Test Bank For Clinical Manifestations & Assessment of Respiratory Disease 8th Edition By Terry Des Jardins;

TEST BANK FOR Clinical Manifestations and Ass
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essment of Respiratory Disease, 8thEdition BY DES
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JARDINS COMPLETE CHAPTERS WITH ANS
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WERS


CHAPTER 1 g

MULTIPLEgCHOICE

1. Thegrespiratorygcaregpractitionergisgconductinggagpatientginterview.gThegmaingpurposegofgthisgi
nterviewgisgto:
a. reviewgdatagwithgthegpatient.
b. gathergsubjectivegdatagfromgthegpatient.
c. gathergobjectivegdatagfromgthegpatient.
d. fillgoutgtheghistorygformgorgchecklist.
ANS:g B
Theginterviewgisgagmeetinggbetweengthegrespiratorygcaregpractitionergandgthegpatient.gItgallowsgthegcollect
iongofgsubjectivegdatagaboutgthegpatient’sgfeelingsgregardingghis/her
condition.gTheghistorygshouldgbegdonegbeforegtheginterview.gAlthoughgdatagcangbegreviewed,gth
atgisgnotgthegprimarygpurposegofgtheginterview.

2. Forgtheregtogbegagsuccessfulginterview,gthegrespiratorygtherapistgmust:
a. providegleadinggquestionsgtogguidegthegpatient.
b. reassuregthegpatient.
c. begangactiveglistener.
d. usegmedicalgterminologygtogshowgknowledgegofgthegsubjectgmatter.
ANS:g C

Thegpersonalgqualitiesgthatgagrespiratorygtherapistgmustghavegtogconductgagsuccessfulginterviewgincludegb
einggangactiveglistener,ghavinggaggenuinegconcerngforgthegpatient,gandghavinggempathy.gLeadinggquestio
nsgmustgbegavoided.gReassurancegmaygprovidegagfalsegsensegofgcomfortgtogthegpatient.gMedicalgjargongca
ngsoundgexclusionarygandgpaternalisticgtogagpatient.

3. Whichgofgthegfollowinggwouldgbegfoundgongaghistorygform?
1. Age
2. Chiefgcomplaint
3. Presentghealth
4. Familyghistory
5. Healthginsurancegprovider
a. 1,g 4
b. 2,g3
c. 3,g4,g5
d. 1,g2,g3,g4

, ANS:g D
Age,gchiefgcomplaint,gpresentghealth,gandgfamilyghistorygaregtypicallygfoundgongaghealthghistorygfor
mgbecausegeachgcangimpactgthegpatient’sghealth.gHealthginsurancegproviderginformation,gwhilegneed
edgforgbillinggpurposes,gwouldgnotgbegfoundgongtheghistorygform.




4. Externalgfactorsgthegrespiratorygcaregpractitionergshouldgmakegeffortsgtogprovidegduringgangi
nterviewgincludegwhichgofgthegfollowing?
1. Minimizegorgpreventginterruptions.
2. Ensuregprivacygduringgdiscussions.
3. Interviewergisgthegsamegsexgasgthegpatientgtogpreventgbias.
4. Begcomfortablegforgthegpatientgandginterviewer.
a. 1,g 4
b. 2,g3
c. 1,g2,g 4
d. 2,g3,g4
ANS:g g C
Externalgfactors,gsuchgasgaggoodgphysicalgsetting,genhancegtheginterviewinggprocess.gRegardlessgofgthegi
nterviewgsettingg(thegpatient’sgbedside,gagcrowdedgemergencygroom,gangofficegingtheghospitalgorgclinic,gor
gthegpatient’sghome),geffortsgshouldgbegmadegtog(1)gensuregprivacy,g(2)gpreventginterruptions,gandg(3)gsec

uregagcomfortablegphysicalgenvironmentg(e.g.,gcomfortablegroomgtemperature,gsufficientglighting,gabsen
cegofgnoise).gAnginterviewergofgeitherggender,gwhogactsgprofessionally,gshouldgbegablegtoginterviewgagpat
ientgofgeitherggender.

5. Thegrespiratorygtherapistgisgconductinggagpatientginterview.gThegtherapistgchoosesgtoguseg
open-endedgquestions.gOpen-
endedgquestionsgallowgthegtherapistgtogdogwhichgofgthegfollowing?
1. Gatherginformationgwhengagpatientgintroducesgagnewgtopic.
2. Introducegagnewgsubjectgarea.
3. Begingtheginterviewgprocess.
4. Gathergspecificginformation.
a. 4
b. 1,g3
c. 1,g2,g 3
d. 2,g3,g4
ANS:g g C
Angopen-
endedgquestiongshouldgbegusedgtogstartgtheginterview,gintroducegagnewgsectiongofgquestions,gandggathergm
oreginformationgfromgagpatient’sgtopic.gClosedgorgdirectgquestionsgaregusedgtoggathergspecificginformatio
n.

6. Thegdirectgquestionginterviewgformatgisgusedgto:
1. speedgupgtheginterview.
2. letgthegpatientgfullygexplainghis/hergsituation.
3. helpgthegrespiratorygtherapistgshowgempathy.

, 4. gathergspecificginformation.
a. 1,g 4
b. 2,g3
c. 3,g 4
d. 1,g2,g3
ANS:g g A
Directgorgclosedgquestionsgaregbestgtoggathergspecificginformationgandgspeedgupgtheginterview.gOpen-
gendedgquestionsgaregbestgsuitedgtogletgthegpatientgfullygexplainghis/hergsituationgandgpossiblyghelpgthegr

espiratorygtherapistgshowgempathy.

, 7. Duringgtheginterviewgthegpatientgstates,g―EverygtimegIgclimbgthegstairsgIghavegtogstopgtogcatchg
mygbreath.‖gHearinggthis,gthegrespiratorygtherapistgreplies,g―So,gitgsoundsglikegyouggetgshortgo
fgbreathgclimbinggstairs.‖gThisginterviewinggtechniquegisgcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:g D
Withgreflection,gpartgofgthegpatient’sgstatementgisgrepeated.gThisgletsgthegpatientgknowgthatgwhatghe/s
hegsaidgwasgheard.gItgalsogencouragesgthegpatientgtogelaborategongthegtopic.
Clarification,gmodeling,gandgempathygaregothergcommunicationgtechniques.

8. Thegrespiratorygtherapistgmaygchoosegtogusegthegpatientginterviewgtechniquegofgsilencegi
ngwhichgofgthegfollowinggsituations?
a. Togpromptgthegpatientgtogaskgagquestion
b. Aftergagdirectgquestion
c. Aftergangopen-endedgquestion
d. Togallowgthegpatientgtogreviewghis/herghistory
ANS:g C
Aftergagpatientghasgansweredgangopen-
endedgquestion,gthegrespiratorygtherapistgshouldgpauseg(usegsilence)gbeforegaskinggthegnextgquestion.gThi
sgpausegallowsgthegpatientgtogaddgsomethinggelsegbeforegmovinggon.gThegpatientgmaygalsogchoosegtogaskg
agquestion.

9. Toghavegthegmostgproductiveginterviewinggsession,gwhichgofgthegfollowinggtypesgofgresponsesgt
NU
ogassistgingtheginterviewgshou gRgIgGgB.
ldgtShegrNespTiratorygtOherapistgavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:g D
Withgconfrontation,gthegrespiratorygtherapistgfocusesgthegpatient’sgattentiongongangaction,gfeeling,gorgstate
mentgmadegbygthegpatient.gThisgmaygpromptgagfurthergdiscussion.gReflectionghelpsgthegpatientgfocusgongs
pecificgareasgandgcontinuesginghis/hergowngway.gFacilitationgencouragesgpatientsgtogsaygmore,gtogcontinu
egwithgthegstory.gThegrespiratorygtherapistgshouldgavoidggivinggadvice,gusinggavoidanceglanguage,gandgu
singgdistancingglanguage.

10. Whengclosinggtheginterview,gthegrespiratorygtherapistgshouldgdogwhichgofgthegfollowing?
1. Recheckgthegpatient’sgvitalgsigns.
2. Thankgthegpatient.
3. Askgifgthegpatientghasganygquestions.
4. Closegthegdoorgbehindghimself/herselfgforgpatientgprivacy.
a. 2
b. 2,g3
c. 1,g3,g4
d. 1,g2,g4gANS:g B