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Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th E, Exams of Nursing

Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1 - 26 Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1 - 26 Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1 - 26 Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1 - 26 Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th Edition by Jane W. Ball, Joyce E. Dains Chapter 1 - 26

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Test I!lBank I!lFor I!lSeidel's I!lGuide I!lto I! lPhysical I! lExamination I!lAn
I!lInterprofessional I!lApproach I!l10th I!lEdition I!l
by I!lJane I!lW. I!lBall, I!lJoyce I!lE. I!lDains I!l
Chapter I!l1 I!l- I!l26
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Download Test Bank For Seidel's Guide to Physical Examination An Interprofessional Approach 10th E and more Exams Nursing in PDF only on Docsity!

TestI!lBankI!lForI!lSeidel's I!lGuideI!ltoI!lPhysicalI!lExamination I!lAn

I!lInterprofessional I!lApproach I!l10thI!lEdition I!l

byI!lJaneI!lW.I!lBall,I!lJoyceI!lE.I!lDainsI!l

ChapterI!l 1 I!l-I!l 26

TABLEI!lOFI!lCONTENTSI!l

1.The I!lHistory I!land I!lInterviewing I!lProcess

  1. I!lCultural I!lCompetency
  2. I!lExamination I!lTechniques I!land I!lEquipment
  3. I!lTaking I!lthe I!lNextI!lSteps: I!lClinical I!lReasoning
  4. I!lThe I!lPatient I!lRecord I!l [New I!ltitle I!l/ I!lfocus!]
  5. I!lVital I!lSigns I!land I!lPain I!lAssessment
  6. I!lMental I!lStatus
  7. I!lGrowth, I!lMeasurement, I!land I!lNutrition I!l ["formerly I!lGrowth I!land I!lNutrition"]
  8. I!lSkin, I!lHair, I!land I!lNails
  9. I!lLymphatic I!lSystem
  10. I!lHead I!land I!lNeck
  11. I!lEyes
  12. I!lEars, I!lNose, I!land I!lThroat
  13. I!lChest I!land I!lLungs
  14. I!lHeart
  15. I!lBlood I!lVessels
  16. I!lBreasts I!land I!lAxillae
  17. I!lAbdomen
  18. I!lFemale I!lGenitalia
  19. I!lMale I!lGenitalia
  20. I!lAnus, I!lRectum, I!land I!lProstate
  21. I!lMusculoskeletal I!lSystem

ChapterI!l01:I!lCultural I!lCompetency

Ball:I!lSeidel’sI!lGuideI!ltoI!lPhysicalI!lExamination,I!l10thI!lEdition

MULTIPLEI!lCHOICE

  1. Mr. I!lLI!lpresents I!lto I!ltheI!lclinicI!lwith I!lsevere I!lgroin I!lpain I!land I!laI!lhistoryI!lof I!lkidneyI!lstones. I!lMr. I!lL’sI!lsonI!ltells I!lyou I!lthat I!lfor I!lreligious I!lreasons, I!lhis I!lfather I!lwishes I!lto I!lkeep I!lany I!lstone I!lthat I!lisI!lpassed I!linto I!lthe I!lurineI!lfilterI!lthat I!lheI!lhasI!lbeen I!lusing. I!lWhat I!lis I! l your I!lmostI!lappropriate I!lresponse? a. (^) ―With I !lyour I!lfather’s I!lpermission, I!lwe I!lwill I!lexamineI!ltheI!lstone I!land I!lrequest I!lthat I!litI!lbe I!lreturnedI!lto I!lhim.‖ b. (^) ―The I!lstone I!lmustI!lbeI!lsent I!lto I!lthe I!llab I!lforI!lexaminationI!land I!ltherefore I!lcannot I!lbe I !l kept.‖ c. (^) ―WeI!lcannot I!llet I!lhim I!lkeep I!lhis I!lstone I!lbecause I!lit I!lviolates I!lour I!linfection I!lcontrol I!lpolicy.‖ d. (^) ―WeI!ldon’t I!lknow I! l yet I!lif I! l your I!lfatherI!lhas I!lanother I!lkidneyI!lstone, I!lsoI!lweI!lmust I!lanalyze I!lthis I!lone.‖ ANS: I! l A WeI!lshouldI!lbeI!lwillingI!lto I !lmodifyI!lthe I!ldeliveryI!lof I!lhealth I!lcare I!linI!laI!lmanner I!lthat I! lis I!lrespectful I!landI!lin I!lkeepingI!lwith I!lthe I!lpatient’s I!lcultural I!lbackground. I! l ―With I!lyour I!lfather’s I! lpermission, I!lweI!lwill I!lexamineI!lthe I!lstoneI!land I! l request I!lthatI!litI!lbeI!lreturned I!lto I!lhim‖I!lis I!ltheI!lmost I!lappropriate I!lresponse. ―The I!lstone I!lmustI!lbeI!lsent I!lto I!lthe I!llab I!lforI!lexaminationI!land I!ltherefore I!lcannot I!lbe I! lkept‖ I!land I!l ―We I!ldon’t I!lknow I!lyet I!lif I!lyour I!lfather I!lhas I!lanother I!lkidney I!lstone, I!lso I!lwe I!lmust I!lanalyze I!lthis I!lone‖ I!ldo I!lnot I!lsupport I!lthe I!lpatient’s I!lrequest. I!l―We I!lcannot I!llet I!lhimI!lkeep I!lhis I!lstone I!lbecause I!lit I!lviolates I!lour I!linfection I!lcontrol I!lpolicy‖ I!ldoes I!lnot I!lprovide I!la I!lreason I!lthat I!lit I!lwould I!lviolate I!lan I!linfection I!lcontrol I!lpolicy. DIF:CognitiveI!lLevel:I!lAnalyzingI!l(Analysis) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  2. WhichI!lstatement I!lisI!l trueI!l regardingI!lthe I!lrelationshipI!lofI!lphysical I!lcharacteristics I!landI!lculture? a. (^) Physical I!lcharacteristics I!lshouldI!lbeI!lusedI!ltoI!lidentifyI!lmembers I!lofI!lcultural I!lgroups. b. (^) ThereI!lisI!laI!ldifferenceI!lbetweenI!ldistinguishingI!lcultural I!lcharacteristicsI!land I!ldistinguishingI!lphysical I!lcharacteristics. c. (^) ToI!lbeI!laI!lmember I!lofI!laI!lspecificI!lculture, I!lan I!lindividual I!lmustI!lhave I!lcertainI!lidentifiable I!lphysical I!lcharacteristics. d. (^) Gender I!land I!lrace I!lare I!ltheI!ltwo I!lessential I!lphysical I!lcharacteristics I!lused I!ltoI!lidentify I!lcultural I!lgroups. ANS: I! l B Physical I!lcharacteristics I!lare I!lnot I!lused I!lto I!lidentify I!lcultural I!lgroups; I!lthere I!lis I!la I!ldifference I!lbetween I!lthe I!ltwo, I!land I!lthey I!lare I!lconsidered I!lseparately. I!lPhysical I!lcharacteristics I!lshould I!lnot I!lbe I!lused I!lto I!lidentifyI!lmembers I!lof I!lcultural I!lgroups. I!lTo I!lbe I!laI!lmember I!lofI!la I!lspecificI!lculture, I!lan I!lindividual I!ldoes I!lnotI!lneed I!ltoI!lhaveI!lcertainI!lidentifiableI!lphysical I!lcharacteristics.I!lYouI!lshouldI!lnotI!lconfuse I!lphysical I!lcharacteristics I!lwith I!lcultural I!lcharacteristics. I!lGender I!land I!lrace I!lare I!lphysical I!lcharacteristics, I!lnot I!lcultural I!lcharacteristics, I!land I!lare I!lnot I!lused I!lto I!lidentify I!lcultural I!lgroups.

DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension)

I!lWhichI!lquestion I!lhasI!ltheI!lmostI!lpotential I!lfor I!lexploringI!laI!lpatient’s I!lcultural I!lbeliefsI!lrelated I!lto I!la I!lhealth I!lproblem?

a. (^) ―How I!loften I!ldo I! l you I!lhave I!lmedical I!lexaminations?‖ b. (^) ―What I!lis I! l your I!lage, I!lrace, I! l and I!leducational I!llevel?‖ c. (^) ―What I!ltypes I!lofI!lsymptoms I! lhave I !l you I!lbeen I!lhaving?‖ d. (^) ―WhyI!ldo I! l you I!lthink I! l you I !l areI!lhavingI!ltheseI!lsymptoms?‖ ANS: I! l D ―WhyI!ldo I! l you I!lthink I! l you I !l areI!lhavingI!ltheseI!lsymptoms?‖ I!lis I!lan I!lopen-ended I!lquestion I!lthat I!lavoids I!lstereotyping, I!lisI!lsensitiveI!land I!lrespectful I!ltowardI!ltheI!lindividual, I!land I!lallows I!lforI!lcultural I!ldataI!ltoI!lbe I!lexchanged. I!lThe I!lother I!lquestions I!ldo I!lnot I!lexplore I!lthe I!lpatient’s I!lcultural I!lbeliefsI!labout I!lhealth I!lproblems. DIF:CognitiveI!lLevel:I!lAnalyzingI!l(Analysis) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation

  1. TheI!ldefinition I!lofI!lill I!lor I!lsickI!lis I!lbased I!lon I!la a. (^) stereotype. b. (^) culturalI!lbehavior. c. (^) beliefI!lsystem. d. (^) culturalI!lattitude. ANS: I! l C TheI!ldefinitionI!lofI!lill I!lorI!lsickI!lisI!lbased I!lonI!lthe I!lindividual’s I!lbeliefI!lsystemI!land I!lisI!ldetermined I!linI!llarge I!lpart I!lbyI!lhis I!lor I!lher I! l enculturation. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  2. A I!l 22 - year-old I!lfemale I!lnurse I!lis I!linterviewing I!lan I!l 86 - year-old I!lmale I!lpatient. I!lThe I!lpatient I!lavoids I!leye I! l contact I !l and I! l answers I! l questions I! l only I!lby I!lsaying, I! l ―Yeah,‖ I! l ―No,‖ I! l or I! l ― I I!lguess I! l so.‖ I! l Which I! l of I!ltheI!lfollowing I!lisI!lappropriate I!lfor I!lthe I!linterviewer I!lto I! l sayI!lor I!lask? a. (^) ―WeI!lwill I!lbe I!lableI!lto I!lcommunicateI!lbetter I!lif I !l you I!llook I!lat I!lme.‖ b. (^) ―It’s I!lhard I !lforI!lme I!lto I! l gatherI!luseful I!linformation I!lbecause I! l yourI!lanswers I! l are I!lso I!lshort.‖ c. (^) ―Are I! l you I!l uncomfortable I!ltalkingI!lwith I!lme?‖ d. (^) ―Does I! l your I!lreligion I!lmake I!litI!lhard I!lfor I! l you I!lto I!lanswer I!lmyI!lquestions?‖ ANS: I! l C ItI!lisI!lall I!lrightI!lto I!lask I!lifI!ltheI!lpatientI!lis I!luncomfortableI!lwith I!lanyI!laspect I!lof I!lyour I!lperson I!land I!ltoI!ltalk I!labout I!lit;I!ltheI!lotherI!lchoices I!lare I!lless I!lrespectful. DIF:Cognitive I!lLevel:I!lApplyingI!l(Application) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  3. As I!lyou I!lexplain I!lyour I!lpatient’s I!lcondition I!lto I!lher I!lhusband, I!lyou I!lnotice I!lthatI!lhe I!lis I!lleaning I!ltoward I!lyou I!land I!lpointedlyI!lblinking I!lhisI!leyes. I!lKnowing I!lthatI!lhe I!lis I!lfrom I!lEngland, I! lyour I!lmostI!lappropriate I!lresponse I!lto I!lthis I!lbehavior I! l is I!lto a. (^) tellI!lhim I!lthat I!lyou I!lunderstand I!lhis I!lneed I!lto I!lbe I!lalone. b. (^) askI!lwhether I!lhe I!lhas I !l anyI!lquestions.

d. (^) tell I!lhimI!lthatI!litI!lis I!lallI!lrightI!lto I!lbeI!langry. ANS: I! l B TheI!lEnglishI!lworryI!labout I!lbeingI!loverheard I!land I!ltend I!ltoI!lspeak I!lin I!lmodulatedI!lvoices I!lso, I!lwhen I!ltheyI!llean I!lin I!ltoward I! l you, I! lthey I!lareI!lprobablyI!lpoisedI!lto I!lask I!la I!lquestion. DIF:CognitiveI!lLevel:I!lAnalyzingI!l(Analysis) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation

  1. An I!laspect I!lof I!ltraditional I!lWestern I!lmedicine I!lthat I!lmay I!lbe I!ltroublesome I!lto I!lmany I!lHispanics, I!lNativeI!lAmericans, I!lAsians,I!landI!lMiddleI!lEastern I!lgroups I!lis I!lWesternI!lmedicine’sI!lattempts I!lto a. (^) useI!laI!lholisticI!lapproach I!lthatI!lviews I!laI!lparticular I!lmedical I!lproblem I!las I!lpart I!lofI!la I!lbigger I!lpicture. b. (^) determineI!laI!lspecific I!lcause I!lforI!leveryI!lproblem I!linI!laI!lpreciseI!lway. c. (^) establishI!lharmonyI!lbetween I!laI!lperson I!land I!ltheI!lentire I!lcosmos. d. (^) restoreI!lbalance I!lin I!lanI!lindividual’sI!llife. ANS: I! l B AI!lmoreI!lscientific I!lapproach I!ltoI!lhealthcareI!lproblem I! l solving, I!linI!lwhich I!laI!lcause I!lcan I!lbeI!ldetermined I!lfor I!levery I!lproblem I!lin I!la I!lprecise I!lway, I!lis I!la I!lWestern I!lapproach. I!lHispanics, I!lNative I!lAmericans, I!lAsians, I!land I!lArabs I!lembrace I!la I!lmore I!lholistic I!lapproach. I!lUsing I!la I!lholistic I!lapproach, I!lestablishing I!lharmony I!lbetween I!la I!lperson I!land I!lthe I!lentire I!lcosmos, I!land I!lrestoring I!lbalance I!lin I!lan I!lindividual’s I!llifeI!lwouldI!lnot I!lbe I!ltroublesomeI!lto I!lmanyI!lHispanics, I!lNativeI!lAmericans, I!lAsians, I!land I!lArabs. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  2. TheI!lattitudes I!lof I!ltheI!lhealthcareI!lprofessional a. (^) areI!llargelyI!lirrelevant I!ltoI!ltheI!lsuccess I!lofI!lrelationships I!lwith I!ltheI!lpatient. b. (^) doI!lnotI!linfluenceI!lpatientI!lbehavior. c. (^) areI!ldifficult I!lforI!lthe I!lpatientI!ltoI!lsense. d. (^) areI!lculturallyI!lderived. ANS: I! l D The I!lattitudes I!lof I!lthe I!lhealthcare I!lprovider I!lare I!lfoundationally I!lderived I!lfrom I!lhis I!lor I!lher I!lown I!lculture; I!lunderstanding I!lthis I!lis I!lrelevant I!lto I!lthe I!lsuccess I!lof I!lpatient I!lrelationships. I!lAttitudes I!lof I!lthe I!lhealthcareI!lprofessional I!lareI!leasily I!ldetected I!lbyI!lothers, I!land I!ltheyI!linfluence I!lpatientI!lbehavior; I!ltheyI!lare I!lnot I!lirrelevant I!lto I!lthe I!lsuccess I!lof I!lrelationships I!lwith I!lthe I!lpatient; I!lthey I!ldo I!linfluence I!lpatient I!lbehavior; I!land I!lthey I!lareI!lnot I!ldifficult I!lfor I!lthe I!lpatient I!lto I!lsense. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  3. Mr. I!lSanchez I!lis I!la I!l 45 - year-old I!lgentleman I!lwho I!lhasI!lpresented I!lto I!lthe I!loffice I!lfor I!la I!lphysical I!lexaminationI!ltoI!lestablishI!la I!lnewI!lprimaryI!lcareI!lhealthcare I!lprovider. I!lWhich I!lofI!lthe I!lfollowing I!ldescribes I!la I!lphysical, I!lnot I! la I!lcultural, I!ldifferentiator?

a. (^) Race b. (^) Rite

prohibitionI!lwhen I!lyou I!lprepareI!ltoI!ldo I!lhisI!lrectal I!lexamination. I!lTheI!lbestI!ltactic I!lwould I!lbeI!lto a. (^) forego I!ltheI!lexaminationI!lfor I!lfearI!lofI!lviolatingI!lcultural I!lnorms. b. (^) askI!laI!lcolleagueI!lfrom I!lthe I!lsameI!lgeographic I!lareaI!lifI!lthis I!lexaminationI!lisI!lacceptable. c. (^) inform I!ltheI!lpatient I!lof I!lthe I!lreason I!lfor I!lthe I!lexaminationI!land I!laskI!lif I!litI!lisI!lacceptable I!lto I!lhim. d. (^) referI!ltheI!lpatient I!ltoI!laI!lproviderI!lmoreI!lknowledgeable I!laboutI!lcultural I!ldifferences.

ANS: I! l C Asking, I!lif I!lyou I!lare I!lnot I!lsure, I!lis I!lfar I!lbetter I!lthan I!lmaking I!la I!ldamaging I!lmistake. I!lNot I!lcompleting I!lthe I!lexamination I!lcould I!lcause I!lthe I!lpatient I!lfurther I!lharm. I!lAsking I!la I!lcolleague I!lfrom I!lthe I!lsame I!lgeographic I!lareaI!lif I!lthisI!lexaminationI!lisI!lacceptableI!lmayI!lnotI!lbe I!lappropriate. I!lReferring I!ltheI!lpatient I!ltoI!laI!lproviderI!lmoreI!lknowledgeable I!labout I!lcultural I!ldifferences I!lat I!lthis I!lpointI!lisI!lunnecessary. DIF:Cognitive I!lLevel:I!lApplyingI!l(Application) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation

  1. Mr. I!lJones I!lisI!laI!l 45 - year-old I!lpatient I!lwho I!lpresents I!lto I!lthe I!loffice. I!lA I!lperson’s I!ldefinition I!lof I!lillness I!lis I!llikelyI!lto I!lbe I!lmost I!linfluenced I!lby a. (^) race. b. (^) socioeconomicI!lclass. c. enculturation. d. (^) ageI!lgroup. ANS: I! l C The I!ldefinition I!lof I!lillness I!lis I!ldetermined I!lin I!llargeI!lpart I!lby I!lthe I!lindividual’s I!lenculturation I!l(the I!lprocess I!lwherebyI!lan I!lindividual I!lassumes I!ltheI!ltraits I!land I!lbehaviors I!lofI!la I!lgiven I!lculture). DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  2. AsI!ltheI!lhealthcareI!lprovider, I! l you I!lareI!linforming I!laI!lpatient I!lthatI!lhe I!lorI!lshe I!lhas I!laI!lterminal I!lillness. I!lThis I!ldiscussion I!lisI!lmost I!llikelyI!ltoI!lbe I!ldiscouraged I!lin I !l which I!lcultural I !l group? a. (^) NavajoI!lNativeI!lAmericans b. (^) DominantI!lAmericans c. (^) First-generationI!lAfricanI!ldescendants d. (^) First-generationI!lEuropeanI!ldescendants ANS: I! l A TheI!lNavajo I!lcultureI!lbelieves I!lthatI!lthought I!landI!llanguageI!lhaveI!ltheI!lpower I!lto I!lshapeI!lreality; I!lthe I!ldesireI!ltoI!lavoidI!ldiscussing I!lnegativeI!linformation I!lis I!lparticularlyI!lstrongI!lin I!lthis I!lculture. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  3. BecauseI!lofI!lcommonI!lcultural I!lfood I!lpreferences, I!lavoidanceI!lofI!lmonosodiumI!lglutamate I!l(MSG)I!lis I!llikelyI!lto I!lbe I!lmost I!lproblematic I!lfor I!lthe I!lhypertensive I !l patient I!lofI!lwhich I! lgroup? a. (^) NativeI!lAmericans b. (^) Hispanics c. (^) Chinese d. (^) Italians ANS: I! l C TheI!lChineseI!lareI!lmost I!llikelyI!lto I!luse I!lMSG I!land I!lsoyI!lsauce I!lin I!ltheirI!ldiet.

a. (^) aI!lfever. b. (^) aI!lrash. c. (^) tuberculosis. d. (^) anI!lulcer. ANS: I! l C AI!lcoldI!lcondition I!linI!lcultures I!lwithI!laI!lholisticI!lapproach I!lisI!ltuberculosis. DIF:Cognitive I!lLevel:I!lRememberingI!l(Knowledge) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation MULTIPLEI!lRESPONSE

  1. WhichI!lvariables I!lcan I!lintrudeI!lonI!lsuccessful I!lcommunication? I!l( Select I!lall I!lthatI!lapply. ) a. Social I!lclass b. (^) Gender c. (^) Stereotype d. (^) Phenotype e. (^) Age ANS: I! l A, I!lB, I!lE SocialI!lclass, I!lage, I!land I!lgenderI!lareI!lvariables I!lthatI!lcharacterizeI!leveryone; I!ltheyI!lcan I!lintrudeI!lon I!lsuccessful I!lcommunication I!lifI!lthereI!lisI!lnoI!leffort I!lforI!lmutual I!lknowledgeI!landI!lunderstanding. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  2. Campinha-Bacote’sI!lProcess I!lofI!lCulturalI!lCompetenceI!lModel I!lincludes I!lwhichI!lcultural I!lconstructs? I! l ( Select I!lall I!lthat I!lapply. ) a. (^) Desire b. (^) Awareness c. (^) ThoughtI!lprocesses d. (^) Skill e. (^) Language ANS: I! l A, I!lB, I!lD Campinha-Bacote’sI!lProcess I!lofI!lCulturalI!lCompetenceI!lModelI!lincludes I!ltheI!lcultural I!lconstructs I!lencounters, I!ldesires, I!lawareness, I!lknowledge, I! l and I!lskill. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation

ChapterI!l02:I!lTheI!lHistory I!landI!lInterviewingI!lProcess

Ball:I!lSeidel’sI!lGuideI!ltoI!lPhysicalI!lExamination,I!l10thI!lEdition

c. (^) ―On I!la I!lscale I!lofI!l 1 I!lto I!l10, I!lhow I!lwould I! l you I!l rate I!ltheI!lseverityI!lof I! l yourI!lheadaches?‖ d. (^) ―At I!lwhat I!ltimeI!lof I!ltheI!ldayI!lare I!lyour I!lheadaches I!lthe I!lmost I!l severe?‖ ANS: I! l B StatingI!ltoI!ltheI!lpatientI!lthatI!lhe I!lorI!lsheI!ldoes I!lnotI!lget I!lheadaches I!lwould I!llimitI!ltheI!linformation I!linI!lthe I!lpatient’s I!lanswer. I!lAsking I!lthe I!lpatient I!lwhat I!lhe I!lor I!lshe I!lthinks I!lis I!lcausing I!lthe I!lheadaches I!lis I!lan I!lopen-ended I!lquestion. I!lAsking I!lthe I!lpatient I!lhow I!lhe I!lor I!lshe I!lwould I!lrate I!lthe I!lseverity I!lof I!lthe I!lheadaches I!land I!lasking I!lwhat I!ltimeI!lof I!lthe I!lday I!lthe I!lheadaches I!lare I!lthe I!lmostI!lsevere I!lare I!ldirect I!lquestions. DIF:CognitiveI!lLevel:I!lApplyingI!l(Application) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation

  1. WhenI!lareI!lopen-ended I!lquestions I!lgenerallyI!lmost I!luseful? a. (^) DuringI!lsensitiveI!lareaI!lpart I!lofI!ltheI!linterview b. (^) AfterI!lseveral I!lclosed-ended I!lquestions I!lhaveI!lbeen I!lasked c. (^) WhileI!ldesigningI!ltheI!lgenogram d. (^) DuringI!ltheI!lreview I!lofI!lsystems ANS: I! l A Asking I!lopen-ended I!lquestions I!lduring I!lthe I!lsensitive I!lpart I!lof I!lthe I!linterview I!lallows I!lyou I!lto I!lgather I!lmore I!linformation I!land I!lestablishes I!lyou I!las I!lan I!lempathic I!llistener, I!lwhich I!lis I!lthe I!lfirst I!lstep I!lof I!leffective I!lcommunication. I!lAsking I!lclosed-ended I!lquestions I!lmay I!lstifle I!lthe I!lpatient’s I!ldesire I!lto I!ldiscuss I!lthe I!lhistory I!lof I!lthe I!lillness. I!lInterviewing I!lfor I!lthe I!lpurpose I!lof I!ldesigning I!la I!lgenogram I!lor I!lconducting I!laI!lreview I!lofI!lsystems I!lrequires I!lmoreI!lfocused I!ldataI!lthan I!lcan I!lbeI!lmoreI!leasilyI!lgathered I!lwithI!ldirect I!lquestioning. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  2. Periods I!lofI!lsilenceI!lduringI!lthe I!linterview I!lcan I!lserveI!limportantI!lpurposes, I!lsuch I!las a. (^) allowingI!lthe I!lclinician I!ltoI!lcatch I!lup I!lon I!ldocumentation. b. (^) promotingI!lcalm. c. (^) providingI!ltimeI!lfor I!lreflection. d. (^) increasingI!lthe I!llength I!lof I!ltheI!lvisit. ANS: I! l C Silence I!lis I!la I!luseful I!ltool I!lduring I!linterviews I!lfor I!lthe I!lpurposes I!lof I!lreflection, I!lsummoning I!lcourage, I!land I!ldisplaying I!lcompassion. I!lThis I!lis I!lnot I!la I!ltime I!lto I!ldocument I!lin I!lthe I!lchart, I!lbut I!lrather I!lto I!lfocus I!lon I!lthe I!lpatient. I!lPeriods I!lof I!lsilence I!lmay I!lcause I!lanxiety I!lrather I!lthan I!lpromote I!lcalm. I!lThe I!llength I!lof I!lthe I!lvisitI!lisI!lless I!limportant I!lthan I!lgetting I!lcritical I!linformation. DIF:Cognitive I!lLevel:I!lUnderstandingI!l(Comprehension) OBJ:NursingI!lprocess—assessment MSC: I! l PhysiologicI!lIntegrity:I!lPhysiologicI!lAdaptation
  3. Mr.I!lFranklinI!lis I!lspeaking I!lwith I!lyou, I!ltheI!lhealthcareI!lprovider, I!labout I!lhis I!lrespiratoryI!lproblem. I!lMr.

Franklin I! l says, I! l ―I’ve I! l had I! l this I! l cough I! l for I! l 3 I! l days, I! l and I! l it’s I! l getting I! l worse.‖ I! l You I! l reply, I! l ―Tell I! l me I!lmore I!labout I! l your I! l cough.‖ I! l Mr. I! l Franklin I! l states, I! l ―I I!lwish I! l I I!lcould I !l tell I! l you I! l more. I! l That’s I! l why I!lI’m I!lhere. I!lYou I!ltell I!lme I!lwhat’s I!lwrong!‖ I!lWhich I!lcaregiver I!lresponse I!lwould I!lbe I!lmost I!lappropriate I!lfor I!lenhancingI!lcommunication? a. (^) ―AfterI!l 3 I!l days, I! l you’re I!ltired I!lof I!lcoughing. I!lHave I! l you I!lhad I!la I!lfever?‖ b. (^) ―I’d I!llike I!lto I !l hearI!lmore I!labout I! l yourI!lexperiences. I!lWhereI!lwere I! l you I!lborn?‖