,Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th
DF DF DF DF DF DF DF DF DF
Edition
DF
Chapter 01: The Patient Interview
DF DF DF DF
MULTIPLEDFCHOICE
1. TheDFrespiratoryDFcareDFpractitionerDFisDFconductingDFaDFpatientDFinterview.DFTheDFmainDFpurpose
DFofDFthisDFinterviewDFisDFto:
a. reviewDFdataDFwithDFtheDFpatient.
b. gatherDFsubjectiveDFdataDFfromDFtheDFpatient.
c. gatherDFobjectiveDFdataDFfromDFtheDFpatient.
d. fillDFoutDFtheDFhistoryDFformDForDFchecklist.
ANS:D F B
TheDFinterviewDFisDFaDFmeetingDFbetweenDFtheDFrespiratoryDFcareDFpractitionerDFandDFtheDFpatie
nt.DFItDFallowsDFtheDFcollectionDFofDFsubjectiveDFdataDFaboutDFtheDFpatient’sDFfeelingsDFregardin
gDFhis/herDFcondition.DFTheDFhistoryDFshouldDFbeDFdoneDFbeforeDFtheDFinterview.DFAlthoughDFda
taDFcanDFbeDFreviewed,DFthatDFisnotDFtheDFprimaryDFpurposeDFofDFtheDFinterview.
2. ForDFthereDFtoDFbeDFaDFsuccessfulDFinterview,DFtheDFrespiratoryDFtherapistDFmust:
a. provideDFleadingDFquestionsDFtoDFguideDFtheDFpatient.
b. reassureDFtheDFpatient.
c. beDFanDFactiveDFlistener.
d. useDFmedicalDFterminologyDFtoDFshowDFknowledgeDFofDFtheDFsubjectDFmatter.
ANS:D F C
TheDFpersonalDFqualitiesDFthatDFaDFrespUirDFat oSr yDFtNh e r DFaTpDFiDFsDFtDFm u Os DFtDFhaveDFtoDFconductDFaDFsuccessfulD F int
erviewDFincludeDFbeingDFanDFactiveDFlistener,DFhavingDFaDFgenuineDFconcernDFforDFtheDFpatient,DFandDFhaving
DFempathy.DFLeadingDFquestionsDFmustDFbeDFavoided.DFReassuranceDFmayDFprovideDFaDFfalseDFsenseDFofDFc
omfortDFtoD F theD F patient.
MedicalDFjargonDFcanDFsoundDFexclusionaryDFandDFpaternalisticDFtoDFaDFpatient.
3. WhichDFofDFtheDFfollowingDFwouldDFbeDFfoundDFonDFaDFhistoryDFform?
1. Age
2. ChiefDFcomplaint
3. PresentDFhealth
4. FamilyDFhistory
5. HealthDFinsuranceDFprovidera.DF1,
4
b. 2,DF3
c. 3,DF4,DF5
d. 1,DF2,DF3,DF4
ANS:D F D
Age,DFchiefDFcomplaint,DFpresentDFhealth,DFandDFfamilyDFhistoryDFareDFtypicallyDFfoundDFonDFaDFhealt
hDFhistoryDFformDFbecauseDFeachDFcanDFimpactDFtheDFpatient’sDFhealth.DFHealthDFinsuranceDFprovider
DFinformation,DFwhileDFneededDFforbillingDFpurposes, DFwouldDFnotDFbeDFfoundDFonDFtheDFhistoryDFfor
m.
, 4. ExternalDFfactorsDFtheDFrespiratoryDFcareDFpractitionerDFshouldDFmakeDFeffortsDFtoDFprovideDFdu
ringDFanDFinterviewDFincludeDFwhichDFofDFtheDFfollowing?
1. MinimizeDForDFpreventDFinterruptions.
2. EnsureDFprivacyDFduringDFdiscussions.
3. InterviewerDFisDFtheDFsameDFsexDFasDFtheDFpatientDFtoDFpreventDFbias.
4. BeDFcomfortableDFforDFtheDFpatientDFandDFinterviewer.
a. 1,DF4
b. 2,DF3
c. 1,DF2,DF 4
d. 2,DF3,DF4
ANS:D F C
ExternalDFfactors,DFsuchDFasDFaDFgoodDFphysicalDFsetting,DFenhanceDFtheDFinterviewingDFprocess.DFRegardle
ssDFofDFtheDFinterviewDFsettingDF(theDFpatient’sDFbedside,DFaDFcrowdedDFemergencyDFroom,DFanDFofficeDFinDFth
eDFhospitalDForDFclinic,DForDFtheDFpatient’sDFhome),DFeffortsDFshouldDFbeDFmadeDFtoDF(1)DFensureDFprivacy,DF(2
)DFpreventDFinterruptions,DFandDF(3)DFsecureDFaDFcomfortableDFphysicalDFenvironmentDF(e.g.,DFcomfortableDF
roomDFtemperature,DFsufficientDFlighting,DFabsenceDFofDFnoise).DFAnDFinterviewerDFofDFeitherDFgender,DFwh
oDFactsDFprofessionally,DFshouldDFbeDFableDFtoDFinterviewDFaDFpatientDFofDFeitherDFgender.
5. TheDFrespiratoryDFtherapistDFisDFconductingDFaDFpatientDFinterview.DFTheDFtherapistDFchooses
DFtoDFuseDFopen-endedDFquestions.DFOpen-
endedDFquestionsDFallowDFtheDFtherapistDFtoDFdoDFwhichDFofDFtheDFfollowing?
1. GatherDFinformationDFwhenDFaDFpatientDFintroducesDFaDFnewDFtopic.
2. IntroduceDFaDFnewDFsubjectDFarea.
3. BeginDFtheDFinterviewDFprocess.
4. GatherDFspecificDFinformation.
a. 4 NURSINGTB.COM
b. 1,DF3
c. 1,DF2,DF
3
d. 2,DF3,DF
4
ANS:D F
C
AnDFopen-
endedDFquestionDFshouldDFbeDFusedDFtoDFstartDFtheDFinterview,DFintroduceDFaDFnewDFsectionDFofDFquestions,D
FandDFgatherDFmoreDFinformationDFfromDFaDFpatient’sDFtopic.DFClosedDForDFdirectDFquestionsDFareDFusedDFtoD
FgatherDFspecificDFinformation.
6. TheDFdirectDFquestionDFinterviewDFformatDFisDFusedDFto:
1. speedDFupDFtheDFinterview.
2. letDFtheDFpatientDFfullyDFexplainDFhis/herDFsituation.
3. helpDFtheDFrespiratoryDFtherapistDFshowDFempathy.
4. gatherDFspecificDFinformation.
a. 1,DF4
b. 2,DF3
c. 3,DF4
d. 1,DF2,DF3
ANS:D F A
DirectDForDFclosedDFquestionsDFareDFbestDFtoDFgatherDFspecificDFinformationDFandDFspeedDFupDFtheDFintervie
w.DFOpen-
DFendedDFquestionsDFareDFbestDFsuitedDFtoDFletDFtheDFpatientDFfullyDFexplainDFhis/herDFsituationDFandDFpossib
lyDFhelpDFtheDFrespiratoryDFtherapistDFshowDFempathy.
, 7. DuringDFtheDFinterviewDFtheDFpatientDFstates,DF“EveryDFtimeDFIDFclimbDFtheDFstairsDFIDFhaveDFtoDFst
opDFtoDFcatchDFmyDFbreath.”DFHearingDFthis,DFtheDFrespiratoryDFtherapistDFreplies,DF“So,DFitDFsoun
dsDFlikeDFyouDFgetDFshortDFofDFbreathDFclimbingDFstairs.”DFThisDFinterviewingDFtechniqueDFisDFcall
ed:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:D F D
WithDFreflection,DFpartDFofDFtheDFpatient’sDFstatementDFisDFrepeated.DFThisDFletsDFtheDFpatientDFknowDFthatDFw
hatDFhe/sheDFsaidDFwasDFheard.DFItDFalsoDFencouragesDFtheDFpatientDFtoDFelaborateDFonDFtheDFtopic.
Clarification,DFmodeling,DFandDFempathyDFareDFotherDFcommunicationDFtechniques.
8. TheDFrespiratoryDFtherapistDFmayDFchooseDFtoDFuseDFtheDFpatientDFinterviewDFtechniqueDFofDF
silenceDFinDFwhichDFofDFtheDFfollowingDFsituations?
a. ToDFpromptDFtheDFpatientDFtoDFaskDFaDFquestion
b. AfterDFaDFdirectDFquestion
c. AfterDFanDFopen-endedDFquestion
d. ToDFallowDFtheDFpatientDFtoDFreviewDFhis/herDFhistory
ANS:D F C
AfterDFaDFpatientDFhasDFansweredDFanDFopen-
endedDFquestion,DFtheDFrespiratoryDFtherapistDFshouldDFpauseDF(useDFsilence)DFbeforeDFaskingDFtheDFnextDF
question.DFThisDFpauseDFallowsDFtheDFpatientDFtoDFaddDFsomethingDFelseDFbeforeDFmovingDFon.DFTheDFpatie
ntDFmayDFalsoDFchooseDFtoDFaskDFaDFquestion.
9. ToDFhaveDFtheDFmostDFproductiveDFinterviewingDFsession,DFwhichDFofDFtheDFfollowingDFtypesDFofDFre
sponsesDFtoDFassistDFinDFtheDFinterviewDFsDFh No DFuDFURl d D F t I
S h eGr DFN eB.s p T ir a DFtoryDFtOherapistDFavoid
?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:D F D
WithDFconfrontation,DFtheDFrespiratoryDFtherapistDFfocusesDFtheDFpatient’sDFattentionDFonDFanDFaction,DFfe
eling,DForDFstatementDFmadeDFbyDFtheDFpatient.DFThisDFmayDFpromptDFaDFfurtherDFdiscussion.DFReflection
DFhelpsDFtheDFpatientDFfocusDFonDFspecificDFareasDFandDFcontinuesDFinDFhis/herDFownDFway.DFFacilitationDF
encouragesDFpatientsDFtoDFsayDFmore,DFtoDFcontinueDFwithDFtheDFstory.DFTheDFrespiratoryDFtherapistDFsho
uldDFavoidDFgivingDFadvice,DFusingDFavoidanceDFlanguage,DFandDFusingDFdistancingDFlanguage.
10. WhenDFclosingDFtheDFinterview,DFtheDFrespiratoryDFtherapistDFshouldDFdoDFwhichDFofDFtheDFfollowing?
1. RecheckDFtheDFpatient’sDFvitalDFsigns.
2. ThankDFtheDFpatient.
3. AskDFifDFtheDFpatientDFhasDFanyDFquestions.
4. CloseDFtheDFdoorDFbehindDFhimself/herselfDFforDFpatientDFprivacy.
a. 2
b. 2,DF3
c. 1,DF3,DF4
d. 1,DF2,DF4DFANS:D F B
DF DF DF DF DF DF DF DF DF
Edition
DF
Chapter 01: The Patient Interview
DF DF DF DF
MULTIPLEDFCHOICE
1. TheDFrespiratoryDFcareDFpractitionerDFisDFconductingDFaDFpatientDFinterview.DFTheDFmainDFpurpose
DFofDFthisDFinterviewDFisDFto:
a. reviewDFdataDFwithDFtheDFpatient.
b. gatherDFsubjectiveDFdataDFfromDFtheDFpatient.
c. gatherDFobjectiveDFdataDFfromDFtheDFpatient.
d. fillDFoutDFtheDFhistoryDFformDForDFchecklist.
ANS:D F B
TheDFinterviewDFisDFaDFmeetingDFbetweenDFtheDFrespiratoryDFcareDFpractitionerDFandDFtheDFpatie
nt.DFItDFallowsDFtheDFcollectionDFofDFsubjectiveDFdataDFaboutDFtheDFpatient’sDFfeelingsDFregardin
gDFhis/herDFcondition.DFTheDFhistoryDFshouldDFbeDFdoneDFbeforeDFtheDFinterview.DFAlthoughDFda
taDFcanDFbeDFreviewed,DFthatDFisnotDFtheDFprimaryDFpurposeDFofDFtheDFinterview.
2. ForDFthereDFtoDFbeDFaDFsuccessfulDFinterview,DFtheDFrespiratoryDFtherapistDFmust:
a. provideDFleadingDFquestionsDFtoDFguideDFtheDFpatient.
b. reassureDFtheDFpatient.
c. beDFanDFactiveDFlistener.
d. useDFmedicalDFterminologyDFtoDFshowDFknowledgeDFofDFtheDFsubjectDFmatter.
ANS:D F C
TheDFpersonalDFqualitiesDFthatDFaDFrespUirDFat oSr yDFtNh e r DFaTpDFiDFsDFtDFm u Os DFtDFhaveDFtoDFconductDFaDFsuccessfulD F int
erviewDFincludeDFbeingDFanDFactiveDFlistener,DFhavingDFaDFgenuineDFconcernDFforDFtheDFpatient,DFandDFhaving
DFempathy.DFLeadingDFquestionsDFmustDFbeDFavoided.DFReassuranceDFmayDFprovideDFaDFfalseDFsenseDFofDFc
omfortDFtoD F theD F patient.
MedicalDFjargonDFcanDFsoundDFexclusionaryDFandDFpaternalisticDFtoDFaDFpatient.
3. WhichDFofDFtheDFfollowingDFwouldDFbeDFfoundDFonDFaDFhistoryDFform?
1. Age
2. ChiefDFcomplaint
3. PresentDFhealth
4. FamilyDFhistory
5. HealthDFinsuranceDFprovidera.DF1,
4
b. 2,DF3
c. 3,DF4,DF5
d. 1,DF2,DF3,DF4
ANS:D F D
Age,DFchiefDFcomplaint,DFpresentDFhealth,DFandDFfamilyDFhistoryDFareDFtypicallyDFfoundDFonDFaDFhealt
hDFhistoryDFformDFbecauseDFeachDFcanDFimpactDFtheDFpatient’sDFhealth.DFHealthDFinsuranceDFprovider
DFinformation,DFwhileDFneededDFforbillingDFpurposes, DFwouldDFnotDFbeDFfoundDFonDFtheDFhistoryDFfor
m.
, 4. ExternalDFfactorsDFtheDFrespiratoryDFcareDFpractitionerDFshouldDFmakeDFeffortsDFtoDFprovideDFdu
ringDFanDFinterviewDFincludeDFwhichDFofDFtheDFfollowing?
1. MinimizeDForDFpreventDFinterruptions.
2. EnsureDFprivacyDFduringDFdiscussions.
3. InterviewerDFisDFtheDFsameDFsexDFasDFtheDFpatientDFtoDFpreventDFbias.
4. BeDFcomfortableDFforDFtheDFpatientDFandDFinterviewer.
a. 1,DF4
b. 2,DF3
c. 1,DF2,DF 4
d. 2,DF3,DF4
ANS:D F C
ExternalDFfactors,DFsuchDFasDFaDFgoodDFphysicalDFsetting,DFenhanceDFtheDFinterviewingDFprocess.DFRegardle
ssDFofDFtheDFinterviewDFsettingDF(theDFpatient’sDFbedside,DFaDFcrowdedDFemergencyDFroom,DFanDFofficeDFinDFth
eDFhospitalDForDFclinic,DForDFtheDFpatient’sDFhome),DFeffortsDFshouldDFbeDFmadeDFtoDF(1)DFensureDFprivacy,DF(2
)DFpreventDFinterruptions,DFandDF(3)DFsecureDFaDFcomfortableDFphysicalDFenvironmentDF(e.g.,DFcomfortableDF
roomDFtemperature,DFsufficientDFlighting,DFabsenceDFofDFnoise).DFAnDFinterviewerDFofDFeitherDFgender,DFwh
oDFactsDFprofessionally,DFshouldDFbeDFableDFtoDFinterviewDFaDFpatientDFofDFeitherDFgender.
5. TheDFrespiratoryDFtherapistDFisDFconductingDFaDFpatientDFinterview.DFTheDFtherapistDFchooses
DFtoDFuseDFopen-endedDFquestions.DFOpen-
endedDFquestionsDFallowDFtheDFtherapistDFtoDFdoDFwhichDFofDFtheDFfollowing?
1. GatherDFinformationDFwhenDFaDFpatientDFintroducesDFaDFnewDFtopic.
2. IntroduceDFaDFnewDFsubjectDFarea.
3. BeginDFtheDFinterviewDFprocess.
4. GatherDFspecificDFinformation.
a. 4 NURSINGTB.COM
b. 1,DF3
c. 1,DF2,DF
3
d. 2,DF3,DF
4
ANS:D F
C
AnDFopen-
endedDFquestionDFshouldDFbeDFusedDFtoDFstartDFtheDFinterview,DFintroduceDFaDFnewDFsectionDFofDFquestions,D
FandDFgatherDFmoreDFinformationDFfromDFaDFpatient’sDFtopic.DFClosedDForDFdirectDFquestionsDFareDFusedDFtoD
FgatherDFspecificDFinformation.
6. TheDFdirectDFquestionDFinterviewDFformatDFisDFusedDFto:
1. speedDFupDFtheDFinterview.
2. letDFtheDFpatientDFfullyDFexplainDFhis/herDFsituation.
3. helpDFtheDFrespiratoryDFtherapistDFshowDFempathy.
4. gatherDFspecificDFinformation.
a. 1,DF4
b. 2,DF3
c. 3,DF4
d. 1,DF2,DF3
ANS:D F A
DirectDForDFclosedDFquestionsDFareDFbestDFtoDFgatherDFspecificDFinformationDFandDFspeedDFupDFtheDFintervie
w.DFOpen-
DFendedDFquestionsDFareDFbestDFsuitedDFtoDFletDFtheDFpatientDFfullyDFexplainDFhis/herDFsituationDFandDFpossib
lyDFhelpDFtheDFrespiratoryDFtherapistDFshowDFempathy.
, 7. DuringDFtheDFinterviewDFtheDFpatientDFstates,DF“EveryDFtimeDFIDFclimbDFtheDFstairsDFIDFhaveDFtoDFst
opDFtoDFcatchDFmyDFbreath.”DFHearingDFthis,DFtheDFrespiratoryDFtherapistDFreplies,DF“So,DFitDFsoun
dsDFlikeDFyouDFgetDFshortDFofDFbreathDFclimbingDFstairs.”DFThisDFinterviewingDFtechniqueDFisDFcall
ed:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:D F D
WithDFreflection,DFpartDFofDFtheDFpatient’sDFstatementDFisDFrepeated.DFThisDFletsDFtheDFpatientDFknowDFthatDFw
hatDFhe/sheDFsaidDFwasDFheard.DFItDFalsoDFencouragesDFtheDFpatientDFtoDFelaborateDFonDFtheDFtopic.
Clarification,DFmodeling,DFandDFempathyDFareDFotherDFcommunicationDFtechniques.
8. TheDFrespiratoryDFtherapistDFmayDFchooseDFtoDFuseDFtheDFpatientDFinterviewDFtechniqueDFofDF
silenceDFinDFwhichDFofDFtheDFfollowingDFsituations?
a. ToDFpromptDFtheDFpatientDFtoDFaskDFaDFquestion
b. AfterDFaDFdirectDFquestion
c. AfterDFanDFopen-endedDFquestion
d. ToDFallowDFtheDFpatientDFtoDFreviewDFhis/herDFhistory
ANS:D F C
AfterDFaDFpatientDFhasDFansweredDFanDFopen-
endedDFquestion,DFtheDFrespiratoryDFtherapistDFshouldDFpauseDF(useDFsilence)DFbeforeDFaskingDFtheDFnextDF
question.DFThisDFpauseDFallowsDFtheDFpatientDFtoDFaddDFsomethingDFelseDFbeforeDFmovingDFon.DFTheDFpatie
ntDFmayDFalsoDFchooseDFtoDFaskDFaDFquestion.
9. ToDFhaveDFtheDFmostDFproductiveDFinterviewingDFsession,DFwhichDFofDFtheDFfollowingDFtypesDFofDFre
sponsesDFtoDFassistDFinDFtheDFinterviewDFsDFh No DFuDFURl d D F t I
S h eGr DFN eB.s p T ir a DFtoryDFtOherapistDFavoid
?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:D F D
WithDFconfrontation,DFtheDFrespiratoryDFtherapistDFfocusesDFtheDFpatient’sDFattentionDFonDFanDFaction,DFfe
eling,DForDFstatementDFmadeDFbyDFtheDFpatient.DFThisDFmayDFpromptDFaDFfurtherDFdiscussion.DFReflection
DFhelpsDFtheDFpatientDFfocusDFonDFspecificDFareasDFandDFcontinuesDFinDFhis/herDFownDFway.DFFacilitationDF
encouragesDFpatientsDFtoDFsayDFmore,DFtoDFcontinueDFwithDFtheDFstory.DFTheDFrespiratoryDFtherapistDFsho
uldDFavoidDFgivingDFadvice,DFusingDFavoidanceDFlanguage,DFandDFusingDFdistancingDFlanguage.
10. WhenDFclosingDFtheDFinterview,DFtheDFrespiratoryDFtherapistDFshouldDFdoDFwhichDFofDFtheDFfollowing?
1. RecheckDFtheDFpatient’sDFvitalDFsigns.
2. ThankDFtheDFpatient.
3. AskDFifDFtheDFpatientDFhasDFanyDFquestions.
4. CloseDFtheDFdoorDFbehindDFhimself/herselfDFforDFpatientDFprivacy.
a. 2
b. 2,DF3
c. 1,DF3,DF4
d. 1,DF2,DF4DFANS:D F B
