TEST BANK FOR
SEIDEL'S GUIDE TO PHYSICAL EXAMINATION 9TH
EDITION
BY BALL COMPLETE CHAPTERS 1-26
,TABLE OF CONTENTS
CHAPTER 01: THE HISTORY AND INTERVIEWING PROCESS .......................................................................... 3
CHAPTER 02: CULTURAL COMPETENCY ...................................................................................................... 14
CHAPTER 03: EXAMINATION TECHNIQUES AND EQUIPMENT ................................................................... 23
CHAPTER 04: CLINICAL REASONING............................................................................................................ 36
CHAPTER 05: DOCUMENTATION ................................................................................................................ 42
CHAPTER 06: VITAL SIGNS AND PAIN ASSESSMENT ................................................................................... 52
CHAPTER 07: MENTAL STATUS ................................................................................................................... 56
CHAPTER 08: GROWTH, MEASUREMENT, AND NUTRITION ....................................................................... 68
CHAPTER 09: SKIN, HAIR, AND NAILS.......................................................................................................... 84
CHAPTER 10: LYMPHATIC SYSTEM ............................................................................................................ 105
CHAPTER 11: HEAD AND NECK ................................................................................................................. 114
CHAPTER 12: EYES ..................................................................................................................................... 122
CHAPTER 13: EARS, NOSE, AND THROAT .................................................................................................. 134
CHAPTER 14: CHEST AND LUNGS .............................................................................................................. 143
CHAPTER 15: HEART.................................................................................................................................. 149
CHAPTER 16: BLOOD VESSELS ................................................................................................................... 157
CHAPTER 17: BREASTS AND AXILLAE ........................................................................................................ 166
CHAPTER 18: ABDOMEN ........................................................................................................................... 174
CHAPTER 19: FEMALE GENITALIA ............................................................................................................. 184
CHAPTER 20: MALE GENITALIA ................................................................................................................. 196
CHAPTER 21: ANUS, RECTUM, AND PROSTATE ........................................................................................ 207
CHAPTER 22: MUSCULOSKELETAL SYSTEM .............................................................................................. 217
CHAPTER 23: NEUROLOGIC SYSTEM ......................................................................................................... 230
CHAPTER 24: SPORTS PARTICIPATION EVALUATION ................................................................................ 249
CHAPTER 25: PUTTING IT ALL TOGETHER ................................................................................................. 254
CHAPTER 26: EMERGENCY OR LIFE-THREATENING SITUATIONS .............................................................. 273
,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?”
CORRECT ANSWER>B
STATING TO THE PATIENT THAT HE OR SHE DOES NOT GET HEADACHES WOULD LIMIT THE
INFORMATION IN THE PATIENT’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 SYSTEMS
CORRECT ANSWER>A
, ASKING OPEN-ENDED QUESTIONS DURING THE SENSITIVE PART OF THE INTERVIEW ALLOWS YOU TO
GATHER MORE INFORMATION 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 FOCUSED 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.
CORRECT ANSWER>C
SILENCE IS A USEFUL TOOL DURING INTERVIEWS FOR THE PURPOSES OF REFLECTION, SUMMONING
COURAGE, AND DISPLAYING COMPASSION. THIS IS NOT A TIME TO DOCUMENT IN THE CHART, BUT
RATHER TO FOCUS ON THE PATIENT. PERIODS OF SILENCE MAY CAUSE ANXIETY RATHER THAN
PROMOTE CALM. THE LENGTH OF THE VISIT 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 HERE. YOU TELL ME WHAT’S WRONG!” WHICH CAREGIVER RESPONSE WOULD
BE MOST APPROPRIATE FOR ENHANCING 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.”
SEIDEL'S GUIDE TO PHYSICAL EXAMINATION 9TH
EDITION
BY BALL COMPLETE CHAPTERS 1-26
,TABLE OF CONTENTS
CHAPTER 01: THE HISTORY AND INTERVIEWING PROCESS .......................................................................... 3
CHAPTER 02: CULTURAL COMPETENCY ...................................................................................................... 14
CHAPTER 03: EXAMINATION TECHNIQUES AND EQUIPMENT ................................................................... 23
CHAPTER 04: CLINICAL REASONING............................................................................................................ 36
CHAPTER 05: DOCUMENTATION ................................................................................................................ 42
CHAPTER 06: VITAL SIGNS AND PAIN ASSESSMENT ................................................................................... 52
CHAPTER 07: MENTAL STATUS ................................................................................................................... 56
CHAPTER 08: GROWTH, MEASUREMENT, AND NUTRITION ....................................................................... 68
CHAPTER 09: SKIN, HAIR, AND NAILS.......................................................................................................... 84
CHAPTER 10: LYMPHATIC SYSTEM ............................................................................................................ 105
CHAPTER 11: HEAD AND NECK ................................................................................................................. 114
CHAPTER 12: EYES ..................................................................................................................................... 122
CHAPTER 13: EARS, NOSE, AND THROAT .................................................................................................. 134
CHAPTER 14: CHEST AND LUNGS .............................................................................................................. 143
CHAPTER 15: HEART.................................................................................................................................. 149
CHAPTER 16: BLOOD VESSELS ................................................................................................................... 157
CHAPTER 17: BREASTS AND AXILLAE ........................................................................................................ 166
CHAPTER 18: ABDOMEN ........................................................................................................................... 174
CHAPTER 19: FEMALE GENITALIA ............................................................................................................. 184
CHAPTER 20: MALE GENITALIA ................................................................................................................. 196
CHAPTER 21: ANUS, RECTUM, AND PROSTATE ........................................................................................ 207
CHAPTER 22: MUSCULOSKELETAL SYSTEM .............................................................................................. 217
CHAPTER 23: NEUROLOGIC SYSTEM ......................................................................................................... 230
CHAPTER 24: SPORTS PARTICIPATION EVALUATION ................................................................................ 249
CHAPTER 25: PUTTING IT ALL TOGETHER ................................................................................................. 254
CHAPTER 26: EMERGENCY OR LIFE-THREATENING SITUATIONS .............................................................. 273
,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?”
CORRECT ANSWER>B
STATING TO THE PATIENT THAT HE OR SHE DOES NOT GET HEADACHES WOULD LIMIT THE
INFORMATION IN THE PATIENT’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 SYSTEMS
CORRECT ANSWER>A
, ASKING OPEN-ENDED QUESTIONS DURING THE SENSITIVE PART OF THE INTERVIEW ALLOWS YOU TO
GATHER MORE INFORMATION 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 FOCUSED 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.
CORRECT ANSWER>C
SILENCE IS A USEFUL TOOL DURING INTERVIEWS FOR THE PURPOSES OF REFLECTION, SUMMONING
COURAGE, AND DISPLAYING COMPASSION. THIS IS NOT A TIME TO DOCUMENT IN THE CHART, BUT
RATHER TO FOCUS ON THE PATIENT. PERIODS OF SILENCE MAY CAUSE ANXIETY RATHER THAN
PROMOTE CALM. THE LENGTH OF THE VISIT 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 HERE. YOU TELL ME WHAT’S WRONG!” WHICH CAREGIVER RESPONSE WOULD
BE MOST APPROPRIATE FOR ENHANCING 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.”
