TEST BANK: CLINICAL MANIFESTATIONS
n1 n1 n1
ANDASSESSMENT OF RESPIRATORY DISEASE,
n1 1n n1 n1 n1
9TH EDITION BY DES JARDINS
n1 n1 n1 n1 n1
,Chapter 01: The Hospital client Interview
n1 n1 n1 n1 n1
MULTIPLE SELECTION n1
1. The respiratory care specialist is conducting a hospital client interview. The main purpose
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of thisinterview is to:
n1 n1 n1 n1 n1
a. review data with the hospital client. n1 n1 n1 n1 n1
b. gather subjective data from the hospital client. n1 n1 n1 n1 n1 n1
c. gather objective data from the hospital client. n1 n1 n1 n1 n1 n1
d. fill out the history form or checklist. n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- B n1 n 1
Reasoning :->>>The interview is a meeting between the respiratory care specialist and the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client. It allows thecollection of subjective data about the hospital client’s feelings regarding his/her
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
condition. The history should be done before the interview. Although data can be n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
reviewed,that is not the primary purpose of the interview.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. For there to be a successful interview, the respiratory psychotherapist must:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. provide leading questions to guide the hospital client. n1 n1 n1 n1 n1 n1 n1
b. reassure the hospital client. n1 n1 n1
c. be an active listener. n1 n1 n1
d. use medical terminology to show knowledge of the subject matter.
n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- n1 n 1 C
Reasoning :->>>The personal qualities that a respiratory psychotherapist must have to conduct a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
successful interview includebeing an active listener, having a genuine concern for the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client, and having empathy. Leading questions must be avoided. Reassurance may provide a false
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
sense of comfort to the hospital client. Medicaljargon can sound exclusionary and paternalistic to a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client.
n1 n1
3. Which of the following would be found on a history form?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Age
2. Chief complaint n1
3. Present health n1
4. Family history n1
5. Health insurance n1
providera. 1, 4
n1 n1 n1 n1
b. 2, 3 n1 n1
c. 3, 4, 5 n1 n1 n1
d. 1, 2, 3, 4 n1 n1 n1 n1
ACCURATE ANSWER:- D n1 n 1
Reasoning :->>>Age, chief complaint, present health, and family history are typically found
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
on a health history form because each can impact the hospital client’s health. Health insurance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
provider information, while needed for billing purposes, would not be found on the history
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
form.
n1
4. External factors the respiratory care specialist should make efforts to provide during
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
aninterview include which of the following?
n1 n1 n1 n1 n1 n1 n1
1. Minimize or prevent interruptions. n1 n1 n1
2. Ensure privacy during discussions. n1 n1 n1
, 3. Interviewer is the same sex as the hospital client to prevent bias. n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Be comfortable for the hospital client and
n1 n1 n1 n1 n1 n1
interviewer.a. 1, 4
n1 n1 n1 n1
b. 2, 3 n1 n1
c. 1, 2, 4 n 1 n1 n1
d. 2, 3, 4 n 1 n1 n1
ACCURATE ANSWER:- C n1 n 1
Reasoning :->>>External factors, such as a good physical setting, enhance the interviewing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
process. Regardless of theinterview setting (the hospital client’s bedside, a crowded emergency
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
room, an office in the hospital or clinic,or the hospital client’s home), efforts should be made to (1)
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ensure privacy, (2) prevent interruptions, and (3)secure a comfortable physical environment (e.g.,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
gender, who acts professionally, should be able to interview a hospital client of either gender.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
5. The respiratory psychotherapist is conducting a hospital client interview. The
n1 n1 n1 n1 n1 n1 n1 n1 n1
psychotherapist chooses to useopen-ended questions. Open-ended questions allow
n1 n1 n1 n1 n1 n1 n1 n1 n1
the psychotherapist to do which of the following?
n1 n1 n1 n1 n1 n1 n1 n1
1. Gather information when a hospital client introduces a new topic. n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Introduce a new subject area. n1 n1 n1 n1
3. Begin the interview process. n1 n1 n1
4. Gather specific information. n1 n1
a. 4 n1
b. 1, 3 n1 n1
c. 1, 2, 3 n 1 n1 n1
d. 2, 3, 4 n 1 n1 n1
ACCURATE ANSWER:- C n1 n 1
Reasoning :->>>An open-ended question should be used to start the interview, introduce a new
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
section of questions,and gather more information from a hospital client’s topic. Closed or direct
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
questions are used to gather specific information.
n1 n1 n1 n1 n1 n1 n1
6. The direct question interview format is used to:
n1 n1 n1 n1 n1 n1 n1
1. speed up the interview. n1 n1 n1
2. let the hospital client fully explain his/her situation.
n1 n1 n1 n1 n1 n1 n1
3. help the respiratory psychotherapist show empathy. n1 n1 n1 n1 n1
4. gather specific n1
information.a. 1, 4
n1 n1 n1 n1
b. 2, 3 n1 n1 n1 n1
c. 3, 4 n 1 n1
d. 1, 2, 3 n1 n1 n1 n1
, ACCURATE ANSWER:- A n1 n 1
Reasoning :->>>Direct or closed questions are best to gather specific information and speed up
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the interview. Open-ended questions are best suited to let the hospital client fully explain his/her
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
situation and possibly help therespiratory psychotherapist show empathy.
n1 n1 n1 n1 n1 n1 n1 n1 n1
7. During the interview the hospital client states, ―Every time I climb the stairs I have to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
stop to catchmy breath.‖ Hearing this, the respiratory psychotherapist replies, ―So, it
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
sounds like you get short of breath climbing stairs.‖ This interviewing technique is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
called: n1
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATE ANSWER:- D n1 n 1
Reasoning :->>>With reflection, part of the hospital client’s statement is repeated. This lets the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client know that whathe/she said was heard. It also encourages the hospital client to elaborate on the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
topic.
n1
Clarification, modeling, and empathy are other communication techniques. n1 n1 n1 n1 n1 n1 n1
8. The respiratory psychotherapist may choose to use the hospital client interview
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
technique of silencein which of the following situations?
n1 n1 n1 n1 n1 n1 n1 n1 n1
a. To prompt the hospital client to ask a question n1 n1 n1 n1 n1 n1 n1 n1
b. After a direct question n1 n1 n1
c. After an open-ended question n1 n1 n1
d. To allow the hospital client to review his/her history
n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- C n1 n 1
Reasoning :->>>After a hospital client has answered an open-ended question, the respiratory
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
psychotherapist should pause (use silence) before asking the next question. This pause allows the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client to add something else beforemoving on. The hospital client may also choose to ask
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a question.
n1 n1
9. To have the most productive interviewing session, which of the following types of
n1
N R I G B.
responsesto assist in the interview shouUld tShe rNespTiratory tOherapist avoid?
n1 n1
n1
n1
n1
n1
n1 n1 n1
n1
n1 n1 n1
n1
n1
n1
n1
n1
n1
n1 n1 n1
n1
n1
n1
n1
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATE ANSWER:- D n1 n 1
Reasoning :->>>With confrontation, the respiratory psychotherapist focuses the hospital client’s
n1 n1 n1 n1 n1 n1 n1 n1 n1
attention on an action, feeling, orstatement made by the hospital client. This may prompt a further
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
discussion. Reflection helps the hospital client focus on specific areas and continues in his/her
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
own way. Facilitation encourages hospital clients to say more, to continue with the story. The
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
respiratory psychotherapist should avoid giving advice, using avoidance language, and using
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
distancing language.
n1 n1
10. When closing the interview, the respiratory psychotherapist should do which of the following?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Recheck the hospital client’s vital signs. n1 n1 n1 n1 n1
2. Thank the hospital client. n1 n1 n1
3. Ask if the hospital client has any questions. n1 n1 n1 n1 n1 n1 n1
4. Close the door behind himself/herself for hospital client privacy.
n1 n1 n1 n1 n1 n1 n1 n1
a. 2 n1
n1 n1 n1
ANDASSESSMENT OF RESPIRATORY DISEASE,
n1 1n n1 n1 n1
9TH EDITION BY DES JARDINS
n1 n1 n1 n1 n1
,Chapter 01: The Hospital client Interview
n1 n1 n1 n1 n1
MULTIPLE SELECTION n1
1. The respiratory care specialist is conducting a hospital client interview. The main purpose
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
of thisinterview is to:
n1 n1 n1 n1 n1
a. review data with the hospital client. n1 n1 n1 n1 n1
b. gather subjective data from the hospital client. n1 n1 n1 n1 n1 n1
c. gather objective data from the hospital client. n1 n1 n1 n1 n1 n1
d. fill out the history form or checklist. n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- B n1 n 1
Reasoning :->>>The interview is a meeting between the respiratory care specialist and the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client. It allows thecollection of subjective data about the hospital client’s feelings regarding his/her
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
condition. The history should be done before the interview. Although data can be n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
reviewed,that is not the primary purpose of the interview.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
2. For there to be a successful interview, the respiratory psychotherapist must:
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a. provide leading questions to guide the hospital client. n1 n1 n1 n1 n1 n1 n1
b. reassure the hospital client. n1 n1 n1
c. be an active listener. n1 n1 n1
d. use medical terminology to show knowledge of the subject matter.
n1 n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- n1 n 1 C
Reasoning :->>>The personal qualities that a respiratory psychotherapist must have to conduct a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
successful interview includebeing an active listener, having a genuine concern for the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client, and having empathy. Leading questions must be avoided. Reassurance may provide a false
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
sense of comfort to the hospital client. Medicaljargon can sound exclusionary and paternalistic to a
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client.
n1 n1
3. Which of the following would be found on a history form?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Age
2. Chief complaint n1
3. Present health n1
4. Family history n1
5. Health insurance n1
providera. 1, 4
n1 n1 n1 n1
b. 2, 3 n1 n1
c. 3, 4, 5 n1 n1 n1
d. 1, 2, 3, 4 n1 n1 n1 n1
ACCURATE ANSWER:- D n1 n 1
Reasoning :->>>Age, chief complaint, present health, and family history are typically found
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
on a health history form because each can impact the hospital client’s health. Health insurance
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
provider information, while needed for billing purposes, would not be found on the history
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
form.
n1
4. External factors the respiratory care specialist should make efforts to provide during
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
aninterview include which of the following?
n1 n1 n1 n1 n1 n1 n1
1. Minimize or prevent interruptions. n1 n1 n1
2. Ensure privacy during discussions. n1 n1 n1
, 3. Interviewer is the same sex as the hospital client to prevent bias. n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
4. Be comfortable for the hospital client and
n1 n1 n1 n1 n1 n1
interviewer.a. 1, 4
n1 n1 n1 n1
b. 2, 3 n1 n1
c. 1, 2, 4 n 1 n1 n1
d. 2, 3, 4 n 1 n1 n1
ACCURATE ANSWER:- C n1 n 1
Reasoning :->>>External factors, such as a good physical setting, enhance the interviewing
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
process. Regardless of theinterview setting (the hospital client’s bedside, a crowded emergency
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
room, an office in the hospital or clinic,or the hospital client’s home), efforts should be made to (1)
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
ensure privacy, (2) prevent interruptions, and (3)secure a comfortable physical environment (e.g.,
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
gender, who acts professionally, should be able to interview a hospital client of either gender.
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
5. The respiratory psychotherapist is conducting a hospital client interview. The
n1 n1 n1 n1 n1 n1 n1 n1 n1
psychotherapist chooses to useopen-ended questions. Open-ended questions allow
n1 n1 n1 n1 n1 n1 n1 n1 n1
the psychotherapist to do which of the following?
n1 n1 n1 n1 n1 n1 n1 n1
1. Gather information when a hospital client introduces a new topic. n1 n1 n1 n1 n1 n1 n1 n1 n1
2. Introduce a new subject area. n1 n1 n1 n1
3. Begin the interview process. n1 n1 n1
4. Gather specific information. n1 n1
a. 4 n1
b. 1, 3 n1 n1
c. 1, 2, 3 n 1 n1 n1
d. 2, 3, 4 n 1 n1 n1
ACCURATE ANSWER:- C n1 n 1
Reasoning :->>>An open-ended question should be used to start the interview, introduce a new
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
section of questions,and gather more information from a hospital client’s topic. Closed or direct
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
questions are used to gather specific information.
n1 n1 n1 n1 n1 n1 n1
6. The direct question interview format is used to:
n1 n1 n1 n1 n1 n1 n1
1. speed up the interview. n1 n1 n1
2. let the hospital client fully explain his/her situation.
n1 n1 n1 n1 n1 n1 n1
3. help the respiratory psychotherapist show empathy. n1 n1 n1 n1 n1
4. gather specific n1
information.a. 1, 4
n1 n1 n1 n1
b. 2, 3 n1 n1 n1 n1
c. 3, 4 n 1 n1
d. 1, 2, 3 n1 n1 n1 n1
, ACCURATE ANSWER:- A n1 n 1
Reasoning :->>>Direct or closed questions are best to gather specific information and speed up
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
the interview. Open-ended questions are best suited to let the hospital client fully explain his/her
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
situation and possibly help therespiratory psychotherapist show empathy.
n1 n1 n1 n1 n1 n1 n1 n1 n1
7. During the interview the hospital client states, ―Every time I climb the stairs I have to
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
stop to catchmy breath.‖ Hearing this, the respiratory psychotherapist replies, ―So, it
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
sounds like you get short of breath climbing stairs.‖ This interviewing technique is
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
called: n1
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATE ANSWER:- D n1 n 1
Reasoning :->>>With reflection, part of the hospital client’s statement is repeated. This lets the hospital
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
client know that whathe/she said was heard. It also encourages the hospital client to elaborate on the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
topic.
n1
Clarification, modeling, and empathy are other communication techniques. n1 n1 n1 n1 n1 n1 n1
8. The respiratory psychotherapist may choose to use the hospital client interview
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
technique of silencein which of the following situations?
n1 n1 n1 n1 n1 n1 n1 n1 n1
a. To prompt the hospital client to ask a question n1 n1 n1 n1 n1 n1 n1 n1
b. After a direct question n1 n1 n1
c. After an open-ended question n1 n1 n1
d. To allow the hospital client to review his/her history
n1 n1 n1 n1 n1 n1 n1 n1
ACCURATE ANSWER:- C n1 n 1
Reasoning :->>>After a hospital client has answered an open-ended question, the respiratory
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
psychotherapist should pause (use silence) before asking the next question. This pause allows the
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
hospital client to add something else beforemoving on. The hospital client may also choose to ask
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
a question.
n1 n1
9. To have the most productive interviewing session, which of the following types of
n1
N R I G B.
responsesto assist in the interview shouUld tShe rNespTiratory tOherapist avoid?
n1 n1
n1
n1
n1
n1
n1 n1 n1
n1
n1 n1 n1
n1
n1
n1
n1
n1
n1
n1 n1 n1
n1
n1
n1
n1
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATE ANSWER:- D n1 n 1
Reasoning :->>>With confrontation, the respiratory psychotherapist focuses the hospital client’s
n1 n1 n1 n1 n1 n1 n1 n1 n1
attention on an action, feeling, orstatement made by the hospital client. This may prompt a further
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
discussion. Reflection helps the hospital client focus on specific areas and continues in his/her
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
own way. Facilitation encourages hospital clients to say more, to continue with the story. The
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
respiratory psychotherapist should avoid giving advice, using avoidance language, and using
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
distancing language.
n1 n1
10. When closing the interview, the respiratory psychotherapist should do which of the following?
n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1 n1
1. Recheck the hospital client’s vital signs. n1 n1 n1 n1 n1
2. Thank the hospital client. n1 n1 n1
3. Ask if the hospital client has any questions. n1 n1 n1 n1 n1 n1 n1
4. Close the door behind himself/herself for hospital client privacy.
n1 n1 n1 n1 n1 n1 n1 n1
a. 2 n1
