Test Bank for Clinical Manifestations and Assessment of Respirat Dise
i i i i i i i i i
ory ase 8th Edition Jardins
i i i
DesJardins:Clinical ManifestationsandAssessmentofRespiratoryDisease, 8th Edition
i i i
Chapter01:The PatientInterview
i
MULTIPLECHOICE
1. Therespiratorycarepractitionerisconductingaipatientiinterview.Theimainipurposeofthisinte
rviewisto:
a. reviewdatawiththepatient.
b. gathersubjectivedatafromthepatient.
c. gatherobjectivedatafromtheipatient.
d. filloutitheihistoryformiorchecklist.
ANS: B
Theiinterviewisameetingbetweentherespiratorycarepractitionerandthepatient. Itiallowstheicollection
ofsubjectivedataaboutitheipatient’sfeelingsiregardinghis/her
condition.Theihistoryshouldbedoneibeforetheinterview.Althoughdataicanibereviewed,thatisnotth
eprimarypurposeoftheinterview.
2. Fortheretobeasuccessfulinterview, theirespiratorytherapistmust:
a. provideleadingiquestionstoguideitheipatient.
b. reassurethepatient.
c. beanactivelistener.
d. useimedicaliterminologytoshowknowledgeoftheisubjectimatter.
ANS: C
N R I G B.CM
U S N Tmust haveOtoconduct asuccessfulinterviewinclude
i i i i
The personalqualitiesthat arespiratorytherapist
i i i i i
beingian activelistener, havingiagenuineconcernfortheipatient, andhavingempathy. Leadingquestionsmust
beavoided. Reassurancemayprovideafalsesenseofcomforttothepatient. Medicaljargon cansoundiexclusi
onaryandpaternalistictoaipatient.
3. Whichofthefollowingwouldibefoundionaihistoryform?
1. Age
2. Chiefcomplaint
3. Presenthealth
4. Familyhistory
5. Healthiinsuranceprovidera. 1,
4
b. 2,i3
c. 3,4,5
d. 1,i2,3,4
ANS: D
Age, chiefcomplaint, present health, andfamilyhistoryareitypicallyfoundionaihealthhistoryformibecau
seeach caniimpact thepatient’s health. Healthinsuranceproviderinformation, whileneededforbillingpur
poses,iwouldnotbeifoundonthehistoryform.
, 4. Externalfactorstherespiratorycareipractitionershouldimakeieffortstoprovideduringaninte
rviewincludeiwhichofthefollowing?
1. Minimizeorprevent interruptions.
2. Ensureprivacyduringidiscussions.
3. Intervieweristhesamesex as theipatienttopreventbias.
4. Becomfortableforthepatientiand interviewer.
a. 1,4
b. 2,i3
c. 1,2,4
d. 2,i3,4
ANS: C
Externalfactors,isuch as agoodiphysicalsetting, enhancetheinterviewingprocess. Regardlessioftheinter
viewsettingi(thepatient’s bedside, acrowdedemergencyroom, an officeinithehospitalorclinic, orthepati
ent’s home), effortsshouldbemadeito(1) ensureprivacy,(2)ipreventiinterruptions, and(3)isecureiacomfo
rtablephysicalenvironment (e.g., comfortableroomtemperature, sufficient lighting, absenceofnoise). A
ninterviewerofeither gender, whoactsprofessionally, shouldbeabletointerviewapatient ofeithergend er.
5. Therespiratorytherapistisiconductingapatientinterview.Thetherapistchoosestouseope n-
endedquestions.Open-endedquestionsallowthetherapisttodowhichiofthefollowing?
1. Gatherinformation whenapatientintroducesanewtopic.
2. Introduceianewsubjectiarea.
3. Begintheinterviewprocess.
4. Gatherspecificiinformation.
a. 4 NURSINGTB.COM
b. 1,i3
c. 1,2,3
d. 2,i3,4
ANS: C
Aniopen-
endedquestionishouldbeusedtoistarttheinterview,introduceanewsectioniofquestions,andgathermorei
nformationfromapatient’stopic.Closedordirectquestionsiareiusedtoigatherspecificiinformation.
6. Thedirectiquestioninterviewformatiisiusedto:
1. speeduptheiinterview.
2. letitheipatient fullyexplainihis/hersituation.
3. helptherespiratorytherapistshowempathy.
4. gatherspecificiinformation.
a. 1,4
b. 2,i3
c. 3,4
d. 1,i2,3
ANS: A
Directorclosedquestionsareibesttogatherspecificinformationandspeediuptheiinterview.Open-
endedquestionsareibestsuitedtoletthepatientfullyexplainihis/hersituationandipossiblyhelpitheirespi
ratorytherapistshowempathy.
, 7. Duringitheinterviewthepatientstates,―Everytime Iiclimbthestairs Iihave tostoptocatchmybr
eath.‖ Hearingthis, therespiratorytherapist replies, ―So, itsoundsilike yougetshortofbreathicl
imbingistairs.‖This interviewingitechniqueiis called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
Withreflection, partoftheipatient’s statementisrepeated. Thisletsthepatientknowthatwhathe/shes
aidiwasheard. Itialso encouragesitheipatient toielaborateonthetopic.
Clarification,modeling, andiempathyareiothercommunicationitechniques.
8. Therespiratorytherapistmaychoosetousethepatientinterviewtechniqueofisilenceinw
hichofthefollowingsituations?
a. Toprompttheipatienttoaskaquestion
b. Afteraidirectquestion
c. Afteranopen-endediquestion
d. Toallowtheipatienttoreviewhis/herhistory
ANS: C
Afterapatienthasanswered an open-
endedquestion, therespiratorytherapist shouldpause(useisilence) beforeaskingithenextquestion. Thisp
auseallowsitheipatienttoaddisomethingielsebefore movingon. Theipatientimayalsochoosetoaskaquesti
on.
9. Tohavethemostproductiveinterviewingsession, whichofthefollowingtypesofresponsesto as
sistinithei iinterviewshou
i UldtN
i S
RherINGesp
B.TiratorytOherapistiavoid?
i i
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
Withconfrontation,itheirespiratorytherapistifocusestheipatient’sattentiononanaction,feeling,orstateme
ntmadebythepatient. Thismaypromptafurtherdiscussion. Reflectionihelps thepatient focusonspecific
areasiand continuesiinihis/her owniway. Facilitationencouragespatients tosaymore, tocontinuewithitheis
tory. Therespiratorytherapist shouldavoidgivingadvice,iusingavoidancelanguage, andusingdistancin
glanguage.
10. Whenclosingtheinterview, therespiratorytherapist shoulddoiwhichofthefollowing?
1. Rechecktheipatient’svitalsigns.
2. Thankthepatient.
3. Askiftheipatientihasanyquestions.
4. Closethedoorbehindihimself/herselfforpatientprivacy.
a. 2
b. 2,i3
c. 1,3,4
d. 1,2,4iANS: B
, To endtheinterviewona positive note, theirespiratorytherapistishouldthankthepatient andaskifthepati
entihasanyquestions. If thereiisnoneedforthevitalsignstoibechecked, theyshouldnotibe. Thedoormayb
eleftopeniorclosed,dependingonthesituation.
11. Therespiratorytherapistshouldbeawareofapatient’scultureandreligiousbeliefsforwhi
choftheifollowingireasons?
a. Tobeabletoengageiniameaningfulconversation
b. To changeanymisguidednotionsthepatienthasthatimayimpacthis/herhealth
c. Toexplainitotheipatienthowthesebeliefsiwillleadtodiscriminationiandster
eotyping
d. Tobetterunderstandhowtheipatient’sbeliefsmayimpacthowthepatientthinksand
behaves
ANS: D
Cultureandreligiousbeliefsmayhaveaprofoundeffect onhowpatientsithinkiandbehave,iandthismayi
mpacttheirhealthorhealthcaredecisions. Theroleoftheirespiratory
therapist is nottochangeitheipatient’s beliefs, engageinsensitiveconversations, ordiscussdiscriminatio
n.Rather, theirespiratorytherapistineeds tounderstandhowthesebeliefsimayimpactithepatient’sihealth
caredecisions.
12. Whichofthefollowingareitheimostimportantcomponentsiofasuccessfulinterview?
a. Communicationandunderstanding
b. Authorityanditheuseofmedicalterminology
c. Providingassuranceiandgivingadvice
d. Askingileadingiquestionsandanticipatingipatientiresponsesitoquestions
ANS: A
U NRSINGB.C T
M
O interview.Authority, the use of
Communication andunderstanding are the basi s fo r a good patient
i i i i i i
medicaljargon, providingiassurance, givingadvice,askingleadingquestions,andanticipatingarealltyp es
ofnonproductivecommunicationformsiandcreatebarrierstopatientcommunication.
13. Therespiratorytherapistiisconductingaipatientinterviewandrecordingiresponsesinthepati
ent’s electronicihealth record. Theirespiratorytherapist shouldtakeiwhichofitheifollowingii
ntoaccountregardingtheuseiofthecomputertorecordresponses?
a. Thetherapist’s attentionmaybeishiftedfromtheipatienttothecomputer.
b. Thepatientwillfeelmoreimportantthaniftheiinformationisrecordedionpaper.
c. Thetherapistiwillbelesslikelytomakespellingierrorsiifusingaispell-
checkiprogram.
d. Theenvironmentwillbeimoreprofessionalandthepatientwillbemoreilikelytoope
niupiftheinterviewisconductediwithipaper.
ANS: A
Theitherapist’siuseoftheicomputercanbeithreateningiandmay,insomeicases,beapotentialhazardtoigoo
dpatientcommunication. Thepatient can beintimidatedtothepointof―shuttingidown.‖ In addition, the t
herapist whohastoshiftfocusfromthepatienttothecomputer canimiss importantverbal andnonverbal
messages.
i i i i i i i i i
ory ase 8th Edition Jardins
i i i
DesJardins:Clinical ManifestationsandAssessmentofRespiratoryDisease, 8th Edition
i i i
Chapter01:The PatientInterview
i
MULTIPLECHOICE
1. Therespiratorycarepractitionerisconductingaipatientiinterview.Theimainipurposeofthisinte
rviewisto:
a. reviewdatawiththepatient.
b. gathersubjectivedatafromthepatient.
c. gatherobjectivedatafromtheipatient.
d. filloutitheihistoryformiorchecklist.
ANS: B
Theiinterviewisameetingbetweentherespiratorycarepractitionerandthepatient. Itiallowstheicollection
ofsubjectivedataaboutitheipatient’sfeelingsiregardinghis/her
condition.Theihistoryshouldbedoneibeforetheinterview.Althoughdataicanibereviewed,thatisnotth
eprimarypurposeoftheinterview.
2. Fortheretobeasuccessfulinterview, theirespiratorytherapistmust:
a. provideleadingiquestionstoguideitheipatient.
b. reassurethepatient.
c. beanactivelistener.
d. useimedicaliterminologytoshowknowledgeoftheisubjectimatter.
ANS: C
N R I G B.CM
U S N Tmust haveOtoconduct asuccessfulinterviewinclude
i i i i
The personalqualitiesthat arespiratorytherapist
i i i i i
beingian activelistener, havingiagenuineconcernfortheipatient, andhavingempathy. Leadingquestionsmust
beavoided. Reassurancemayprovideafalsesenseofcomforttothepatient. Medicaljargon cansoundiexclusi
onaryandpaternalistictoaipatient.
3. Whichofthefollowingwouldibefoundionaihistoryform?
1. Age
2. Chiefcomplaint
3. Presenthealth
4. Familyhistory
5. Healthiinsuranceprovidera. 1,
4
b. 2,i3
c. 3,4,5
d. 1,i2,3,4
ANS: D
Age, chiefcomplaint, present health, andfamilyhistoryareitypicallyfoundionaihealthhistoryformibecau
seeach caniimpact thepatient’s health. Healthinsuranceproviderinformation, whileneededforbillingpur
poses,iwouldnotbeifoundonthehistoryform.
, 4. Externalfactorstherespiratorycareipractitionershouldimakeieffortstoprovideduringaninte
rviewincludeiwhichofthefollowing?
1. Minimizeorprevent interruptions.
2. Ensureprivacyduringidiscussions.
3. Intervieweristhesamesex as theipatienttopreventbias.
4. Becomfortableforthepatientiand interviewer.
a. 1,4
b. 2,i3
c. 1,2,4
d. 2,i3,4
ANS: C
Externalfactors,isuch as agoodiphysicalsetting, enhancetheinterviewingprocess. Regardlessioftheinter
viewsettingi(thepatient’s bedside, acrowdedemergencyroom, an officeinithehospitalorclinic, orthepati
ent’s home), effortsshouldbemadeito(1) ensureprivacy,(2)ipreventiinterruptions, and(3)isecureiacomfo
rtablephysicalenvironment (e.g., comfortableroomtemperature, sufficient lighting, absenceofnoise). A
ninterviewerofeither gender, whoactsprofessionally, shouldbeabletointerviewapatient ofeithergend er.
5. Therespiratorytherapistisiconductingapatientinterview.Thetherapistchoosestouseope n-
endedquestions.Open-endedquestionsallowthetherapisttodowhichiofthefollowing?
1. Gatherinformation whenapatientintroducesanewtopic.
2. Introduceianewsubjectiarea.
3. Begintheinterviewprocess.
4. Gatherspecificiinformation.
a. 4 NURSINGTB.COM
b. 1,i3
c. 1,2,3
d. 2,i3,4
ANS: C
Aniopen-
endedquestionishouldbeusedtoistarttheinterview,introduceanewsectioniofquestions,andgathermorei
nformationfromapatient’stopic.Closedordirectquestionsiareiusedtoigatherspecificiinformation.
6. Thedirectiquestioninterviewformatiisiusedto:
1. speeduptheiinterview.
2. letitheipatient fullyexplainihis/hersituation.
3. helptherespiratorytherapistshowempathy.
4. gatherspecificiinformation.
a. 1,4
b. 2,i3
c. 3,4
d. 1,i2,3
ANS: A
Directorclosedquestionsareibesttogatherspecificinformationandspeediuptheiinterview.Open-
endedquestionsareibestsuitedtoletthepatientfullyexplainihis/hersituationandipossiblyhelpitheirespi
ratorytherapistshowempathy.
, 7. Duringitheinterviewthepatientstates,―Everytime Iiclimbthestairs Iihave tostoptocatchmybr
eath.‖ Hearingthis, therespiratorytherapist replies, ―So, itsoundsilike yougetshortofbreathicl
imbingistairs.‖This interviewingitechniqueiis called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
Withreflection, partoftheipatient’s statementisrepeated. Thisletsthepatientknowthatwhathe/shes
aidiwasheard. Itialso encouragesitheipatient toielaborateonthetopic.
Clarification,modeling, andiempathyareiothercommunicationitechniques.
8. Therespiratorytherapistmaychoosetousethepatientinterviewtechniqueofisilenceinw
hichofthefollowingsituations?
a. Toprompttheipatienttoaskaquestion
b. Afteraidirectquestion
c. Afteranopen-endediquestion
d. Toallowtheipatienttoreviewhis/herhistory
ANS: C
Afterapatienthasanswered an open-
endedquestion, therespiratorytherapist shouldpause(useisilence) beforeaskingithenextquestion. Thisp
auseallowsitheipatienttoaddisomethingielsebefore movingon. Theipatientimayalsochoosetoaskaquesti
on.
9. Tohavethemostproductiveinterviewingsession, whichofthefollowingtypesofresponsesto as
sistinithei iinterviewshou
i UldtN
i S
RherINGesp
B.TiratorytOherapistiavoid?
i i
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
Withconfrontation,itheirespiratorytherapistifocusestheipatient’sattentiononanaction,feeling,orstateme
ntmadebythepatient. Thismaypromptafurtherdiscussion. Reflectionihelps thepatient focusonspecific
areasiand continuesiinihis/her owniway. Facilitationencouragespatients tosaymore, tocontinuewithitheis
tory. Therespiratorytherapist shouldavoidgivingadvice,iusingavoidancelanguage, andusingdistancin
glanguage.
10. Whenclosingtheinterview, therespiratorytherapist shoulddoiwhichofthefollowing?
1. Rechecktheipatient’svitalsigns.
2. Thankthepatient.
3. Askiftheipatientihasanyquestions.
4. Closethedoorbehindihimself/herselfforpatientprivacy.
a. 2
b. 2,i3
c. 1,3,4
d. 1,2,4iANS: B
, To endtheinterviewona positive note, theirespiratorytherapistishouldthankthepatient andaskifthepati
entihasanyquestions. If thereiisnoneedforthevitalsignstoibechecked, theyshouldnotibe. Thedoormayb
eleftopeniorclosed,dependingonthesituation.
11. Therespiratorytherapistshouldbeawareofapatient’scultureandreligiousbeliefsforwhi
choftheifollowingireasons?
a. Tobeabletoengageiniameaningfulconversation
b. To changeanymisguidednotionsthepatienthasthatimayimpacthis/herhealth
c. Toexplainitotheipatienthowthesebeliefsiwillleadtodiscriminationiandster
eotyping
d. Tobetterunderstandhowtheipatient’sbeliefsmayimpacthowthepatientthinksand
behaves
ANS: D
Cultureandreligiousbeliefsmayhaveaprofoundeffect onhowpatientsithinkiandbehave,iandthismayi
mpacttheirhealthorhealthcaredecisions. Theroleoftheirespiratory
therapist is nottochangeitheipatient’s beliefs, engageinsensitiveconversations, ordiscussdiscriminatio
n.Rather, theirespiratorytherapistineeds tounderstandhowthesebeliefsimayimpactithepatient’sihealth
caredecisions.
12. Whichofthefollowingareitheimostimportantcomponentsiofasuccessfulinterview?
a. Communicationandunderstanding
b. Authorityanditheuseofmedicalterminology
c. Providingassuranceiandgivingadvice
d. Askingileadingiquestionsandanticipatingipatientiresponsesitoquestions
ANS: A
U NRSINGB.C T
M
O interview.Authority, the use of
Communication andunderstanding are the basi s fo r a good patient
i i i i i i
medicaljargon, providingiassurance, givingadvice,askingleadingquestions,andanticipatingarealltyp es
ofnonproductivecommunicationformsiandcreatebarrierstopatientcommunication.
13. Therespiratorytherapistiisconductingaipatientinterviewandrecordingiresponsesinthepati
ent’s electronicihealth record. Theirespiratorytherapist shouldtakeiwhichofitheifollowingii
ntoaccountregardingtheuseiofthecomputertorecordresponses?
a. Thetherapist’s attentionmaybeishiftedfromtheipatienttothecomputer.
b. Thepatientwillfeelmoreimportantthaniftheiinformationisrecordedionpaper.
c. Thetherapistiwillbelesslikelytomakespellingierrorsiifusingaispell-
checkiprogram.
d. Theenvironmentwillbeimoreprofessionalandthepatientwillbemoreilikelytoope
niupiftheinterviewisconductediwithipaper.
ANS: A
Theitherapist’siuseoftheicomputercanbeithreateningiandmay,insomeicases,beapotentialhazardtoigoo
dpatientcommunication. Thepatient can beintimidatedtothepointof―shuttingidown.‖ In addition, the t
herapist whohastoshiftfocusfromthepatienttothecomputer canimiss importantverbal andnonverbal
messages.
