, Seidel's76Guide76to76Physical76Examination769th76Edition76Ball76T
est76Bank
Seidel's76Guide76to76Physical76Examination769th76Edition76Bal
l7676Test76Bank
Chapter7601:76The76History76and76Interviewing76Process
Ball:76Seidel’s76Guide76to76Physical76Examination,769th76Edition
MULTIPLE76CHOICE
1. Which76question76would76be76considered76a76“leading76question?”
a. “Please76describe76any76associated76symptoms76with76your76headaches?”
b. “You76don't76get76headaches76often,76do76you?”
c. “What76activities76affect76the76severity76of76your76headaches?”
d. “What76times76of76the76day76are76your76headaches76the76most76severe?”
e. “What76worries76you76most76about76your76headache?”
ANS:7 6 B
This76question76would76limit76the76information76in76the76patient's76answer.76The76other76choice
s76allow76the76patient76more76discretion76about76the76extent76of76an76answer.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
2. Which76action76would76best76promote76accurate76translations76as76well76as76confidentiali
ty76when76the76caregiver76does76not76speak76the76patient's76language?
a. Ask76a76person76unfamiliar76with76the76patient76to76translate.
b. Have76a76friend76of76the76patient76translate.
c. Ask76simple76leading76questions76that76the76patient76may76understand.
d. Use76a76neighbor76as76translator.
e. Involve76the76family76with76the76translation.
ANS:7 6 A
When76you76do76not76speak76the76patient's76language,76family76members76or76friends76may
76pose76a76communication76barrier76and76may76have76issues76of76confidentiality;76a76strange
r76as76an76interpreter76isless76biased.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
3. Periods76of76silence76during76the76interview76can76serve76important76purposes,76such76as:
a. allowing76the76clinician76to76catch76up76on76documentation.
b. giving76you76a76clue76that76you76should76speed76up76the76interview.
c. providing76time76for76reflection.
d. increasing76the76length76of76the76visit.
e. promoting76a76calm76environm
ent.76ANS:76C
NURSINGTB.COM
, Seidel's76Guide76to76Physical76Examination769th76Edition76Ball76T
est76Bank
Silence76is76a76useful76tool76during76interviews76for76the76purposes76of76reflection,76summo
ning76of76courage,76and76displaying76compassion.76It76is76usually76a76clue76for76you76to76go7
6slower76and76not76to76push76too76hard.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
4. Which76technique76is76most76likely76to76result76in76the76patient's76understanding76of76questions
?
a. Use76phrases76that76are76commonly76used76by76other76patients76in76the76area.
b. Use76the76patient's76own76terms76if76possible.
NURSINGTB.COM
, Seidel's76Guide76to76Physical76Examination769th76Edition76Ball76T
est76Bank
c. Use76language76that76keeps76the76patient76from76being76expansive76in76his76or76her76answer.
d. Use76proper76medical76and76technical76terminology.
e. Use76the76simplest76language76possible.
ANS:7 6 B
To76ensure76that76your76questions76have76been76correctly76understood,76be76clear,76and76ex
plicit76while76using76the76patient's76idiom76and76level76of76understanding.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
5. A76patient76becomes76restless76during76the76history76and76says,76“I76don't76have76time
76for76all76of76this76conversation.76I've76got76to76get76back76to76work.”76Your76most76ap
propriate76response76would76be76to:
a. stop76using76open-ended76questions76and76become76more76direct.
b. ask76another76open-ended76question76and76insist76on76an76answer.
c. ask76questions76about76his76anger76and76move76closer76to76him.
d. acknowledge76his76anger76and76proceed76with76the76history76and76examination.
e. ignore76his76displeasure76and76become76more76assertive76about76getting76answers.
ANS:7 6 D
This76is76the76only76answer76that76resists76the76tendency76for76patient76manipulation,76pursues76
the76information,76and76confronts76the76patient's76anger.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
6. When76questioning76a76patient76regarding76alcohol76intake,76she76tells76you76that76
she76is76“only76a76socialdrinker.”76Which76initial76response76is76appropriate?
a. “I'm76glad76that76you76are76a76responsible76drinker.”
b. “Many76people76who76are76reN allyRalco
U SI hoNlGic76sBT
ay.th
CeyMare76social76drinkers.”
c. “What76amount76and76what76kind76of76alcohol76do76you76drink76in76a76week?”
d. “If76you76only76drink76socially,76you76won't76need76to76worry76about76al
ways76having76a76designated76driver.”
e. “Do76the76other76people76in76your76household76consume76alcohol?”
ANS:7 6 C
This76answer76clarifies76the76patient's76own76term76without76asking76a76leading76question76or76
being76judgmental.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
7. A7650-year-
old76man76comes76to76the76primary76care76clinic.76He76tells76you76he76is76worried76because7
6he76has76had76severe76chest76pains76for76the76past76276weeks.76Which76initial76history76int
erview76question76is76most76appropriate?
a. “Can76you76describe76the76pain?”
b. “The76pain76doesn't76radiate76to76your76arm,76does76it?”
c. “Have76you76been76treated76for76anxiety76before?”
d. “Does76your76father76have76heart76disease?”
e. “Are76the76pains76worse76after76you76eat?”
ANS:7 6 A
NURSINGTB.COM
est76Bank
Seidel's76Guide76to76Physical76Examination769th76Edition76Bal
l7676Test76Bank
Chapter7601:76The76History76and76Interviewing76Process
Ball:76Seidel’s76Guide76to76Physical76Examination,769th76Edition
MULTIPLE76CHOICE
1. Which76question76would76be76considered76a76“leading76question?”
a. “Please76describe76any76associated76symptoms76with76your76headaches?”
b. “You76don't76get76headaches76often,76do76you?”
c. “What76activities76affect76the76severity76of76your76headaches?”
d. “What76times76of76the76day76are76your76headaches76the76most76severe?”
e. “What76worries76you76most76about76your76headache?”
ANS:7 6 B
This76question76would76limit76the76information76in76the76patient's76answer.76The76other76choice
s76allow76the76patient76more76discretion76about76the76extent76of76an76answer.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
2. Which76action76would76best76promote76accurate76translations76as76well76as76confidentiali
ty76when76the76caregiver76does76not76speak76the76patient's76language?
a. Ask76a76person76unfamiliar76with76the76patient76to76translate.
b. Have76a76friend76of76the76patient76translate.
c. Ask76simple76leading76questions76that76the76patient76may76understand.
d. Use76a76neighbor76as76translator.
e. Involve76the76family76with76the76translation.
ANS:7 6 A
When76you76do76not76speak76the76patient's76language,76family76members76or76friends76may
76pose76a76communication76barrier76and76may76have76issues76of76confidentiality;76a76strange
r76as76an76interpreter76isless76biased.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
3. Periods76of76silence76during76the76interview76can76serve76important76purposes,76such76as:
a. allowing76the76clinician76to76catch76up76on76documentation.
b. giving76you76a76clue76that76you76should76speed76up76the76interview.
c. providing76time76for76reflection.
d. increasing76the76length76of76the76visit.
e. promoting76a76calm76environm
ent.76ANS:76C
NURSINGTB.COM
, Seidel's76Guide76to76Physical76Examination769th76Edition76Ball76T
est76Bank
Silence76is76a76useful76tool76during76interviews76for76the76purposes76of76reflection,76summo
ning76of76courage,76and76displaying76compassion.76It76is76usually76a76clue76for76you76to76go7
6slower76and76not76to76push76too76hard.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
4. Which76technique76is76most76likely76to76result76in76the76patient's76understanding76of76questions
?
a. Use76phrases76that76are76commonly76used76by76other76patients76in76the76area.
b. Use76the76patient's76own76terms76if76possible.
NURSINGTB.COM
, Seidel's76Guide76to76Physical76Examination769th76Edition76Ball76T
est76Bank
c. Use76language76that76keeps76the76patient76from76being76expansive76in76his76or76her76answer.
d. Use76proper76medical76and76technical76terminology.
e. Use76the76simplest76language76possible.
ANS:7 6 B
To76ensure76that76your76questions76have76been76correctly76understood,76be76clear,76and76ex
plicit76while76using76the76patient's76idiom76and76level76of76understanding.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
5. A76patient76becomes76restless76during76the76history76and76says,76“I76don't76have76time
76for76all76of76this76conversation.76I've76got76to76get76back76to76work.”76Your76most76ap
propriate76response76would76be76to:
a. stop76using76open-ended76questions76and76become76more76direct.
b. ask76another76open-ended76question76and76insist76on76an76answer.
c. ask76questions76about76his76anger76and76move76closer76to76him.
d. acknowledge76his76anger76and76proceed76with76the76history76and76examination.
e. ignore76his76displeasure76and76become76more76assertive76about76getting76answers.
ANS:7 6 D
This76is76the76only76answer76that76resists76the76tendency76for76patient76manipulation,76pursues76
the76information,76and76confronts76the76patient's76anger.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
6. When76questioning76a76patient76regarding76alcohol76intake,76she76tells76you76that76
she76is76“only76a76socialdrinker.”76Which76initial76response76is76appropriate?
a. “I'm76glad76that76you76are76a76responsible76drinker.”
b. “Many76people76who76are76reN allyRalco
U SI hoNlGic76sBT
ay.th
CeyMare76social76drinkers.”
c. “What76amount76and76what76kind76of76alcohol76do76you76drink76in76a76week?”
d. “If76you76only76drink76socially,76you76won't76need76to76worry76about76al
ways76having76a76designated76driver.”
e. “Do76the76other76people76in76your76household76consume76alcohol?”
ANS:7 6 C
This76answer76clarifies76the76patient's76own76term76without76asking76a76leading76question76or76
being76judgmental.
TOP:7 6 Discipline:76Behavioral76Science MSC:7 6 Organ76System:76General
7. A7650-year-
old76man76comes76to76the76primary76care76clinic.76He76tells76you76he76is76worried76because7
6he76has76had76severe76chest76pains76for76the76past76276weeks.76Which76initial76history76int
erview76question76is76most76appropriate?
a. “Can76you76describe76the76pain?”
b. “The76pain76doesn't76radiate76to76your76arm,76does76it?”
c. “Have76you76been76treated76for76anxiety76before?”
d. “Does76your76father76have76heart76disease?”
e. “Are76the76pains76worse76after76you76eat?”
ANS:7 6 A
NURSINGTB.COM
