By Jane W. Ball |Joyce E.Dains (Author)Latest Update.(All
Chapters Covered 1-26)
,Table Of Contents
Chapter 01: The History And Interviewing Process ..............................4
Chapter 02: Cultural Competency ..................................................... 23
Chapter 03: Examination Techniques And Equipment ....................... 38
Chapter 04: Clinical Reasoning ......................................................... 60
Chapter 05: Documentation ............................................................. 71
Chapter 06: Vital Signs And Pain Assessment .................................... 87
Chapter 07: Mental Status................................................................ 97
Chapter 08: Growth, Measurement, And Nutrition ......................... 116
Chapter 09: Skin, Hair, And Nails .................................................... 144
Chapter 10: Lymphatic System ....................................................... 179
Chapter 11: Head And Neck ............................................................ 194
Chapter 12: Eyes ............................................................................ 208
Chapter 13: Ears, Nose, And Throat ................................................ 227
Chapter 14: Chest And Lungs .......................................................... 243
Chapter 15: Heart........................................................................... 254
Chapter 16: Blood Vessels .............................................................. 268
Chapter 17: Breasts And Axillae...................................................... 285
Chapter 18: Abdomen .................................................................... 297
Chapter 19: Female Genitalia ......................................................... 314
Chapter 20: Male Genitalia ............................................................ 334
Chapter 21: Anus, Rectum, And Prostate ........................................ 353
Chapter 22: Musculoskeletal System .............................................. 371
Chapter 23: Neurologic System ....................................................... 393
Chapter 24: Sports Participation Evaluation .................................... 425
,Chapter 25: Putting It All Together ................................................. 434
Chapter 26: Emergency Or Life-Threatening Situations ................... 467
,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?”
ANS>>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
B.C M
ANS>>A
USNT O
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.
ANS>>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.”
D. “I’ll Examine You And Figure Out Later What The Problem Is.”
ANS>>A
“After 3 Days, You’re Tired Of Coughing. Have You Had A Fever?” Is
The Only Response Aimed At Focusing On The Chief Compliant To
Gather More Data And Does Not Digress From The Issue.
Dif: Cognitive Level: Analyzing (Analysis)
Obj: Nursing Process—Assessment Msc: Physiologic Integrity:
Physiologic Adaptation
5. After You Ask A Patient About Her Family History, She Says, “Tell
Me About Your Family Now.” Which Response Is Generally Most
Appropriate?
A. Ignore The Patient’s Comment And Continue With The Interview.
B. Give A Brief, Undetailed Answer.
C. Ask The Patient Why She Needs To Know.