,Chapterz01: zThezHistory zandzInterviewing zProcess
d d d
Ball:zSeidel’szGuideztozPhysicalzExamination,z9thzEdition
d d d d d
MULTIPLE zCHOICE d
1. Which zquestion zwould zbe zconsidered za z―leading zquestion?‖
d d d d d d d
a. ―Please zdescribe zany zassociated zsymptoms zwith zyour zheadaches?‖
d d d d d d d
b. ―You zdon't zget zheadaches zoften, zdo z you?‖
d d d d d d
c. ―What zactivities zaffect zthe zseverity zof zyour zheadaches?‖
d d d d d d d
d. ―What ztimes zof zthe zday zare zyour zheadaches zthe zmost zsevere?‖
d d d d d d d d d d
e. ―What zworries zyou zmost zabout zyour zheadache?‖
d d d d d d
ANS: z B d d
This zquestion zwould zlimit zthe zinformation zin zthe zpatient's zanswer. zThe zother zchoices zallowzthe
d d d d d d d d d d d d d d
zpatient zmore zdiscretion zabout zthe zextent zof zan zanswer.
d d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
2. Which zaction zwould zbest zpromote zaccurate ztranslations zas zwell zas
d d d d d d d d d
zconfidentialitydzwhendzthedzcaregiverdzdoesdznotdzspeakdzthedzpatient's dzlanguage?
d
a. Ask za zperson zunfamiliar zwith zthe zpatient zto ztranslate.
d d d d d d d d
b. Have za zfriend zof zthe zpatient ztranslate.
d d d d d d
c. Ask zsimple zleading zquestions zthat zthe zpatient zmay zunderstand.
d d d d d d d d
d. Use za zneighbor zas ztranslator.
d d d d
e. Involve zthe zfamilyzwith zthe ztranslation.d d d d d
ANS: d z d A
When zyou zdo znot zspeak zthe zpatient's zlanguage, zfamily zmembers zor zfriends zmay zpose
d d d d d d d d d d d d d
zazcommunication zbarrier zand zmayzhave zissues zof zconfidentiality; za zstranger zas zan
d d d d d d d d d d d d
zinterpreter zis zless zbiased.
d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
3. Periods zof zsilence zduring zthe zinterview zcan zserve zimportant zpurposes, zsuch zas:
d d d d d d d d d d d
a. allowing zthe zclinician zto zcatch zup zon zdocumentation. d d d d d d d
b. giving zyou za zclue zthat zyou zshould zspeed zup zthe zinterview.
d d d d d d d d d d
c. providing ztime zfor zreflection. d d d
d. increasing zthe zlength zof zthe zvisit. d d d d d
e. promoting za zcalm zenvironment. d d d
ANS: z C d d
Silence zis za zuseful ztool zduring zinterviews zfor zthe zpurposes zof zreflection, zsummoning
d d d d d d d d d d d d
zofzcourage, zand zdisplaying zcompassion. zIt zis zusually za zclue zfor zyou zto zgo zslower zand znot
d d d d d d d d d d d d d d d d d
zto zpush ztoo zhard.
d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
4. Which ztechnique zis zmost zlikelyzto zresult zin zthe zpatient's zunderstanding zof zquestions?
d d d d d d d d d d d d
a. Use zphrases zthat zare zcommonlyzused zby zother zpatients zin zthe zarea.
d d d d d d d d d d
b. Use zthe zpatient's zown zterms zif zpossible.
d d d d d d
, c. Usezlanguage zthat zkeeps zthe zpatient zfrom zbeing zexpansive zin zhis zor zher zanswer.
d d d d d d d d d d d d d
d. Use zproper zmedical zand ztechnical zterminology.
d d d d d
e. Use zthe zsimplest zlanguage zpossible.
d d d d
ANS: z B d d
To zensure zthat zyour zquestions zhave zbeen zcorrectly zunderstood, zbe zclear, zand
d d d d d d d d d d d
zexplicitzwhile zusing zthe zpatient's zidiom zand zlevel zof zunderstanding.
d d d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
5. A zpatient zbecomes zrestless zduring zthe zhistory zand zsays, z―I zdon't zhave ztime zfor
d d d d d d d d d d d d d
zalldzof dzthis dzconversation. dzI've dzgot dzto dzget dzback dzto dzwork.‖ dzYour dzmost dzappropriate
d
d zresponsedzwoulddzbedzto:
a. stop zusing zopen-ended zquestions zand zbecome zmore zdirect.
d d d d d d d
b. ask zanother zopen-ended zquestion zand zinsist zon zan zanswer.
d d d d d d d d
c. ask zquestions zabout zhis zanger zand zmove zcloser zto zhim.
d d d d d d d d d
d. acknowledge zhis zanger zand zproceed zwith zthe zhistoryzand zexamination.
d d d d d d d d d
e. ignore zhis zdispleasure zand zbecome zmore zassertive zabout zgetting zanswers.
d d d d d d d d d
ANS: z D d d
This zis zthe zonlyzanswer zthat zresists zthe ztendency zfor zpatient zmanipulation, zpursues
d d d d d d d d d d d
zthezinformation, zand zconfronts zthe zpatient's zanger.
d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
6. When zquestioning za zpatient zregarding zalcohol zintake, zshe ztells zyou zthat zshe zis z―only za
d d d d d d d d d d d d d d
d zsocialdzdrinker.‖dzWhichdzinitialdzresponsedzisdzappropriate?
a. ―I'm zglad zthat z you zare za zresponsible zdrinker.‖
d d d d d d d
b. ―Manyz people z who z are z reN
al lyRalc
c. ―What U zSIzoNhozT
d Gl ic z sBay.tCheyMare z social z drinkers.‖
d d
zamount zand zwhat zkind zof zalcoholzdo
d d d d
d d
d d d
d
d d
d
d
d
d d
d
d d
d d
d. ―If zyou zonly zdrink zsocially, zyou zwon't zneed zto zworry zabout zalways
zyoudzdrinkdzindzadzweek?‖
d d d d d d d d d d
dzhavingdzadzdesignated dzdriver.‖
d
e. ―Do zthe zother zpeople zin zyour zhousehold zconsume zalcohol?‖
d d d d d d d d
ANS: z C d d
This zanswer zclarifies zthe zpatient's zown zterm zwithout zasking za zleading zquestion zor
d d d d d d d d d d d d
zbeingzjudgmental.
d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
7. A z50-year-old zman zcomes zto zthe zprimary zcare zclinic. zHe ztells zyou zhe zis
d d d d d d d d d d d d d
d zworrieddzbecausedzhedzhasdzhaddzseveredzchestdzpainsdzfordzthedzpastdz2dzweeks.dzWhichdzinitial
zhistorydzinterviewdzquestiondzisdzmost dzappropriate?
d
a. ―Can zyou zdescribe zthe zpain?‖
d d d d
b. ―The zpain zdoesn't zradiate zto z your zarm, zdoes zit?‖
d d d d d d d d
c. ―Have zyou zbeen ztreated zfor zanxiety zbefore?‖
d d d d d
d. ―Does zyour zfather zhave zheart zdisease?‖
d d d d d
e. ―Are zthe zpains zworse zafter zyou zeat?‖
d d d d d d
ANS: z A d d
Initially, zan zopen-ended zquestion zis za zmore zappropriate zresponse. z―Can zyou zdescribe zthe zpain?‖
d d d d d d d d d d d d d
zis zan zopen-ended zquestion zthat zoffers zclues zto zthe zchief zconcern.
d d d d d d d d d d d
, TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
8. Ms. zA. zstates, z―My zlife zis zjust ztoo zpainful. zIt zisn't zworth zit.‖ zShe zappears zdepressed.
d d d d d d d d d d d d d d d
zWhichdzonedzofdzthe dzfollowingdzstatementsdzisdzthedzmostdzappropriatedzcaregiverdzresponse?
d
a. ―Try zto zthink zabout zthe zgood zthings zin zlife.‖
d d d d d d d
b. ―You zshouldn't zfeel zthat zway; zlook zat zall zthe zgood zthings zin zyour zlife.‖
d d d d d d d d d d d d d
c. ―You zcan't zmean z what z you're zsaying.‖
d d d d d
d. ―If zyou zthink zabout zit, znothing zis zworth zgetting zthis zupset zabout.‖
d d d d d d d d d d d
e. ―What zin zlife zis zcausing zyou zsuch zpain?‖
d d d d d d d
ANS: z E d d
Specific zyet zopen-ended zquestions zare zbest zused zwhen zthe zpatient zhas zfeelings zofzloss
d d d d d d d d d d d d d
zof zself-worth zand zdepression. zThe zother zresponses zhurry zthe zpatient zand zoffer
d d d d d d d d d d d d
zsuperficial zassurance.
d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
9. During zan zinterview, zyou zhave zthe zimpression zthat za zpatient zmayzbe
d d d d d d d d d d
zconsideringdzsuicide. dzWhichdzactiondzisdzessential?
d
a. Immediately zbegin zproceedings zfor zan zinvoluntary zcommitment. d d d d d d
b. Ask zwhether zthe zpatient zhas zconsidered zself-harm.
d d d d d d
c. Ask zwhether zthe zpatient zwould zlike zto zvisit za zpsychiatrist.
d d d d d d d d d
d. Record zthe zimpression zin zthe zpatient's zchart zand zrefer
d d d d d d d d
zthezpatient zfor zhospitalization.
d d d d
e. Avoid zdirectlyzconfronting zthe zpatient zregarding zyour zimpression.
d d d d d d d
ANS: z B d d
Ifzyou zthinkzthe zpatient zmay zbNe zc R
d d
U ozSn zsNiIzdTe riGn g zB
zgiveszpermission zto ztalk zabout zit.
d
d su.
icC
ide,Mhe zor zshezprobably zis. zMentioning zit
d
d d
d
d
d
d
d
d
d
d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
10. You zare zcollecting za zhistoryzfrom zan z11-year-old zgirl. zHer zmother zis zsitting znext
d d d d d d d d d d d d d
ztodzher dzin dzthe dzexamination dzroom. dzWhen dzcollecting dzhistory dzfrom dzolder dzchildren dzor
d
d zadolescents,dztheydzshould:
a. never zbe zinterviewed zalone zbecause zthis zmay zalienate zthe zparent.
d d d d d d d d d
b. be zmailed za zquestionnaire zin zadvance zto zavoid zthe zneed zfor zher zto ztalk.
d d d d d d d d d d d d d
c. be zgiven zthe zopportunity zto zbe zinterviewed zwithout zthe zparent zat zsome zpoint.
d d d d d d d d d d d d
d. be zallowed zto zdirect zthe zflow zof zthe zinterview.
d d d d d d d d
e. be zignored zwhile zyou zaddress zall zquestions zto zthe zparent.
d d d d d d d d d
ANS: z C d d
An zolder zchild zshould zbe zgiven zthe zopportunityzto zgive zinformation zdirectly. zThis zenhanceszthe
d d d d d d d d d d d d d
zprobability zthat zthe zchild zwill zfollow zyour zadvice.
d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
11. When zcommunicating zwith zolder zchildren zand zteenagers, zyou zshould zbe zsensitive zto ztheir:
d d d d d d d d d d d d
a. parent'szneeds. d
b. natural zurge zto zcommunicate. d d d
c. need zfor zverbal zinstructions. d d d
d. typical zreluctance zto ztalk. d d d
d d d
Ball:zSeidel’szGuideztozPhysicalzExamination,z9thzEdition
d d d d d
MULTIPLE zCHOICE d
1. Which zquestion zwould zbe zconsidered za z―leading zquestion?‖
d d d d d d d
a. ―Please zdescribe zany zassociated zsymptoms zwith zyour zheadaches?‖
d d d d d d d
b. ―You zdon't zget zheadaches zoften, zdo z you?‖
d d d d d d
c. ―What zactivities zaffect zthe zseverity zof zyour zheadaches?‖
d d d d d d d
d. ―What ztimes zof zthe zday zare zyour zheadaches zthe zmost zsevere?‖
d d d d d d d d d d
e. ―What zworries zyou zmost zabout zyour zheadache?‖
d d d d d d
ANS: z B d d
This zquestion zwould zlimit zthe zinformation zin zthe zpatient's zanswer. zThe zother zchoices zallowzthe
d d d d d d d d d d d d d d
zpatient zmore zdiscretion zabout zthe zextent zof zan zanswer.
d d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
2. Which zaction zwould zbest zpromote zaccurate ztranslations zas zwell zas
d d d d d d d d d
zconfidentialitydzwhendzthedzcaregiverdzdoesdznotdzspeakdzthedzpatient's dzlanguage?
d
a. Ask za zperson zunfamiliar zwith zthe zpatient zto ztranslate.
d d d d d d d d
b. Have za zfriend zof zthe zpatient ztranslate.
d d d d d d
c. Ask zsimple zleading zquestions zthat zthe zpatient zmay zunderstand.
d d d d d d d d
d. Use za zneighbor zas ztranslator.
d d d d
e. Involve zthe zfamilyzwith zthe ztranslation.d d d d d
ANS: d z d A
When zyou zdo znot zspeak zthe zpatient's zlanguage, zfamily zmembers zor zfriends zmay zpose
d d d d d d d d d d d d d
zazcommunication zbarrier zand zmayzhave zissues zof zconfidentiality; za zstranger zas zan
d d d d d d d d d d d d
zinterpreter zis zless zbiased.
d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
3. Periods zof zsilence zduring zthe zinterview zcan zserve zimportant zpurposes, zsuch zas:
d d d d d d d d d d d
a. allowing zthe zclinician zto zcatch zup zon zdocumentation. d d d d d d d
b. giving zyou za zclue zthat zyou zshould zspeed zup zthe zinterview.
d d d d d d d d d d
c. providing ztime zfor zreflection. d d d
d. increasing zthe zlength zof zthe zvisit. d d d d d
e. promoting za zcalm zenvironment. d d d
ANS: z C d d
Silence zis za zuseful ztool zduring zinterviews zfor zthe zpurposes zof zreflection, zsummoning
d d d d d d d d d d d d
zofzcourage, zand zdisplaying zcompassion. zIt zis zusually za zclue zfor zyou zto zgo zslower zand znot
d d d d d d d d d d d d d d d d d
zto zpush ztoo zhard.
d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
4. Which ztechnique zis zmost zlikelyzto zresult zin zthe zpatient's zunderstanding zof zquestions?
d d d d d d d d d d d d
a. Use zphrases zthat zare zcommonlyzused zby zother zpatients zin zthe zarea.
d d d d d d d d d d
b. Use zthe zpatient's zown zterms zif zpossible.
d d d d d d
, c. Usezlanguage zthat zkeeps zthe zpatient zfrom zbeing zexpansive zin zhis zor zher zanswer.
d d d d d d d d d d d d d
d. Use zproper zmedical zand ztechnical zterminology.
d d d d d
e. Use zthe zsimplest zlanguage zpossible.
d d d d
ANS: z B d d
To zensure zthat zyour zquestions zhave zbeen zcorrectly zunderstood, zbe zclear, zand
d d d d d d d d d d d
zexplicitzwhile zusing zthe zpatient's zidiom zand zlevel zof zunderstanding.
d d d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
5. A zpatient zbecomes zrestless zduring zthe zhistory zand zsays, z―I zdon't zhave ztime zfor
d d d d d d d d d d d d d
zalldzof dzthis dzconversation. dzI've dzgot dzto dzget dzback dzto dzwork.‖ dzYour dzmost dzappropriate
d
d zresponsedzwoulddzbedzto:
a. stop zusing zopen-ended zquestions zand zbecome zmore zdirect.
d d d d d d d
b. ask zanother zopen-ended zquestion zand zinsist zon zan zanswer.
d d d d d d d d
c. ask zquestions zabout zhis zanger zand zmove zcloser zto zhim.
d d d d d d d d d
d. acknowledge zhis zanger zand zproceed zwith zthe zhistoryzand zexamination.
d d d d d d d d d
e. ignore zhis zdispleasure zand zbecome zmore zassertive zabout zgetting zanswers.
d d d d d d d d d
ANS: z D d d
This zis zthe zonlyzanswer zthat zresists zthe ztendency zfor zpatient zmanipulation, zpursues
d d d d d d d d d d d
zthezinformation, zand zconfronts zthe zpatient's zanger.
d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
6. When zquestioning za zpatient zregarding zalcohol zintake, zshe ztells zyou zthat zshe zis z―only za
d d d d d d d d d d d d d d
d zsocialdzdrinker.‖dzWhichdzinitialdzresponsedzisdzappropriate?
a. ―I'm zglad zthat z you zare za zresponsible zdrinker.‖
d d d d d d d
b. ―Manyz people z who z are z reN
al lyRalc
c. ―What U zSIzoNhozT
d Gl ic z sBay.tCheyMare z social z drinkers.‖
d d
zamount zand zwhat zkind zof zalcoholzdo
d d d d
d d
d d d
d
d d
d
d
d
d d
d
d d
d d
d. ―If zyou zonly zdrink zsocially, zyou zwon't zneed zto zworry zabout zalways
zyoudzdrinkdzindzadzweek?‖
d d d d d d d d d d
dzhavingdzadzdesignated dzdriver.‖
d
e. ―Do zthe zother zpeople zin zyour zhousehold zconsume zalcohol?‖
d d d d d d d d
ANS: z C d d
This zanswer zclarifies zthe zpatient's zown zterm zwithout zasking za zleading zquestion zor
d d d d d d d d d d d d
zbeingzjudgmental.
d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
7. A z50-year-old zman zcomes zto zthe zprimary zcare zclinic. zHe ztells zyou zhe zis
d d d d d d d d d d d d d
d zworrieddzbecausedzhedzhasdzhaddzseveredzchestdzpainsdzfordzthedzpastdz2dzweeks.dzWhichdzinitial
zhistorydzinterviewdzquestiondzisdzmost dzappropriate?
d
a. ―Can zyou zdescribe zthe zpain?‖
d d d d
b. ―The zpain zdoesn't zradiate zto z your zarm, zdoes zit?‖
d d d d d d d d
c. ―Have zyou zbeen ztreated zfor zanxiety zbefore?‖
d d d d d
d. ―Does zyour zfather zhave zheart zdisease?‖
d d d d d
e. ―Are zthe zpains zworse zafter zyou zeat?‖
d d d d d d
ANS: z A d d
Initially, zan zopen-ended zquestion zis za zmore zappropriate zresponse. z―Can zyou zdescribe zthe zpain?‖
d d d d d d d d d d d d d
zis zan zopen-ended zquestion zthat zoffers zclues zto zthe zchief zconcern.
d d d d d d d d d d d
, TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
8. Ms. zA. zstates, z―My zlife zis zjust ztoo zpainful. zIt zisn't zworth zit.‖ zShe zappears zdepressed.
d d d d d d d d d d d d d d d
zWhichdzonedzofdzthe dzfollowingdzstatementsdzisdzthedzmostdzappropriatedzcaregiverdzresponse?
d
a. ―Try zto zthink zabout zthe zgood zthings zin zlife.‖
d d d d d d d
b. ―You zshouldn't zfeel zthat zway; zlook zat zall zthe zgood zthings zin zyour zlife.‖
d d d d d d d d d d d d d
c. ―You zcan't zmean z what z you're zsaying.‖
d d d d d
d. ―If zyou zthink zabout zit, znothing zis zworth zgetting zthis zupset zabout.‖
d d d d d d d d d d d
e. ―What zin zlife zis zcausing zyou zsuch zpain?‖
d d d d d d d
ANS: z E d d
Specific zyet zopen-ended zquestions zare zbest zused zwhen zthe zpatient zhas zfeelings zofzloss
d d d d d d d d d d d d d
zof zself-worth zand zdepression. zThe zother zresponses zhurry zthe zpatient zand zoffer
d d d d d d d d d d d d
zsuperficial zassurance.
d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
9. During zan zinterview, zyou zhave zthe zimpression zthat za zpatient zmayzbe
d d d d d d d d d d
zconsideringdzsuicide. dzWhichdzactiondzisdzessential?
d
a. Immediately zbegin zproceedings zfor zan zinvoluntary zcommitment. d d d d d d
b. Ask zwhether zthe zpatient zhas zconsidered zself-harm.
d d d d d d
c. Ask zwhether zthe zpatient zwould zlike zto zvisit za zpsychiatrist.
d d d d d d d d d
d. Record zthe zimpression zin zthe zpatient's zchart zand zrefer
d d d d d d d d
zthezpatient zfor zhospitalization.
d d d d
e. Avoid zdirectlyzconfronting zthe zpatient zregarding zyour zimpression.
d d d d d d d
ANS: z B d d
Ifzyou zthinkzthe zpatient zmay zbNe zc R
d d
U ozSn zsNiIzdTe riGn g zB
zgiveszpermission zto ztalk zabout zit.
d
d su.
icC
ide,Mhe zor zshezprobably zis. zMentioning zit
d
d d
d
d
d
d
d
d
d
d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
10. You zare zcollecting za zhistoryzfrom zan z11-year-old zgirl. zHer zmother zis zsitting znext
d d d d d d d d d d d d d
ztodzher dzin dzthe dzexamination dzroom. dzWhen dzcollecting dzhistory dzfrom dzolder dzchildren dzor
d
d zadolescents,dztheydzshould:
a. never zbe zinterviewed zalone zbecause zthis zmay zalienate zthe zparent.
d d d d d d d d d
b. be zmailed za zquestionnaire zin zadvance zto zavoid zthe zneed zfor zher zto ztalk.
d d d d d d d d d d d d d
c. be zgiven zthe zopportunity zto zbe zinterviewed zwithout zthe zparent zat zsome zpoint.
d d d d d d d d d d d d
d. be zallowed zto zdirect zthe zflow zof zthe zinterview.
d d d d d d d d
e. be zignored zwhile zyou zaddress zall zquestions zto zthe zparent.
d d d d d d d d d
ANS: z C d d
An zolder zchild zshould zbe zgiven zthe zopportunityzto zgive zinformation zdirectly. zThis zenhanceszthe
d d d d d d d d d d d d d
zprobability zthat zthe zchild zwill zfollow zyour zadvice.
d d d d d d d d
TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral
11. When zcommunicating zwith zolder zchildren zand zteenagers, zyou zshould zbe zsensitive zto ztheir:
d d d d d d d d d d d d
a. parent'szneeds. d
b. natural zurge zto zcommunicate. d d d
c. need zfor zverbal zinstructions. d d d
d. typical zreluctance zto ztalk. d d d
