Guide to Physical Examination -Test Bank
L L L L L
Chapter 01: The History and Interviewing Process Bal
L L L L L L L
l: Seidel G ide
L L L Ph ical E a i a i , 9 h Edi i
L L L L L L L L L L L
MULTIPLEL CHOICE
1.LLL Which eLi ldL beL c ideL edL aL leadiL g e i ?
a. PleaL eL de cL ibeL a a ciaL ed m mL iL h headacheL ?
b. Y d geL headacheL fL eL ,L d ?
c. WhaLacL i iL ieL affecL heL eL eL i f headacheL?
d. WhaLime fL heL daL aL e headacheL heL m eLeL e?
e. Wha ie m ab headache?
ANS:LB
ThiLeLiLldLlimiLheLiLfLmaLiLiLheLaLieL aL eL .L TheL heL chL iceL allL heL patientL moreLdiscretio
nLaboutLtheLextentLofLanL answer.
TOP:L Discipline:L BehavioralL ScienceLLLLLLLLMSC:L OrganL System:L General
2. WhichLactionLwouldLbestLpromoteL accurateL translationsL asL wellL asL confidentialityL whenLth
eL caL egiL eL dL e eakL heLaLieLlaL gLage?
a. AskLaL personL unfamiliarL withL theL patientL toL translate.
b. HaveLaL friendL ofL theL patientL translate.
c. AskLsimpleL leadingL questionsL thatL theL patientL mayL understand.
d. UseLaL neighborL asL translator.
e. InvolveLtheL familyL withL theL translation.
ANS:L A NURSINGTB.COM
Whe d
eakLheLaLieLlaLgLage,LfamilL membeL fL ieL dL maL eL aLcommunicationLbarrierL
andLmayLhaveLissuesLofLconfidentiality;LaLstrangerLasLanLinterpreterLisLlessLbiased.
TOP:L Discipline:L BehavioralL ScienceLLLLLLLLMSC:L OrganL System:L General
3. PeriodsLofL silenceL duringL theL interviewL canL serveL importantL purposes,L suchL as:
a. allowingLtheL clinicianL toL catchL upL onL documentation.
b. givingL youL aL clueL thatL youL shouldL speedL upL theL interview.
c. providingLtimeL forL reflection.
d. increasingLtheL lengthL ofL theL visit.
e. promotingLaL calmL environment.
ANS:LC
, Seidel'sL GuideL toL PhysicalL ExaminationL 9thL EditionL BallL TestL Bank
SilenceLisL aL usefulL toolL duringL interviewsL forL theL purposesL ofL reflection,L summoning
ofLcourage,LandLdisplayingL compassion.L ItL isL usuallyL aL clueL forL youL toL goL slowerL andL
notLtoLpushLtooLhard.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
4. WhichL echL iL eL iL m likel e lL iL heL aL ie de aL diL gL f eL i ?
a. UseLphrasesL thatL areL commonlyL usedL byL otherL patientsL inL theL area.
b. UL eL heL aL ie eL mL if ible.
c. UseLlanguageL thatL keepsL theL patientL fromL beingL expansiveL inL hisL orL herL answer.
d. UseLproperL medicalL andL technicalL terminology.
e. UseLtheL simplestL languageL possible.
ANS:LB
ToLensureLthatL yourLquestionsLhaveLbeenL correctlyLunderstood,LbeLclear,L andLexpl
icitLwhileLiL gLheLaLieLidiL mLaLdLleLelLfLdeL aLdiL g.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
5. AL aL ie becL meL eL leL d iL gL heL hi aL dL a,L IL d haL eL imeL f
allLofL thisLc eL aL i .L IL eL g geL back k.L Y m a
iaL eL e e ldL be :
a. stopL usingL open-endedL questionsL andL becomeL moreL direct.
b. askL anotherL open-endedL questionL andL insistL onL anL answer.
c. askLquestionsL aboutL hisL angerL andL moveL closerL toL him.
d. acknowledgeLhisL angerL andL proceedL withL theL historyL andL examination.
e. ignoreLhisL displeasureL andL becomeL moreL assertiveL aboutL gettingL answers.
ANS:LD
ThisLisLtheLonlyL answerLthatLresistsLtheLtendencyL forLpatientLmanipulation,Lpursue
sLtheLiLfLmaLiL,LaLdL cLfLheL aLieLaL geL.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
6. WheL eL iL iL gL aL aL ieL egaL diL gL alcL hL lL iL ake,L heL ell
haL heL iL lL aL cialL dL iL keL .L WhichL iL
iLialLeLeLiL aLiaLe?
a. IL mL gladL ha aL eL aL e ibleLdL iL keL .
MaWhaL amL eleL hL aL eL eallL alcL hL licL aL heL aL e
b.c. aLdL haL kiL dL fL alcL hL lL d
NURSINGTB.COMLdL iL kL iL aL eek?cialL diL keL .
d. If lL dL iL kL ciallL , eed abL alL aL haL iL gL aL deL igL aL edL dL iL eL .
e. DL heL heL e leL i h ehL ldL c meLalcL hL l?
ANS:LC
, Guide to Physical Examination -Test Bank
L L L L L
ThiL a eL claL ifieL heL aL ie eL mL iL h aL kiL gL aL leadiL g eL i
beiLgLjudgmental.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
7. AL50-year-
oldLmanLcomesLtoLtheLprimaryL careL clinic.L HeL tellsL youL heL isL worriedLbecauseLheLhasL
hadLsevereLchestLpainsLforLtheLpastL2Lweeks.LWhichL initialLhistoryLinterviewLquestionLisLm
ost
appropriate?
a. Ca deLcL ibeL heL aiL ?
b. TheL aiL dL e adiaL e aLm,L dL eL iL ?
c. HaL e beeL eaL edL f a ie bef e?
d. DL e faLheL haL eL heaL diL eaL e?
e. AL eL heL ai eL afL e eaL?
ANS:LA
Initially,L anL open-eL dedL eL iL iL aL mL eL aL iaL eL eL e.L Ca deL cL ibeL heL aiL ?L isL anL open-
endedLquestionLthatLoffersLcluesLtoLtheL chiefLconcern.
L
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
8. ML .L A.L aL eL ,L ML lifeL iL j
aiLfLl.L ILiLhLiL.LSheL aLeaLdeLeL ed.LWhichL eL ofL theLfollowin
gLstatementsLisLtheLmostL appropriateLcaregiverLresponse?
a. T hiL kL ab heLgL dL hiL gL iL life.
b. Y h ld feelL haL aL ;L l kL aL allL heL gLLdL hiL gL i life.
c. Y ca meaL ha eLaL iL g.
d. If hiL kL ab iL , hiL gL i hL geL iL gL hi eL ab .
e. WhaL iL lifeL iL ca iL g chLaiL ?
ANS:LE
SpecificL yetLopen-
endedLquestionsL areL bestL usedL whenL theL patientL hasL feelingsL ofL lossLofLself-
worthLandLdepression.L TheL otherL responsesL hurryL theL patientL andL offerLsuperficialL assu
rance.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
9. DuringLanLinterview,L youLhaveLtheLimpressionLthatLaLpatientLmayLbeLconsideringLsuicide
.
WhichL actionL isL essential?
a. ImmediatelyL beginL proceedingsL forL anL involuntaryL commitment.
b. AskLwhetherL theL patientL hasL consideredL self-harm.
c. AskLwhetherL theL patientL wouldL likeL toL visitL aL psychiatrist.
d. Rec dL heL im e i iL heL aL ie chaL aL dL efeL heL aL ie
fLhospitalization.
e. AvoidLdirectlyL confrontingL theL patientL regardingL yourL impression.
, Seidel'sL GuideL toL PhysicalL ExaminationL 9thL EditionL BallL TestL Bank
ANS:LB
IfL youLthinkLtheLpatientL mayLbeLconsideringLsuicide,LheLorLsheLprobablyL is.LMenti
oningLitL givesLNURSINGTB.COML permissionLtoLtalkLaboutLit.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
10. YouLareLcollectingL aL historyL fromL anL 11-year-
oldL girl.L HerL motherL isL sittingL nextL toL herLinLtheLexaminationL room.L WhenL collectingL hist
oryL fromL olderL childrenL orL adolescents,LtheyLshould:La.LneverLbeLinterviewedLaloneLbecauseLt
hisLmayL alienateLtheLparent.
b. beLmailedL aL questionnaireL inL advanceL toL avoidL theL needL forL herL toL talk.
c. beLgivenL theL opportunityL toL beL interviewedL withoutL theL parentL atL someL point.
d. beLallowedL toL directL theL flowL ofL theL interview.
e. beLignoredL whileL youL addressL allL questionsL toL theL parent.
ANS:LC
AnLolderLchildLshouldLbeLgivenLtheLopportunityLtoLgiveLinformationLdirectly.LThisLenha
ncesLtheLprobabilityL thatL theLchildLwillLfollowL yourLadvice.
TOP:L Discipline:L BehavioralL Science MSC:L OrganL System:L General
11. WhenLcommunicatingLwithLolderLchildrenL andLteenagers,L youLshouldL beL sensitiveL toLtheir
:
a. aL e eedL.
b. naturalLurgeL toL communicate.
c. needLforL verbalL instructions.
d. typicalLreluctanceL toL talk.
e. desireLforL adultL companionship.
ANS:LD
AdolescentsL areLusuallyLreluctantLtoLtalk;Ltherefore,LtheLproviderLshouldLclearlyLc
ommunicateLaLrespectL forLtheirLconfidentiality.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
12. WhenL youLsuspectLthatL yourL81-year-oldLpatientLhasLshort-
termLmemoryLlossL becauseL heLcannotLrememberL whatL heLhadLforLbreakfast,L youLshould:La.Lord
erLaLneurologyL consult.
b. stopLallL ofL hisL medications.
c. continueLtoL pressL theL patientL forL appropriateL answers.
d. validateLtheL concernL withL hisL familyL orL caregivers.
e. dismissLtheL findingL asL aL normalL age-relatedL change.
ANS:LD
WhenLolderLadultsLexperienceLmemoryLlossLforLrecentLevents,L consultLotherLfamilyLme
mbersLtoLclarifyL discrepanciesLorLtoL fillLinLtheL gaps.
L L L L L
Chapter 01: The History and Interviewing Process Bal
L L L L L L L
l: Seidel G ide
L L L Ph ical E a i a i , 9 h Edi i
L L L L L L L L L L L
MULTIPLEL CHOICE
1.LLL Which eLi ldL beL c ideL edL aL leadiL g e i ?
a. PleaL eL de cL ibeL a a ciaL ed m mL iL h headacheL ?
b. Y d geL headacheL fL eL ,L d ?
c. WhaLacL i iL ieL affecL heL eL eL i f headacheL?
d. WhaLime fL heL daL aL e headacheL heL m eLeL e?
e. Wha ie m ab headache?
ANS:LB
ThiLeLiLldLlimiLheLiLfLmaLiLiLheLaLieL aL eL .L TheL heL chL iceL allL heL patientL moreLdiscretio
nLaboutLtheLextentLofLanL answer.
TOP:L Discipline:L BehavioralL ScienceLLLLLLLLMSC:L OrganL System:L General
2. WhichLactionLwouldLbestLpromoteL accurateL translationsL asL wellL asL confidentialityL whenLth
eL caL egiL eL dL e eakL heLaLieLlaL gLage?
a. AskLaL personL unfamiliarL withL theL patientL toL translate.
b. HaveLaL friendL ofL theL patientL translate.
c. AskLsimpleL leadingL questionsL thatL theL patientL mayL understand.
d. UseLaL neighborL asL translator.
e. InvolveLtheL familyL withL theL translation.
ANS:L A NURSINGTB.COM
Whe d
eakLheLaLieLlaLgLage,LfamilL membeL fL ieL dL maL eL aLcommunicationLbarrierL
andLmayLhaveLissuesLofLconfidentiality;LaLstrangerLasLanLinterpreterLisLlessLbiased.
TOP:L Discipline:L BehavioralL ScienceLLLLLLLLMSC:L OrganL System:L General
3. PeriodsLofL silenceL duringL theL interviewL canL serveL importantL purposes,L suchL as:
a. allowingLtheL clinicianL toL catchL upL onL documentation.
b. givingL youL aL clueL thatL youL shouldL speedL upL theL interview.
c. providingLtimeL forL reflection.
d. increasingLtheL lengthL ofL theL visit.
e. promotingLaL calmL environment.
ANS:LC
, Seidel'sL GuideL toL PhysicalL ExaminationL 9thL EditionL BallL TestL Bank
SilenceLisL aL usefulL toolL duringL interviewsL forL theL purposesL ofL reflection,L summoning
ofLcourage,LandLdisplayingL compassion.L ItL isL usuallyL aL clueL forL youL toL goL slowerL andL
notLtoLpushLtooLhard.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
4. WhichL echL iL eL iL m likel e lL iL heL aL ie de aL diL gL f eL i ?
a. UseLphrasesL thatL areL commonlyL usedL byL otherL patientsL inL theL area.
b. UL eL heL aL ie eL mL if ible.
c. UseLlanguageL thatL keepsL theL patientL fromL beingL expansiveL inL hisL orL herL answer.
d. UseLproperL medicalL andL technicalL terminology.
e. UseLtheL simplestL languageL possible.
ANS:LB
ToLensureLthatL yourLquestionsLhaveLbeenL correctlyLunderstood,LbeLclear,L andLexpl
icitLwhileLiL gLheLaLieLidiL mLaLdLleLelLfLdeL aLdiL g.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
5. AL aL ie becL meL eL leL d iL gL heL hi aL dL a,L IL d haL eL imeL f
allLofL thisLc eL aL i .L IL eL g geL back k.L Y m a
iaL eL e e ldL be :
a. stopL usingL open-endedL questionsL andL becomeL moreL direct.
b. askL anotherL open-endedL questionL andL insistL onL anL answer.
c. askLquestionsL aboutL hisL angerL andL moveL closerL toL him.
d. acknowledgeLhisL angerL andL proceedL withL theL historyL andL examination.
e. ignoreLhisL displeasureL andL becomeL moreL assertiveL aboutL gettingL answers.
ANS:LD
ThisLisLtheLonlyL answerLthatLresistsLtheLtendencyL forLpatientLmanipulation,Lpursue
sLtheLiLfLmaLiL,LaLdL cLfLheL aLieLaL geL.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
6. WheL eL iL iL gL aL aL ieL egaL diL gL alcL hL lL iL ake,L heL ell
haL heL iL lL aL cialL dL iL keL .L WhichL iL
iLialLeLeLiL aLiaLe?
a. IL mL gladL ha aL eL aL e ibleLdL iL keL .
MaWhaL amL eleL hL aL eL eallL alcL hL licL aL heL aL e
b.c. aLdL haL kiL dL fL alcL hL lL d
NURSINGTB.COMLdL iL kL iL aL eek?cialL diL keL .
d. If lL dL iL kL ciallL , eed abL alL aL haL iL gL aL deL igL aL edL dL iL eL .
e. DL heL heL e leL i h ehL ldL c meLalcL hL l?
ANS:LC
, Guide to Physical Examination -Test Bank
L L L L L
ThiL a eL claL ifieL heL aL ie eL mL iL h aL kiL gL aL leadiL g eL i
beiLgLjudgmental.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
7. AL50-year-
oldLmanLcomesLtoLtheLprimaryL careL clinic.L HeL tellsL youL heL isL worriedLbecauseLheLhasL
hadLsevereLchestLpainsLforLtheLpastL2Lweeks.LWhichL initialLhistoryLinterviewLquestionLisLm
ost
appropriate?
a. Ca deLcL ibeL heL aiL ?
b. TheL aiL dL e adiaL e aLm,L dL eL iL ?
c. HaL e beeL eaL edL f a ie bef e?
d. DL e faLheL haL eL heaL diL eaL e?
e. AL eL heL ai eL afL e eaL?
ANS:LA
Initially,L anL open-eL dedL eL iL iL aL mL eL aL iaL eL eL e.L Ca deL cL ibeL heL aiL ?L isL anL open-
endedLquestionLthatLoffersLcluesLtoLtheL chiefLconcern.
L
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
8. ML .L A.L aL eL ,L ML lifeL iL j
aiLfLl.L ILiLhLiL.LSheL aLeaLdeLeL ed.LWhichL eL ofL theLfollowin
gLstatementsLisLtheLmostL appropriateLcaregiverLresponse?
a. T hiL kL ab heLgL dL hiL gL iL life.
b. Y h ld feelL haL aL ;L l kL aL allL heL gLLdL hiL gL i life.
c. Y ca meaL ha eLaL iL g.
d. If hiL kL ab iL , hiL gL i hL geL iL gL hi eL ab .
e. WhaL iL lifeL iL ca iL g chLaiL ?
ANS:LE
SpecificL yetLopen-
endedLquestionsL areL bestL usedL whenL theL patientL hasL feelingsL ofL lossLofLself-
worthLandLdepression.L TheL otherL responsesL hurryL theL patientL andL offerLsuperficialL assu
rance.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
9. DuringLanLinterview,L youLhaveLtheLimpressionLthatLaLpatientLmayLbeLconsideringLsuicide
.
WhichL actionL isL essential?
a. ImmediatelyL beginL proceedingsL forL anL involuntaryL commitment.
b. AskLwhetherL theL patientL hasL consideredL self-harm.
c. AskLwhetherL theL patientL wouldL likeL toL visitL aL psychiatrist.
d. Rec dL heL im e i iL heL aL ie chaL aL dL efeL heL aL ie
fLhospitalization.
e. AvoidLdirectlyL confrontingL theL patientL regardingL yourL impression.
, Seidel'sL GuideL toL PhysicalL ExaminationL 9thL EditionL BallL TestL Bank
ANS:LB
IfL youLthinkLtheLpatientL mayLbeLconsideringLsuicide,LheLorLsheLprobablyL is.LMenti
oningLitL givesLNURSINGTB.COML permissionLtoLtalkLaboutLit.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
10. YouLareLcollectingL aL historyL fromL anL 11-year-
oldL girl.L HerL motherL isL sittingL nextL toL herLinLtheLexaminationL room.L WhenL collectingL hist
oryL fromL olderL childrenL orL adolescents,LtheyLshould:La.LneverLbeLinterviewedLaloneLbecauseLt
hisLmayL alienateLtheLparent.
b. beLmailedL aL questionnaireL inL advanceL toL avoidL theL needL forL herL toL talk.
c. beLgivenL theL opportunityL toL beL interviewedL withoutL theL parentL atL someL point.
d. beLallowedL toL directL theL flowL ofL theL interview.
e. beLignoredL whileL youL addressL allL questionsL toL theL parent.
ANS:LC
AnLolderLchildLshouldLbeLgivenLtheLopportunityLtoLgiveLinformationLdirectly.LThisLenha
ncesLtheLprobabilityL thatL theLchildLwillLfollowL yourLadvice.
TOP:L Discipline:L BehavioralL Science MSC:L OrganL System:L General
11. WhenLcommunicatingLwithLolderLchildrenL andLteenagers,L youLshouldL beL sensitiveL toLtheir
:
a. aL e eedL.
b. naturalLurgeL toL communicate.
c. needLforL verbalL instructions.
d. typicalLreluctanceL toL talk.
e. desireLforL adultL companionship.
ANS:LD
AdolescentsL areLusuallyLreluctantLtoLtalk;Ltherefore,LtheLproviderLshouldLclearlyLc
ommunicateLaLrespectL forLtheirLconfidentiality.
TOP:L Discipline:L BehavioralL Science MSC:LOrganL System:L General
12. WhenL youLsuspectLthatL yourL81-year-oldLpatientLhasLshort-
termLmemoryLlossL becauseL heLcannotLrememberL whatL heLhadLforLbreakfast,L youLshould:La.Lord
erLaLneurologyL consult.
b. stopLallL ofL hisL medications.
c. continueLtoL pressL theL patientL forL appropriateL answers.
d. validateLtheL concernL withL hisL familyL orL caregivers.
e. dismissLtheL findingL asL aL normalL age-relatedL change.
ANS:LD
WhenLolderLadultsLexperienceLmemoryLlossLforLrecentLevents,L consultLotherLfamilyLme
mbersLtoLclarifyL discrepanciesLorLtoL fillLinLtheL gaps.
