EditionbyAlbert J. Heuer,
Chapters 1 – 21
ALBERT J. HEUER
WILKINS'
ClinicalAssessmentin
RespiratoryCare
NINTH EDITION
nside
, Wilkins’ Clinical Assessment in Respiratory Care, 9t
K K K K K K
h Edition by Albert J. Heuer,
K K K K K
Chapters 1 – 21 K K K
Contents:
Chapter 1. Preparing for the Patient Encounter
Chapter 2. The Medical History and the Interview
Chapter 3. Cardiopulmonary Symptoms
Chapter 4. Vital Signs
Chapter 5. Fundamentals of Physical Examination
Chapter 6. Neurologic Assessment
Chapter 7. Clinical Laboratory Studies
Chapter 8. Interpretation of Blood Gases
Chapter 9. Pulmonary Function Testing
Chapter 10. Chest Imaging
Chapter 11. Electrocardiography
Chapter 12. Neonatal and Pediatric Assessment
Chapter 13. Older Patient Assessment
Chapter 14. Monitoring in Critical Care
Chapter 15. Vascular Pressure Monitoring
Chapter 16. Cardiac Output Measurement
Chapter 17. Bronchoscopy
Chapter 18. Nutritional Assessment
Chapter 19. Sleep and Breathing Assessment
Chapter 20. Home Care Patient Assessment
Chapter 21. Documentation
,Chapter 1: Preparing for the Patient Encounter Te
st Bank
MULTIPLE CHOICE
1. Which of the following* activities* is* not* part* of* the* role* of* respiratory* therapists*
(RTs)* in* patient* assessment?
a. Assist* the* physician* with* diagnostic* reasoning* skills.
b. Help* the* physician* select* appropriate* pulmonary* function* tests.
c. Interpret* arterial* blood* gas* values* and* suggest* mechanical* ventilation* changes.
d. Document* the* patient* diagnosis* in* the* patient’s* chart.
ANSWER:* D
RTs* are* not* qualified* to* make* an* official* diagnosis.* This* is* the* role* of* the* attending* physician.
REF:* * Table* 1-1,* pg.* 4 OBJ: 9
2. In* which* of* the* following* stages* of* patient–
clinician* interaction* is* the* review* of* physician* orders* carried* out?
a. Treatment*stage
b. Introductory* stage
c. Preinteraction* stage
d. Initial* assessment* stage
ANSWER:K* C
Physician* orders* should* be* reviewed* in* the* patient’s* chart* before* the* physician* sees* the*
pati* ent.
REF:* * Table* 1-1,* pg.* 4 OBJ: 9
3. In* which* stage* of* patient–clinician* interaction* is* the* patient* identification* bracelet* checked?
a. Introductory* stage
b. Preinteraction* stage
c. Initial* assessment* stage
d. Treatment* stage
ANSWER:K* A
The* patient* ID* bracelet* must* be* checked* before* moving* forward* with* assessment* and*
treatm* ent.
REF:* * Table* 1-1,* pg.* 4 OBJ: 9
4. What* should* be* done* just* before* the* patient’s* ID* bracelet* is* checked?
a. Check* the* patient’s* SpO2.
b. Ask* the* patient* for* permission.
c. Check* the* chart* for* vital* signs.
d. Listen* to* breath* sounds.
ANSWER:K* B
It* is* considered* polite* to* ask* the* patient* for* permission* before* touching* and* reading* his*
or* h* er* ID* bracelet.
, REF:* * pg.* 3 OBJ: 3* |* 5
5. What* is* the* goal* of* the* introductory* phase?
a. Assess* the* patient’s* apparent* age.
b. Identify* the* patient’s* family* history.
c. Determine* the* patient’s* diagnosis.
d. Establish* a* rapport* with* the* patient.
ANSWER:K* D
The* introductory* phase* is* all* about* getting* to* know* the* patient* and* establishing* a* rapport*
with* him* or* her.
REF:* * Table* 1-1,* pg.* 4 OBJ: 3
6. Which* of* the* following* behaviors* is* not* consistent* with* resistive* behavior* of* a* patient?
a. Crossed* arms
b. Minimal* eye* contact
c. Brief* answers* to* questions
d. Asking* the* purpose* of* the* treatment
ANSWER:K* D
If* a* patient* asks* about* the* purpose* of* the* treatment* you* are* about* to* give,* this* generally*
indi* cates* that* he* or* she* is* not* upset.
REF:* * Table* 1-1,* pg.* 4 OBJ: 3
7. What* is* the* main* purpose* of* the* initial* assessment* stage?
a. To* identify* any* allergies* to* medications
b. To* document* the* patient’s* smoking* history
c. To* personally* get* to* know* the* patient* better
d. To* verify* that* the* prescribed* treatment* is* still* needed* and* appropriate
ANSWER:K* D
When* you* first* see* the* patient,* you* are* encouraged* to* perform* a* brief* assessment* to*
make* su* re* the* treatment* order* by* the* physician* is* still* appropriate.* The* patient’s* status*
may* have* cha* nged* abruptly* recently.
REF:* * Table* 1-1,* pg.* 4 OBJ: 3
8. What* is* the* appropriate* distance* for* the* social* space* from* the* patient?
a. 3* to* 5* feet
b. 4* to* 12* feet
c. 6* to* 18* feet
d. 8* to* 20* feet
ANSWER:K* B
The* social* space* is* 4* to* 12* feet.
REF:* * pg.* 5 OBJ: 5
9. What* is* the* appropriate* distance* for* the* personal* space?