Chapter 01: TheHistoryandInterviewingProcess
l# l#
Ball:Seidel’sGuidetoPhysicalExamination,9thEdition
l#
, Seidel's Guidel#to Physicall#Examinationl#9th EditionBalll#Test Bank
t t t t
MULTIPLE l#CHOICE
1. Which question would beconsidereda ―leadingquestion?‖
t t t t
a. ―Pleasedescribeanyassociatedsymptoms with l#yourl#headaches?‖ t
b. ―You l#don't getheadachesoften, l#do you?‖t t
c. ―What activities l#affecttheseverityof l#yourheadaches?‖
t
d. ―What times of the dayare your l # headachesthemost severe?‖
t t t t t t
e. ―What worriesl#you mostaboutyourl#headache?‖
t t
ANS:l#B
This questionl#wouldlimittheinformationl#inthepatient'sl#answer.l#The otherl#choices allowthepatien
t t t
l#tmore discretionl#aboutthe extentl#ofan answer.
t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
2. Which actionwouldbest promote accuratetranslationsl#asl#welll#asl#confidentialitywhen thecaregive
t t t t
l#rdoes notspeakthepatient'slanguage?
t
a. Ask apersonunfamiliar l#with thepatientto translate.
t t t
b. Haveafriend ofl#thepatienttranslate. t
c. Ask simple leadingquestions that the patientl#mayunderstand.
t t t t t
d. Useaneighbor l#as l#translator.
e. Involvethefamilywith thetranslation. t
ANS:l#A
Whenyoudonot speakthe patient's l#language, l#familymembersor l#friends l#mayposea
t t
communicationbarrierl#and mayhavel#issues ofl#confidentiality;l#a strangerl#as anl#interpreterl#isl#lessl#bia
t t t t
l#sed.
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
3. Periods ofsilenceduring theinterview l#can l#serveimportantpurposes, l#suchas:
t t
a. allowingtheclinicianto catchupondocumentation. t
b. givingyouacluethat you shouldspeeduptheinterview. t t
c. providingtimeforreflection.
d. increasing thel#lengthl#ofthevisit.
t
e. promotinga l#calmenvironment.
ANS:l#C
Silenceis ausefull#toolduring interviewsl#forthe purposes ofreflection,l#summoning ofl#courage, and
t t t t t t
l#displaying compassion. l#It l#isusuallyaclue l#for l#youto l#gol#slower l#and notto pushtoohard.
t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
4. Which techniqueismostlikelyto result inthe patient's understanding of l # questions?
t t t t t t
a. Usephrasesthatarecommonlyused byother l#patients l#inthearea. t
b. Usethepatient'sl#owntermsl#ifpossible.
c. Uselanguagethatkeeps the patient l#frombeing expansive in l#his l#orheranswer. t t t t
d. Usepropermedicall#andtechnicall#terminology.
e. Usethe simplest languagepossible.
t t
ANS:l#B
, Seidel's Guidel#to Physicall#Examinationl#9th EditionBalll#Test Bank
t t t t
To ensurel#thatyourquestionsl#havebeencorrectlyunderstood,l#beclear,l#andexplicitwhileusing the
t t
l#patient'sl#idiomand levelofunderstanding. t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
5. Apatientbecomesl#restless duringl#the historyandl#says,―Idon'thavetime forl#alll#ofthis conversation.
t t t t
l#I'vegot togetback tol#work.‖Yourmostl#appropriateresponsewouldbe to:l#a.l#stopusingopen-
t t t
endedquestions and l#become moredirect.
t t
b. askanotherl#open-endedquestionand insistonl#an answer. t t
c. askquestions about l#his l#angerandmovecloser l#to him.
t t
d. acknowledgehis anger l#andl#proceedl#withthehistoryl#andexamination.
t
e. ignorel#hisl#displeasurel#and becomemore assertivel#aboutgettinganswers. t t
ANS:l#D t
This is the onlyanswerl#thatresistsl#thetendencyforpatientmanipulation, pursues theinformation,l#a
t t t t t
l#nd confrontsl#thepatient'sanger.
t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
6. Whenquestioning apatientregarding alcoholintake,l#shetellsl#youthatsheis―onlyasocialdrinker.‖
t t
l#Whichinitialresponseisappropriate?
a. ―I'mgladthatyouarearesponsible drinker.‖ t
b. c. l#―Manypeoplewhandwhatoarere l#all l#y alcohololics l#adoy l#theyouy l#adrinkresoc inial t
a l#dweek?‖rinkers.‖
l#
―Whatamount kind t
d. ―Ifyou onlydrink socially, l # youwon't need to l # worryabout always having adesignated driver.‖
t t t t t t t t
e. ―Dotheotherpeopleinyourhousehold l # consumealcohol?‖
ANS:l#C
This answer l#clarifies l#thepatient's ownterm l#withoutaskingaleading question l#or l#being judgmental.
t t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
7. A50-year-
oldmancomesl#tothe primarycarel#clinic.l#Hetells l#youhe is worriedl#becausehe hasl#hadseverechestp
t t t t
l#ainsl#forthe l#pastl#2 l#weeks. l#Which initialhistoryinterviewl#questionis mostappropriate?
t t
a. ―Canyoudescribethepain?‖
b. ―Thepaindoesn'tradiatetoyourarm, l # does it?‖ t
c. ―Haveyoubeentreated l# for l# anxietybefore?‖
d. ―Doesyourl#fatherhaveheartdisease?‖
e. ―Are l#thepains worse l#afteryou eat?‖ t t
ANS:l#A
Initially,l#anl#open-
endedquestionisa moreappropriateresponse.―Canyoudescribethepain?‖isanl#open-
t
l#endedquestionthatoffersl#cluesl#tothechiefl#concern.
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
NURSINGTB.COM
, Seidel's Guidel#to Physicall#Examinationl#9th EditionBalll#Test Bank
t t t t
8. Ms. l#A. l#states,―Mylife isjust toopainful. l#It l#isn't l#worth l#it.‖Sheappearsdepressed. t t
l#Which oneoftheft l#ollowingstatements l#isthemost appropriatecaregiverresponse? t
l#a.―Trytothinkabout thegood thin l#gsl#in life.‖ t t t
b. ―Youl#shouldn't feel that way; l#look at alll#thegood thingsl#in yourlife.‖
t t t t t t t
c. ―Youl#can'tmeanwhat you'resaying.‖ t
d. ―Ifyou think aboutit,l#nothing is worthgetting thisl#upset about.‖
t t t t t t
e. ―What inlifeiscausingyousuchpain?‖t
ANS:l#E
Specific yetopen-endedquestionsl#arebestusedwhenthepatient hasfeelingsoflossl#ofself-
t t
l # worthl#anddepression. l#Thel#otherresponsesl#hurrythe patientl#andoffersuperficiall#assurance. t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
9. During anl#interview, youhave theimpressionl#thatapatient maybe consideringsuicide.
t t t t t
l#Whichaction is essential? t t
a. Immediatelybegin proceedings foran l#involuntarycommitment. t t
b. Askwhetherthepatienthasconsideredself-harm.
c. Ask whetherthepatientwouldliketo visit a psychiatrist.
t t t t
d. Recordl#theimpressionl#inthepatient'schartand referthepatientl#for t
l#hospitalization.
e. Avoid directlyconfrontingthe l#patient regardingyourimpression.
t t
ANS:l#B
Ifl#youthinkthe patientmaybNeUcRonSsiIdeNrGinTg Bsu.icCidOe,Mheorsheprobablyis.
t t
l# Mentioning it givesl#permission tol#talkaboutit.
t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
10. Youl#arecollectinga historyfrom anl#11-year- t t
oldgirl.l#Hermotherissittingnextto herintheexaminationroom.l#Whencollectinghistoryfroml#old t
l # erchildrenl#or l#adolescents, l#theyshould:l#a. l#neverbeinterviewedalonebecausethis mayalienate l#the p t t
l#arent.
b. bemailedaquestionnaireinadvancetoavoidtheneed l#forhertol#talk.
c. begiventhel#opportunityto beinterviewedl#withouttheparentl#atl#somepoint. t
d. beallowed todirecttheflowoftheinterview. t
e. be ignoredwhileyouaddressl#allquestionsl#totheparent.
t
ANS:l#C
Anl#olderl#childshouldbegiventheopportunityto l#give l#informationl#directly.l#This l#enhancestheproba
l#bilitythatthechildwilll#followl#youradvice.
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
11. Whencommunicatingwith olderchildren andl#teenagers, l#you shouldbesensitivetotheir:l#a.l#parent's t t t
needs.
l#
b. naturall#urge tol#communicate. t
c. needforverbalinstructions.
d. typical reluctanceto talk. t t
e. desireforadultcompanionship.
l# l#
Ball:Seidel’sGuidetoPhysicalExamination,9thEdition
l#
, Seidel's Guidel#to Physicall#Examinationl#9th EditionBalll#Test Bank
t t t t
MULTIPLE l#CHOICE
1. Which question would beconsidereda ―leadingquestion?‖
t t t t
a. ―Pleasedescribeanyassociatedsymptoms with l#yourl#headaches?‖ t
b. ―You l#don't getheadachesoften, l#do you?‖t t
c. ―What activities l#affecttheseverityof l#yourheadaches?‖
t
d. ―What times of the dayare your l # headachesthemost severe?‖
t t t t t t
e. ―What worriesl#you mostaboutyourl#headache?‖
t t
ANS:l#B
This questionl#wouldlimittheinformationl#inthepatient'sl#answer.l#The otherl#choices allowthepatien
t t t
l#tmore discretionl#aboutthe extentl#ofan answer.
t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
2. Which actionwouldbest promote accuratetranslationsl#asl#welll#asl#confidentialitywhen thecaregive
t t t t
l#rdoes notspeakthepatient'slanguage?
t
a. Ask apersonunfamiliar l#with thepatientto translate.
t t t
b. Haveafriend ofl#thepatienttranslate. t
c. Ask simple leadingquestions that the patientl#mayunderstand.
t t t t t
d. Useaneighbor l#as l#translator.
e. Involvethefamilywith thetranslation. t
ANS:l#A
Whenyoudonot speakthe patient's l#language, l#familymembersor l#friends l#mayposea
t t
communicationbarrierl#and mayhavel#issues ofl#confidentiality;l#a strangerl#as anl#interpreterl#isl#lessl#bia
t t t t
l#sed.
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
3. Periods ofsilenceduring theinterview l#can l#serveimportantpurposes, l#suchas:
t t
a. allowingtheclinicianto catchupondocumentation. t
b. givingyouacluethat you shouldspeeduptheinterview. t t
c. providingtimeforreflection.
d. increasing thel#lengthl#ofthevisit.
t
e. promotinga l#calmenvironment.
ANS:l#C
Silenceis ausefull#toolduring interviewsl#forthe purposes ofreflection,l#summoning ofl#courage, and
t t t t t t
l#displaying compassion. l#It l#isusuallyaclue l#for l#youto l#gol#slower l#and notto pushtoohard.
t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
4. Which techniqueismostlikelyto result inthe patient's understanding of l # questions?
t t t t t t
a. Usephrasesthatarecommonlyused byother l#patients l#inthearea. t
b. Usethepatient'sl#owntermsl#ifpossible.
c. Uselanguagethatkeeps the patient l#frombeing expansive in l#his l#orheranswer. t t t t
d. Usepropermedicall#andtechnicall#terminology.
e. Usethe simplest languagepossible.
t t
ANS:l#B
, Seidel's Guidel#to Physicall#Examinationl#9th EditionBalll#Test Bank
t t t t
To ensurel#thatyourquestionsl#havebeencorrectlyunderstood,l#beclear,l#andexplicitwhileusing the
t t
l#patient'sl#idiomand levelofunderstanding. t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
5. Apatientbecomesl#restless duringl#the historyandl#says,―Idon'thavetime forl#alll#ofthis conversation.
t t t t
l#I'vegot togetback tol#work.‖Yourmostl#appropriateresponsewouldbe to:l#a.l#stopusingopen-
t t t
endedquestions and l#become moredirect.
t t
b. askanotherl#open-endedquestionand insistonl#an answer. t t
c. askquestions about l#his l#angerandmovecloser l#to him.
t t
d. acknowledgehis anger l#andl#proceedl#withthehistoryl#andexamination.
t
e. ignorel#hisl#displeasurel#and becomemore assertivel#aboutgettinganswers. t t
ANS:l#D t
This is the onlyanswerl#thatresistsl#thetendencyforpatientmanipulation, pursues theinformation,l#a
t t t t t
l#nd confrontsl#thepatient'sanger.
t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
6. Whenquestioning apatientregarding alcoholintake,l#shetellsl#youthatsheis―onlyasocialdrinker.‖
t t
l#Whichinitialresponseisappropriate?
a. ―I'mgladthatyouarearesponsible drinker.‖ t
b. c. l#―Manypeoplewhandwhatoarere l#all l#y alcohololics l#adoy l#theyouy l#adrinkresoc inial t
a l#dweek?‖rinkers.‖
l#
―Whatamount kind t
d. ―Ifyou onlydrink socially, l # youwon't need to l # worryabout always having adesignated driver.‖
t t t t t t t t
e. ―Dotheotherpeopleinyourhousehold l # consumealcohol?‖
ANS:l#C
This answer l#clarifies l#thepatient's ownterm l#withoutaskingaleading question l#or l#being judgmental.
t t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
7. A50-year-
oldmancomesl#tothe primarycarel#clinic.l#Hetells l#youhe is worriedl#becausehe hasl#hadseverechestp
t t t t
l#ainsl#forthe l#pastl#2 l#weeks. l#Which initialhistoryinterviewl#questionis mostappropriate?
t t
a. ―Canyoudescribethepain?‖
b. ―Thepaindoesn'tradiatetoyourarm, l # does it?‖ t
c. ―Haveyoubeentreated l# for l# anxietybefore?‖
d. ―Doesyourl#fatherhaveheartdisease?‖
e. ―Are l#thepains worse l#afteryou eat?‖ t t
ANS:l#A
Initially,l#anl#open-
endedquestionisa moreappropriateresponse.―Canyoudescribethepain?‖isanl#open-
t
l#endedquestionthatoffersl#cluesl#tothechiefl#concern.
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
NURSINGTB.COM
, Seidel's Guidel#to Physicall#Examinationl#9th EditionBalll#Test Bank
t t t t
8. Ms. l#A. l#states,―Mylife isjust toopainful. l#It l#isn't l#worth l#it.‖Sheappearsdepressed. t t
l#Which oneoftheft l#ollowingstatements l#isthemost appropriatecaregiverresponse? t
l#a.―Trytothinkabout thegood thin l#gsl#in life.‖ t t t
b. ―Youl#shouldn't feel that way; l#look at alll#thegood thingsl#in yourlife.‖
t t t t t t t
c. ―Youl#can'tmeanwhat you'resaying.‖ t
d. ―Ifyou think aboutit,l#nothing is worthgetting thisl#upset about.‖
t t t t t t
e. ―What inlifeiscausingyousuchpain?‖t
ANS:l#E
Specific yetopen-endedquestionsl#arebestusedwhenthepatient hasfeelingsoflossl#ofself-
t t
l # worthl#anddepression. l#Thel#otherresponsesl#hurrythe patientl#andoffersuperficiall#assurance. t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
9. During anl#interview, youhave theimpressionl#thatapatient maybe consideringsuicide.
t t t t t
l#Whichaction is essential? t t
a. Immediatelybegin proceedings foran l#involuntarycommitment. t t
b. Askwhetherthepatienthasconsideredself-harm.
c. Ask whetherthepatientwouldliketo visit a psychiatrist.
t t t t
d. Recordl#theimpressionl#inthepatient'schartand referthepatientl#for t
l#hospitalization.
e. Avoid directlyconfrontingthe l#patient regardingyourimpression.
t t
ANS:l#B
Ifl#youthinkthe patientmaybNeUcRonSsiIdeNrGinTg Bsu.icCidOe,Mheorsheprobablyis.
t t
l# Mentioning it givesl#permission tol#talkaboutit.
t t t
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
10. Youl#arecollectinga historyfrom anl#11-year- t t
oldgirl.l#Hermotherissittingnextto herintheexaminationroom.l#Whencollectinghistoryfroml#old t
l # erchildrenl#or l#adolescents, l#theyshould:l#a. l#neverbeinterviewedalonebecausethis mayalienate l#the p t t
l#arent.
b. bemailedaquestionnaireinadvancetoavoidtheneed l#forhertol#talk.
c. begiventhel#opportunityto beinterviewedl#withouttheparentl#atl#somepoint. t
d. beallowed todirecttheflowoftheinterview. t
e. be ignoredwhileyouaddressl#allquestionsl#totheparent.
t
ANS:l#C
Anl#olderl#childshouldbegiventheopportunityto l#give l#informationl#directly.l#This l#enhancestheproba
l#bilitythatthechildwilll#followl#youradvice.
TOP:l#Discipline:l#Behaviorall#Science MSC:l#Organl#System:l#General
11. Whencommunicatingwith olderchildren andl#teenagers, l#you shouldbesensitivetotheir:l#a.l#parent's t t t
needs.
l#
b. naturall#urge tol#communicate. t
c. needforverbalinstructions.
d. typical reluctanceto talk. t t
e. desireforadultcompanionship.
