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Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 8th Edition by Des Jardins

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Test Bank for Clinical Manifestations and Assessment of Respiratory by Des Jardins Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 8th Edition by Des Jardins PART 1: Assessment of Cardiopulmonary Disease SECTION I: Bedside Diagnosis 1. The Patient Interview 2. The Physical Examination 3. The Pathophysiologic Basis for Common Clinical Manifestations SECTION II: CLINICAL DATA OBTAINED FROM LABORATORY TESTS AND SPECIAL PROCEDURES—Objective Findings 4. Pulmonary Function Testing 5. Blood Gas Assessment 6. Assessment of Oxygenation 7. Assessment of the Cardiovascular System 8. Radiologic Examination of the Chest 9. Other Important Tests and Procedures SECTION III: THE THERAPIST-DRIVEN PROTOCOL PROGRAM—THE ESSENTIALS 10. The Therapist-Driven Protocol Program 11. Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols 12. Recording Skills and Intra-Professional Communication PART II: Obstructive Lung Disease 13. Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema 14. Asthma 15. Cystic Fibrosis 16. Bronchiectasis PART III: Loss of Alveolar Volume 17. Atelectasis PART IV: Infectious Pulmonary Disease 18. Pneumonia, Lung Abscess Formation and Important Fungal Diseases 19. Tuberculosis PART V: Pulmonary Vascular Disease 20. Pulmonary Edema 21. Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension PART VI: Chest and Pleural Trauma 22. Flail Chest 23. Pneumothorax PART VII: Disorders of the Pleura and of the Chest Wall 24. Pleural Effusion and Empyema 25. Kyphoscoliosis PART VIII: Lung Cancer 26. Cancer of the Lung: Prevention and Palliation PART IX: Environmental Lung Diseases 27. Interstitial Lung Diseases PART X: Diffuse Alveolar Disease 28. Acute Respiratory Distress Syndrome PART XI: Neuro-Respiratory Disorders 29. Guillain-Barre Syndrome 30. Myasthenia Gravis 31. Respiratory Insufficiency in the Patient with Neuro-Respiratory Disease PART XII: Sleep-Related Breathing Disorders 32. Sleep Apnea PART XIII: Newborn and Early Childhood Cardiopulmonary Disorders 33. The Newborn Disorders 34. Pediatric Assessment, Protocols, and PALS Management 35. Meconium Aspiration Syndrome 36. Transient Tachypnea of the Newborn 37. Respiratory Distress Syndrome 38. Pulmonary Air Leak Syndrome 39. Respiratory Syncytial Virus Infection (Bronchiolitis) 40. Chronic Lung Disease of Infancy 41. Congenital Diaphragmatic Hernia 42. Congenital Heart Disease 43. Croup and Croup-like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis and Acute Epiglottitis PART XIV: Other Important Topics 44. Near Drowning/Wet Drowning 45. Smoke Inhalation, Thermal Injuries, and Carbon Monoxide IntoxicationTentative (based on current edition)

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TEST BANK

,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
The personal qualities that a respiratory therapist must have to 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. Medical
jargon 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 provider
a. 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, while
needed for billing purposes, would not be found on the history form.

, 4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
absence of noise). An interviewer of either gender, who acts professionally, should be able 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 allow the therapist to do which of the
following?
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
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C

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

6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help 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 closed questions are best to gather specific information and speed up the interview. Open-
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
respiratory therapist show empathy.

, 7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
of breath climbing stairs.” This interviewing technique is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
he/she said was heard. It also encourages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.

8. The respiratory therapist may choose to use the patient interview technique of silence
in which of the following situations?
a. To prompt the patient to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the patient to review his/her history
ANS: C
After a patient has answered an open-ended question, the respiratory therapist should pause (use
silence) before asking the next question. This pause allows the patient to add something else before
moving on. The patient may also choose to ask a question.

9. To have the most productive interviewing session, which of the following types of responses
N URld tI
to assist in the interview shou SheGrNB
. Tiratory tOherapist avoid?
esp
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or
statement made by the patient. This may prompt a further discussion. Reflection helps the patient
focus on specific areas and continues in his/her own way. Facilitation encourages patients to say
more, to continue with the story. The respiratory therapist should avoid giving advice, using
avoidance language, and using distancing language.

10. When closing the interview, the respiratory therapist should do which of the following?
1. Recheck the patient’s vital signs.
2. Thank the patient.
3. Ask if the patient has any questions.
4. Close the door behind himself/herself for patient privacy.
a. 2
b. 2, 3
c. 1, 3, 4
d. 1, 2, 4 ANS: B

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