TEST BANK n
Seidel's Guide to n n
Physical Examination:
n n
An Interprofessional A
n n
pproach 9thEdition
n n
Test Bank Questions with
n n n n
Complete Solutions n
,Chapter 01: The History and Interviewing Process
n n n n n n
Ball: Seidel’s Guide to Physical Examination, 9th Edition
n n n n n n n
MULTIPLEnCHOICE
1. Whichnquestionnwouldnbenconsiderednan“leadingnquestion?”
a. “Whatndonyounthinknisncausingnyournheadaches?”
b. “Youndon’tngetnheadachesnoften,ndonyou?”
c. “Onnanscalenofn1nton10,nhownwouldnyounratenthenseveritynofnyournheadaches?”
d. “Atnwhatntimenofnthendaynarenyournheadachesnthenmostnsevere?”
ANS:n B
Statingntonthenpatientnthatnhenornshendoesnnotngetnheadachesnwouldnlimitntheninformationninnthenp
atient’snanswer.nAskingnthenpatientnwhatnhenornshenthinksnisncausingnthenheadachesnisnannopen-
endednquestion.nAskingnthenpatientnhownhenornshenwouldnratenthenseveritynofnthenheadachesnand
naskingnwhatntimenofnthendaynthenheadachesnarenthenmostnseverenarendirectnquestions.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
2. Whennarenopen-endednquestionsngenerallynmostnuseful?
a. Duringnsensitivenareanpartnofntheninterview
b. Afternseveralnclosed-endednquestionsnhavenbeennasked
c. Whilendesigningnthengenogram
d. Duringnthenreviewnofnsyst ems
N RIGnB.CnM
USNT O
n
n n n
ANS:n A
Askingnopen-
endednquestionsnduringnthensensitivenpartnofntheninterviewnallowsnyountongathernmoreninformatio
nnandnestablishesnyounasnannempathicnlistener,nwhichnisnthenfirstnstepnofneffectivencommunication
.nAskingnclosed-
endednquestionsnmaynstiflenthenpatient’sndesirentondiscussnthenhistorynofnthenillness.nInterviewingn
fornthenpurposenofndesigningnangenogramnornconductingnanreviewnofnsystemsnrequiresnmorenfocus
edndatanthanncannbenmoreneasilyngatherednwithndirectnquestioning.
DIF: CognitivenLevel:nUnderstandingn(Comprehension)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
3. Periodsnofnsilencenduringntheninterviewncannservenimportantnpurposes,nsuchnas:
a. allowingnthenclinicianntoncatchnupnonndocumentation.
b. promotingncalm.
c. providingntimenfornreflection.
d. increasingnthenlengthnofnthenvisit.
ANS:n C
Silencenisnanusefulntoolnduringninterviewsnfornthenpurposesnofnreflection,nsummoningncourage,na
ndndisplayingncompassion.nThisnisnnotnantimentondocumentninnthenchart,nbutnratherntonfocusnonnth
enpatient.nPeriodsnofnsilencenmayncausenanxietynrathernthannpromotencalm.nThenlengthnofnthenvis
itnisnlessnimportantnthanngettingncriticalninformation.
, DIF: CognitivenLevel:nUnderstandingn(Comprehension)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
4. Mr.nFranklinnisnspeakingnwithnyou,nthenhealthcarenprovider,naboutnhisnrespiratorynproblem.nMr.
Franklinnsays,n“I’venhadnthisncoughnforn3ndays,nandnit’sngettingnworse.”nYounreply,n“Tellnmen
morenaboutnyourncough.”nMr.nFranklinnstates,n“InwishnIncouldntellnyounmore.nThat’snwhynI’mnh
ere.nYountellnmenwhat’snwrong!”nWhichncaregivernresponsenwouldnbenmostnappropriatenfornen
hancingncommunication?
a. “Aftern3ndays,nyou’rentirednofncoughing.nHavenyounhadnanfever?”
b. “I’dnlikentonhearnmorenaboutnyournexperiences.nWherenwerenyounborn?”
c. “Indon’tnknownwhat’snwrong.nYouncouldnhavenalmostnanyndisease.”
d. “I’llnexaminenyounandnfigurenoutnlaternwhatnthenproblemnis.”
ANS:n A
“Aftern3ndays,nyou’rentirednofncoughing.nHavenyounhadnanfever?”nisnthenonlynresponsenaimednat
focusingnonnthenchiefncompliantntongathernmorendatanandndoesnnotndigressnfromnthenissue.
DIF: CognitivenLevel:nAnalyzingn(Analysis)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
5. Afternyounasknanpatientnaboutnhernfamilynhistory,nshensays,n“Tellnmenaboutnyournfamilynnow.”
Whichnresponsenisngenerallynmostnappropriate?
a. Ignorenthenpatient’sncommentnandncontinuenwithntheninterview.
b. Givenanbrief,nundetailednanswer.
c. Asknthenpatientnwhynshenneedsntonknow.
d. Tellnthenpatientnthatnyoundonnotndiscussnyournfamilynwithnpatients.
ANS:n B NURSINGTB.COM
Givingnanbrief,nundetailednanswernwillnsatisfynthenpatient’sncuriositynaboutnyourselfnwithoutninva
dingnyournprivatenlife.nIgnoringnthenpatient’sncomment,ncontinuingnwithntheninterview,nandntellin
gnthenpatientnthatnyoundonnotndiscussnyournfamilynwithnpatientsnwillnpotentiallynangernornfrustraten
hernandnkeepnhernfromnsharingnopenly.nAskingnthenpatientnwhynshenneedsntonknownwillndistractnfr
omnthenrealnreasonnshenisnseekingncarenandninsteadnmoventheninterviewnconversationnawaynfromnt
hentopicsnthatnshouldnbendiscussed.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
6. An36-year-
oldnwomanncomplainsnthatnshenhasnhadncrushingnchestnpainnfornthenpastn2ndays.nShenseemsnnervo
usnasnshenspeaksntonyou.nAnnappropriatenresponsenisnto:
a. continuentoncollectninformationnregardingnthenchiefncomplaintninnannunhurriedn
manner.
b. finishntheninterviewnasnrapidlynasnpossible.
c. asknthenpatientntontakenandeepnbreathnandncalmndown.
d. asknthenpatientnifnshenwantsntonwaitnuntilnanotherndayntontalkntonyou.
ANS:n A
, Withnannanxious,nvulnerablenpatient,nitnisnbestntonnotnhurry;nancalmndemeanornwillncommunicatenc
aringntonthenpatient.nIfnyounasnanhealthcarenprovidernarenhurried,nthenpatientnwillnbenmorenanxious.
nThenbestnwayntonassistnannanxiousnpatientnisntonnotnhurrynandnremainncalm,nbecausenthisnwillncom
municatencaringntonthenpatient.nAskingnthenpatientnifnshenwantsntonwaitnuntilnanotherndayntontalknt
onyoundelaysnthenneedednhealthncare.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
7. Ms.nAnstates,n“Mynlifenisnjustntoonpainful.nItnisn’tnworthnit.”nShenappearsndepressed.nWhichnone
ofnthenfollowingnstatementsnisnthenmostnappropriatencaregivernresponse?
a. “Tryntonthinknaboutnthengoodnthingsninnlife.”
b. “Whatninnlifenisncausingnyounsuchnpain?”
c. “Youncan’tnmeannwhatnyou’rensaying.”
d. “Ifnyounthinknaboutnit,nnothingnisnworthngettingnthisnupsetnabout.”
ANS:n B
Specificnbutnopen-endednquestionsnarenbestnusednwhennthenpatientnhasnfeelingsnofnlossnof
self-
worthnandndepression.n“Tryntonthinknaboutnthengoodnthingsninnlife,”n“Youncan’tnmeannwhatnyou’ren
saying,”nandn“Ifnyounthinknaboutnit,nnothingnisnworthngettingnthisnupsetnabout”narenstatementsnthatn
willnhurrynthenpatientnandnoffernonlynsuperficialnassurance.
DIF: CognitivenLevel:nAnalyzingn(Analysis)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
8. Younarencollectingnanhistorynfromnan16-year-
oldngirl.nHernmothernisnsittingnnextntonherninnthenexaminationnroom.nWhenncollectingnhistorynf
romnoldernchildrennornadolescents,ntheynshould
be: NURSINGTB.COM
a. givennthenopportunityntonbeninterviewednwithoutnthenparentnatnsomenpointnduringntheni
nterview.
b. mailednanquestionnaireninnadvancentonavoidnthenneednfornthemntontalk.
c. ignorednwhilenyounaddressnallnquestionsntonthenparent.
d. allowedntondirectnthenflownofntheninterview.
ANS:n A
Thenadolescentnshouldnbengivennthenopportunityntongiveninformationndirectly.nThisnenhancesnthen
probabilitynthatnthenadolescentnwillnfollownyournadvice.nMailingnanquestionnaireninnadvancentona
voidnthenneednfornherntontalkndoesnnotnassistnthenadolescentninnlearningntonrespondntonanswersnreg
ardingnhernhealth.nThenparentncannhelpnfillninngapsnatnthenend.nIfnshenisnignorednwhilenyounaddress
nallnquestionsntonthenparent,nthenpatientnwillnfeelnasnthoughnshenisnjustnbeingndiscussednandnisnnotn
partnofnthenprocessnfornthenhealthncare.nThenhealthcarenprovidernshould
alwaysndirectnthenflownofntheninterviewnaccordingntonthenpatient’snresponses.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
9. Informationnthatnisnneedednduringntheninitialninterviewnofnanpregnantnwomannincludesnallnthenf
ollowingnexcept:
a. thengendernthatnthenwomannhopesnthenbabynwillnbe.
b. pastnmedicalnhistory.
c. healthcarenpractices.
Seidel's Guide to n n
Physical Examination:
n n
An Interprofessional A
n n
pproach 9thEdition
n n
Test Bank Questions with
n n n n
Complete Solutions n
,Chapter 01: The History and Interviewing Process
n n n n n n
Ball: Seidel’s Guide to Physical Examination, 9th Edition
n n n n n n n
MULTIPLEnCHOICE
1. Whichnquestionnwouldnbenconsiderednan“leadingnquestion?”
a. “Whatndonyounthinknisncausingnyournheadaches?”
b. “Youndon’tngetnheadachesnoften,ndonyou?”
c. “Onnanscalenofn1nton10,nhownwouldnyounratenthenseveritynofnyournheadaches?”
d. “Atnwhatntimenofnthendaynarenyournheadachesnthenmostnsevere?”
ANS:n B
Statingntonthenpatientnthatnhenornshendoesnnotngetnheadachesnwouldnlimitntheninformationninnthenp
atient’snanswer.nAskingnthenpatientnwhatnhenornshenthinksnisncausingnthenheadachesnisnannopen-
endednquestion.nAskingnthenpatientnhownhenornshenwouldnratenthenseveritynofnthenheadachesnand
naskingnwhatntimenofnthendaynthenheadachesnarenthenmostnseverenarendirectnquestions.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
2. Whennarenopen-endednquestionsngenerallynmostnuseful?
a. Duringnsensitivenareanpartnofntheninterview
b. Afternseveralnclosed-endednquestionsnhavenbeennasked
c. Whilendesigningnthengenogram
d. Duringnthenreviewnofnsyst ems
N RIGnB.CnM
USNT O
n
n n n
ANS:n A
Askingnopen-
endednquestionsnduringnthensensitivenpartnofntheninterviewnallowsnyountongathernmoreninformatio
nnandnestablishesnyounasnannempathicnlistener,nwhichnisnthenfirstnstepnofneffectivencommunication
.nAskingnclosed-
endednquestionsnmaynstiflenthenpatient’sndesirentondiscussnthenhistorynofnthenillness.nInterviewingn
fornthenpurposenofndesigningnangenogramnornconductingnanreviewnofnsystemsnrequiresnmorenfocus
edndatanthanncannbenmoreneasilyngatherednwithndirectnquestioning.
DIF: CognitivenLevel:nUnderstandingn(Comprehension)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
3. Periodsnofnsilencenduringntheninterviewncannservenimportantnpurposes,nsuchnas:
a. allowingnthenclinicianntoncatchnupnonndocumentation.
b. promotingncalm.
c. providingntimenfornreflection.
d. increasingnthenlengthnofnthenvisit.
ANS:n C
Silencenisnanusefulntoolnduringninterviewsnfornthenpurposesnofnreflection,nsummoningncourage,na
ndndisplayingncompassion.nThisnisnnotnantimentondocumentninnthenchart,nbutnratherntonfocusnonnth
enpatient.nPeriodsnofnsilencenmayncausenanxietynrathernthannpromotencalm.nThenlengthnofnthenvis
itnisnlessnimportantnthanngettingncriticalninformation.
, DIF: CognitivenLevel:nUnderstandingn(Comprehension)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
4. Mr.nFranklinnisnspeakingnwithnyou,nthenhealthcarenprovider,naboutnhisnrespiratorynproblem.nMr.
Franklinnsays,n“I’venhadnthisncoughnforn3ndays,nandnit’sngettingnworse.”nYounreply,n“Tellnmen
morenaboutnyourncough.”nMr.nFranklinnstates,n“InwishnIncouldntellnyounmore.nThat’snwhynI’mnh
ere.nYountellnmenwhat’snwrong!”nWhichncaregivernresponsenwouldnbenmostnappropriatenfornen
hancingncommunication?
a. “Aftern3ndays,nyou’rentirednofncoughing.nHavenyounhadnanfever?”
b. “I’dnlikentonhearnmorenaboutnyournexperiences.nWherenwerenyounborn?”
c. “Indon’tnknownwhat’snwrong.nYouncouldnhavenalmostnanyndisease.”
d. “I’llnexaminenyounandnfigurenoutnlaternwhatnthenproblemnis.”
ANS:n A
“Aftern3ndays,nyou’rentirednofncoughing.nHavenyounhadnanfever?”nisnthenonlynresponsenaimednat
focusingnonnthenchiefncompliantntongathernmorendatanandndoesnnotndigressnfromnthenissue.
DIF: CognitivenLevel:nAnalyzingn(Analysis)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
5. Afternyounasknanpatientnaboutnhernfamilynhistory,nshensays,n“Tellnmenaboutnyournfamilynnow.”
Whichnresponsenisngenerallynmostnappropriate?
a. Ignorenthenpatient’sncommentnandncontinuenwithntheninterview.
b. Givenanbrief,nundetailednanswer.
c. Asknthenpatientnwhynshenneedsntonknow.
d. Tellnthenpatientnthatnyoundonnotndiscussnyournfamilynwithnpatients.
ANS:n B NURSINGTB.COM
Givingnanbrief,nundetailednanswernwillnsatisfynthenpatient’sncuriositynaboutnyourselfnwithoutninva
dingnyournprivatenlife.nIgnoringnthenpatient’sncomment,ncontinuingnwithntheninterview,nandntellin
gnthenpatientnthatnyoundonnotndiscussnyournfamilynwithnpatientsnwillnpotentiallynangernornfrustraten
hernandnkeepnhernfromnsharingnopenly.nAskingnthenpatientnwhynshenneedsntonknownwillndistractnfr
omnthenrealnreasonnshenisnseekingncarenandninsteadnmoventheninterviewnconversationnawaynfromnt
hentopicsnthatnshouldnbendiscussed.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
6. An36-year-
oldnwomanncomplainsnthatnshenhasnhadncrushingnchestnpainnfornthenpastn2ndays.nShenseemsnnervo
usnasnshenspeaksntonyou.nAnnappropriatenresponsenisnto:
a. continuentoncollectninformationnregardingnthenchiefncomplaintninnannunhurriedn
manner.
b. finishntheninterviewnasnrapidlynasnpossible.
c. asknthenpatientntontakenandeepnbreathnandncalmndown.
d. asknthenpatientnifnshenwantsntonwaitnuntilnanotherndayntontalkntonyou.
ANS:n A
, Withnannanxious,nvulnerablenpatient,nitnisnbestntonnotnhurry;nancalmndemeanornwillncommunicatenc
aringntonthenpatient.nIfnyounasnanhealthcarenprovidernarenhurried,nthenpatientnwillnbenmorenanxious.
nThenbestnwayntonassistnannanxiousnpatientnisntonnotnhurrynandnremainncalm,nbecausenthisnwillncom
municatencaringntonthenpatient.nAskingnthenpatientnifnshenwantsntonwaitnuntilnanotherndayntontalknt
onyoundelaysnthenneedednhealthncare.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
7. Ms.nAnstates,n“Mynlifenisnjustntoonpainful.nItnisn’tnworthnit.”nShenappearsndepressed.nWhichnone
ofnthenfollowingnstatementsnisnthenmostnappropriatencaregivernresponse?
a. “Tryntonthinknaboutnthengoodnthingsninnlife.”
b. “Whatninnlifenisncausingnyounsuchnpain?”
c. “Youncan’tnmeannwhatnyou’rensaying.”
d. “Ifnyounthinknaboutnit,nnothingnisnworthngettingnthisnupsetnabout.”
ANS:n B
Specificnbutnopen-endednquestionsnarenbestnusednwhennthenpatientnhasnfeelingsnofnlossnof
self-
worthnandndepression.n“Tryntonthinknaboutnthengoodnthingsninnlife,”n“Youncan’tnmeannwhatnyou’ren
saying,”nandn“Ifnyounthinknaboutnit,nnothingnisnworthngettingnthisnupsetnabout”narenstatementsnthatn
willnhurrynthenpatientnandnoffernonlynsuperficialnassurance.
DIF: CognitivenLevel:nAnalyzingn(Analysis)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
8. Younarencollectingnanhistorynfromnan16-year-
oldngirl.nHernmothernisnsittingnnextntonherninnthenexaminationnroom.nWhenncollectingnhistorynf
romnoldernchildrennornadolescents,ntheynshould
be: NURSINGTB.COM
a. givennthenopportunityntonbeninterviewednwithoutnthenparentnatnsomenpointnduringntheni
nterview.
b. mailednanquestionnaireninnadvancentonavoidnthenneednfornthemntontalk.
c. ignorednwhilenyounaddressnallnquestionsntonthenparent.
d. allowedntondirectnthenflownofntheninterview.
ANS:n A
Thenadolescentnshouldnbengivennthenopportunityntongiveninformationndirectly.nThisnenhancesnthen
probabilitynthatnthenadolescentnwillnfollownyournadvice.nMailingnanquestionnaireninnadvancentona
voidnthenneednfornherntontalkndoesnnotnassistnthenadolescentninnlearningntonrespondntonanswersnreg
ardingnhernhealth.nThenparentncannhelpnfillninngapsnatnthenend.nIfnshenisnignorednwhilenyounaddress
nallnquestionsntonthenparent,nthenpatientnwillnfeelnasnthoughnshenisnjustnbeingndiscussednandnisnnotn
partnofnthenprocessnfornthenhealthncare.nThenhealthcarenprovidernshould
alwaysndirectnthenflownofntheninterviewnaccordingntonthenpatient’snresponses.
DIF: CognitivenLevel:nApplyingn(Application)
OBJ:n n Nursingnprocess—assessment MSC:n PhysiologicnIntegrity:nPhysiologicnAdaptation
9. Informationnthatnisnneedednduringntheninitialninterviewnofnanpregnantnwomannincludesnallnthenf
ollowingnexcept:
a. thengendernthatnthenwomannhopesnthenbabynwillnbe.
b. pastnmedicalnhistory.
c. healthcarenpractices.
