Seidel's Guide to Physical Examination 9th Edition Test Bank: History, Interviewing, & Exam Techniques

Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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Chapter 01: The History and Interviewing Process Ball: Seidel’s Guide to
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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
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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
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h the information in the patient’s answer. Asking the patient what he or
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h she thinks is
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h causing the headaches is an open-ended question. Asking the patient
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h how he or h h




h she would rate the severity of the headaches and asking what time of
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h the day the headaches are the most severe are direct questions.
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DIF: Cognitive Level: Applying (Application) h h h






,Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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OBJ: h h h Nursing process—assessment MSC: Physiologic Integrity:
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h Physiologic


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 genogramh h h




d. During the review of syst ems h h h h




NR h

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ANS:
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Asking open-ended questions during the sensitive part of the interview
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h allows you to gather more information and establishes you as an
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h empathic listener, h




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
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h illness. Interviewing for the purpose of designing a genogram or
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h conducting a review of systems requires more focused data than can be
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h more easily gathered with direct questioning.
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DIF: Cognitive Level: Understanding (Comprehension) h h h

, Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
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New Update
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OBJ: h h h Nursing process—assessment MSC: Physiologic Integrity:
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h Physiologic Adaptation h




3. Periods of silence during the interview can serve important purposes, such
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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.
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d. increasing the length of the visit.
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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
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h document in the chart, but rather to focus on the patient. Periods of
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h silence may cause anxiety rather than promote calm. The length of the
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h visit is less important than getting critical information.
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