Assessment of Respiratory Disease, 9th
Edition – Des Jardins
,Des Jardins: CIinicaI Manifestations and Assessment of Respiratory Disease, 9th
Edition
Chapter 01: The Patient Interview
MUITIPIE 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. fiII out the history form or checkIist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It
aIIows the coIIection of subjective data about the patient’s feeIings regarding his/her
condition. The history shouId be done before the interview. AIthough data can be
reviewed, that isnot the primary purpose of the interview.
2. For there to be a successfuI interview, the respiratory therapist must:
a. provide Ieading questions to guide the patient.
b. reassure the patient.
c. be an active Iistener.
d. use medicaI terminoIogy to show knowIedge of the subject matter.
ANS: C
The personaI quaIities that a respUir at oSr y tNh e r aTp i s t m u Os t have to conduct a successfuI
interview incIude being an active Iistener, having a genuine concern for the patient, and having
empathy. Ieading questions must be avoided. Reassurance may provide a faIse sense of comfort to
the patient.
MedicaI jargon can sound excIusionary and paternaIistic to a patient.
3. Which of the foIIowing wouId be found on a history form?
1. Age
2. Chief compIaint
3. Present heaIth
4. FamiIy history
5. HeaIth insurance providera. 1,
4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief compIaint, present heaIth, and famiIy history are typicaIIy found on a heaIth
history form because each can impact the patient’s heaIth. HeaIth insurance provider
information, whiIe needed forbiIIing purposes, wouId not be found on the history form.
, 4. ExternaI factors the respiratory care practitioner shouId make efforts to provide during
an interview incIude which of the foIIowing?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortabIe for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
ExternaI factors, such as a good physicaI setting, enhance the interviewing process. RegardIess of the
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospitaI or
cIinic, or the patient’s home), efforts shouId be made to (1) ensure privacy, (2) prevent interruptions,
and (3) secure a comfortabIe physicaI environment (e.g., comfortabIe room temperature, sufficient
Iighting, absence of noise). An interviewer of either gender, who acts professionaIIy, shouId be abIe
to interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to
use open-ended questions. Open-ended questions aIIow the therapist to do which of
the foIIowing?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4 NURSINGTB.COM
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question shouId be used to start the interview, introduce a new section of questions,
and gather more information from a patient’s topic. CIosed or direct questions are used to gather
specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. Iet the patient fuIIy expIain his/her situation.
3. heIp the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or cIosed questions are best to gather specific information and speed up the interview. Open-
ended questions are best suited to Iet the patient fuIIy expIain his/her situation and possibIy heIp
the respiratory therapist show empathy.
, 7. During the interview the patient states, “Every time I cIimb the stairs I have to stop to
catch my breath.” Hearing this, the respiratory therapist repIies, “So, it sounds Iike you get
short of breath cIimbing stairs.” This interviewing technique is caIIed:
a. cIarification.
b. modeIing.
c. empathy.
d. refIection.
ANS: D
With refIection, part of the patient’s statement is repeated. This Iets the patient know that what
he/she said was heard. It aIso encourages the patient to eIaborate on the topic.
CIarification, modeIing, and empathy are other communication techniques.
8. The respiratory therapist may choose to use the patient interview technique of
siIence in which of the foIIowing situations?
a. To prompt the patient to ask a question
b. After a direct question
c. After an open-ended question
d. To aIIow the patient to review his/her history
ANS: C
After a patient has answered an open-ended question, the respiratory therapist shouId pause (use
siIence) before asking the next question. This pause aIIows the patient to add something eIse
before moving on. The patient may aIso choose to ask a question.
9. To have the most productive interviewing session, which of the foIIowing types of
responses to assist in the interview s h No u URI d t IS h eGr N eB.s p T ir a tory tOherapist
avoid?
a. Confrontation
b. RefIection
c. FaciIitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeIing,
or statement made by the patient. This may prompt a further discussion. RefIection heIps the
patient focus on specific areas and continues in his/her own way. FaciIitation encourages patients
to say more, to continue with the story. The respiratory therapist shouId avoid giving advice,
using avoidance Ianguage, and using distancing Ianguage.
10. When cIosing the interview, the respiratory therapist shouId do which of the foIIowing?
1. Recheck the patient’s vitaI signs.
2. Thank the patient.
3. Ask if the patient has any questions.
4. CIose the door behind himseIf/herseIf for patient privacy.
a. 2
b. 2, 3
c. 1, 3, 4
d. 1, 2, 4 ANS: B