Test Bank Complete For Seidel’s Guide To Physical Examination 9th Edition

Which question would be considered a "leading question?"1.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: BStating to the patient that he or she does not get headaches would limit the information in thepatient's answer. Asking the patient what he or she thinks is causing the headaches is anopen-ended question. Asking the patient how he or she would rate the severity of theheadaches and asking what time of the day the headaches are the most severe are directquestions. DIF:Cognitive Level: Applying (Application)OBJ: Nursing process—assessmentMSC: Physiologic Integrity: Physiologic Adaptation When are open-ended questions generally most useful?2.a.During sensitive area part of the interviewb.After several closed-ended questions have been askedc.While designing the genogramd.During the review of systemsNRIGB.CMUSNTOANS: AAsking open-ended questions during the sensitive part of the interview allows you to gathermore information and establishes you as an empathic listener, which is the first step ofeffective communication. Asking closed-ended questions may stifle the patient's desire todiscuss the history of the illness. Interviewing for the purpose of designing a genogram orconducting a review of systems requires more focused data than can be more easily gatheredwith direct questioning. DIF:Cognitive Level: Understanding (Comprehension)OBJ: Nursing process—assessmentMSC: Physiologic Integrity: Physiologic Adaptation Periods of silence during the interview can serve important purposes, such as:ing the clinician to catch up on ting ding time for asing the length of the visit.ANS: CSilence 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 onthe patient. Periods of silence may cause anxiety rather than promote calm. The length of thevisit is less important than getting critical information.