,Chapter 01: The Patient Interview vg vg vg vg
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th Editio
vg vg vg vg vg vg vg vg vg vg
n
MULTIPLE CHOICE vg
1. The respiratory care practitioner is conducting a patient interview. The main purpose of th
vg vg vg vg vg vg vg vg vg vg vg vg vg
is interview is to: vg vg vg
a. review data with the patient. vg vg vg vg
b. gather subjective data from the patient. vg vg vg vg vg
c. gather objective data from the patient. vg vg vg vg vg
d. fill out the history form or checklist. vg vg vg vg vg vg
ANS: B v g
The interview is a meeting between the respiratory care practitioner and the patient. It allows the c
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ollection of subjective data about the patient’s feelings regarding his/her
vg vg vg vg vg vg vg vg vg
condition. The history should be done before the interview. Although data can be reviewed
vg vg vg vg vg vg vg vg vg vg vg vg vg
, that is not the primary purpose of the interview.
vg vg vg vg vg vg vg vg vg
2. For there to be a successful interview, the respiratory therapist must:
vg vg vg vg vg vg vg vg vg vg
a. provide leading questions to guide the patient. vg vg vg vg vg vg
b. reassure the patient. vg vg
c. be an active listener. vg vg vg
d. use medical terminology to show knowledge of the subject matter.
vg vg vg vg vg vg vg vg vg
N R I G B.C M
ANS: v g C
U therapist
S N T must have
O to conduct a successful interview include
vg vg vg vg vg
vg vg vg
The personal qualities that a respiratory
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
being an active listener, having a genuine concern for the patient, and having empathy. Leading q
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
uestions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
jargon can sound exclusionary and paternalistic to a patient.
vg vg vg vg vg vg vg vg vg
3. Which of the following would be found on a history form?
vg vg vg vg vg vg vg vg vg vg
1. Age
2. Chief complaint vg
3. Present health vg
4. Family history vg
5. Health insurance provider vg vg
a. 1, 4 vg
b. 2, 3 vg
c. 3, 4, 5 vg vg
d. 1, 2, 3, 4 vg vg vg
ANS: D v g
Age, chief complaint, present health, and family history are typically found on a health histor
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
y form because each can impact the patient’s health. Health insurance provider information, wh
vg vg vg vg vg vg vg vg vg vg vg vg vg
ile needed for billing purposes, would not be found on the history form.
vg vg vg vg vg vg vg vg vg vg vg vg
NURSINGTB.COM
, 4. External factors the respiratory care practitioner should make efforts to provide during
vg vg vg vg vg vg vg vg vg vg vg vg
an interview include which of the following?
vg vg vg vg vg vg
1. Minimize or prevent interruptions. vg vg vg
2. Ensure privacy during discussions. vg vg vg
3. Interviewer is the same sex as the patient to prevent bias. vg vg vg vg vg vg vg vg vg vg
4. Be comfortable for the patient and interviewer.
vg vg vg vg vg vg
a. 1, 4 vg
b. 2, 3 vg
c. 1, 2, 4 vg vg
d. 2, 3, 4 vg vg
ANS: C vgvg
External factors, such as a good physical setting, enhance the interviewing process. Regardless of t
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
he interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or c
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
linic, or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
, and (3) secure a comfortable physical environment (e.g., comfortable room temperature, sufficien
vg vg vg vg vg vg vg vg vg vg vg vg
t lighting, absence of noise). An interviewer of either gender, who acts professionally, should be a
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ble to interview a patient of either gender.
vg vg vg vg vg vg vg
5. The respiratory therapist is conducting a patient interview. The therapist chooses to us
vg vg vg vg vg vg vg vg vg vg vg vg
e open-ended questions. Open-
vg vg vg
ended questions allow the therapist to do which of the following?
vg vg vg vg vg vg vg vg vg vg
1. Gather information when a patient introduces a new topic.
vg vg vg vg vg vg vg vg
2. Introduce a new subject area. vg vg vg vg
3. Begin the interview process. vg vg vg
4. Gather specific information. vg vg
a. 4 NURSINGTB.COM
b. 1, 3 vg
c. 1, 2, 3 vg vg
d. 2, 3, 4 vg vg
ANS: vgvg C
An open- vg
ended question should be used to start the interview, introduce a new section of questions, and gath
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
er more information from a patient’s topic. Closed or direct questions are used to gather specific i
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
nformation.
6. The direct question interview format is used to:
vg vg vg vg vg vg vg
1. speed up the interview. vg vg vg
2. let the patient fully explain his/her situation.
vg vg vg vg vg vg
3. help the respiratory therapist show empathy.vg vg vg vg vg
4. gather specific information. vg vg
a. 1, 4 vg
b. 2, 3 vg
c. 3, 4 vg
d. 1, 2, 3 vg vg
ANS: A vgvg
Direct or closed questions are best to gather specific information and speed up the interview. Op
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
en-
ended questions are best suited to let the patient fully explain his/her situation and possibly help
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
the respiratory therapist show empathy.
g vg vg vg vg
, 7. During the interview the patient states, ―Every time I climb the stairs I have to stop to ca
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
tch my breath.‖ Hearing this, the respiratory therapist replies, ―So, it sounds like you get
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
short of breath climbing stairs.‖ This interviewing technique is called:
vg vg vg vg vg vg vg vg vg vg
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D v g
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
he/she said was heard. It also encourages the patient to elaborate on the topic.
vg vg vg vg vg vg vg vg vg vg vg vg vg
Clarification, modeling, and empathy are other communication techniques. vg vg vg vg vg vg vg
8. The respiratory therapist may choose to use the patient interview technique of silen
vg vg vg vg vg vg vg vg vg vg vg vg
ce in which of the following situations?
vg vg vg vg vg vg
a. To prompt the patient to ask a question vg vg vg vg vg vg vg
b. After a direct question vg vg vg
c. After an open-ended question vg vg vg
d. To allow the patient to review his/her history
vg vg vg vg vg vg vg
ANS: C v g
After a patient has answered an open-
vg vg vg vg vg vg
ended question, the respiratory therapist should pause (use silence) before asking the next question.
vg vg vg vg vg vg vg vg vg vg vg vg vg
This pause allows the patient to add something else before moving on. The patient may also choos
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
e to ask a question.
vg vg vg vg
9. To have the most productive interviewing session, which of the following types of respons
N shou
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es to assist in the interview
vg
R IUG
ld tB.
vg
She rNespTiratory tOherapist avoid?
vg
vg
vg
vg
vg
vg vg
vg
vg vg vg vg
vg
vg
vg
vg vg
vg
vg vg
vg
vg vg vg
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D v g
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or s
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
tatement made by the patient. This may prompt a further discussion. Reflection helps the patient f
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ocus on specific areas and continues in his/her own way. Facilitation encourages patients to say m
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ore, to continue with the story. The respiratory therapist should avoid giving advice, using avoidan
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ce language, and using distancing language.
vg vg vg vg vg
10. When closing the interview, the respiratory therapist should do which of the following?
vg vg vg vg vg vg vg vg vg vg vg vg
1. Recheck the patient’s vital signs. vg vg vg vg
2. Thank the patient. vg vg
3. Ask if the patient has any questions. vg vg vg vg vg vg
4. Close the door behind himself/herself for patient privacy. vg vg vg vg vg vg vg
a. 2
b. 2, 3 vg
c. 1, 3, 4 vg vg
d. 1, 2, 4 ANS: B
vg vg vg v g
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th Editio
vg vg vg vg vg vg vg vg vg vg
n
MULTIPLE CHOICE vg
1. The respiratory care practitioner is conducting a patient interview. The main purpose of th
vg vg vg vg vg vg vg vg vg vg vg vg vg
is interview is to: vg vg vg
a. review data with the patient. vg vg vg vg
b. gather subjective data from the patient. vg vg vg vg vg
c. gather objective data from the patient. vg vg vg vg vg
d. fill out the history form or checklist. vg vg vg vg vg vg
ANS: B v g
The interview is a meeting between the respiratory care practitioner and the patient. It allows the c
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ollection of subjective data about the patient’s feelings regarding his/her
vg vg vg vg vg vg vg vg vg
condition. The history should be done before the interview. Although data can be reviewed
vg vg vg vg vg vg vg vg vg vg vg vg vg
, that is not the primary purpose of the interview.
vg vg vg vg vg vg vg vg vg
2. For there to be a successful interview, the respiratory therapist must:
vg vg vg vg vg vg vg vg vg vg
a. provide leading questions to guide the patient. vg vg vg vg vg vg
b. reassure the patient. vg vg
c. be an active listener. vg vg vg
d. use medical terminology to show knowledge of the subject matter.
vg vg vg vg vg vg vg vg vg
N R I G B.C M
ANS: v g C
U therapist
S N T must have
O to conduct a successful interview include
vg vg vg vg vg
vg vg vg
The personal qualities that a respiratory
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
being an active listener, having a genuine concern for the patient, and having empathy. Leading q
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
uestions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
jargon can sound exclusionary and paternalistic to a patient.
vg vg vg vg vg vg vg vg vg
3. Which of the following would be found on a history form?
vg vg vg vg vg vg vg vg vg vg
1. Age
2. Chief complaint vg
3. Present health vg
4. Family history vg
5. Health insurance provider vg vg
a. 1, 4 vg
b. 2, 3 vg
c. 3, 4, 5 vg vg
d. 1, 2, 3, 4 vg vg vg
ANS: D v g
Age, chief complaint, present health, and family history are typically found on a health histor
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
y form because each can impact the patient’s health. Health insurance provider information, wh
vg vg vg vg vg vg vg vg vg vg vg vg vg
ile needed for billing purposes, would not be found on the history form.
vg vg vg vg vg vg vg vg vg vg vg vg
NURSINGTB.COM
, 4. External factors the respiratory care practitioner should make efforts to provide during
vg vg vg vg vg vg vg vg vg vg vg vg
an interview include which of the following?
vg vg vg vg vg vg
1. Minimize or prevent interruptions. vg vg vg
2. Ensure privacy during discussions. vg vg vg
3. Interviewer is the same sex as the patient to prevent bias. vg vg vg vg vg vg vg vg vg vg
4. Be comfortable for the patient and interviewer.
vg vg vg vg vg vg
a. 1, 4 vg
b. 2, 3 vg
c. 1, 2, 4 vg vg
d. 2, 3, 4 vg vg
ANS: C vgvg
External factors, such as a good physical setting, enhance the interviewing process. Regardless of t
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
he interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or c
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
linic, or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
, and (3) secure a comfortable physical environment (e.g., comfortable room temperature, sufficien
vg vg vg vg vg vg vg vg vg vg vg vg
t lighting, absence of noise). An interviewer of either gender, who acts professionally, should be a
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ble to interview a patient of either gender.
vg vg vg vg vg vg vg
5. The respiratory therapist is conducting a patient interview. The therapist chooses to us
vg vg vg vg vg vg vg vg vg vg vg vg
e open-ended questions. Open-
vg vg vg
ended questions allow the therapist to do which of the following?
vg vg vg vg vg vg vg vg vg vg
1. Gather information when a patient introduces a new topic.
vg vg vg vg vg vg vg vg
2. Introduce a new subject area. vg vg vg vg
3. Begin the interview process. vg vg vg
4. Gather specific information. vg vg
a. 4 NURSINGTB.COM
b. 1, 3 vg
c. 1, 2, 3 vg vg
d. 2, 3, 4 vg vg
ANS: vgvg C
An open- vg
ended question should be used to start the interview, introduce a new section of questions, and gath
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
er more information from a patient’s topic. Closed or direct questions are used to gather specific i
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
nformation.
6. The direct question interview format is used to:
vg vg vg vg vg vg vg
1. speed up the interview. vg vg vg
2. let the patient fully explain his/her situation.
vg vg vg vg vg vg
3. help the respiratory therapist show empathy.vg vg vg vg vg
4. gather specific information. vg vg
a. 1, 4 vg
b. 2, 3 vg
c. 3, 4 vg
d. 1, 2, 3 vg vg
ANS: A vgvg
Direct or closed questions are best to gather specific information and speed up the interview. Op
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
en-
ended questions are best suited to let the patient fully explain his/her situation and possibly help
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg v
the respiratory therapist show empathy.
g vg vg vg vg
, 7. During the interview the patient states, ―Every time I climb the stairs I have to stop to ca
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
tch my breath.‖ Hearing this, the respiratory therapist replies, ―So, it sounds like you get
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
short of breath climbing stairs.‖ This interviewing technique is called:
vg vg vg vg vg vg vg vg vg vg
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D v g
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
he/she said was heard. It also encourages the patient to elaborate on the topic.
vg vg vg vg vg vg vg vg vg vg vg vg vg
Clarification, modeling, and empathy are other communication techniques. vg vg vg vg vg vg vg
8. The respiratory therapist may choose to use the patient interview technique of silen
vg vg vg vg vg vg vg vg vg vg vg vg
ce in which of the following situations?
vg vg vg vg vg vg
a. To prompt the patient to ask a question vg vg vg vg vg vg vg
b. After a direct question vg vg vg
c. After an open-ended question vg vg vg
d. To allow the patient to review his/her history
vg vg vg vg vg vg vg
ANS: C v g
After a patient has answered an open-
vg vg vg vg vg vg
ended question, the respiratory therapist should pause (use silence) before asking the next question.
vg vg vg vg vg vg vg vg vg vg vg vg vg
This pause allows the patient to add something else before moving on. The patient may also choos
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
e to ask a question.
vg vg vg vg
9. To have the most productive interviewing session, which of the following types of respons
N shou
vg
es to assist in the interview
vg
R IUG
ld tB.
vg
She rNespTiratory tOherapist avoid?
vg
vg
vg
vg
vg
vg vg
vg
vg vg vg vg
vg
vg
vg
vg vg
vg
vg vg
vg
vg vg vg
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D v g
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or s
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
tatement made by the patient. This may prompt a further discussion. Reflection helps the patient f
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ocus on specific areas and continues in his/her own way. Facilitation encourages patients to say m
vg vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ore, to continue with the story. The respiratory therapist should avoid giving advice, using avoidan
vg vg vg vg vg vg vg vg vg vg vg vg vg vg
ce language, and using distancing language.
vg vg vg vg vg
10. When closing the interview, the respiratory therapist should do which of the following?
vg vg vg vg vg vg vg vg vg vg vg vg
1. Recheck the patient’s vital signs. vg vg vg vg
2. Thank the patient. vg vg
3. Ask if the patient has any questions. vg vg vg vg vg vg
4. Close the door behind himself/herself for patient privacy. vg vg vg vg vg vg vg
a. 2
b. 2, 3 vg
c. 1, 3, 4 vg vg
d. 1, 2, 4 ANS: B
vg vg vg v g
