Test Bank - Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition (Des Jardins, 2024), Chapter 1-45 | All Chapters

,Chapter 01: The Patient Interview x x x x



Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition
x x x x x x x x x x




MULTIPLE CHOICE x




1. The respiratory care practitioner is conducting a patient interview. The main purpose of this int
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erview is to: x x


a. review data with the patient. x x x x


b. gather subjective data from the patient. x x x x x


c. gather objective data from the patient. x x x x x


d. fill out the history form or checklist. x x x x x x




ANS: B x


The interview is a meeting between the respiratory care practitioner and the patient. It allows the collecti
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on of subjective data about the patient’s feelings regarding his/her
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condition. The history should be done before the interview. Although data can be reviewed, tha x x x x x x x x x x x x x x


t is not the primary purpose of the interview.
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2. For there to be a successful interview, the respiratory therapist must:
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a. provide leading questions to guide the patient. x x x x x x


b. reassure the patient. x x


c. be an active listener. x x x


d. use medical terminology to show knowledge of the subject matter.
x x x x x x x x x




ANS: C x
N R I G B.C M
The personal qualities that a respiratory U S N Tmust have toOconduct a successful interview include
x x x x x

x x x
x therapist x x x x x x x x x x x x x


being an active listener, having a genuine concern for the patient, and having empathy. Leading question
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s must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical jargon can s
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ound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form?
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1. Age
2. Chief complaint x


3. Present health x


4. Family history x


5. Health insurance provider x x


a. 1, 4 x


b. 2, 3 x


c. 3, 4, 5 x x


d. 1, 2, 3, 4 x x x




ANS: D x


Age, chief complaint, present health, and family history are typically found on a health history form
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because each can impact the patient’s health. Health insurance provider information, while needed f
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or billing purposes, would not be found on the history form.
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NURSINGTB.COM

, 4. External factors the respiratory care practitioner should make efforts to provide during an in
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terview include which of the following? x x x x x


1. Minimize or prevent interruptions. x x x


2. Ensure privacy during discussions. x x x


3. Interviewer is the same sex as the patient to prevent bias. x x x x x x x x x x


4. Be comfortable for the patient and interviewer.
x x x x x x


a. 1, 4 x


b. 2, 3 x


c. 1, 2, 4 x x


d. 2, 3, 4 x x




ANS: C xx


External factors, such as a good physical setting, enhance the interviewing process. Regardless of the int
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erview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic, or the
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xpatient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3) secure a
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comfortable physical environment (e.g., comfortable room temperature, sufficient lighting, absence of n
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oise). An interviewer of either gender, who acts professionally, should be able to interview a patient of ei
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ther gender.x




5. The respiratory therapist is conducting a patient interview. The therapist chooses to use op
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en-ended questions. Open- x x


ended questions allow the therapist to do which of the following?
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1. Gather information when a patient introduces a new topic. x x x x x x x x


2. Introduce a new subject area. x x x x


3. Begin the interview process. x x x


4. Gather specific information. x x


a. 4 NURSINGTB.COM
b. 1, 3 x


c. 1, 2, 3 x x


d. 2, 3, 4 x x




ANS: C xx


An open-x


ended question should be used to start the interview, introduce a new section of questions, and gather mor
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e information from a patient’s topic. Closed or direct questions are used to gather specific information.
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6. The direct question interview format is used to:
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1. speed up the interview. x x x


2. let the patient fully explain his/her situation.
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3. help the respiratory therapist show empathy. x x x x x


4. gather specific information. x x


a. 1, 4 x


b. 2, 3 x


c. 3, 4 x


d. 1, 2, 3 x x




ANS: A xx


Direct or closed questions are best to gather specific information and speed up the interview. Open-
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ended questions are best suited to let the patient fully explain his/her situation and possibly help the res
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piratory therapist show empathy.x x x

, 7. During the interview the patient states, ―Every time I climb the stairs I have to stop to catch my
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breath.‖ Hearing this, the respiratory therapist replies, ―So, it sounds like you get short of bre
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ath climbing stairs.‖ This interviewing technique is called:
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a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D x


With reflection, part of the patient’s statement is repeated. This lets the patient know that what he/sh
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e said was heard. It also encourages the patient to elaborate on the topic.
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Clarification, modeling, and empathy are other communication techniques. x x x x x x x




8. The respiratory therapist may choose to use the patient interview technique of silence in
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which of the following situations? x x x x


a. To prompt the patient to ask a question x x x x x x x


b. After a direct question x x x


c. After an open-ended question x x x


d. To allow the patient to review his/her history
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ANS: C x


After a patient has answered an open-
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ended question, the respiratory therapist should pause (use silence) before asking the next question. This
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pause allows the patient to add something else before moving on. The patient may also choose to ask a qu
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estion.

9. To have the most productive interviewing session, which of the following types of responses to
x
NldRtSIheGrB.
assist in the interview shouU x
NespTiratory tOherapist avoid?
x


x
x


x
x


x
x
x
x
x x
x
x
x x


x
x x x


x
x x x x x




a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D x


With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or state
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ment made by the patient. This may prompt a further discussion. Reflection helps the patient focus on sp
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ecific areas and continues in his/her own way. Facilitation encourages patients to say more, to continue
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with the story. The respiratory therapist should avoid giving advice, using avoidance language, and usin
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g distancing language.
x x




10. When closing the interview, the respiratory therapist should do which of the following?
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1. Recheck the patient’s vital signs. x x x x


2. Thank the patient. x x


3. Ask if the patient has any questions. x x x x x x


4. Close the door behind himself/herself for patient privacy. x x x x x x x


a. 2
b. 2, 3 x


c. 1, 3, 4 x x


d. 1, 2, 4 ANS: B
x x x x