Test Bank for Seidel's Guide to Physical Examination, 9th Edition by Ball

,Chapterz01: zThezHistory zandzInterviewing zProcess
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Ball:zSeidel’szGuideztozPhysicalzExamination,z9thzEdition
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MULTIPLE zCHOICE d




1. Which zquestion zwould zbe zconsidered za z―leading zquestion?‖
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a. ―Please zdescribe zany zassociated zsymptoms zwith zyour zheadaches?‖
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b. ―You zdon't zget zheadaches zoften, zdo z you?‖
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c. ―What zactivities zaffect zthe zseverity zof zyour zheadaches?‖
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d. ―What ztimes zof zthe zday zare zyour zheadaches zthe zmost zsevere?‖
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e. ―What zworries zyou zmost zabout zyour zheadache?‖
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ANS: z B d d


This zquestion zwould zlimit zthe zinformation zin zthe zpatient's zanswer. zThe zother zchoices zallowzthe
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zpatient zmore zdiscretion zabout zthe zextent zof zan zanswer.
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TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral


2. Which zaction zwould zbest zpromote zaccurate ztranslations zas zwell zas
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zconfidentialitydzwhendzthedzcaregiverdzdoesdznotdzspeakdzthedzpatient's dzlanguage?
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a. Ask za zperson zunfamiliar zwith zthe zpatient zto ztranslate.
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b. Have za zfriend zof zthe zpatient ztranslate.
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c. Ask zsimple zleading zquestions zthat zthe zpatient zmay zunderstand.
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d. Use za zneighbor zas ztranslator.
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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
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zazcommunication zbarrier zand zmayzhave zissues zof zconfidentiality; za zstranger zas zan
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zinterpreter zis zless zbiased.
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TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral


3. Periods zof zsilence zduring zthe zinterview zcan zserve zimportant zpurposes, zsuch zas:
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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.
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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
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zofzcourage, zand zdisplaying zcompassion. zIt zis zusually za zclue zfor zyou zto zgo zslower zand znot
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zto zpush ztoo zhard.
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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?
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a. Use zphrases zthat zare zcommonlyzused zby zother zpatients zin zthe zarea.
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b. Use zthe zpatient's zown zterms zif zpossible.
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, c. Usezlanguage zthat zkeeps zthe zpatient zfrom zbeing zexpansive zin zhis zor zher zanswer.
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d. Use zproper zmedical zand ztechnical zterminology.
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e. Use zthe zsimplest zlanguage zpossible.
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ANS: z B d d


To zensure zthat zyour zquestions zhave zbeen zcorrectly zunderstood, zbe zclear, zand
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zexplicitzwhile zusing zthe zpatient's zidiom zand zlevel zof zunderstanding.
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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
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zalldzof dzthis dzconversation. dzI've dzgot dzto dzget dzback dzto dzwork.‖ dzYour dzmost dzappropriate
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d zresponsedzwoulddzbedzto:
a. stop zusing zopen-ended zquestions zand zbecome zmore zdirect.
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b. ask zanother zopen-ended zquestion zand zinsist zon zan zanswer.
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c. ask zquestions zabout zhis zanger zand zmove zcloser zto zhim.
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d. acknowledge zhis zanger zand zproceed zwith zthe zhistoryzand zexamination.
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e. ignore zhis zdispleasure zand zbecome zmore zassertive zabout zgetting zanswers.
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ANS: z D d d


This zis zthe zonlyzanswer zthat zresists zthe ztendency zfor zpatient zmanipulation, zpursues
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zthezinformation, zand zconfronts zthe zpatient's zanger.
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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
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d zsocialdzdrinker.‖dzWhichdzinitialdzresponsedzisdzappropriate?
a. ―I'm zglad zthat z you zare za zresponsible zdrinker.‖
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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.‖
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zamount zand zwhat zkind zof zalcoholzdo
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d. ―If zyou zonly zdrink zsocially, zyou zwon't zneed zto zworry zabout zalways
zyoudzdrinkdzindzadzweek?‖
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dzhavingdzadzdesignated dzdriver.‖
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e. ―Do zthe zother zpeople zin zyour zhousehold zconsume zalcohol?‖
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ANS: z C d d


This zanswer zclarifies zthe zpatient's zown zterm zwithout zasking za zleading zquestion zor
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zbeingzjudgmental.
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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
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d zworrieddzbecausedzhedzhasdzhaddzseveredzchestdzpainsdzfordzthedzpastdz2dzweeks.dzWhichdzinitial
zhistorydzinterviewdzquestiondzisdzmost dzappropriate?
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a. ―Can zyou zdescribe zthe zpain?‖
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b. ―The zpain zdoesn't zradiate zto z your zarm, zdoes zit?‖
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c. ―Have zyou zbeen ztreated zfor zanxiety zbefore?‖
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d. ―Does zyour zfather zhave zheart zdisease?‖
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e. ―Are zthe zpains zworse zafter zyou zeat?‖
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ANS: z A d d


Initially, zan zopen-ended zquestion zis za zmore zappropriate zresponse. z―Can zyou zdescribe zthe zpain?‖
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zis zan zopen-ended zquestion zthat zoffers zclues zto zthe zchief zconcern.
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, 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.
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zWhichdzonedzofdzthe dzfollowingdzstatementsdzisdzthedzmostdzappropriatedzcaregiverdzresponse?
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a. ―Try zto zthink zabout zthe zgood zthings zin zlife.‖
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b. ―You zshouldn't zfeel zthat zway; zlook zat zall zthe zgood zthings zin zyour zlife.‖
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c. ―You zcan't zmean z what z you're zsaying.‖
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d. ―If zyou zthink zabout zit, znothing zis zworth zgetting zthis zupset zabout.‖
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e. ―What zin zlife zis zcausing zyou zsuch zpain?‖
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ANS: z E d d


Specific zyet zopen-ended zquestions zare zbest zused zwhen zthe zpatient zhas zfeelings zofzloss
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zof zself-worth zand zdepression. zThe zother zresponses zhurry zthe zpatient zand zoffer
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zsuperficial zassurance.
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TOP: d z d Discipline: dzBehavioraldzScience MSC: d z dOrgandzSystem: dzGeneral


9. During zan zinterview, zyou zhave zthe zimpression zthat za zpatient zmayzbe
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zconsideringdzsuicide. dzWhichdzactiondzisdzessential?
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a. Immediately zbegin zproceedings zfor zan zinvoluntary zcommitment. d d d d d d


b. Ask zwhether zthe zpatient zhas zconsidered zself-harm.
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c. Ask zwhether zthe zpatient zwould zlike zto zvisit za zpsychiatrist.
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d. Record zthe zimpression zin zthe zpatient's zchart zand zrefer
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zthezpatient zfor zhospitalization.
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e. Avoid zdirectlyzconfronting zthe zpatient zregarding zyour zimpression.
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ANS: z B d d



Ifzyou zthinkzthe zpatient zmay zbNe zc R
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U ozSn zsNiIzdTe riGn g zB
zgiveszpermission zto ztalk zabout zit.
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d su.
icC
ide,Mhe zor zshezprobably zis. zMentioning zit
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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
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ztodzher dzin dzthe dzexamination dzroom. dzWhen dzcollecting dzhistory dzfrom dzolder dzchildren dzor
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d zadolescents,dztheydzshould:
a. never zbe zinterviewed zalone zbecause zthis zmay zalienate zthe zparent.
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b. be zmailed za zquestionnaire zin zadvance zto zavoid zthe zneed zfor zher zto ztalk.
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c. be zgiven zthe zopportunity zto zbe zinterviewed zwithout zthe zparent zat zsome zpoint.
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d. be zallowed zto zdirect zthe zflow zof zthe zinterview.
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e. be zignored zwhile zyou zaddress zall zquestions zto zthe zparent.
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ANS: z C d d


An zolder zchild zshould zbe zgiven zthe zopportunityzto zgive zinformation zdirectly. zThis zenhanceszthe
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zprobability zthat zthe zchild zwill zfollow zyour zadvice.
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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:
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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