SEIDEL'S GUIDE TO PHYSICAL EXAMINATION 9TH EDITION BALL TEST BANK UPDATED :COMPLETE SOLUTION

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t t




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Chaptert01:tThetHistorytandtInterviewingtProcess
Ball:tSeidel’stGuidettotPhysicaltExamination,t9thtEdition


MULTIPLEtCHOICE

1. Whichtquestiontwouldtbetconsideredtat―leadingtquestion?‖
a. ―Pleasetdescribetanytassociatedtsymptomstwithtyourtheadaches?‖
b. ―Youtdon'tt gett headachestoften,t dot you?‖
c. ―Whattactivitiestaffecttthetseveritytoftyourtheadaches?‖
d. ―Whatttimestoftthetdaytaretyourtheadachestthetmosttsevere?‖
e. ―Whattworriest youtmosttabouttyourtheadache?‖
SELECTEDtANSWER:t
B
Thistquestiontwouldtlimittthetinformationtintthetpatient'stselectedtanswerwer.tThetothertch
oicest allowtthe
patienttmoretdiscretiontabouttthetextenttoftantselectedtanswerwer.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

2. Whichtactiontwouldtbesttpromotetaccuratettrselectedtanswerlationstastwelltastconfidentialitytwh
entthe
caregivertdoestnottspeakt thetpatient'stlanguage?
a. Asktatpersontunfamiliartwithtthetpatientttottrselectedtanswerlate.
b. Havetatfriendtoftthetpatientttrselectedtanswerlate.
c. Asktsimpletleadingtquestionstthattthetpatienttmaytunderstand.
d. Usetatneighbortasttrselectedtanswerlator.
e. Involvetthetfamilytwithtthettrselectedtanswerlation.

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EDtANS
WEtR:t A
Whentyoutdotnottspeaktthetpatient'stlanguage,tfamilytmemberstortfriendstmaytposetatcommunic
ationtbarriertandtmaythavetissuestoftconfidentiality;tatstrangertastantinterpretertistlesstbiased.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

3. Periodstoftsilencetduringtthetinterviewtcantservetimportanttpurposes,tsuchtas:
a. allowingtthetclinicianttotcatchtuptontdocumentation.
b. givingtyoutatcluetthattyoutshouldtspeedtuptthetinterview.
c. providingttimetfortreflection.
d. increasingtthetlengthtoftthetvisit.
e. promotingtatcalmtenvironment.
SELECTEDtANSWER:t C
Silencetistatusefulttooltduringtinterviewstfortthetpurposestoftreflection,tsummoningtoftcourage,t
andtdisplayingtcompassion.tIttistusuallytatcluetfortyouttotgotslowertandtnotttotpushttoothard.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

4. Whichttechniquetistmostt likelyttotresulttintthetpatient'stunderstandingtoftquestions?
a. Usetphrasestthattaretcommonlytusedtbytothertpatientstintthetarea.
b. Usetthet patient'st ownt termst ift possible.

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c. Usetlanguagetthattkeepstthetpatienttfromtbeingtexpselectedtanswerivetinthistorthertselectedtans
werwer.
d. Usetpropertmedicaltandttechnicaltterminology.
e. Usetthetsimplesttlanguagetpossible.
SELECTEDtANSWER:t B
Totensuretthatt yourtquestionsthavetbeentcorrectlytunderstood,tbetclear,tandtexplicittwhiletusi
ngtthet patient'st idiomt andtlevelt oftunderstanding.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

5. Atpatienttbecomestrestlesstduringtthethistorytandtsays,t―Itdon'tthavettimetfortalltoftthistconv
ersation.t I'vetgotttot gettbackttotwork.‖tYourtmostt appropriatetresponsetwouldtbetto:
a. sTOPICtusingtopen-endedtquestionstandtbecometmoretdirect.
b. asktanothertopen-endedtquestiontandtinsisttontantselectedtanswerwer.
c. asktquestionstaboutthistangertandtmovetcloserttothim.
d. acknowledgethistangertandtproceedtwithtthethistorytandtexamination.
e. ignorethistdispleasuretandtbecometmoretassertivetabouttgettingtselectedtanswerwers.

SELECTEDtANSWER:t D
Thististthetonlytselectedtanswerwertthattresiststthettendencytfortpatienttmanipulation,tpursuestthe
information,t andtconfrontst thetpatient'st anger.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

6. Whentquestioningtatpatienttregardingtalcoholtintake,tshettellstyoutthattshetist―onlytatsocialtdrin
ker.‖tWhichtinitialtresponsetistappropriate?
a. ―I'mt gladtthatt yout aretatresponsibletdrinker.‖
b. ―ManytpeopletwhotaretreN allyRalcIohoG Bay.tCheyMaretsocialtdrinkers.‖
c. ―Whattamounttandtwhattkind UtofS NlictsT
talcoholtdot youtdrinktintatweek?‖

d. ―Ift youtonlytdrinktsocially,t youtwon'ttneedttotworrytabouttalwaysthavingtatdes
ignatedtdriver.‖
e. ―Dotthetothertpeopletint yourthouseholdtconsumetalcohol?‖
SELECTEDtANSWER:t C
Thistselectedtanswerwert clarifiestthetpatient'stownttermtwithouttaskingtatleadingtquestiontortbei
ng
judgmental.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

7. At50-year-
oldtmantcomesttotthetprimarytcaretclinic.tHettellst youthetistworriedtbecausethethasthadtseveretches
ttpainstfortthetpastt2tweeks.tWhichtinitialthistorytinterviewtquestiontistmosttappropriate?
a. ―Cant youtdescribetthetpain?‖
b. ―Thetpaintdoesn'tt radiatet tot yourt arm,tdoestit?‖
c. ―Havet youtbeenttreatedtfortanxietytbefore?‖
d. ―Doest yourtfatherthavethearttdisease?‖
e. ―Aretthetpainstworsetaftertyouteat?‖
SELECTEDtANSWER:t A
Initially,tantopen-
endedtquestiontistatmoretappropriatetresponse.t―Cant youtdescribetthetpain?‖tistantopen-
endedtquestiontthattofferstcluesttotthetchieftconcern.

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TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

8. Ms.tA.tstates,t―Mytlifetist justttootpainful.t Ittisn'tt worthtit.‖tShetappearstdepressed.tWhichtonetoftth
etfollowingtstatementstistthetmosttappropriatetcaregivertresponse?
a. ―Tryttotthinktabouttthetgoodtthingstintlife.‖
b. ―Youtshouldn'ttfeeltthattway;tlooktattalltthetgoodt thingstint yourtlife.‖
c. ―Yout can'tt meant whatt you'ret saying.‖
d. ―Ift youtthinktabouttit,tnothingtistworthtgettingtthistupsettabout.‖
e. ―Whattintlifetistcausingt youtsuchtpain?‖
SELECTEDtANSWER:t E
Specifictyettopen-
endedtquestionstaretbesttusedtwhentthetpatientthastfeelingstoftlosstoftself-
worthtandtdepression.tThetothertresponsesthurrytthetpatienttandtoffertsuperficialtassuranc
e.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

9. Duringtantinterview,t youthavetthetimpressiontthattatpatienttmaytbetconsideringtsuicide.tWh
ichtactiontistessential?
a. Immediatelytbegintproceedingstfortantinvoluntarytcommitment.
b. Asktwhethertthetpatientthastconsideredtself-harm.
c. Asktwhethertthetpatienttwouldtlikettotvisittatpsychiatrist.
d. Recordtthetimpressiontintthetpatient'stcharttandtrefertthetpatienttfortho
spitalization.
e. Avoidtdirectlytconfrontingtthetpatienttregardingt yourtimpression.
SELECTEDtANSWER:t B
IftyoutthinktthetpatienttmaytbNetcR
oUnsiI
derG
S ngtB
iN u.
sTicC
ide,Mhe
O tortshetprobablytis.tMentioningtittgivestpermiss
ionttottalktabouttit.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

10. Youtaretcollectingtathistorytfromtant11-year-
oldtgirl.tHertmothertistsittingtnextttothertintthetexaminationtroom.tWhentcollectingthistorytfromt
oldertchildrentortadolescents,ttheytshould:
a. nevertbetinterviewedtalonetbecausetthistmaytalienatetthetparent.
b. betmailedtatquestionnairetintadvancettotavoidtthetneedtfortherttottalk.
c. betgiventthetopportunityttotbetinterviewedtwithouttthetparenttattsometpoint.
d. betallowedttotdirecttthetflowtoftthetinterview.
e. betignoredtwhiletyoutaddresstalltquestionsttotthetparent.
SELECTEDtANSWER:t C
Antoldertchildtshouldtbetgiventthetopportunityttotgivetinformationtdirectly.tThistenhancestthetpro
babilitytthattthetchildtwilltfollowtyourtadvice.

TOPIC:t Discipline:tBehavioraltScience MSC:t OrgantSystem:tGeneral

11. Whentcommunicatingtwithtoldertchildrentandtteenagers,t youtshouldtbetsensitivettottheir:
a. parent'stneeds.
b. naturalturgettotcommunicate.
c. needtfortverbaltinstructions.
d. typicaltreluctancettottalk.