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 r




1. Whichzquestion zwould zbezconsidered zaz―leadingzquestion?‖
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a. ―Pleasezdescribezanyzassociatedzsymptoms zwith zyourzheadaches?‖ r r r r r r r


b. ―You zdon't zget zheadaches zoften, zdo z you?‖
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c. ―What zactivities zaffect zthezseverityzofzyour zheadaches?‖
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d. ―What ztimes zofzthezdayzare zyourzheadaches zthe zmost zsevere?‖
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e. ―Whatzworries zyouzmost zaboutzyourzheadache?‖ r r r r r r




ANS: zB r r


Thiszquestionzwouldzlimitzthezinformationzinzthezpatient's zanswer.zThezotherzchoices zallowzthe
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zpatient zmore zdiscretion zabout zthe zextent zof zan zanswer.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




2. Whichzactionzwouldzbestzpromotezaccurateztranslationszaszwellzas
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zconfidentialityrzwhenrztherzcaregiverrzdoesrznotrzspeakrztherzpatient'srzlanguage?
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a. Askzazpersonzunfamiliarzwithzthezpatient ztoztranslate.
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b. Havezazfriendzofzthezpatientztranslate.
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c. Askzsimplezleadingzquestionszthatzthezpatient zmayzunderstand.
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d. Usezazneighbor zas ztranslator.
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e. Involvezthezfamilyzwith ztheztranslation. r r r r r




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When zyou zdo znot zspeak zthezpatient's zlanguage, zfamilyzmembers zor zfriends zmayzpose
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zazcommunication zbarrier zand zmayzhave zissues zof zconfidentiality; za zstranger zas zan
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zinterpreterzis zless zbiased.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




3. Periodszofzsilencezduringzthezinterviewzcanzservezimportantzpurposes,zsuch zas:
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a. allowingzthe zclinicianzto zcatchzupzonzdocumentation. r r r r r r r


b. givingzyou zazcluezthatzyou zshould zspeedzup zthezinterview.
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c. providingztimezforzreflection. r r r


d. increasingzthezlength zofzthezvisit. r r r r r


e. promotingzazcalm zenvironment. r r r




ANS: zC r r


Silence zis za zuseful ztool zduring zinterviews zfor zthe zpurposes zof zreflection, zsummoning
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zofzcourage, zand zdisplayingzcompassion. zIt zis zusuallyza zcluezfor zyou zto zgo zslowerzand znot zto
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zpush ztoo zhard.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




4. Whichztechniquezis zmost zlikelyzto zresult zin zthe zpatient's zunderstandingzof zquestions?
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a. Usezphraseszthat zare zcommonlyzused zbyzotherzpatients zin zthe zarea.
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b. Usezthe zpatient's zown zterms zif zpossible.
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, c. Usezlanguagezthat zkeepszthezpatientzfrom zbeingzexpansivezinzhiszorzher zanswer.
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d. Usezproperzmedical zandztechnical zterminology.
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e. Usezthezsimplest zlanguagezpossible. r r r r




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Tozensurezthatzyourzquestionszhavezbeenzcorrectlyzunderstood,zbezclear,zand
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zexplicitzwhilezusingzthezpatient's zidiom zand zlevel zof zunderstanding.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




5. A zpatient zbecomes zrestless zduring zthe zhistory zand zsays, z―I zdon't zhave ztime zfor
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rzallrzof rzthis rzconversation. rzI've rzgot rzto rzget rzback rzto rzwork.‖ rzYour rzmost rzappropriate
r zresponserzwouldrzberzto:
a. stopzusingzopen-endedzquestionszandzbecomezmorezdirect.
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b. askzanotherzopen-ended zquestionzandzinsist zonzan zanswer.
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c. askzquestions zabout zhiszangerzandzmovezcloserzto zhim.
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d. acknowledgezhis zangerzandzproceed zwithzthezhistoryzand zexamination. r r r r r r r r r


e. ignorezhiszdispleasurezandzbecomezmorezassertivezaboutzgettingzanswers.
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ANS: zD r r


Thisziszthezonlyzanswerzthatzresistsztheztendencyzforzpatientzmanipulation,zpursues
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zthezinformation, zand zconfronts zthe zpatient's zanger.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




6. Whenzquestioningzazpatientzregardingzalcoholzintake,zsheztells zyouzthat zshezisz―onlyza
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r zsocialrzdrinker.‖rzWhichrzinitialrzresponserzisrzappropriate?
a. ―I'm zglad zthat z you zarezazresponsible zdrinker.‖
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b. ―Manyz peoplez who z arez reN
al lyRalc
c. ―What U zSIozhoNzGlTic 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'tzneed zto zworryzabout zalways
zyourzdrinkrzinrzarzweek?‖
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rzhavingrzarzdesignated rzdriver.‖
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e. ―Dozthe zotherzpeople zin zyour zhousehold zconsume zalcohol?‖
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ANS: zC r r


This zanswerzclarifieszthezpatient's zownztermzwithout zaskingzazleadingzquestion zor
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zbeingzjudgmental.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




7. A z50-year-old zman zcomes zto zthe zprimary zcare zclinic. zHe ztells zyou zhe zis
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r zworriedrzbecauserzherzhasrzhadrzsevererzchestrzpainsrzforrztherzpastrz2rzweeks.rzWhichrzinitial
rzhistoryrzinterviewrzquestionrzisrzmostrzappropriate?
a. ―Can zyouzdescribezthezpain?‖ r r r r


b. ―Thezpain zdoesn't zradiate zto z your zarm, zdoes zit?‖
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c. ―Have zyouzbeen ztreated zforzanxiety zbefore?‖
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d. ―Does zyourzfatherzhavezheartzdisease?‖ r r r r r


e. ―Arezthezpainszworsezafterzyouzeat?‖
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ANS: zA r r


Initially,zanzopen-ended zquestion ziszazmorezappropriatezresponse.z―Can zyouzdescribezthe zpain?‖
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zis zan zopen-ended zquestion zthat zoffers zclues zto zthe zchief zconcern.
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, TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




8. Ms. zA.zstates,z―Myzlifezis zjust ztoozpainful. zIt zisn't zworth zit.‖zShezappearszdepressed.
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r zWhichrzonerzofrztherzfollowingrzstatementsrzisrztherzmostrzappropriaterzcaregiverrzresponse?
a. ―Try ztozthink zabout zthe zgood zthings zin zlife.‖ r r r r r r r


b. ―Youzshouldn't zfeel zthat zway; zlook zat zall zthe zgood zthings zin zyourzlife.‖
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c. ―You zcan't zmean z what z you're zsaying.‖
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d. ―If zyouzthink zabout zit,znothingziszworth zgettingzthiszupsetzabout.‖
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e. ―What zin zlifezis zcausing zyou zsuch zpain?‖ r r r r r r r




ANS: zE r r


Specificzyetzopen-ended zquestionszarezbestzusedzwhenzthezpatientzhaszfeelingszofzloss
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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: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




9. Duringzanzinterview,zyou zhavezthezimpressionzthatzazpatientzmayzbe
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rzconsideringrzsuicide.rzWhichrzactionrzisrzessential?
a. Immediatelyzbegin zproceedingszforzan zinvoluntaryzcommitment. r r r r r r


b. Askzwhetherzthezpatientzhaszconsidered zself-harm.
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c. Askzwhetherzthezpatient zwouldzlikeztozvisit zazpsychiatrist.
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d. Recordzthezimpression zinzthezpatient's zchartzand zrefer r r r r r r r r


zthezpatient zforzhospitalization.
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e. Avoidzdirectlyzconfrontingzthe zpatientzregarding zyourzimpression.
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ANS: zB r r



Ifzyouzthinkzthezpatientzmay zbNezc R IdzeTriGn g zB
su.
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ide,Mhezorzshezprobably zis.zMentioning zit
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zgiveszpermission zto ztalk zabout zit.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




10. Youzarezcollectingzazhistoryzfromzan z11-year-old zgirl.zHerzmotherzis zsittingznextztozher
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r zin rzthe rzexamination rzroom. rzWhen rzcollecting rzhistory rzfrom rzolder rzchildren rzor
r zadolescents,rztheyrzshould:
a. neverzbezinterviewed zalonezbecausezthiszmayzalienatezthezparent.
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b. bezmailedzazquestionnaire zin zadvanceztozavoidzthezneed zforzherzto ztalk.
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c. bezgivenzthezopportunityztozbezinterviewed zwithout zthezparent zat zsomezpoint.
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d. bezallowed zto zdirectzthezflow zofzthezinterview.
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e. bezignoredzwhile zyouzaddresszall zquestions ztozthezparent.
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ANS: zC r r


Anzolderzchildzshouldzbezgivenzthezopportunityztozgivezinformationzdirectly. zThis zenhanceszthe
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zprobabilityzthatzthe zchild zwill zfollow zyour zadvice.
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TOP: r z r Discipline: rzBehavioralrzScience MSC: z Organ zSystem: zGeneral r r r r




11. Whenzcommunicatingzwithzolderzchildrenzand zteenagers, zyouzshouldzbezsensitivezto ztheir:
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a. parent'szneeds. r


b. naturalzurgezto zcommunicate. r r r


c. needzforzverbal zinstructions. r r r


d. typicalzreluctancezto ztalk. r r r