#communication?
a. “After#3#days,#you’re#tired#of#coughing.#Have#you#had#a#fever?”
b. “I’d#like#to#hear#more#about#your#experiences.#Where#were#you#born?”
c. “I#don’t#know#what’s#wrong.#You#could#have#almost#any#disease.”
d. “I’ll#examine#you#and#figure#out#later#what#the#problem#is.”
ANS:# A
“After#3#days,#you’re#tired#of#coughing.#Have#you#had#a#fever?”#is#the#only#response#aimed#at
focusing#on#the#chief#compliant#to#gather#more#data#and#does#not#digress#from#the#issue.
DIF: Cognitive#Level:#Analyzing#(Analysis)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
5. After#you#ask#a#patient#about#her#family#history,#she#says,#“Tell#me#about#your#family#now.”
Which#response#is#generally#most#appropriate?
a. Ignore#the#patient’s#comment#and#continue#with#the#interview.
b. Give#a#brief,#undetailed#answer.
c. Ask#the#patient#why#she#needs#to#know.
d. Tell#the#patient#that#you#do#not#discuss#your#family#with#patients.
ANS:# B NURSINGTB.COM
Giving#a#brief,#undetailed#answer#will#satisfy#the#patient’s#curiosity#about#yourself#without#inva
ding#your#private#life.#Ignoring#the#patient’s#comment,#continuing#with#the#interview,#and#tellin
g#the#patient#that#you#do#not#discuss#your#family#with#patients#will#potentially#anger#or#frustrate#
her#and#keep#her#from#sharing#openly.#Asking#the#patient#why#she#needs#to#know#will#distract#fr
om#the#real#reason#she#is#seeking#care#and#instead#move#the#interview#conversation#away#from#t
he#topics#that#should#be#discussed.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
6. A#36-year-
old#woman#complains#that#she#has#had#crushing#chest#pain#for#the#past#2#days.#She#seems#nervo
us#as#she#speaks#to#you.#An#appropriate#response#is#to:
a. continue#to#collect#information#regarding#the#chief#complaint#in#an#unhurried#
manner.
b. finish#the#interview#as#rapidly#as#possible.
c. ask#the#patient#to#take#a#deep#breath#and#calm#down.
d. ask#the#patient#if#she#wants#to#wait#until#another#day#to#talk#to#you.
ANS:# A
, With#an#anxious,#vulnerable#patient,#it#is#best#to#not#hurry;#a#calm#demeanor#will#communicate#c
aring#to#the#patient.#If#you#as#a#healthcare#provider#are#hurried,#the#patient#will#be#more#anxious.
#The#best#way#to#assist#an#anxious#patient#is#to#not#hurry#and#remain#calm,#because#this#will#com
municate#caring#to#the#patient.#Asking#the#patient#if#she#wants#to#wait#until#another#day#to#talk#t
o#you#delays#the#needed#health#care.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
7. Ms.#A#states,#“My#life#is#just#too#painful.#It#isn’t#worth#it.”#She#appears#depressed.#Which#one
of#the#following#statements#is#the#most#appropriate#caregiver#response?
a. “Try#to#think#about#the#good#things#in#life.”
b. “What#in#life#is#causing#you#such#pain?”
c. “You#can’t#mean#what#you’re#saying.”
d. “If#you#think#about#it,#nothing#is#worth#getting#this#upset#about.”
ANS:# B
Specific#but#open-ended#questions#are#best#used#when#the#patient#has#feelings#of#loss#of
self-
worth#and#depression.#“Try#to#think#about#the#good#things#in#life,”#“You#can’t#mean#what#you’re#
saying,”#and#“If#you#think#about#it,#nothing#is#worth#getting#this#upset#about”#are#statements#that#
will#hurry#the#patient#and#offer#only#superficial#assurance.
DIF: Cognitive#Level:#Analyzing#(Analysis)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
8. You#are#collecting#a#history#from#a#16-year-
old#girl.#Her#mother#is#sitting#next#to#her#in#the#examination#room.#When#collecting#history#f
rom#older#children#or#adolescents,#they#should
be: NURSINGTB.COM
a. given#the#opportunity#to#be#interviewed#without#the#parent#at#some#point#during#the#i
nterview.
b. mailed#a#questionnaire#in#advance#to#avoid#the#need#for#them#to#talk.
c. ignored#while#you#address#all#questions#to#the#parent.
d. allowed#to#direct#the#flow#of#the#interview.
ANS:# A
The#adolescent#should#be#given#the#opportunity#to#give#information#directly.#This#enhances#the#
probability#that#the#adolescent#will#follow#your#advice.#Mailing#a#questionnaire#in#advance#to#a
void#the#need#for#her#to#talk#does#not#assist#the#adolescent#in#learning#to#respond#to#answers#reg
arding#her#health.#The#parent#can#help#fill#in#gaps#at#the#end.#If#she#is#ignored#while#you#address
#all#questions#to#the#parent,#the#patient#will#feel#as#though#she#is#just#being#discussed#and#is#not#
part#of#the#process#for#the#health#care.#The#healthcare#provider#should
always#direct#the#flow#of#the#interview#according#to#the#patient’s#responses.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
9. Information#that#is#needed#during#the#initial#interview#of#a#pregnant#woman#includes#all#the#f
ollowing#except:
a. the#gender#that#the#woman#hopes#the#baby#will#be.
b. past#medical#history.
c. healthcare#practices.
Seidel's Guide to # #
Physical Examination:
# #
An Interprofessional A
# #
pproach 9thEdition
# #
Test Bank Questions with
# # # #
Complete Solutions #
,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. “What#do#you#think#is#causing#your#headaches?”
b. “You#don’t#get#headaches#often,#do#you?”
c. “On#a#scale#of#1#to#10,#how#would#you#rate#the#severity#of#your#headaches?”
d. “At#what#time#of#the#day#are#your#headaches#the#most#severe?”
ANS:# B
Stating#to#the#patient#that#he#or#she#does#not#get#headaches#would#limit#the#information#in#the#p
atient’s#answer.#Asking#the#patient#what#he#or#she#thinks#is#causing#the#headaches#is#an#open-
ended#question.#Asking#the#patient#how#he#or#she#would#rate#the#severity#of#the#headaches#and
#asking#what#time#of#the#day#the#headaches#are#the#most#severe#are#direct#questions.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
2. When#are#open-ended#questions#generally#most#useful?
a. During#sensitive#area#part#of#the#interview
b. After#several#closed-ended#questions#have#been#asked
c. While#designing#the#genogram
d. During#the#review#of#syst ems
N RIG#B.C#M
USNT O
#
# # #
ANS:# A
Asking#open-
ended#questions#during#the#sensitive#part#of#the#interview#allows#you#to#gather#more#informatio
n#and#establishes#you#as#an#empathic#listener,#which#is#the#first#step#of#effective#communication
.#Asking#closed-
ended#questions#may#stifle#the#patient’s#desire#to#discuss#the#history#of#the#illness.#Interviewing#
for#the#purpose#of#designing#a#genogram#or#conducting#a#review#of#systems#requires#more#focus
ed#data#than#can#be#more#easily#gathered#with#direct#questioning.
DIF: Cognitive#Level:#Understanding#(Comprehension)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
3. Periods#of#silence#during#the#interview#can#serve#important#purposes,#such#as:
a. allowing#the#clinician#to#catch#up#on#documentation.
b. promoting#calm.
c. providing#time#for#reflection.
d. increasing#the#length#of#the#visit.
ANS:# C
Silence#is#a#useful#tool#during#interviews#for#the#purposes#of#reflection,#summoning#courage,#a
nd#displaying#compassion.#This#is#not#a#time#to#document#in#the#chart,#but#rather#to#focus#on#th
e#patient.#Periods#of#silence#may#cause#anxiety#rather#than#promote#calm.#The#length#of#the#vis
it#is#less#important#than#getting#critical#information.
, DIF: Cognitive#Level:#Understanding#(Comprehension)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
4. Mr.#Franklin#is#speaking#with#you,#the#healthcare#provider,#about#his#respiratory#problem.#Mr.
Franklin#says,#“I’ve#had#this#cough#for#3#days,#and#it’s#getting#worse.”#You#reply,#“Tell#me#
more#about#your#cough.”#Mr.#Franklin#states,#“I#wish#I#could#tell#you#more.#That’s#why#I’m#h
ere.#You#tell#me#what’s#wrong!”#Which#caregiver#response#would#be#most#appropriate#for#en
hancing#communication?
a. “After#3#days,#you’re#tired#of#coughing.#Have#you#had#a#fever?”
b. “I’d#like#to#hear#more#about#your#experiences.#Where#were#you#born?”
c. “I#don’t#know#what’s#wrong.#You#could#have#almost#any#disease.”
d. “I’ll#examine#you#and#figure#out#later#what#the#problem#is.”
ANS:# A
“After#3#days,#you’re#tired#of#coughing.#Have#you#had#a#fever?”#is#the#only#response#aimed#at
focusing#on#the#chief#compliant#to#gather#more#data#and#does#not#digress#from#the#issue.
DIF: Cognitive#Level:#Analyzing#(Analysis)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
5. After#you#ask#a#patient#about#her#family#history,#she#says,#“Tell#me#about#your#family#now.”
Which#response#is#generally#most#appropriate?
a. Ignore#the#patient’s#comment#and#continue#with#the#interview.
b. Give#a#brief,#undetailed#answer.
c. Ask#the#patient#why#she#needs#to#know.
d. Tell#the#patient#that#you#do#not#discuss#your#family#with#patients.
ANS:# B NURSINGTB.COM
Giving#a#brief,#undetailed#answer#will#satisfy#the#patient’s#curiosity#about#yourself#without#inva
ding#your#private#life.#Ignoring#the#patient’s#comment,#continuing#with#the#interview,#and#tellin
g#the#patient#that#you#do#not#discuss#your#family#with#patients#will#potentially#anger#or#frustrate#
her#and#keep#her#from#sharing#openly.#Asking#the#patient#why#she#needs#to#know#will#distract#fr
om#the#real#reason#she#is#seeking#care#and#instead#move#the#interview#conversation#away#from#t
he#topics#that#should#be#discussed.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
6. A#36-year-
old#woman#complains#that#she#has#had#crushing#chest#pain#for#the#past#2#days.#She#seems#nervo
us#as#she#speaks#to#you.#An#appropriate#response#is#to:
a. continue#to#collect#information#regarding#the#chief#complaint#in#an#unhurried#
manner.
b. finish#the#interview#as#rapidly#as#possible.
c. ask#the#patient#to#take#a#deep#breath#and#calm#down.
d. ask#the#patient#if#she#wants#to#wait#until#another#day#to#talk#to#you.
ANS:# A
, With#an#anxious,#vulnerable#patient,#it#is#best#to#not#hurry;#a#calm#demeanor#will#communicate#c
aring#to#the#patient.#If#you#as#a#healthcare#provider#are#hurried,#the#patient#will#be#more#anxious.
#The#best#way#to#assist#an#anxious#patient#is#to#not#hurry#and#remain#calm,#because#this#will#com
municate#caring#to#the#patient.#Asking#the#patient#if#she#wants#to#wait#until#another#day#to#talk#t
o#you#delays#the#needed#health#care.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
7. Ms.#A#states,#“My#life#is#just#too#painful.#It#isn’t#worth#it.”#She#appears#depressed.#Which#one
of#the#following#statements#is#the#most#appropriate#caregiver#response?
a. “Try#to#think#about#the#good#things#in#life.”
b. “What#in#life#is#causing#you#such#pain?”
c. “You#can’t#mean#what#you’re#saying.”
d. “If#you#think#about#it,#nothing#is#worth#getting#this#upset#about.”
ANS:# B
Specific#but#open-ended#questions#are#best#used#when#the#patient#has#feelings#of#loss#of
self-
worth#and#depression.#“Try#to#think#about#the#good#things#in#life,”#“You#can’t#mean#what#you’re#
saying,”#and#“If#you#think#about#it,#nothing#is#worth#getting#this#upset#about”#are#statements#that#
will#hurry#the#patient#and#offer#only#superficial#assurance.
DIF: Cognitive#Level:#Analyzing#(Analysis)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
8. You#are#collecting#a#history#from#a#16-year-
old#girl.#Her#mother#is#sitting#next#to#her#in#the#examination#room.#When#collecting#history#f
rom#older#children#or#adolescents,#they#should
be: NURSINGTB.COM
a. given#the#opportunity#to#be#interviewed#without#the#parent#at#some#point#during#the#i
nterview.
b. mailed#a#questionnaire#in#advance#to#avoid#the#need#for#them#to#talk.
c. ignored#while#you#address#all#questions#to#the#parent.
d. allowed#to#direct#the#flow#of#the#interview.
ANS:# A
The#adolescent#should#be#given#the#opportunity#to#give#information#directly.#This#enhances#the#
probability#that#the#adolescent#will#follow#your#advice.#Mailing#a#questionnaire#in#advance#to#a
void#the#need#for#her#to#talk#does#not#assist#the#adolescent#in#learning#to#respond#to#answers#reg
arding#her#health.#The#parent#can#help#fill#in#gaps#at#the#end.#If#she#is#ignored#while#you#address
#all#questions#to#the#parent,#the#patient#will#feel#as#though#she#is#just#being#discussed#and#is#not#
part#of#the#process#for#the#health#care.#The#healthcare#provider#should
always#direct#the#flow#of#the#interview#according#to#the#patient’s#responses.
DIF: Cognitive#Level:#Applying#(Application)
OBJ:# # Nursing#process—assessment MSC:# Physiologic#Integrity:#Physiologic#Adaptation
9. Information#that#is#needed#during#the#initial#interview#of#a#pregnant#woman#includes#all#the#f
ollowing#except:
a. the#gender#that#the#woman#hopes#the#baby#will#be.
b. past#medical#history.
c. healthcare#practices.
