Test Bank for Clinical Manifestations and Assessment of Respiratory
ddDisease 8th Edition Jardins
, Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease,
/f /f /f /f /f / f /f / f
8th Edition
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Chapter 01: The Patient Interview /f /f /f /f
MULTIPLE CHOICE /f
1. The respiratory care practitioner is conducting a patient interview. The main
/f /f /f /f /f /f /f /f /f /f
purpose of thisinterview is to:
/f /f /f / f / f
a. review data with the patient. /f /f / f /f
b. gather subjective data from the patient. /f /f / f /f /f
c. gather objective data from the patient. /f /f / f /f /f
d. fill out the history form or checklist. / f / f / f /f / f / f
ANS: B
The interview is a meeting between
/f / f / f /f /f / f the respiratory care practitioner and the
/ f /f /f / f / f
patient. It allows the collection of
/ f / f /f / f dd / f / f subjective data about the patient’s feelings / f / f / f / f / f
regarding his/her
/ f / f
condition. The history should /f /f /f / f be done before the interview. Although data can
/f /f / f /f /f / f / f
be reviewed,that isnot the / f /f / f / f / f primary purpose of the interview. / f / f / f / f
2. For there to be a successful interview, the respiratory therapist must:
/f /f /f /f /f /f / f /f /f /f
a. provide leading questions to guide the patient. /f /f / f /f / f / f
b. reassure the patient. /f /f
c. be an active listener. /f /f /f
d. use medical terminology to show knowledge of the subject matter.
/f /f /f /f / f /f /f /f / f
ANS: C
N R IGB .C M
U S Ntherapist
T Omust have to conduct a successful interview
dd f
/ f
/ f
/ f
/
The personal qualities that a respiratory
/f /f /f / f /f /f
f
/
/f / f /f /f /f /f /f
include being an active listener, having a genuine concern for the patient, and having
/ f /f / f / f / f / f / f / f / f / f / f / f / f / f
empathy. Leading questionsmust be avoided. Reassurance may provide a false sense of
/ f / f /f / f / f / f / f / f / f / f / f / f
comfort to the patient.
/ f / f / f / f
Medicaljargon can sound exclusionary and paternalistic to a patient. / f / f / f /f / f / f / f / f
3. Which of the following would be found on a history form?/ f / f /f / f / f /f / f / f / f /f
1. Age
2. Chief complaint /f
3. Present health /f
4. Family history /f
5. Health insurance providera. /f /f
1,4 /f
b. 2, 3 / f
c. 3, 4, 5 / f / f
d. 1, 2, 3, 4 / f / f / f
ANS: D
Age, chief complaint, present health, and family history are typically found on a
/ f / f / f / f / f / f / f / f / f / f / f / f
health history form because each can impact the patient’s health. Health insurance provider
/ f / f /f / f /f /f /f /f /f /f /f /f /f
information, whileneeded forbilling purposes, would not be found on the history
/f / f / f / f / f / f / f / f / f / f / f
form.
/ f
, 4. External factors the respiratory care practitioner should make efforts to provide
/f /f /f /f /f / f /f /f /f /f
during aninterview include which of the following?
/ f /f / f / f / f / f / f
1. Minimize or prevent interruptions. /f /f / f
2. Ensure privacy during discussions. /f /f /f
3. Interviewer is the same sex as the patient to prevent bias. /f /f /f / f / f /f /f / f /f /f
4. Be comfortable for the patient and /f /f /f /f /f
interviewer.a. 1, 4
/f / f / f
b. 2, 3 / f
c. 1, 2, 4 / f / f
d. 2, 3, 4 / f / f
ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
/ f / f / f / f / f / f / f / f / f / f / f
Regardless of the interview setting (the patient’s bedside, a crowded emergency room,
/ f /f / f dd /f /f /f /f / f / f / f /f
an office in the hospital or clinic,or the patient’s home), efforts should be made to
/ f / f /f / f /f / f / f / f / f / f / f / f / f / f / f
(1) ensure privacy, (2) prevent interruptions, and (3) secure a comfortable physical
/ f / f / f / f /f /f /f /f dd /f /f /f
environment (e.g., comfortable room temperature, sufficient lighting, absence of noise).
/f /f /f /f /f / f / f / f / f / f
An interviewer of either gender, who acts professionally, should be able to interview
/ f / f / f / f / f / f / f /f / f / f / f / f / f
a patient of either gender.
/ f / f / f / f / f
5. The respiratory therapist is conducting a patient interview. The therapist chooses to
/f /f /f /f /f /f /f /f /f /f /f
useopen-ended questions. Open-ended questions allow the therapist to do
/f / f / f / f / f / f / f / f / f
which of the following?
/ f /f / f / f
1. Gather information when a patient introduces a new topic. /f / f / f /f / f / f / f /f
2. Introduce a new subject area. /f /f /f / f
3. Begin the interview process. /f /f /f
4. Gather specific information. /f /f
a. 4 NURSINGTB.COM
b. 1, 3 / f
c. 1,
2, 3 / f
d. 2,
3, / f
4
ANS:
C
An open-ended question should be used to start the interview, introduce a new
/ f / f / f / f / f / f / f / f / f / f / f / f
section of questions, and gather more information from a patient’s topic. Closed or
/ f / f /f dd /f / f /f /f / f /f /f / f /f
direct questions are used to gather specific information.
/f /f /f /f / f / f / f /f
6. The direct question interview format is used to:
/f / f / f /f /f / f /f
1. speed up the interview. /f /f /f
2. let the patient fully explain his/her situation.
/f /f / f /f /f /f
3. help the respiratory therapist show empathy. /f /f /f /f /f
4. gather specific /f
information.a. 1, 4 /f / f
b. 2, 3 / f
c. 3, 4 / f
d. 1, 2, 3 / f / f
ANS: A
Direct or closed questions are best to gather specific information and speed up the interview.
/f /f /f /f /f /f /f /f /f /f /f /f /f /f
/ Open- ended questions are best suited to let the patient fully explain his/her
f /f / f / f / f / f / f / f / f / f / f / f / f
situation and possibly help therespiratory therapist show empathy.
/ f / f /f / f / f /f / f / f
, 7. During the interview the patient states, ―Every time I climb the stairs I have to
/f /f /f /f /f /f /f /f /f /f /f / f /f / f
stop to catch my breath.‖ Hearing this, the respiratory therapist replies, ―So,
/f /f /f dd / f / f / f / f / f / f / f / f
it sounds like you get short of breath climbing stairs.‖ This interviewing
/ f / f / f /f / f / f / f / f / f / f / f / f
technique is called:
/ f / f / f
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know
/f /f /f /f /f /f /f /f /f /f /f /f /f
that what he/she said was heard. It also encourages the patient to elaborate on
/f /f dd / f / f / f / f / f / f / f / f / f / f / f
the topic.
/ f / f
Clarification, modeling, and empathy are other communication techniques. /f / f /f /f /f / f / f
8. The respiratory therapist may choose to use the patient interview
/f /f / f /f / f /f /f / f /f
technique of silencein which of the following situations?
/ f / f /f / f / f / f / f / f
a. To prompt the patient to ask a question /f /f /f /f /f /f /f
b. After a direct question /f /f / f
c. After an open-ended question /f /f /f
d. To allow the patient to review his/her history
/f /f / f /f /f /f /f
ANS: C
After a patient has answered an open-ended question, the respiratory therapist should
/ f / f / f / f / f / f / f / f / f / f / f
pause (use silence) before asking the next question. This pause allows the patient to
/ f /f / f /f / f /f / f / f /f / f /f / f /f / f
add something else beforemoving on. The patient may also choose to ask a
/f /f /f / f / f / f / f / f / f / f / f / f / f
question.
/ f
9. To have the most productive interviewing session, which of the following
N R inIGtheB. interview shouUld tShe rNespTiratory
/f /f / f / f dd /f /f / f / f / f /f
types of responses to assist f
/ f
/ f
/
O
/ f / f /f dd /f /f /f /f /f /f /f
t herapist avoid?
/f /f
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses
/f / f / f /f / f the patient’s attention on an
/ f / f / f / f / f
action, feeling, orstatement made by the patient.
/ f /f / f / f / f / f / f / fThis may prompt a further / f / f / f / f
discussion. Reflection helps the patient focus on
/ f / f /f / f / f / f / f specific areas and continues in
/ f / f / f / f / f
his/her own way. Facilitation encourages patients
/ f / f / f / f /f / f / f to say more, to continue with
/ f / f / f / f / f
the story. The respiratory therapist should avoid
/ f / f / f / f / f / f /f / f giving advice, using avoidance / f / f / f
language, and using distancing language.
/ f / f / f / f / f
10. When closing the interview, the respiratory therapist should do which of the following?
/f /f /f / f /f /f / f /f /f / f / f /f
1. Recheck the patient’s vital signs. /f /f /f /f
2. Thank the patient. /f / f
3. Ask if the patient has any questions. /f /f / f / f / f /f
4. Close the door behind himself/herself for patient privacy. /f /f /f /f /f /f /f
a. 2
b. 2, 3 / f
c. 1, 3, 4 / f / f
d. 1, 2, 4 ANS: B
/ f / f /f
ddDisease 8th Edition Jardins
, Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease,
/f /f /f /f /f / f /f / f
8th Edition
/f dd
Chapter 01: The Patient Interview /f /f /f /f
MULTIPLE CHOICE /f
1. The respiratory care practitioner is conducting a patient interview. The main
/f /f /f /f /f /f /f /f /f /f
purpose of thisinterview is to:
/f /f /f / f / f
a. review data with the patient. /f /f / f /f
b. gather subjective data from the patient. /f /f / f /f /f
c. gather objective data from the patient. /f /f / f /f /f
d. fill out the history form or checklist. / f / f / f /f / f / f
ANS: B
The interview is a meeting between
/f / f / f /f /f / f the respiratory care practitioner and the
/ f /f /f / f / f
patient. It allows the collection of
/ f / f /f / f dd / f / f subjective data about the patient’s feelings / f / f / f / f / f
regarding his/her
/ f / f
condition. The history should /f /f /f / f be done before the interview. Although data can
/f /f / f /f /f / f / f
be reviewed,that isnot the / f /f / f / f / f primary purpose of the interview. / f / f / f / f
2. For there to be a successful interview, the respiratory therapist must:
/f /f /f /f /f /f / f /f /f /f
a. provide leading questions to guide the patient. /f /f / f /f / f / f
b. reassure the patient. /f /f
c. be an active listener. /f /f /f
d. use medical terminology to show knowledge of the subject matter.
/f /f /f /f / f /f /f /f / f
ANS: C
N R IGB .C M
U S Ntherapist
T Omust have to conduct a successful interview
dd f
/ f
/ f
/ f
/
The personal qualities that a respiratory
/f /f /f / f /f /f
f
/
/f / f /f /f /f /f /f
include being an active listener, having a genuine concern for the patient, and having
/ f /f / f / f / f / f / f / f / f / f / f / f / f / f
empathy. Leading questionsmust be avoided. Reassurance may provide a false sense of
/ f / f /f / f / f / f / f / f / f / f / f / f
comfort to the patient.
/ f / f / f / f
Medicaljargon can sound exclusionary and paternalistic to a patient. / f / f / f /f / f / f / f / f
3. Which of the following would be found on a history form?/ f / f /f / f / f /f / f / f / f /f
1. Age
2. Chief complaint /f
3. Present health /f
4. Family history /f
5. Health insurance providera. /f /f
1,4 /f
b. 2, 3 / f
c. 3, 4, 5 / f / f
d. 1, 2, 3, 4 / f / f / f
ANS: D
Age, chief complaint, present health, and family history are typically found on a
/ f / f / f / f / f / f / f / f / f / f / f / f
health history form because each can impact the patient’s health. Health insurance provider
/ f / f /f / f /f /f /f /f /f /f /f /f /f
information, whileneeded forbilling purposes, would not be found on the history
/f / f / f / f / f / f / f / f / f / f / f
form.
/ f
, 4. External factors the respiratory care practitioner should make efforts to provide
/f /f /f /f /f / f /f /f /f /f
during aninterview include which of the following?
/ f /f / f / f / f / f / f
1. Minimize or prevent interruptions. /f /f / f
2. Ensure privacy during discussions. /f /f /f
3. Interviewer is the same sex as the patient to prevent bias. /f /f /f / f / f /f /f / f /f /f
4. Be comfortable for the patient and /f /f /f /f /f
interviewer.a. 1, 4
/f / f / f
b. 2, 3 / f
c. 1, 2, 4 / f / f
d. 2, 3, 4 / f / f
ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
/ f / f / f / f / f / f / f / f / f / f / f
Regardless of the interview setting (the patient’s bedside, a crowded emergency room,
/ f /f / f dd /f /f /f /f / f / f / f /f
an office in the hospital or clinic,or the patient’s home), efforts should be made to
/ f / f /f / f /f / f / f / f / f / f / f / f / f / f / f
(1) ensure privacy, (2) prevent interruptions, and (3) secure a comfortable physical
/ f / f / f / f /f /f /f /f dd /f /f /f
environment (e.g., comfortable room temperature, sufficient lighting, absence of noise).
/f /f /f /f /f / f / f / f / f / f
An interviewer of either gender, who acts professionally, should be able to interview
/ f / f / f / f / f / f / f /f / f / f / f / f / f
a patient of either gender.
/ f / f / f / f / f
5. The respiratory therapist is conducting a patient interview. The therapist chooses to
/f /f /f /f /f /f /f /f /f /f /f
useopen-ended questions. Open-ended questions allow the therapist to do
/f / f / f / f / f / f / f / f / f
which of the following?
/ f /f / f / f
1. Gather information when a patient introduces a new topic. /f / f / f /f / f / f / f /f
2. Introduce a new subject area. /f /f /f / f
3. Begin the interview process. /f /f /f
4. Gather specific information. /f /f
a. 4 NURSINGTB.COM
b. 1, 3 / f
c. 1,
2, 3 / f
d. 2,
3, / f
4
ANS:
C
An open-ended question should be used to start the interview, introduce a new
/ f / f / f / f / f / f / f / f / f / f / f / f
section of questions, and gather more information from a patient’s topic. Closed or
/ f / f /f dd /f / f /f /f / f /f /f / f /f
direct questions are used to gather specific information.
/f /f /f /f / f / f / f /f
6. The direct question interview format is used to:
/f / f / f /f /f / f /f
1. speed up the interview. /f /f /f
2. let the patient fully explain his/her situation.
/f /f / f /f /f /f
3. help the respiratory therapist show empathy. /f /f /f /f /f
4. gather specific /f
information.a. 1, 4 /f / f
b. 2, 3 / f
c. 3, 4 / f
d. 1, 2, 3 / f / f
ANS: A
Direct or closed questions are best to gather specific information and speed up the interview.
/f /f /f /f /f /f /f /f /f /f /f /f /f /f
/ Open- ended questions are best suited to let the patient fully explain his/her
f /f / f / f / f / f / f / f / f / f / f / f / f
situation and possibly help therespiratory therapist show empathy.
/ f / f /f / f / f /f / f / f
, 7. During the interview the patient states, ―Every time I climb the stairs I have to
/f /f /f /f /f /f /f /f /f /f /f / f /f / f
stop to catch my breath.‖ Hearing this, the respiratory therapist replies, ―So,
/f /f /f dd / f / f / f / f / f / f / f / f
it sounds like you get short of breath climbing stairs.‖ This interviewing
/ f / f / f /f / f / f / f / f / f / f / f / f
technique is called:
/ f / f / f
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know
/f /f /f /f /f /f /f /f /f /f /f /f /f
that what he/she said was heard. It also encourages the patient to elaborate on
/f /f dd / f / f / f / f / f / f / f / f / f / f / f
the topic.
/ f / f
Clarification, modeling, and empathy are other communication techniques. /f / f /f /f /f / f / f
8. The respiratory therapist may choose to use the patient interview
/f /f / f /f / f /f /f / f /f
technique of silencein which of the following situations?
/ f / f /f / f / f / f / f / f
a. To prompt the patient to ask a question /f /f /f /f /f /f /f
b. After a direct question /f /f / f
c. After an open-ended question /f /f /f
d. To allow the patient to review his/her history
/f /f / f /f /f /f /f
ANS: C
After a patient has answered an open-ended question, the respiratory therapist should
/ f / f / f / f / f / f / f / f / f / f / f
pause (use silence) before asking the next question. This pause allows the patient to
/ f /f / f /f / f /f / f / f /f / f /f / f /f / f
add something else beforemoving on. The patient may also choose to ask a
/f /f /f / f / f / f / f / f / f / f / f / f / f
question.
/ f
9. To have the most productive interviewing session, which of the following
N R inIGtheB. interview shouUld tShe rNespTiratory
/f /f / f / f dd /f /f / f / f / f /f
types of responses to assist f
/ f
/ f
/
O
/ f / f /f dd /f /f /f /f /f /f /f
t herapist avoid?
/f /f
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses
/f / f / f /f / f the patient’s attention on an
/ f / f / f / f / f
action, feeling, orstatement made by the patient.
/ f /f / f / f / f / f / f / fThis may prompt a further / f / f / f / f
discussion. Reflection helps the patient focus on
/ f / f /f / f / f / f / f specific areas and continues in
/ f / f / f / f / f
his/her own way. Facilitation encourages patients
/ f / f / f / f /f / f / f to say more, to continue with
/ f / f / f / f / f
the story. The respiratory therapist should avoid
/ f / f / f / f / f / f /f / f giving advice, using avoidance / f / f / f
language, and using distancing language.
/ f / f / f / f / f
10. When closing the interview, the respiratory therapist should do which of the following?
/f /f /f / f /f /f / f /f /f / f / f /f
1. Recheck the patient’s vital signs. /f /f /f /f
2. Thank the patient. /f / f
3. Ask if the patient has any questions. /f /f / f / f / f /f
4. Close the door behind himself/herself for patient privacy. /f /f /f /f /f /f /f
a. 2
b. 2, 3 / f
c. 1, 3, 4 / f / f
d. 1, 2, 4 ANS: B
/ f / f /f
