Complete test bank___ Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition by Terry Des Jardins, MEd, RRT and George G. Burton

TESTBANK
b

,Chapter 01: The Patient Interviewb b b b




MULTIPLE CHOICE b




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



a. review data with the patient. b b b b



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



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



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




ANS: B b



The interview is a meeting between the respiratory care practitioner and the patient. It allows the
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collection 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, that b b b b b b b b b b b b b b



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. b b b b b b



b. reassure the patient. b b



c. be an active listener. b b b



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




ANS: C b




The personal qualities that a respiratory therapist must have to conduct a successful interview include
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being an active listener, having a genuine concern for the patient, and having empathy. Leading
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questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
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jargon can sound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form? b b b b b b b b b b



1. Age
2. Chief complaint b



3. Present health b



4. Family history b



5. Health insurance provider b b



a. 1, 4 b



b. 2, 3 b



c. 3, 4, 5 b b



d. 1, 2, 3, 4 b b b




ANS: D b



Age, chief complaint, present health, and family history are typically found on a health history
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form because each can impact the patient’s health. Health insurance provider information, while
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needed for billing purposes, would not be found on the history form.
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, 4. External factors the respiratory care practitioner should make efforts to provide during an
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interview include which of the following?
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1. Minimize or prevent interruptions. b b b



2. Ensure privacy during discussions. b b b



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



4. Be comfortable for the patient and interviewer.
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a. 1, 4 b



b. 2, 3 b



c. 1, 2, 4 b b



d. 2, 3, 4 b b




ANS: C b



External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
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interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic, or
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the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
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secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
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absence of noise). An interviewer of either gender, who acts professionally, should be able to interview
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a patient of either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
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open-ended questions. Open-ended questions allow the therapist to do which of the
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following? b



1. Gather information when a patient introduces a new topic. b b b b b b b b



2. Introduce a new subject area. b b b b



3. Begin the interview process. b b b



4. Gather specific information. b b



a. 4
b. 1, 3 b



c. 1, 2, 3 b b



d. 2, 3, 4 b b




b ANS:
b C

An open-ended question should be used to start the interview, introduce a new section of questions, and
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gather more information from a patient’s topic. Closed or direct questions are used to gather specific
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information.
b




6. The direct question interview format is used to:
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1. speed up the interview. b b b



2. let the patient fully explain his/her situation.
b b b b b b



3. help the respiratory therapist show empathy. b b b b b



4. gather specific information. b b



a. 1, 4 b



b. 2, 3 b



c. 3, 4 b



d. 1, 2, 3 b b




ANS: A b



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
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respiratory therapist show empathy.
b b b b

, 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
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breath climbing stairs.” This interviewing technique is called:
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a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D b



With reflection, part of the patient’s statement is repeated. This lets the patient know that what he/she
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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. b b b b b b b




8. The respiratory therapist may choose to use the patient interview technique of silence in
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which of the following situations?
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a. To prompt the patient to ask a question b b b b b b b



b. After a direct question b b b



c. After an open-ended question b b b



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



After a patient has answered an open-ended question, the respiratory therapist should pause (use
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silence) before asking the next question. This pause allows the patient to add something else before
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moving on. The patient may also choose to ask a question.
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9. To have the most productive interviewing session, which of the following types of responses to
assist in the interview shouN
UldRtS
IheGrB
N.espTiratory tOherapist avoid?
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b b b b
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a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D b



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



2. Thank the patient. b b



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



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



a. 2
b. 2, 3 b



c. 1, 3, 4 b b



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