FULL TEST BANK FOR
SEIDEL'S GUIDE TO PHYSICAL EXAMINATION 10TH
EDITION
BY JANE W |JOYCE E(ALL CHAPTERS COVERED 1-26)
,TABLE OF CONTENTS
CHAPTER 01: THE HISTORY AND INTERVIEWING PROCESS ...................................................................3
CHAPTER 02: CULTURAL COMPETENCY ............................................................................................. 15
CHAPTER 03: EXAMINATION TECHNIQUES AND EQUIPMENT ............................................................. 25
CHAPTER 04: CLINICAL REASONING .................................................................................................. 40
CHAPTER 05: DOCUMENTATION ....................................................................................................... 48
CHAPTER 06: VITAL SIGNS AND PAIN ASSESSMENT ........................................................................... 59
CHAPTER 07: MENTAL STATUS.......................................................................................................... 66
CHAPTER 08: GROWTH, MEASUREMENT, AND NUTRITION ................................................................ 80
CHAPTER 09: SKIN, HAIR, AND NAILS .............................................................................................. 100
CHAPTER 10: LYMPHATIC SYSTEM .................................................................................................. 125
CHAPTER 11: HEAD AND NECK ........................................................................................................ 136
CHAPTER 12: EYES .......................................................................................................................... 145
CHAPTER 13: EARS, NOSE, AND THROAT ......................................................................................... 159
CHAPTER 14: CHEST AND LUNGS..................................................................................................... 170
CHAPTER 15: HEART ....................................................................................................................... 178
CHAPTER 16: BLOOD VESSELS ......................................................................................................... 188
CHAPTER 17: BREASTS AND AXILLAE ............................................................................................... 200
CHAPTER 18: ABDOMEN................................................................................................................. 208
CHAPTER 19: FEMALE GENITALIA .................................................................................................... 220
CHAPTER 20: MALE GENITALIA ....................................................................................................... 234
CHAPTER 21: ANUS, RECTUM, AND PROSTATE ................................................................................ 248
CHAPTER 22: MUSCULOSKELETAL SYSTEM ...................................................................................... 261
CHAPTER 23: NEUROLOGIC SYSTEM ................................................................................................ 276
CHAPTER 24: SPORTS PARTICIPATION EVALUATION ........................................................................ 299
CHAPTER 25: PUTTING IT ALL TOGETHER ........................................................................................ 305
CHAPTER 26: EMERGENCY OR LIFE-THREATENING SITUATIONS ....................................................... 328
,CHAPTER 01: THE HISTORY AND INTERVIEWING PROCESS
MULTIPLE CHOICE
1. WHICH QUESTION WOULD BE CONSIDERED A “LEADING QUESTION?”
A. “WHAT DO YOU THINK IS CAUSING YOUR HEADACHES?”
B. “YOU DON’T GET HEADACHES OFTEN, DO YOU?”
C. “ON A SCALE OF 1 TO 10, HOW WOULD YOU RATE THE SEVERITY OF YOUR HEADACHES?”
D. “AT WHAT TIME OF THE DAY ARE YOUR HEADACHES THE MOST SEVERE?”
ANS:B
STATING TO THE PATIENT THAT HE OR SHE DOES NOT GET HEADACHES WOULD LIMIT THE
INFORMATION IN THE PATIENT’S ANSWER. ASKING THE PATIENT WHAT HE OR SHE THINKS IS
CAUSING THE HEADACHES IS AN OPEN-ENDED QUESTION. ASKING THE PATIENT HOW HE OR SHE
WOULD RATE THE SEVERITY OF THE HEADACHES AND ASKING WHAT TIME OF THE DAY THE
HEADACHES ARE THE MOST SEVERE ARE DIRECT QUESTIONS.
DIF: COGNITIVE LEVEL: APPLYING (APPLICATION)
OBJ: NURSING PROCESS—ASSESSMENT MSC: PHYSIOLOGIC INTEGRITY: PHYSIOLOGIC
ADAPTATION
2. WHEN ARE OPEN-ENDED QUESTIONS GENERALLY MOST USEFUL?
A. DURING SENSITIVE AREA PART OF THE INTERVIEW
B. AFTER SEVERAL CLOSED-ENDED QUESTIONS HAVE BEEN ASKED
C. WHILE DESIGNING THE GENOGRAM
D. DURING THE REVIEW OF SYSTEMS
ANS:A
, ASKING OPEN-ENDED QUESTIONS DURING THE SENSITIVE PART OF THE INTERVIEW ALLOWS YOU TO
GATHER MORE INFORMATION AND ESTABLISHES YOU AS AN EMPATHIC LISTENER, WHICH IS THE
FIRST STEP OF EFFECTIVE COMMUNICATION. ASKING CLOSED-ENDED QUESTIONS MAY STIFLE THE
PATIENT’S DESIRE TO DISCUSS THE HISTORY OF THE ILLNESS. INTERVIEWING FOR THE PURPOSE OF
DESIGNING A GENOGRAM OR CONDUCTING A REVIEW OF SYSTEMS REQUIRES MORE FOCUSED DATA
THAN CAN BE MORE EASILY GATHERED WITH DIRECT QUESTIONING.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION)
OBJ: NURSING PROCESS—ASSESSMENT MSC: PHYSIOLOGIC INTEGRITY: PHYSIOLOGIC
ADAPTATION
3. PERIODS OF SILENCE DURING THE INTERVIEW CAN SERVE IMPORTANT PURPOSES, SUCH AS:
A. ALLOWING THE CLINICIAN TO CATCH UP ON DOCUMENTATION.
B. PROMOTING CALM.
C. PROVIDING TIME FOR REFLECTION.
D. INCREASING THE LENGTH OF THE VISIT.
ANS:C
SILENCE IS A USEFUL TOOL DURING INTERVIEWS FOR THE PURPOSES OF REFLECTION, SUMMONING
COURAGE, AND DISPLAYING COMPASSION. THIS IS NOT A TIME TO DOCUMENT IN THE CHART, BUT
RATHER TO FOCUS ON THE PATIENT. PERIODS OF SILENCE MAY CAUSE ANXIETY RATHER THAN
PROMOTE CALM. THE LENGTH OF THE VISIT IS LESS IMPORTANT THAN GETTING CRITICAL
INFORMATION.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION)
OBJ: NURSING PROCESS—ASSESSMENT MSC: PHYSIOLOGIC INTEGRITY: PHYSIOLOGIC
ADAPTATION
4. MR. FRANKLIN IS SPEAKING WITH YOU, THE HEALTHCARE PROVIDER, ABOUT HIS
RESPIRATORY PROBLEM. MR. FRANKLIN SAYS, “I’VE HAD THIS COUGH FOR 3 DAYS, AND IT’S GETTING
WORSE.” YOU REPLY, “TELL ME MORE ABOUT YOUR COUGH.” MR. FRANKLIN STATES, “I WISH I COULD
TELL YOU MORE. THAT’S WHY I’M HERE. YOU TELL ME WHAT’S WRONG!” WHICH CAREGIVER
RESPONSE WOULD BE MOST APPROPRIATE FOR ENHANCING COMMUNICATION?
SEIDEL'S GUIDE TO PHYSICAL EXAMINATION 10TH
EDITION
BY JANE W |JOYCE E(ALL CHAPTERS COVERED 1-26)
,TABLE OF CONTENTS
CHAPTER 01: THE HISTORY AND INTERVIEWING PROCESS ...................................................................3
CHAPTER 02: CULTURAL COMPETENCY ............................................................................................. 15
CHAPTER 03: EXAMINATION TECHNIQUES AND EQUIPMENT ............................................................. 25
CHAPTER 04: CLINICAL REASONING .................................................................................................. 40
CHAPTER 05: DOCUMENTATION ....................................................................................................... 48
CHAPTER 06: VITAL SIGNS AND PAIN ASSESSMENT ........................................................................... 59
CHAPTER 07: MENTAL STATUS.......................................................................................................... 66
CHAPTER 08: GROWTH, MEASUREMENT, AND NUTRITION ................................................................ 80
CHAPTER 09: SKIN, HAIR, AND NAILS .............................................................................................. 100
CHAPTER 10: LYMPHATIC SYSTEM .................................................................................................. 125
CHAPTER 11: HEAD AND NECK ........................................................................................................ 136
CHAPTER 12: EYES .......................................................................................................................... 145
CHAPTER 13: EARS, NOSE, AND THROAT ......................................................................................... 159
CHAPTER 14: CHEST AND LUNGS..................................................................................................... 170
CHAPTER 15: HEART ....................................................................................................................... 178
CHAPTER 16: BLOOD VESSELS ......................................................................................................... 188
CHAPTER 17: BREASTS AND AXILLAE ............................................................................................... 200
CHAPTER 18: ABDOMEN................................................................................................................. 208
CHAPTER 19: FEMALE GENITALIA .................................................................................................... 220
CHAPTER 20: MALE GENITALIA ....................................................................................................... 234
CHAPTER 21: ANUS, RECTUM, AND PROSTATE ................................................................................ 248
CHAPTER 22: MUSCULOSKELETAL SYSTEM ...................................................................................... 261
CHAPTER 23: NEUROLOGIC SYSTEM ................................................................................................ 276
CHAPTER 24: SPORTS PARTICIPATION EVALUATION ........................................................................ 299
CHAPTER 25: PUTTING IT ALL TOGETHER ........................................................................................ 305
CHAPTER 26: EMERGENCY OR LIFE-THREATENING SITUATIONS ....................................................... 328
,CHAPTER 01: THE HISTORY AND INTERVIEWING PROCESS
MULTIPLE CHOICE
1. WHICH QUESTION WOULD BE CONSIDERED A “LEADING QUESTION?”
A. “WHAT DO YOU THINK IS CAUSING YOUR HEADACHES?”
B. “YOU DON’T GET HEADACHES OFTEN, DO YOU?”
C. “ON A SCALE OF 1 TO 10, HOW WOULD YOU RATE THE SEVERITY OF YOUR HEADACHES?”
D. “AT WHAT TIME OF THE DAY ARE YOUR HEADACHES THE MOST SEVERE?”
ANS:B
STATING TO THE PATIENT THAT HE OR SHE DOES NOT GET HEADACHES WOULD LIMIT THE
INFORMATION IN THE PATIENT’S ANSWER. ASKING THE PATIENT WHAT HE OR SHE THINKS IS
CAUSING THE HEADACHES IS AN OPEN-ENDED QUESTION. ASKING THE PATIENT HOW HE OR SHE
WOULD RATE THE SEVERITY OF THE HEADACHES AND ASKING WHAT TIME OF THE DAY THE
HEADACHES ARE THE MOST SEVERE ARE DIRECT QUESTIONS.
DIF: COGNITIVE LEVEL: APPLYING (APPLICATION)
OBJ: NURSING PROCESS—ASSESSMENT MSC: PHYSIOLOGIC INTEGRITY: PHYSIOLOGIC
ADAPTATION
2. WHEN ARE OPEN-ENDED QUESTIONS GENERALLY MOST USEFUL?
A. DURING SENSITIVE AREA PART OF THE INTERVIEW
B. AFTER SEVERAL CLOSED-ENDED QUESTIONS HAVE BEEN ASKED
C. WHILE DESIGNING THE GENOGRAM
D. DURING THE REVIEW OF SYSTEMS
ANS:A
, ASKING OPEN-ENDED QUESTIONS DURING THE SENSITIVE PART OF THE INTERVIEW ALLOWS YOU TO
GATHER MORE INFORMATION AND ESTABLISHES YOU AS AN EMPATHIC LISTENER, WHICH IS THE
FIRST STEP OF EFFECTIVE COMMUNICATION. ASKING CLOSED-ENDED QUESTIONS MAY STIFLE THE
PATIENT’S DESIRE TO DISCUSS THE HISTORY OF THE ILLNESS. INTERVIEWING FOR THE PURPOSE OF
DESIGNING A GENOGRAM OR CONDUCTING A REVIEW OF SYSTEMS REQUIRES MORE FOCUSED DATA
THAN CAN BE MORE EASILY GATHERED WITH DIRECT QUESTIONING.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION)
OBJ: NURSING PROCESS—ASSESSMENT MSC: PHYSIOLOGIC INTEGRITY: PHYSIOLOGIC
ADAPTATION
3. PERIODS OF SILENCE DURING THE INTERVIEW CAN SERVE IMPORTANT PURPOSES, SUCH AS:
A. ALLOWING THE CLINICIAN TO CATCH UP ON DOCUMENTATION.
B. PROMOTING CALM.
C. PROVIDING TIME FOR REFLECTION.
D. INCREASING THE LENGTH OF THE VISIT.
ANS:C
SILENCE IS A USEFUL TOOL DURING INTERVIEWS FOR THE PURPOSES OF REFLECTION, SUMMONING
COURAGE, AND DISPLAYING COMPASSION. THIS IS NOT A TIME TO DOCUMENT IN THE CHART, BUT
RATHER TO FOCUS ON THE PATIENT. PERIODS OF SILENCE MAY CAUSE ANXIETY RATHER THAN
PROMOTE CALM. THE LENGTH OF THE VISIT IS LESS IMPORTANT THAN GETTING CRITICAL
INFORMATION.
DIF: COGNITIVE LEVEL: UNDERSTANDING (COMPREHENSION)
OBJ: NURSING PROCESS—ASSESSMENT MSC: PHYSIOLOGIC INTEGRITY: PHYSIOLOGIC
ADAPTATION
4. MR. FRANKLIN IS SPEAKING WITH YOU, THE HEALTHCARE PROVIDER, ABOUT HIS
RESPIRATORY PROBLEM. MR. FRANKLIN SAYS, “I’VE HAD THIS COUGH FOR 3 DAYS, AND IT’S GETTING
WORSE.” YOU REPLY, “TELL ME MORE ABOUT YOUR COUGH.” MR. FRANKLIN STATES, “I WISH I COULD
TELL YOU MORE. THAT’S WHY I’M HERE. YOU TELL ME WHAT’S WRONG!” WHICH CAREGIVER
RESPONSE WOULD BE MOST APPROPRIATE FOR ENHANCING COMMUNICATION?
