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Test bank for clinical manifestations and assessment of respiratory disease 8th edition by des jardins 100 verified

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Test bank for clinical manifestations and assessment of respiratory disease 8th edition by des jardins 100 verified Test bank for clinical manifestations and assessment of respiratory disease 8th edition by des jardins 100 verified Test bank for clinical manifestations and assessment of respiratory disease 8th edition by des jardins 100 verified Test bank for clinical manifestations and assessment of respiratory disease 8th edition by des jardins 100 verified Test bank for clinical manifestations and assessment of respiratory disease 8th edition by des jardins 100 verified

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TESTBANK
s

,Chapter01:ThePatient Interview s s s s




MULTIPLE CHOICE s




1. Therespiratorycare practitioner is conducting a patient interview.The main purpose of this
s s s s s s s s s s s s s




interview is to:
s s s




a. review data with the patient. s s s s




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




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




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




ANS: B s




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




of subjective data about the patient’s feelings regarding his/her
s s s s s s s s s




condition.Thehistoryshould bedonebefore theinterview.Although data can be reviewed, that is s s s s s s s s s s s s s s s




not the primary purpose of the interview.
s s s s s s s




2. Forthere to be a successful interview, the respiratory therapist must:
s s s s s s s s s s




a. provideleading questions to guide the patient. s s s s s s




b. reassure the patient. s s




c. bean active listener. s s s




d. usemedical terminology to show knowledge of the subject matter. s s s s s s s s s




ANS: C s




The personal qualities that a respiratory therapist must have to conduct asuccessful interview include being
s s s s s s s s s s s s s s s




an active listener, having a genuine concern for the patient, and having empathy. Leading questions must
s s s s s s s s s s s s s s s s




be avoided. Reassurance may provide a false sense of comfort to the patient. Medical jargon can sound
s s s s s s s s s s s s s s s s s




exclusionary and paternalistic to a patient.
s s s s s s




3. Which of the following would be found on a history form? s s s s s s s s s s




1. Age
2. Chief complaint s




3. Present health s




4. Family history s




5. Health insurance provider s s




a. 1, 4 s




b. 2, 3 s




c. 3, 4, 5 s s




d. 1, 2, 3, 4 s s s




ANS: D s




Age, chief complaint, present health, and family history are typically found on a health history form
s s s s s s s s s s s s s s s




because each can impact the patient’s health. Health insurance providerinformation, while needed for
s s s s s s s s s s s s s s




billing purposes, would not be found on the history form.
s s s s s s s s s s

, 4. External factors the respiratory care practitioner should make efforts to provide during an
s s s s s s s s s s s s




interview include which of the following?
s s s s s s




1. Minimizeor prevent interruptions. s s s




2. Ensure privacy during discussions. s s s




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




4. Becomfortableforthepatientand interviewer. s s s s s s




a. 1, 4 s




b. 2, 3 s




c. 1, 2, 4 s s




d. 2, 3, 4 s s




ANS: C s




External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
s s s s s s s s s s s s s s




interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic, or the
s s s s s s s s s s s s s s s s s s




patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3) secure a
s s s s s s s s s s s s s s s s s




comfortable physical environment (e.g., comfortable room temperature, sufficient lighting, absence of
s s s s s s s s s s s




noise). An interviewer of either gender, who acts professionally, should be able to interview a patient of
s s s s s s s s s s s s s s s s s




either gender.
s s




5. Therespiratorytherapist is conducting apatient interview.Thetherapist chooses to use
s s s s s s s s s s s s




open-ended questions. Open-ended questions allow the therapist to do which of the
s s s s s s s s s s s s




following? s




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




2. Introduce a new subject area. s s s s




3. Begin the interview process. s s s




4. Gather specific information. s s




a. 4
b. 1, 3 s




c. 1, 2, 3 s s




d. 2,3,4 s s




s ANS: C s




An open-ended question should be used to start the interview, introduce a new section of questions, and
s s s s s s s s s s s s s s s s




gather more information from a patient’s topic. Closed or direct questions are used to gather specific
s s s s s s s s s s s s s s s s




information.
s




6. The direct question interview format is used to:
s s s s s s s




1. speed up the interview. s s s




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




3. help the respiratorytherapist show empathy. s s s s s




4. gatherspecific information. s s




a. 1, 4 s




b. 2, 3 s




c. 3, 4 s




d. 1, 2, 3 s s




ANS: A s




Direct or closed questions are best to gather specific information and speed up the interview. Open- ended
s s s s s s s s s s s s s s s s




questions are best suited to let the patient fully explain his/her situation and possibly help the respiratory
s s s s s s s s s s s s s s s s s




therapist show empathy.
s s s

, 7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch my
s s s s s s s s s s s s s s s s s s




breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short of breath
s s s s s s s s s s s s s s s s




climbing stairs.” This interviewing technique is called:
s s s s s s s




a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D s




With reflection, part ofthe patient’s statement is repeated. This lets thepatient knowthat what he/she
s s s s s s s s s s s s s s s s




said was heard. It also encourages the patient to elaborate on the topic.
s s s s s s s s s s s s s




Clarification, modeling, and empathy are other communication techniques. s s s s s s s




8. Therespiratorytherapist may choose to use the patient interview technique of silence in
s s s s s s s s s s s s s




which of the following situations?
s s s s s




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




b. After a direct question s s s




c. After an open-ended question s s s




d. To allow the patient to review his/her history s s s s s s s




ANS: C s




After a patient has answered an open-ended question, the respiratory therapist should pause (use silence)
s s s s s s s s s s s s s s




before asking the next question. This pause allows the patient to add something else before moving on. The
s s s s s s s s s s s s s s s s s s




patient may also choose to ask a question.
s s s s s s s s




9. To havethe most productive interviewing session, which of the following types ofresponses to
assist in the interview shouUNldRtSIheGrN
B.espTiratory tOherapist avoid?
s s s s s s s s s s s s s s


s s s s

s s s s s s s s s




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




With confrontation, therespiratorytherapist focuses the patient’s attention on an action, feeling, or
s s s s s s s s s s s s s




statement made by the patient. This may prompt a further discussion. Reflection helps the patient focus on
s s s s s s s s s s s s s s s s s




specific areas and continues in his/her own way. Facilitation encourages patients to say more, to continue
s s s s s s s s s s s s s s s s




with the story. The respiratory therapist should avoid giving advice, using avoidance language, and using
s s s s s s s s s s s s s s s




distancing language.
s s




10. When closing the interview, the respiratorytherapist should do which of the following?
s s s s s s s s s s s s




1. Recheck thepatient’s vital signs. s s s s




2. Thank the patient. s s




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




4. Closethe door behind himself/herself for patient privacy. s s s s s s s




a. 2
b. 2, 3 s




c. 1, 3, 4 s s




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

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