Kinns Chapter 21 Test Bank Questions
with All Correct Answers 2025-2026
Edition.
Biophysical - Answer The science of applying physical laws and theories to biological problems
Cognitive - Answer pertaining to the operation of the mind; referring to the process by which
we become aware of perceiving, thinking, and remembering
Congruence - Answer Agreement, the state that occurs when the verbal expression of the
message matches the sender's nonverbal body language
Familial - Answer Occurring in or affecting members of a family more than would be expected
by chance
Holistic - Answer Considering the patient as a whole including the physical, emotional, social,
economic, and spiritual needs of the person
Present Illness - Answer The chief complaint, written in chronological sequence with dates of
onset
Psychosocial - Answer Pertaining to a combination of psychological and social factors
Rapport - Answer A relationship of harmony and accord between the patient and the
healthcare professional
Signs - Answer Objective findings determined by a clinician , such as a fever, hypertension, or
rash
Symptoms - Answer Subjective complaints reported by the patient, such as pain or visual
disturbances
working diagnosis - Answer Determined through patient's history, the report of the chief
complaint, and the physical examination.
, Differential diagnosis - Answer New diagnosis if re-evaluation changes the clinical diagnosis
List and describe the three processes of active listening. - Answer a. Restatement, which is
simply paraphrasing, or repeating, the patient's statements with phrases such as "You are
saying..." or "You are telling me the problem is... ."
b. Reflection, which involves repeating the main idea of the conversation while also identifying
the sender's feelings. Reflective statements clearly demonstrate to patients that the medical
assistant not only is listening to their words, but also attending to their feelings. Reflection is an
excellent method of communicating concern to patients.
c. Clarification, which seeks to summarize or simplify the sender's thoughts and feelings as well
as resolve any confusion in the message.
List four important rules to remember when preparing the appropriate environment for patient
interaction. - Answer a. Ensure privacy: Make sure the room you are using is unoccupied for
the entire time allowed for the interview.
b. Prevent interruptions: An interruption can destroy in seconds what you have spent many
minutes building up.
c. Prepare comfortable surroundings: Conduct the interview in comfortable surroundings to
reduce the patient's anxiety. The distance between you and the patient should be about 4 to 5
feet. Arrange the chairs so that you and the patient are comfortably seated at eye level and the
desk or table does not act as a barrier between you.
d. Take judicious notes: Note taking should be kept to a minimum while you try to focus your
attention on the person.
List and describe the six components of the medical history. - Answer a. Database: Record of
demographics, personal data, PE, and initial laboratory findings
b. Chief complaint (CC): Purpose of the patient's visit
c. Past history or past medical history (PH or PHM): Summary of the patient's previous health;
includes childhood diseases, major illnesses, surgeries, allergies, accidents, immunizations, and
use of OTC and prescribed medications
d. Family history (FH): Details about the patient's mother and father, their health and, if
deceased, the cause of and age at death; hereditary tendencies
e. Social history (SH): Information about the patient's lifestyle, hobbies, entertainment,
education, occupation, use of tobacco and alcohol, sleeping habits, exercise, diet, and LMP (for
female patients)
f. Systems review or review of systems (SR or ROS): Logical sequence of examinations to
determine the body systems' state of health; performed by the physician, begins with the head
and proceeds downward to the feet
with All Correct Answers 2025-2026
Edition.
Biophysical - Answer The science of applying physical laws and theories to biological problems
Cognitive - Answer pertaining to the operation of the mind; referring to the process by which
we become aware of perceiving, thinking, and remembering
Congruence - Answer Agreement, the state that occurs when the verbal expression of the
message matches the sender's nonverbal body language
Familial - Answer Occurring in or affecting members of a family more than would be expected
by chance
Holistic - Answer Considering the patient as a whole including the physical, emotional, social,
economic, and spiritual needs of the person
Present Illness - Answer The chief complaint, written in chronological sequence with dates of
onset
Psychosocial - Answer Pertaining to a combination of psychological and social factors
Rapport - Answer A relationship of harmony and accord between the patient and the
healthcare professional
Signs - Answer Objective findings determined by a clinician , such as a fever, hypertension, or
rash
Symptoms - Answer Subjective complaints reported by the patient, such as pain or visual
disturbances
working diagnosis - Answer Determined through patient's history, the report of the chief
complaint, and the physical examination.
, Differential diagnosis - Answer New diagnosis if re-evaluation changes the clinical diagnosis
List and describe the three processes of active listening. - Answer a. Restatement, which is
simply paraphrasing, or repeating, the patient's statements with phrases such as "You are
saying..." or "You are telling me the problem is... ."
b. Reflection, which involves repeating the main idea of the conversation while also identifying
the sender's feelings. Reflective statements clearly demonstrate to patients that the medical
assistant not only is listening to their words, but also attending to their feelings. Reflection is an
excellent method of communicating concern to patients.
c. Clarification, which seeks to summarize or simplify the sender's thoughts and feelings as well
as resolve any confusion in the message.
List four important rules to remember when preparing the appropriate environment for patient
interaction. - Answer a. Ensure privacy: Make sure the room you are using is unoccupied for
the entire time allowed for the interview.
b. Prevent interruptions: An interruption can destroy in seconds what you have spent many
minutes building up.
c. Prepare comfortable surroundings: Conduct the interview in comfortable surroundings to
reduce the patient's anxiety. The distance between you and the patient should be about 4 to 5
feet. Arrange the chairs so that you and the patient are comfortably seated at eye level and the
desk or table does not act as a barrier between you.
d. Take judicious notes: Note taking should be kept to a minimum while you try to focus your
attention on the person.
List and describe the six components of the medical history. - Answer a. Database: Record of
demographics, personal data, PE, and initial laboratory findings
b. Chief complaint (CC): Purpose of the patient's visit
c. Past history or past medical history (PH or PHM): Summary of the patient's previous health;
includes childhood diseases, major illnesses, surgeries, allergies, accidents, immunizations, and
use of OTC and prescribed medications
d. Family history (FH): Details about the patient's mother and father, their health and, if
deceased, the cause of and age at death; hereditary tendencies
e. Social history (SH): Information about the patient's lifestyle, hobbies, entertainment,
education, occupation, use of tobacco and alcohol, sleeping habits, exercise, diet, and LMP (for
female patients)
f. Systems review or review of systems (SR or ROS): Logical sequence of examinations to
determine the body systems' state of health; performed by the physician, begins with the head
and proceeds downward to the feet
