Clinical Manifestations and Assessment of Respiratory Disease
*s *s *s *s *s *s
by Terry Des Jardins, George G. Burton
*s *s *s *s *s *s *s
9th Edition. *s
FULL TEST BANK!!!
*s *s
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,Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 9th
Edition Jardins
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th
Edition
Chapter 01: The Patient Interview
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed,that is
not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
N R I G B.C M
The personal qualities that a respiratoryUtheS
rapiN
st mTu s t haveOto conduct a successful interview include
being an active listener, having a genuine concern for the patient, and having empathy. Leading questions
must be avoided. Reassurance may provide a false sense of comfort to the patient. Medicaljargon can
sound exclusionary and paternalistic to a patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance providera. 1,
4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health history form
because each can impact the patient’s health. Health insurance provider information, whileneeded for
billing purposes, would not be found on the history form.
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, 4. External *sfactors *sthe *srespiratory *scare *spractitioner *sshould *smake *sefforts *sto *sprovide
*sduring *san *sinterview *sinclude *swhich *sof *sthe *sfollowing?
1. Minimize *sor *sprevent *sinterruptions.
2. Ensure *sprivacy *sduring *sdiscussions.
3. Interviewer *sis *sthe *ssame *ssex *sas *sthe *spatient *sto *sprevent *sbias.
4. Be*scomfortable *sfor *sthe *spatient *sand *sinterviewer.
a. 1, * s 4
b. 2, *s3
c. 1, *s2, * s 4
d. 2, *s3, *s4
ANS: * s C
External *sfactors, *ssuch *sas *sa *sgood *sphysical *ssetting, *senhance *sthe *sinterviewing *sprocess. *sRegardless
*sof *sthe *sinterview *ssetting *s(the *spatient’s *sbedside, *sa *scrowded *semergency *sroom, *san *soffice *sin *sthe
*shospital *sor *sclinic, *sor *sthe *spatient’s *shome), *sefforts *sshould *sbe *smade *sto *s(1) *sensure *sprivacy, *s(2)
*sprevent *sinterruptions, *sand *s(3) *ssecure *sa *scomfortable *sphysical *senvironment *s(e.g., *scomfortable
*sroom *stemperature, *ssufficient *slighting, *sabsence *sof *snoise). *sAn *sinterviewer *sof *seither *sgender, *swho
*sacts *sprofessionally, *sshould *sbe *sable *sto *sinterview *sa *spatient *sof *seither *sgender.
5. The *srespiratory *stherapist *sis *sconducting *sa *spatient *sinterview. *sThe *stherapist *schooses *sto
*suse *sopen-ended *squestions. *sOpen-ended *squestions *sallow *sthe *stherapist *sto *sdo
*swhich *sof *sthe *sfollowing?
1. Gather *sinformation *swhen *sa *spatient *sintroduces *sa *snew *stopic.
2. Introduce *sa *snew *ssubject *sarea.
3. Begin *sthe *sinterview *sprocess.
4. Gather *sspecific *sinformation.
a. 4 NURSINGTB.COM
b. 1, *s3
c. 1, *s2,
*s3
d. 2, *s3,
*s4
ANS:
* s C
An *sopen-ended *squestion *sshould *sbe *sused *sto *sstart *sthe *sinterview, *sintroduce *sa *snew *ssection *sof
*squestions, *sand *sgather *smore *sinformation *sfrom *sa *spatient’s *stopic. *sClosed *sor *sdirect *squestions *sare
*sused *sto *sgather *sspecific *sinformation.
6. The *sdirect *squestion *sinterview *sformat *sis *sused *sto:
1. speed *sup *sthe *sinterview.
2. let *sthe *spatient *sfully *sexplain *shis/her *ssituation.
3. help *sthe *srespiratory *stherapist *sshow *sempathy.
4. gather *sspecific *sinformation.
a. 1, * s 4
b. 2, *s3
c. 3, * s 4
d. 1, *s2, *s3
ANS: * s A
Direct *sor *sclosed *squestions *sare *sbest *sto *sgather *sspecific *sinformation *sand *sspeed *sup *sthe *sinterview.
*sOpen- *sended *squestions *sare *sbest *ssuited *sto *slet *sthe *spatient *sfully *sexplain *shis/her *ssituation *sand
*spossibly *shelp *sthe *srespiratory *stherapist *sshow *sempathy.
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, 7. During *sthe *sinterview *sthe *spatient *sstates, *s“Every*stime *sI *sclimb *sthe *sstairs *sI*shave *sto *sstop
*sto *scatch *smy *sbreath.” *sHearing *sthis, *sthe *srespiratory *stherapist *sreplies, *s“So, *sit *ssounds
*slike *syou *sget *sshort *sof *sbreath *sclimbing *sstairs.” *sThis *sinterviewing *stechnique *sis *scalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: * s D
With *sreflection, *spart *sof *sthe *spatient’s *sstatement *sis *srepeated. *sThis *slets *sthe *spatient *sknow *sthat
*swhat *she/she *ssaid *swas *sheard. *sIt *salso *sencourages *sthe *spatient *sto *selaborate *son *sthe *stopic.
Clarification, *smodeling, *sand *sempathy *sare *sother *scommunication *stechniques.
8. The *srespiratory*stherapist *smay*schoose *sto *suse *sthe *spatient *sinterview *stechnique *sof
*ssilence *sin *swhich *sof *sthe *sfollowing *ssituations?
a. To *sprompt *sthe *spatient *sto *sask *sa *squestion
b. After *sa *sdirect *squestion
c. After *san *sopen-ended *squestion
d. To *sallow *sthe *spatient *sto *sreview *shis/her *shistory
ANS: * s C
After *sa *spatient *shas *sanswered *san *sopen-ended *squestion, *sthe *srespiratory *stherapist *sshould *spause
*s(use *ssilence) *sbefore *sasking *sthe *snext *squestion. *sThis *spause *sallows *sthe *spatient *sto *sadd *ssomething
*selse *sbefore *smoving *son. *sThe *spatient *smay *salso *schoose *sto *sask *sa *squestion.
9. To *shave *sthe *smost *sproductive *sinterviewing *ssession, *swhich *sof *sthe *sfollowing *stypes *sof
N R I G B.
*sresponses *sto *sassist *sin *sthe *sinterview *ss h o u U l d *st S he r N e sp T irator y *stOherapist *s avoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: * s D
With *sconfrontation, *sthe *srespiratory*stherapist *sfocuses *sthe *spatient’s *sattention *son *san *saction, *sfeeling,
*sor *sstatement *smade *sby *sthe *spatient. *sThis *smay *sprompt *sa *sfurther *sdiscussion. *sReflection *shelps *sthe
*spatient *sfocus *son *sspecific *sareas *sand *scontinues *sin *shis/her *sown *sway. *sFacilitation *sencourages
*spatients *sto *ssay *smore, *sto *scontinue *swith *sthe *sstory. *sThe *srespiratory *stherapist *sshould *savoid
*sgiving *sadvice, *susing *savoidance *slanguage, *sand *susing *sdistancing *slanguage.
10. When *sclosing *sthe *sinterview, *sthe *srespiratory *stherapist *sshould *sdo *swhich *sof *sthe *sfollowing?
1. Recheck *sthe *spatient’s *svital *ssigns.
2. Thank *sthe *spatient.
3. Ask *sif *sthe *spatient *shas *sany *squestions.
4. Close *sthe *sdoor *sbehind *shimself/herself *sfor *spatient *sprivacy.
a. 2
b. 2, *s3
c. 1, *s3, *s4
d. 1, *s2, *s4 *sANS: * s B
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