TEST BANK
Seidel's Guide to Physical Examination: An Interprofessional Approach
JANE W. BALL, JOYCE E. DAINS, JOHN A. FLYNN, BARRY S.
SOLOMON, ROSALYN W. STEWART
9th Edition
, Chapter 01: The History and Interviewing Process
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
• Which question would be considered a “leading question?”
• “Please describe any associated symptoms with your headaches?”
• “You don’t get headaches often, do you?”
• “What activities affect the severity of your headaches?”
• “What times of the day are your headaches the most severe?”
• “What worries you most about your headache?”
ANS: B
This question would limit the information in the patient’s answer. The other
choices allow thepatient more discretion about the extent of an answer.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Which action would best promote accurate translations as well as
confidentiality when thecaregiver does not speak the patient’s
language?
• Ask a person unfamiliar with the patient to translate.
• Have a friend of the patient translate.
• Ask simple leading questions that the patient may understand.
• Use a neighbor as translator.
• Involve the family with the translation.
ANS: A
When you do not speak the patient’s language, family members or friends
may pose a communication barrier and may have issues of confidentiality;
a stranger as an interpreter isless biased.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Periods of silence during the interview can serve important purposes, such as:
• allowing the clinician to catch up on documentation.
• giving you a clue that you should speed up the interview.
• providing time for reflection.
, • increasing the length of the visit.
• promoting a calm environment.
ANS: C
Silence is a useful tool during interviews for the purposes of reflection,
summoning of courage, and displaying compassion. It is usually a clue for
you to go slower and not to pushtoo hard.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Which technique is most likely to result in the patient’s understanding of questions?
• Use phrases that are commonly used by other patients in the area.
• Use the patient’s own terms if possible.
• Use language that keeps the patient from being expansive in his or her answer.
• Use proper medical and technical terminology.
• Use the simplest language possible.
ANS: B
To ensure that your questions have been correctly understood, be
clear, and explicit whileusing the patient’s idiom and level of
understanding.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• A patient becomes restless during the history and says, “I don’t have
time for all of this conversation. I’ve got to get back to work.” Your most
appropriate response would be to:
• stop using open-ended questions and become more direct.
• ask another open-ended question and insist on an answer.
• ask questions about his anger and move closer to him.
• acknowledge his anger and proceed with the history and examination.
• ignore his displeasure and become more assertive about getting answers.
ANS: D
This is the only answer that resists the tendency for patient
manipulation, pursues theinformation, and confronts the patient’s
anger.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• When questioning a patient regarding alcohol intake, she tells you
that she is “only a socialdrinker.” Which initial response is
appropriate?
• “I’m glad that you are a responsible drinker.”
• “Many people who are reN
allyRalcIo hoG
lic sBay.tC
he yMare social drinkers.”
• “What amount and what kind of alcohol do you drink in a week?”
, • “If you only drink socially, you won’t need to worry about
always having adesignated driver.”
• “Do the other people in your household consume alcohol?”
ANS: C
This answer clarifies the patient’s own term without asking a leading
question or beingjudgmental.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• A 50-year-old man comes to the primary care clinic. He tells you he is
worried because he hashad severe chest pains for the past 2 weeks.
Which initial history interview question is most appropriate?
• “Can you describe the pain?”
• “The pain doesn’t radiate to your arm, does it?”
• “Have you been treated for anxiety before?”
• “Does your father have heart disease?”
• “Are the pains worse after you eat?”
ANS: A
Initially, an open-ended question is a more appropriate response. “Can you
describe the pain?”is an open-ended question that offers clues to the chief
concern.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Ms. A. states, “My life is just too painful. It isn’t worth it.” She appears
depressed. Which oneof the following statements is the most appropriate
caregiver response?
• “Try to think about the good things in life.”
• “You shouldn’t feel that way; look at all the good things in your life.”
• “You can’t mean what you’re saying.”
• “If you think about it, nothing is worth getting this upset about.”
• “What in life is causing you such pain?”
ANS: E
Specific yet open-ended questions are best used when the patient has
feelings of loss ofself-worth and depression. The other responses
hurry the patient and offer superficial assurance.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• During an interview, you have the impression that a patient
may be considering suicide.Which action is essential?
• Immediately begin proceedings for an involuntary commitment.
• Ask whether the patient has considered self-harm.
• Ask whether the patient would like to visit a psychiatrist.
Seidel's Guide to Physical Examination: An Interprofessional Approach
JANE W. BALL, JOYCE E. DAINS, JOHN A. FLYNN, BARRY S.
SOLOMON, ROSALYN W. STEWART
9th Edition
, Chapter 01: The History and Interviewing Process
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
• Which question would be considered a “leading question?”
• “Please describe any associated symptoms with your headaches?”
• “You don’t get headaches often, do you?”
• “What activities affect the severity of your headaches?”
• “What times of the day are your headaches the most severe?”
• “What worries you most about your headache?”
ANS: B
This question would limit the information in the patient’s answer. The other
choices allow thepatient more discretion about the extent of an answer.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Which action would best promote accurate translations as well as
confidentiality when thecaregiver does not speak the patient’s
language?
• Ask a person unfamiliar with the patient to translate.
• Have a friend of the patient translate.
• Ask simple leading questions that the patient may understand.
• Use a neighbor as translator.
• Involve the family with the translation.
ANS: A
When you do not speak the patient’s language, family members or friends
may pose a communication barrier and may have issues of confidentiality;
a stranger as an interpreter isless biased.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Periods of silence during the interview can serve important purposes, such as:
• allowing the clinician to catch up on documentation.
• giving you a clue that you should speed up the interview.
• providing time for reflection.
, • increasing the length of the visit.
• promoting a calm environment.
ANS: C
Silence is a useful tool during interviews for the purposes of reflection,
summoning of courage, and displaying compassion. It is usually a clue for
you to go slower and not to pushtoo hard.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Which technique is most likely to result in the patient’s understanding of questions?
• Use phrases that are commonly used by other patients in the area.
• Use the patient’s own terms if possible.
• Use language that keeps the patient from being expansive in his or her answer.
• Use proper medical and technical terminology.
• Use the simplest language possible.
ANS: B
To ensure that your questions have been correctly understood, be
clear, and explicit whileusing the patient’s idiom and level of
understanding.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• A patient becomes restless during the history and says, “I don’t have
time for all of this conversation. I’ve got to get back to work.” Your most
appropriate response would be to:
• stop using open-ended questions and become more direct.
• ask another open-ended question and insist on an answer.
• ask questions about his anger and move closer to him.
• acknowledge his anger and proceed with the history and examination.
• ignore his displeasure and become more assertive about getting answers.
ANS: D
This is the only answer that resists the tendency for patient
manipulation, pursues theinformation, and confronts the patient’s
anger.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• When questioning a patient regarding alcohol intake, she tells you
that she is “only a socialdrinker.” Which initial response is
appropriate?
• “I’m glad that you are a responsible drinker.”
• “Many people who are reN
allyRalcIo hoG
lic sBay.tC
he yMare social drinkers.”
• “What amount and what kind of alcohol do you drink in a week?”
, • “If you only drink socially, you won’t need to worry about
always having adesignated driver.”
• “Do the other people in your household consume alcohol?”
ANS: C
This answer clarifies the patient’s own term without asking a leading
question or beingjudgmental.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• A 50-year-old man comes to the primary care clinic. He tells you he is
worried because he hashad severe chest pains for the past 2 weeks.
Which initial history interview question is most appropriate?
• “Can you describe the pain?”
• “The pain doesn’t radiate to your arm, does it?”
• “Have you been treated for anxiety before?”
• “Does your father have heart disease?”
• “Are the pains worse after you eat?”
ANS: A
Initially, an open-ended question is a more appropriate response. “Can you
describe the pain?”is an open-ended question that offers clues to the chief
concern.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• Ms. A. states, “My life is just too painful. It isn’t worth it.” She appears
depressed. Which oneof the following statements is the most appropriate
caregiver response?
• “Try to think about the good things in life.”
• “You shouldn’t feel that way; look at all the good things in your life.”
• “You can’t mean what you’re saying.”
• “If you think about it, nothing is worth getting this upset about.”
• “What in life is causing you such pain?”
ANS: E
Specific yet open-ended questions are best used when the patient has
feelings of loss ofself-worth and depression. The other responses
hurry the patient and offer superficial assurance.
TOP: Discipline: Behavioral Science MSC: Organ System: General
• During an interview, you have the impression that a patient
may be considering suicide.Which action is essential?
• Immediately begin proceedings for an involuntary commitment.
• Ask whether the patient has considered self-harm.
• Ask whether the patient would like to visit a psychiatrist.
