Seidel's Guide To Physical Examination 8th Edition Jane W. Ball
Seidel's Guide To Physical Examination 8th Edition Jane W. Ball
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Chapter 24: Putting it all Together
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | It is the examiner’s responsibility to help the patient understand that he or she is qualified to make decisions regarding health care. |
| b. | The patient must trust the examiner completely. |
| c. | The examiner-patient relationship is enhanced by ignoring cultural issues. |
| d. | The patient is a full partner with the examiner. |
ANS: D
The patient is a full partner with the examiner. The examiner should keep the patient informed and should develop a relationship to ensure trust. Cultural issues should be acknowledged, not ignored. The examiner should keep the patient informed, but it is not the examiner’s responsibility to help the patient understand that he or she is qualified to make health care decisions. The examiner should develop a relationship to ensure trust, but it is not necessary for the patient to trust the examiner completely.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 494
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Basic Care and Comfort
| a. | Assume a busy and rushed attitude. |
| b. | Convey your own feelings of discomfort. |
| c. | Keep the patient waiting for more than 30 minutes. |
| d. | Seek information about the patient’s problem. |
ANS: D
When performing an examination, you are seeking information about the patient and the problem that brings the patient to you. This process teaches you about the patient and teaches the patient about your personal discipline, professional composure, and respect for others.
DIF: Cognitive Level: Applying (Application) REF: p. 594
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Basic Care and Comfort
| a. | acknowledging the discomfort. |
| b. | backing away from the patient. |
| c. | joking about the patient’s discomfort. |
| d. | moving briskly to completion. |
ANS: A
Acknowledging the patient’s discomfort during the examination will help the patient feel more relaxed. Your professional concern can be reassuring to the patient. You should explain what you are doing to the patient before the assessment and what the patient will experience; if not, you will run the risk of losing trust. The other choices would make the patient more uneasy.
DIF: Cognitive Level: Applying (Application) REF: p. 595
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Basic Care and Comfort
| a. | change the sequence of observation with each interview. |
| b. | develop a sequence of standard observations. |
| c. | develop a preliminary diagnosis at the onset. |
| d. | direct patient responses to fit the history sequence. |
ANS: B
When performing a history and physical assessment, you should develop an approach that is comfortable to you and ensures comfort for the patient. Part of the history can be obtained while you are doing the physical examination.
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 595
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Basic Care and Comfort
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