Test bank For Wilkins clinical assessment in respiratory care 8th edition by Huber, Chapters 1 - 21

Test bank For Wilkins clinical assessment in respiratory
care 8th edition by Huber,
Chapters 1 - 21

,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition


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

,Chapter 1: Preparing for the Patient Encounter Test Bank

MULTIPLE CHOICE

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

REF: Table 1-1, pg. 4 OBJ: 9

2. In which of the following stages of patient–
jk jk jk jk jk jk jk


clinician interaction is the review of physician orders carried out?
jk jk jk jk jk jk j k jk jk

a. Treatment stage jk


b. Introductory stage kj


c. Preinteraction stage jk


d. Initial assessment stage jk jk




ANSWER: C jk


Physician orders should be reviewed in the patient’s chart before the physician sees the pa
jk jk jk jk jk jk jk jk jk jk jk jk jk jk


tient.

REF: Table 1-1, pg. 4
jkj k jk jk jk OBJ: 9 jkj k




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


a. Introductory stage kj


b. Preinteraction stage jk


c. Initial assessment stage jk jk


d. Treatment stage jk




ANSWER: A jk


The patient ID bracelet must be checked before moving forward with assessment and trea
jk jk jk jk jk jk jk jk jk jk jk jk j k


tment.

REF: Table 1-1, pg. 4
jkj k jk jk jk OBJ: 9 jkj k




4. What should be done just before the patient’s ID bracelet is checked?
jk jk jk jk jk jk jk jk jk jk jk


a. Check the patient’s SpO2. jk jk jk


b. Ask the patient for permission.
jk jk jk jk


c. Check the chart for vital signs. jk jk jk jk jk


d. Listen to breath sounds. jk jk jk




ANSWER: B jk


It is considered polite to ask the patient for permission before touching and reading his or her ID
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j k jk


bracelet.

, REF: pg. 3 jkj k jk OBJ: 3 | 5 jkj k jk jk




5. What is the goal of the introductory phase?
jk jk jk jk jk jk kj


a. Assess the patient’s apparent age. jk jk jk jk


b. Identify the patient’s family history. kj jk jk kj


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


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




ANSWER: D jk


The introductory phase is all about getting to know the patient and establishing a rapport with hi
jk kj jk jk jk jk jk jk jk jk jk jk jk jk jk j k


m or her.
jk jk




REF: Table 1-1, pg. 4
jkj k jk jk jk OBJ: 3 jkj k




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


a. Crossed arms jk


b. Minimal eye contact jk jk


c. Brief answers to questions jk jk jk


d. Asking the purpose of the treatment jk jk jk jk jk




ANSWER: D jk


If a patient asks about the purpose of the treatment you are about to give, this generally indicat
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j k


es that he or she is not upset.
jk jk jk jk jk jk jk




REF: Table 1-1, pg. 4
jkj k jk jk jk OBJ: 3 jkj k




7. What is the main purpose of the initial assessment stage?
jk jk jk jk jk jk jk jk jk


a. To identify any allergies to medications
jk kj jk jk jk


b. To document the patient’s smoking history
jk jk jk jk jk


c. To personally get to know the patient better
jk jk jk jk jk jk jk


d. To verify that the prescribed treatment is still needed and appropriate
jk kj jk jk jk jk jk jk jk jk




ANSWER: D jk


When you first see the patient, you are encouraged to perform a brief assessment to make sure
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j


kthe treatment order by the physician is still appropriate. The patient’s status may have changed
jk jk jk jk jk jk jk jk jk jk jk jk kj jk j


kabruptly recently. jk




REF: Table 1-1, pg. 4
jkj k jk jk jk OBJ: 3 jkj k




8. What is the appropriate distance for the social space from the patient?
jk jk jk jk jk jk jk jk jk jk jk


a. 3 to 5 feet jk jk jk


b. 4 to 12 feet jk jk jk


c. 6 to 18 feet jk jk jk


d. 8 to 20 feet jk jk jk




ANSWER: B jk


The social space is 4 to 12 feet.
jk jk jk jk jk jk jk




REF: pg. 5 jkj k jk OBJ: 5 jkj k




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