,Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
u u u u u u u u u u
Edition
Chapter 01: The Patient Interview
u u u u
MULTIPLEuCHOICE
1. Theurespiratoryucareupractitioneruisuconductinguaupatientuinterview.uTheumainupurposeuofuthisui
nterviewuisuto:
a. reviewudatauwithutheupatient.
b. gatherusubjectiveudataufromutheupatient.
c. gatheruobjectiveudataufromutheupatient.
d. filluoututheuhistoryuformuoruchecklist.
ANS:u B
Theuinterviewuisuaumeetingubetweenutheurespiratoryucareupractitioneruandutheupatient.uItuallo
wsutheucollectionuofusubjectiveudatauaboututheupatient’sufeelingsuregardinguhis/herucondition.
uTheuhistoryushouldubeudoneubeforeutheuinterview.uAlthoughudataucanubeureviewed,uthatuisnot
utheuprimaryupurposeuofutheuinterview.
2. Foruthereutoubeuausuccessfuluinterview,utheurespiratoryutherapistumust:
a. provideuleadinguquestionsutouguideutheupatient.
b. reassureutheupatient.
c. beuanuactiveulistener.
d. useumedicaluterminologyutoushowuknowledgeuofutheusubjectumatter.
ANS:u C
TheupersonaluqualitiesuthatuaurespU iratoSryutN
heraTpistumuO
stuhaveutouconductuausuccessfuluinterviewuincludeubeing
u anu activeu listener,u havingu au genuineu concernu foru theu patient,u andu havingu empathy.u Leadinguquestionsum
ustubeuavoided.uReassuranceumayuprovideuaufalseusenseuofucomfortutou theu patient.
Medicalujargonucanusounduexclusionaryuandupaternalisticutouaupatient.
3. Whichuofutheufollowinguwouldubeufounduonuauhistoryuform?
1. Age
2. Chiefucomplaint
3. Presentuhealth
4. Familyuhistory
5. Healthuinsuranceuprovidera.u1,u
4
b.u2,u3
c.u3,u4,u5
d.u1,u2,u3,u4
ANS:u D
Age,uchiefucomplaint,upresentuhealth,uandufamilyuhistoryuareutypicallyufounduonuauhealthuhistoryuf
ormubecauseueachucanuimpactutheupatient’suhealth.uHealthuinsuranceuprovideruinformation,uwhileu
neededuforbillingupurposes,uwouldunotubeufounduonutheuhistoryuform.
, 4. Externalufactorsutheurespiratoryucareupractitionerushouldumakeueffortsutouprovideuduringuanui
nterviewuincludeuwhichu ofutheufollowing?
1. Minimizeuorupreventuinterruptions.
2. Ensureuprivacyuduringudiscussions.
3. Intervieweruisutheusameusexuasutheupatientutoupreventubias.
4. Beucomfortableuforutheupatientuanduinterviewer.u
a.u1,u 4
b.u2,u3
c.u 1,u2,u 4
d.uuu2,u3,u4
ANS:u C
Externalufactors,usuchuasuaugooduphysicalusetting,uenhanceutheuinterviewinguprocess.uRegardlessuofutheui
nterviewusettingu(theupatient’subedside,uaucrowdeduemergencyuroom,uanuofficeuinutheuhospitaluoruclinic,uor
utheupatient’suhome),ueffortsushouldubeumadeutou(1)uensureuprivacy,u(2)upreventuinterruptions,uandu(3)usec
ureuaucomfortableuphysicaluenvironmentu(e.g.,ucomfortableuroomutemperature,usufficientulighting,uabsen
ceuofunoise).uAnuintervieweruofueitherugender,uwhouactsuprofessionally,ushouldubeuableutouinterviewuaupat
ientuofueitherugender.
5. Theurespiratoryutherapistuisuconductinguaupatientuinterview.uTheutherapistuchoosesutouuseuo
pen-endeduquestions.uOpen-
endeduquestionsuallowutheutherapistutoudouwhichuofutheufollowing?
1. Gatheruinformationuwhenuaupatientuintroducesuaunewutopic.
2. Introduceuaunewusubjectuarea.
3. Beginutheuinterviewuprocess.
4. Gatheruspecificuinformation.
a.u4 NURSINGTB.COM
b.u1,u3
c.u 1,u2,u 3
d.uuu2,u3,u4
ANS:u C
Anuopen-
endeduquestionushouldubeuusedutoustartutheuinterview,uintroduceuaunewusectionuofuquestions,uandugatheru
moreuinformationufromuaupatient’sutopic.uCloseduorudirectuquestionsuareuusedutougatheruspecificuinforma
tion.
6. Theudirectuquestionuinterviewuformatuisuuseduto:
1. speeduuputheuinterview.
2. letutheupatientufullyuexplainuhis/herusituation.
3. helputheurespiratoryutherapistushowuempathy.
4. gatheruspecificuinformation.u
a.u1,u 4
b.uuu2,u3
c.u 3,u 4
d.uuu1,u2,u3
ANS:u A
Directuorucloseduquestionsuareubestutougatheruspecificuinformationuanduspeeduuputheuinterview.uOpen-
uendeduquestionsuareubestusuitedutouletutheupatientufullyuexplainuhis/herusituationuandupossiblyuhelputheur
espiratoryutherapistushowuempathy.
, 7. Duringuztheuzinterviewuztheuzpatientuzstates,uz“EveryuztimeuzIuzclimbuztheuzstairsuzIuzhaveuztouzstopuzt
ou zcatchuzm yu zbreath.”u zHearingu zthis,u ztheu zrespiratoryu ztherapistu zreplies,u z“So,u zitu zsoundsuzli
keuzyouuzgetuzshortuzofuzbreathuzclimbinguzstairs.”uzThisuzinterviewinguztechniqueuzisuzcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:u zu D
Withuzreflection,uzpartuzofuztheuzpatient’suzstatementuzisuzrepeated.uzThisuzletsuztheuzpatientuzknowuzthatu
zwhatzhe/sheuzsaiduzwasuzheard.uzItuzalsouzencouragesuztheuzpatientuztouzelaborateuzonuztheuztopic.
Clarification,uzmodeling,uzanduzempathyuzareuzotheruzcommunicationuztechniques.
8. Theuzrespiratoryuztherapistuzmayzchooseuztouzuseuztheuzpatientuzinterviewuztechniqueuzofuz
silencezinuzwhichuzofuztheuzfollowinguzsituations?
a. Touzpromptuztheuzpatientuztouzaskuzauzquestion
b. Afteruzauzdirectuzquestion
c. Afteruzanuzopen-endeduzquestion
d. Touzallowuztheuzpatientuztouzreviewuzhis/heruzhistory
ANS:u zu C
Afteruzauzpatientuzhasuzanswereduzanuzopen-
endeduzquestion,uztheuzrespiratoryuztherapistuzshoulduzpauseuz(useuzsilence)uzbeforeuzaskinguztheuznextuzq
uestion.uzThisuzpauseuzallowsuztheuzpatientuztouzadduzsomethinguzelseuzbeforezmovinguzon.uzTheuzpatientuz
mayuzalsouzchooseuztouzaskuzauzquestion.
9. Touzhaveuztheuzmostuzproductiveuzinterviewinguzsession,uzwhichuzofuztheuzfollowinguztypesuzofuzr
esponsesztouzassistuzinuztheuN
zinteR
rvieI
wuzsG B.lduztSheuzrNespTiratoryuztOherapistuzavoid?
houU
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:u zu D
Withuzconfrontation,uztheuzrespiratoryuztherapistuzfocusesuztheuzpatient’suzattentionuzonuzanuzaction,uzfe
eling,uzor zstatementuzmadeuzbyuztheuzpatient.uzThisuzmayuzpromptuzauzfurtheruzdiscussion.uzReflectionuzhel
psuztheuzpatientuzfocusuzonuzspecificuzareasuzanduzcontinuesuzinuzhis/heruzownuzway.uzFacilitationuzenco
uragesuzpatientsuztouzsayuzmore,uztouzcontinueuzwithuztheuzstory.uzTheuzrespiratoryuztherapistuzshoulduza
voiduzgivinguzadvice,uzusinguzavoidanceuzlanguage,uzanduzusinguzdistancinguzlanguage.
10. Whenuzclosinguztheuzinterview,uztheuzrespiratoryuztherapistuzshoulduzdouzwhichuzofuztheuzfollowing?
1. Recheckuztheuzpatient’suzvitaluzsigns.
2. Thankuztheuzpatient.
3. Askuzifuztheuzpatientuzhasuzanyuzquestions.
4. Closeuztheuzdooruzbehinduzhimself/herselfuzforuzpatientuzprivacy.
a. z2
b. z2,uz3
c. z1,uz3,uz4
d. z1,uz2,uz4uzANS:u zu B
u u u u u u u u u u
Edition
Chapter 01: The Patient Interview
u u u u
MULTIPLEuCHOICE
1. Theurespiratoryucareupractitioneruisuconductinguaupatientuinterview.uTheumainupurposeuofuthisui
nterviewuisuto:
a. reviewudatauwithutheupatient.
b. gatherusubjectiveudataufromutheupatient.
c. gatheruobjectiveudataufromutheupatient.
d. filluoututheuhistoryuformuoruchecklist.
ANS:u B
Theuinterviewuisuaumeetingubetweenutheurespiratoryucareupractitioneruandutheupatient.uItuallo
wsutheucollectionuofusubjectiveudatauaboututheupatient’sufeelingsuregardinguhis/herucondition.
uTheuhistoryushouldubeudoneubeforeutheuinterview.uAlthoughudataucanubeureviewed,uthatuisnot
utheuprimaryupurposeuofutheuinterview.
2. Foruthereutoubeuausuccessfuluinterview,utheurespiratoryutherapistumust:
a. provideuleadinguquestionsutouguideutheupatient.
b. reassureutheupatient.
c. beuanuactiveulistener.
d. useumedicaluterminologyutoushowuknowledgeuofutheusubjectumatter.
ANS:u C
TheupersonaluqualitiesuthatuaurespU iratoSryutN
heraTpistumuO
stuhaveutouconductuausuccessfuluinterviewuincludeubeing
u anu activeu listener,u havingu au genuineu concernu foru theu patient,u andu havingu empathy.u Leadinguquestionsum
ustubeuavoided.uReassuranceumayuprovideuaufalseusenseuofucomfortutou theu patient.
Medicalujargonucanusounduexclusionaryuandupaternalisticutouaupatient.
3. Whichuofutheufollowinguwouldubeufounduonuauhistoryuform?
1. Age
2. Chiefucomplaint
3. Presentuhealth
4. Familyuhistory
5. Healthuinsuranceuprovidera.u1,u
4
b.u2,u3
c.u3,u4,u5
d.u1,u2,u3,u4
ANS:u D
Age,uchiefucomplaint,upresentuhealth,uandufamilyuhistoryuareutypicallyufounduonuauhealthuhistoryuf
ormubecauseueachucanuimpactutheupatient’suhealth.uHealthuinsuranceuprovideruinformation,uwhileu
neededuforbillingupurposes,uwouldunotubeufounduonutheuhistoryuform.
, 4. Externalufactorsutheurespiratoryucareupractitionerushouldumakeueffortsutouprovideuduringuanui
nterviewuincludeuwhichu ofutheufollowing?
1. Minimizeuorupreventuinterruptions.
2. Ensureuprivacyuduringudiscussions.
3. Intervieweruisutheusameusexuasutheupatientutoupreventubias.
4. Beucomfortableuforutheupatientuanduinterviewer.u
a.u1,u 4
b.u2,u3
c.u 1,u2,u 4
d.uuu2,u3,u4
ANS:u C
Externalufactors,usuchuasuaugooduphysicalusetting,uenhanceutheuinterviewinguprocess.uRegardlessuofutheui
nterviewusettingu(theupatient’subedside,uaucrowdeduemergencyuroom,uanuofficeuinutheuhospitaluoruclinic,uor
utheupatient’suhome),ueffortsushouldubeumadeutou(1)uensureuprivacy,u(2)upreventuinterruptions,uandu(3)usec
ureuaucomfortableuphysicaluenvironmentu(e.g.,ucomfortableuroomutemperature,usufficientulighting,uabsen
ceuofunoise).uAnuintervieweruofueitherugender,uwhouactsuprofessionally,ushouldubeuableutouinterviewuaupat
ientuofueitherugender.
5. Theurespiratoryutherapistuisuconductinguaupatientuinterview.uTheutherapistuchoosesutouuseuo
pen-endeduquestions.uOpen-
endeduquestionsuallowutheutherapistutoudouwhichuofutheufollowing?
1. Gatheruinformationuwhenuaupatientuintroducesuaunewutopic.
2. Introduceuaunewusubjectuarea.
3. Beginutheuinterviewuprocess.
4. Gatheruspecificuinformation.
a.u4 NURSINGTB.COM
b.u1,u3
c.u 1,u2,u 3
d.uuu2,u3,u4
ANS:u C
Anuopen-
endeduquestionushouldubeuusedutoustartutheuinterview,uintroduceuaunewusectionuofuquestions,uandugatheru
moreuinformationufromuaupatient’sutopic.uCloseduorudirectuquestionsuareuusedutougatheruspecificuinforma
tion.
6. Theudirectuquestionuinterviewuformatuisuuseduto:
1. speeduuputheuinterview.
2. letutheupatientufullyuexplainuhis/herusituation.
3. helputheurespiratoryutherapistushowuempathy.
4. gatheruspecificuinformation.u
a.u1,u 4
b.uuu2,u3
c.u 3,u 4
d.uuu1,u2,u3
ANS:u A
Directuorucloseduquestionsuareubestutougatheruspecificuinformationuanduspeeduuputheuinterview.uOpen-
uendeduquestionsuareubestusuitedutouletutheupatientufullyuexplainuhis/herusituationuandupossiblyuhelputheur
espiratoryutherapistushowuempathy.
, 7. Duringuztheuzinterviewuztheuzpatientuzstates,uz“EveryuztimeuzIuzclimbuztheuzstairsuzIuzhaveuztouzstopuzt
ou zcatchuzm yu zbreath.”u zHearingu zthis,u ztheu zrespiratoryu ztherapistu zreplies,u z“So,u zitu zsoundsuzli
keuzyouuzgetuzshortuzofuzbreathuzclimbinguzstairs.”uzThisuzinterviewinguztechniqueuzisuzcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:u zu D
Withuzreflection,uzpartuzofuztheuzpatient’suzstatementuzisuzrepeated.uzThisuzletsuztheuzpatientuzknowuzthatu
zwhatzhe/sheuzsaiduzwasuzheard.uzItuzalsouzencouragesuztheuzpatientuztouzelaborateuzonuztheuztopic.
Clarification,uzmodeling,uzanduzempathyuzareuzotheruzcommunicationuztechniques.
8. Theuzrespiratoryuztherapistuzmayzchooseuztouzuseuztheuzpatientuzinterviewuztechniqueuzofuz
silencezinuzwhichuzofuztheuzfollowinguzsituations?
a. Touzpromptuztheuzpatientuztouzaskuzauzquestion
b. Afteruzauzdirectuzquestion
c. Afteruzanuzopen-endeduzquestion
d. Touzallowuztheuzpatientuztouzreviewuzhis/heruzhistory
ANS:u zu C
Afteruzauzpatientuzhasuzanswereduzanuzopen-
endeduzquestion,uztheuzrespiratoryuztherapistuzshoulduzpauseuz(useuzsilence)uzbeforeuzaskinguztheuznextuzq
uestion.uzThisuzpauseuzallowsuztheuzpatientuztouzadduzsomethinguzelseuzbeforezmovinguzon.uzTheuzpatientuz
mayuzalsouzchooseuztouzaskuzauzquestion.
9. Touzhaveuztheuzmostuzproductiveuzinterviewinguzsession,uzwhichuzofuztheuzfollowinguztypesuzofuzr
esponsesztouzassistuzinuztheuN
zinteR
rvieI
wuzsG B.lduztSheuzrNespTiratoryuztOherapistuzavoid?
houU
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:u zu D
Withuzconfrontation,uztheuzrespiratoryuztherapistuzfocusesuztheuzpatient’suzattentionuzonuzanuzaction,uzfe
eling,uzor zstatementuzmadeuzbyuztheuzpatient.uzThisuzmayuzpromptuzauzfurtheruzdiscussion.uzReflectionuzhel
psuztheuzpatientuzfocusuzonuzspecificuzareasuzanduzcontinuesuzinuzhis/heruzownuzway.uzFacilitationuzenco
uragesuzpatientsuztouzsayuzmore,uztouzcontinueuzwithuztheuzstory.uzTheuzrespiratoryuztherapistuzshoulduza
voiduzgivinguzadvice,uzusinguzavoidanceuzlanguage,uzanduzusinguzdistancinguzlanguage.
10. Whenuzclosinguztheuzinterview,uztheuzrespiratoryuztherapistuzshoulduzdouzwhichuzofuztheuzfollowing?
1. Recheckuztheuzpatient’suzvitaluzsigns.
2. Thankuztheuzpatient.
3. Askuzifuztheuzpatientuzhasuzanyuzquestions.
4. Closeuztheuzdooruzbehinduzhimself/herselfuzforuzpatientuzprivacy.
a. z2
b. z2,uz3
c. z1,uz3,uz4
d. z1,uz2,uz4uzANS:u zu B
