Disease 8th Edition Jardins
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, Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
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Chapter 01: The Patient Interview
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MULTIPLE ssCHOICE
1. The ssrespiratory sscare sspractitioner ssis ssconducting ssa sspatient ssinterview. ssThe ssmain
sspurpose ssof ssthis ssinterview ssis ssto:
a. review s s data s s with s s the s s patient.
b. gather s s subjective s s data s s from s s the s s patient.
c. gather s s objective s s data s s from s s the s s patient.
d. fill s s out s s the s s history ssform s s or s s checklist.
ANS: B
The ssinterview ssis ssa ssmeeting ssbetween ssthe s s respiratory sscare sspractitioner ssand s s the s s patient. s s It
s s allows ssthe sscollection s s of s s subjective s s data s s about s s the s s patient’s s s feelings s s regarding
s s his/her
condition. ssThe sshistory ssshould ssbe ssdone ssbefore ssthe ssinterview. ssAlthough ssdata sscan ssbe
ssreviewed,that ssis s s not s s the s s primary sspurpose s s of s s the s s interview.
2. For ssthere ssto s s be ssa sssuccessful ssinterview, ssthe ssrespiratory sstherapist ssmust:
a. provide ss leading s s questions s s to s s guide s s the s s patient.
b. reassure ssthe s s patient.
c. be ssan s s active s s listener.
d. use ss medical ss terminology s s to s s show s s knowledge s s of s s the s s subject s s matter.
ANS: C
N R IG B .C M
U Ssstherapist
Ns T ssmustO sshave ssto ssconduct ssa sssuccessful ssinterview
zz s s s ss
The sspersonal ssqualities ssthat ssa ssrespiratory
ssinclude s s being ssan ssactive sslistener, s s having ssa s s genuine s s concern ssfor ssthe sspatient, ssand sshaving
ssempathy. s s Leading ssquestions s s must s s be s s avoided. s s Reassurance s s may s s provide s s a s s false
s s sense s s of s s comfort s s to s s the s s patient.
Medicaljargon s s can s s sound s s exclusionary s s and s s paternalistic s s to s s a s s patient.
3. Which s s of s s the s s following s s would s s be s s found s s on s s a s s history s s form?
1. Age
2. Chief s s complaint
3. Present sshealth
4. Family sshistory
5. Health ssinsurance ssprovidera. s s 1,
4
b. 2, s s 3
c. 3, s s 4, s s 5
d. 1, s s 2, s s 3, s s 4
ANS: D
Age, s s chief s s complaint, s s present s s health, s s and s s family s s history s s are s s typically s s found s s on s s a
s s health s s history ssform ssbecause sseach sscan ssimpact ssthe sspatient’s sshealth. ssHealth ssinsurance ssprovider
ssinformation, sswhileneeded s s for s s billing s s purposes, s s would s s not s s be s s found s s on s s the s s history
s s form.
, 4. External ssfactors ssthe ssrespiratory sscare sspractitioner ssshould ssmake ssefforts ssto ssprovide
ssduring ssan ssinterview ssinclude sswhich ssof ssthe ssfollowing?
1. Minimize ssor s s prevent s s interruptions.
2. Ensure s s privacy ssduring s s discussions.
3. Interviewer s s is s s the s s same s s sex s s as s s the s s patient s s to s s prevent s s bias.
4. Be sscomfortable ssfor ssthe sspatient ssand ssinterviewer.
a. 1, s s 4
b. 2, s s 3
c. 1, s s 2, s s 4
d. 2, s s 3, s s 4
ANS: C
External s s factors, s s such s s as s s a s s good s s physical s s setting, s s enhance s s the s s interviewing s s process.
s s Regardless s s of ssthe s s interview s s setting s s (the s s patient’s s s bedside, s s a s s crowded s s emergency ssroom,
s s an s s office s s in s s the s s hospital ssor ssclinic, s s or s s the sspatient’s s s home), s s efforts s s should s s be s s made
s s to s s (1) s s ensure ssprivacy, s s (2) ssprevent ssinterruptions, ssand ss(3) sssecure ssa sscomfortable ssphysical
ssenvironment ss(e.g., s s comfortable ssroom s s temperature, s s sufficient s s lighting, s s absence s s of
s s noise). s s An s s interviewer s s of s s either s s gender, s s who s s acts ssprofessionally, s s should s s be s s able
s s to s s interview s s a s s patient s s of s s either s s gender.
5. The ssrespiratory sstherapist ssis ssconducting ssa sspatient ssinterview. ssThe sstherapist
sschooses ssto ssuse ssopen-ended ssquestions. ssOpen-ended ssquestions ssallow ssthe
sstherapist ssto s s do sswhich s s of ssthe ssfollowing?
1. Gather ssinformation s s when s s a sspatient s s introduces s s a s s new s s topic.
2. Introduce s s a ss new s s subject s s area.
3. Begin ssthe s s interview s s process.
4. Gather ssspecific ssinformation.
a. 4 NURSINGTB.COM
b. 1, s s 3
c. 1,
s s 2,
3
d. 2,
s s 3,
4
ANS:
ssC
An ssopen-ended ssquestion ssshould ssbe ssused ssto ssstart ssthe ssinterview, ssintroduce ssa ssnew sssection ssof
ssquestions, ssand s s gather s s more s s information s s from s s a s s patient’s s s topic. s s Closed s s or s s direct
s s questions s s are s s used s s to
gather s s specific s s information.
6. The ss direct s s question s s interview s s format s s is s s used s s to:
1. speed ssup ssthe ssinterview.
2. let s s the ss patient s s fully ssexplain s s his/her s s situation.
3. help ssthe ssrespiratory sstherapist ss show ssempathy.
4. gather ssspecific ssinformation.
a. 1, s s 4
b. 2, s s 3
c. 3, s s 4
d. 1, s s 2, s s 3
ANS: A
Direct ssor ssclosed ssquestions ssare ssbest ssto ssgather ssspecific ssinformation ssand ssspeed ssup ssthe ssinterview.
, s s Open- s s ended s s questions s s are s s best s s suited s s to s s let s s the s s patient s s fully ssexplain ss his/her
ss situation s s and sspossibly sshelp ssthe s s respiratory sstherapist s s show ssempathy.