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