Test Bank for Wilkins’ Clinical Assessment in Respiratory Care, 9th Edition by Albert J. Heuer, Chapters 1 - 21  

Test Bank for Wilkins’ Clinical Assessment in
Respiratory Care,
9th Edition by Albert J. Heuer,
Chapters 1 - 21

,Wilkins' Clinical Assessment in Respiratory Care,
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Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical History and the Interview
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Chapter 3. Cardiopulmonary Symptoms
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Chapter 4. Vital Signs
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Chapter 5. Fundamentals of Physical Examination
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Chapter 6. Neurologic Assessment
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Chapter 7. Clinical Laboratory Studies
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Chapter 8. Interpretation of Blood Gases
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Chapter 9. Pulmonary Function Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
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Chapter 12. Neonatal and Pediatric Assessment
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Chapter 13. Older Patient Assessment
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Chapter 14. Monitoring in Critical Care
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Chapter 15. Vascular Pressure Monitoring
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Chapter 16. Cardiac Output Measurement
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Chapter 17. Bronchoscopy
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Chapter 18. Nutritional Assessment
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Chapter 19. Sleep and Breathing Assessment
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Chapter 20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter 1: Preparing for the Patient Encounter
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Test Bank
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MULTIPLE CHOICE vr




1. Which of the following activities is not part of the role of respiratory therapists (RTs)
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in patient assessment?
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a. Assist the physician with diagnostic reasoning skills.
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b. Help the physician select appropriate pulmonary function tests.
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c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
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d. Document the patient diagnosis in the patient’s chart. vr vr vr vr vr vr vr




ANSWER: v r D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
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REF: v r Table 1-1, pg. 4 vr vr vr OBJ: v r v r 9

2. In which of the following stages of patient–clinician interaction is the review of
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physician orders carried out?
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a. Treatment stage vr


b. Introductory stage vr


c. Preinteraction stage vr


d. Initial assessment stage vr vr




ANSWER: v r C
Physician orders should be reviewed in the patient’s chart before the physician sees the
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patient.
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REF: v r Table 1-1, pg. 4 vr vr vr OBJ: v r v r 9

3. In vr which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductory stage vr


b. Preinteraction stage vr


c. Initial assessment stage vr vr


d. Treatment stage vr




ANSWER: v r A
The patient ID bracelet must be checked before moving forward with assessment and
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treatment.
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REF: v r Table 1-1, pg. 4 vr vr vr OBJ: v r v r 9

4. What should be done just before the patient’s ID bracelet is checked?
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a. Check the patient’s SpO2. vr vr vr


b. Ask the patient for permission.
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c. Check the chart for vital signs. vr vr vr vr vr


d. Listen to breath sounds. vr vr vr




ANSWER: v r B
It is considered polite to ask the patient for permission before touching and reading his or
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her ID bracelet.
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, REF: vr vr pg. 3 vr OBJ: v r v r 3|5 vr vr




5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age. vr vr vr vr


b. Identify the patient’s family history. vr vr vr vr


c. Determine the patient’s diagnosis. vr vr vr


d. Establish a rapport with the patient. vr vr vr vr vr




ANSWER: v r D
The introductory phase is all about getting to know the patient and establishing a rapport
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with him or her.
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REF: v r Table 1-1, pg. 4 vr vr vr OBJ: v r v r 3

6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms vr


b. Minimal eye contact vr vr


c. Brief answers to questions vr vr vr


d. Asking the purpose of the treatment vr vr vr vr vr




ANSWER: v r D
If a patient asks about the purpose of the treatment you are about to give, this generally
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indicates that he or she is not upset.
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REF: v r Table 1-1, pg. 4 vr vr vr OBJ: v r v r 3

7. What is the main purpose of the initial assessment stage?
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a. To identify any allergies to medications
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b. To document the patient’s smoking history
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c. To personally get to know the patient better
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d. To verify that the prescribed treatment is still needed and appropriate
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ANSWER: v r D
When you first see the patient, you are encouraged to perform a brief assessment to make
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sure the treatment order by the physician is still appropriate. The patient’s status may have
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changed abruptly recently.
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REF: v r Table 1-1, pg. 4 vr vr vr OBJ: v r v r 3

8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet vr vr vr


b. 4 to 12 feetvr vr vr


c. 6 to 18 feetvr vr vr


d. 8 to 20 feetvr vr vr




ANSWER: v r B
The social space is 4 to 12 feet.
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REF: vr vr pg. 5 vr OBJ: v r v r 5

9. What is the appropriate distance for the personal space?
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