,Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th
Edition
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 isnot 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 respUir at oSr y tNh e r aTp i s t m u Os t 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 providera. 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 forbilling purposes, would not be found on the history form.
, 4. External/factors/the/respiratory/care/practitioner/should/make/efforts/to/provide/during/an/in
terview/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/in
terview/setting/(the/patient’s/bedside,/a/crowded/emergency/room,/an/office/in/the/hospital/or/clinic,/or/th
e/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/o
f/noise)./An/interviewer/of/either/gender,/who/acts/professionally,/should/be/able/to/interview/a/patient/o
f/either/gender.
5. The/respiratory/therapist/is/conducting/a/patient/interview./The/therapist/chooses/to/use/o
pen-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 NURSINGTB.COM
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/m
ore/information/from/a/patient’s/topic./Closed/or/direct/questions/are/used/to/gather/specific/informatio
n.
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/re
spiratory/therapist/show/empathy.
, 7. During/the/interview/the/patient/states,/“Every/time/I/climb/the/stairs/I/have/to/stop/to/catch/m
y/breath.”/Hearing/this,/the/respiratory/therapist/replies,/“So,/it/sounds/like/you/get/short/of/br
eath/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/s
aid/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/i
n/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./T
his/pause/allows/the/patient/to/add/something/else/before/moving/on./The/patient/may/also/choose/to/a
sk/a/question.
9. To/have/the/most/productive/interviewing/session,/which/of/the/following/types/of/responses/to/
assist/in/the/interview/s/h No /u/URl d / t I
S h eGr /N eB.s p T ir a/tory/tOherapist/avoid?
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/st
atement/made/by/the/patient./This/may/prompt/a/further/discussion./Reflection/helps/the/patient/focu
s/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/langu
age,/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
Edition
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 isnot 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 respUir at oSr y tNh e r aTp i s t m u Os t 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 providera. 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 forbilling purposes, would not be found on the history form.
, 4. External/factors/the/respiratory/care/practitioner/should/make/efforts/to/provide/during/an/in
terview/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/in
terview/setting/(the/patient’s/bedside,/a/crowded/emergency/room,/an/office/in/the/hospital/or/clinic,/or/th
e/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/o
f/noise)./An/interviewer/of/either/gender,/who/acts/professionally,/should/be/able/to/interview/a/patient/o
f/either/gender.
5. The/respiratory/therapist/is/conducting/a/patient/interview./The/therapist/chooses/to/use/o
pen-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 NURSINGTB.COM
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/m
ore/information/from/a/patient’s/topic./Closed/or/direct/questions/are/used/to/gather/specific/informatio
n.
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/re
spiratory/therapist/show/empathy.
, 7. During/the/interview/the/patient/states,/“Every/time/I/climb/the/stairs/I/have/to/stop/to/catch/m
y/breath.”/Hearing/this,/the/respiratory/therapist/replies,/“So,/it/sounds/like/you/get/short/of/br
eath/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/s
aid/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/i
n/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./T
his/pause/allows/the/patient/to/add/something/else/before/moving/on./The/patient/may/also/choose/to/a
sk/a/question.
9. To/have/the/most/productive/interviewing/session,/which/of/the/following/types/of/responses/to/
assist/in/the/interview/s/h No /u/URl d / t I
S h eGr /N eB.s p T ir a/tory/tOherapist/avoid?
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/st
atement/made/by/the/patient./This/may/prompt/a/further/discussion./Reflection/helps/the/patient/focu
s/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/langu
age,/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
