Updated/Latest Cardiopulmonary Anatomy & Physiology Essentials of Respiratory Care 8th Edition Terry Des Jardins Test Bank Comprehensive Respiratory Care Resource Practice Questions Answers Rationales Pulmonary Physiology Clinical Applications NBRC Review

Test Bank for Clinical Manifestations and Assessment of Respiratory
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Disease 8th Edition Jardins L
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Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
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Edition
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Chapter 01: The Patient Interview T
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MULTIPLE CHOICE YF
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1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
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interview is to:
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a. review data with the patient. YFTTL YFTT L YFTTL YFTT L



b. gather subjective data from the patient. YFTT L YFTT L L
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c. gather objective data from the patient. YFTT L YFTT L YFTT L YFTT L YFTT L



d. fill out the history form or checklist. Y FT T L L
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ANS: B Y F T T L



The interview is a meeting between the respiratory care practitioner and the patient. It allows the
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collection of subjective data about the patient’s feelings regarding his/her
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condition. The history should be done before the interview. Although data can be reviewed,that is L
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not the primary purpose of the interview. YFTT L L
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2. For there to be a successful interview, the respiratory therapist must:
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a. provide leading questions to guide the patient. L
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b. reassure the patient. L
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c. be an active listener. L
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d. use medical terminology to show knowledge of the subject matter. YFTTL L
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NR I GB.CM ANS: Y F T T L C
Utherapist
S N T must have
O to conduct a successful interview include
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The personal qualities that a respiratory
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being an active listener, having a genuine concern for the patient, and having empathy. Leading
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questions must be avoided. Reassurance may provide a false sense of comfort to the patient.
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Medicaljargon can sound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form? Y FT T L YFTT L L
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1. Age
2. Chief complaint YFTT L



3. Present health YFTT L



4. Family history L
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5. Health insurance providera. 1, L
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4
b. 2, 3 YFTT L



c. 3, 4, 5 YFTT L YFT T L



d. 1, 2, 3, 4 YFTT L YFT TL YF TT L




ANS: D Y F T T L



Age, chief complaint, present health, and family history are typically found on a health history
YF TT L YF TT L YFT T L YFTT L YFT T L YF TT L YFT T L YFTT L YF TT L YFTT L Y FT T L L
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form because each can impact the patient’s health. Health insurance provider information,
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whileneeded for billing purposes, would not be found on the history form.
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, 4. External factors the respiratory care practitioner should make efforts to provide during YFTT L YFTT L L
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an interview include which of the following?
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1. Minimize or prevent interruptions. L
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2. Ensure privacy during discussions. YFTT L L
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3. Interviewer is the same sex as the patient to prevent bias. YFTT L YFTTL YFTT L L
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4. Be comfortable for the patient and interviewer. T
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a. 1, 4 Y F T T L



b. 2, 3 YFTT L



c. 1, 2, 4 YFTT L Y F T T L



d. 2, 3, 4 YFTT L YFT T L




ANS: C Y F T T L Y F T T L



External factors, such as a good physical setting, enhance the interviewing process. Regardless of
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Y FT T YF TT L YFTTL Y FT T L YFTT L YF TT L YF TT L YF TT L YFT T L YF TT L



the interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or
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clinic, or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent
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interruptions, and (3) secure a comfortable physical environment (e.g., comfortable room
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temperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts
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professionally, should be able to interview a patient of either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
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open-ended questions. Open-ended questions allow the therapist to do which of
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the following? YFTT L YF T T L



1. Gather information when a patient introduces a new topic. L
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2. Introduce a new subject area. YFTT L YFTTL L
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3. Begin the interview process. YFTT L YFTT L YFTT L



4. Gather specific information. L
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a. 4 NURSINGTB.COM
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c. 1, 2, YFTT L



3 Y F T T L



d. 2, 3, YFTT L



4 YFTT L




ANS: Y F T T L



YC F T T L




An open-ended question should be used to start the interview, introduce a new section of questions,
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and gather more information from a patient’s topic. Closed or direct questions are used to
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gather specific information.
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6. The direct question interview format is used to: L
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1. speed up the interview. L
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2. let the patient fully explain his/her situation. L
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3. help the respiratory therapist show empathy. YFTT L L
YFTT YFL
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4. gather specific information. YFTT L YFTTL



a. 1, 4 Y F T T L



b. 2, 3 YFTT L



c. 3, 4 Y F T T L



d. 1, 2, 3 YFTT L YFT T L




ANS: A Y F T T L Y F T T L



Direct or closed questions are best to gather specific information and speed up the interview.
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Open-ended questions are best suited to let the patient fully explain his/her situation and
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possibly help the respiratory therapist show empathy.
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, 7. During the interview the patient states, “Every time I climb the stairs I have to stop to YFTT L YFTTL YFTTL YFTTL YFTTL L
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catch my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like
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you get short of breath climbing stairs.” This interviewing technique is called:
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Y FT T YF TT L



a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D Y F T T L



With reflection, part of the patient’s statement is repeated. This lets the patient know that what
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he/she said was heard. It also encourages the patient to elaborate on the topic.
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Y FT T YFT T L



Clarification, modeling, and empathy are other communication techniques. YFTT L YFTT L YFTT L YFTTL YFTT L YFTTL YFTT L




8. The respiratory therapist may choose to use the patient interview technique of
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silence in which of the following situations?
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a. To prompt the patient to ask a question YFTT L L
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b. After a direct question YFTT L YFTT L YFTT L



c. After an open-ended question YFTT L L
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d. To allow the patient to review his/her history YFL
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ANS: C Y F T T L



After a patient has answered an open-ended question, the respiratory therapist should pause (use
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silence) before asking the next question. This pause allows the patient to add something else before
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moving on. The patient may also choose to ask a question.
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9. To have the most productive interviewing session, which of the following types of responses
to assist in the interview N R IUG
ld B.
tShe rNespTiratory tOherapist avoid?
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shou
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YF TT L YF TT L Y FT T L YFT T L




a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D Y F T T L



With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or
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statement made by the patient. This may prompt a further discussion. Reflection helps the
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patient focus on specific areas and continues in his/her own way. Facilitation encourages
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patients to say more, to continue with the story. The respiratory therapist should avoid giving
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advice, using avoidance language, and using distancing language.
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Y FT T YFT T L Y FT T L YF TT L Y FT T L




10. When closing the interview, the respiratory therapist should do which of the following? YFTT L L
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1. Recheck the patient’s vital signs. L
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2. Thank the patient. YFTT L YFTT L



3. Ask if the patient has any questions. YFTT L YFTTL YFTT L YF TT L YF TT L YFTT L



4. Close the door behind himself/herself for patient privacy. YFTT L YFTT L YFTT L YFTT L L
YFTT L
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a. 2
b. 2, 3 YFTT L



c. 1, 3, 4 YFTT L YFT T L



d. 1, 2, 4 ANS:
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T
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, To end the interview on a positive note, the respiratory therapist should thank the patient and
L
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Y FT T YF TT L YFTT L Y FT T L Y FT T L YFT T L YF TT L YF T T L Y FT TL YFT T L



ask if the patient has any questions. If there is no need for the vital signs to be checked, they
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YFTT




should not be. The door may be left open or closed, depending on the situation.
L
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11. The respiratory therapist should be aware of a patient’s culture and religious beliefs for
YFT L YF
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YFTT YFTT L YFL
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which of the following reasons? YFTT L Y FT T L YF TT L YF T T L YF TT L



a. To be able to engage in a meaningful conversation YFTT L YFTTL YFTT L YFTT L YFTT L L
YFTT YFTT L YFTT L



b. To change any misguided notions the patient has that may impact his/her health YFL
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YFTT YFTT L YFTT L YFTT L YFTT L YFTT L YFTTL YFTT L YFL
TT YFTT L YFTT L



c. To explain to the patient how these beliefs will lead to discrimination and YFL
TT YFTTL YFTT L YFTT L L
YFTT L
YFTT YFL
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stereotyping YFTT L



d. To better understand how the patient’s beliefs may impact how the patient thinks YFL
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YFTT L
YFTT YFTT L L
YFTT YFTT L L
YF
TT L
YFTT YFL
TT L
YFTT L
YFTT




and behaves YFTT L Y FT T L




ANS: D Y F T T L



Culture and religious beliefs may have a profound effect on how patients think and behave, and
YFTT L YF T T L YF TT L Y FT T L Y FT T L YF TT L YF TT L YF TT L YFTT L YF TT L YFTT L YFT T L YF TT L Y FT TL L
YFT T




this may impact their health or health care decisions. The role of the respiratory
YFTT L Y FT TL Y FT T L YFTT L Y FT T L YFT T L YFTT L YFT T L YF TT L YFT TL YF T T L YF TT L YF TT L YF TT L



therapist is not to change the patient’s beliefs, engage in sensitive conversations, or discuss
YFTT L YF TT L YFTT L YFTT L YF TT L YF TT L YFT T L YFTT L YF T T L YF TT L YFT T L YF TT L YFTTL



discrimination. Rather, the respiratory therapist needs to understand how these beliefs may
YFTT L YF TT L YF TT L Y FT T L Y FT T L YFTTL YFT T L YFTT L YF TT L L
YFT T L
Y FT T L
YF T T




impact the patient’s health care decisions.
YFTT L YFT T L Y FT T L YFT T L YF TT L YF TT L




12. Which of the following are the most important components of a successful interview? YFTT L YFTT L YFTT L YFTT L YFTT L YF TT L YFTTL YFTT L YFTT L YFTTL YFTT L YF TT L



a. Communication and understanding YFTT L YFTT L



b. Authority and the use of medical terminology L
YFTT Y FT T L YFTTL YFTT L YF T T L YF TT L



c. Providing assurance and giving advice YFTT L YFTT L YF TT L L
YFTT




d. Asking leading questions and anticipating patient responses to questions L
YFTT YFTT L YFTT L YFTTL YFTTL YFTT L YFTT L YFTTL




NUR IS GNB.CTM ANS: Y F T T L A L
YFTT YFTT L




Communication and understanding ar e t he bas i s f o r a goodOpatient
L
T
F
Y L
T
F
Y Y F T T L



interview. Authority, the use of YFTT L Y F TT L YFTT L Y FT T L L
YF T T YFTTL YF T T L L
T
F
Y YF TT L L
YF T T Y FT T L



medical jargon, providing assurance, giving advice, asking leading questions, and anticipating are
L
YFTT YFTT L L
YFTT YFTT L YFTT L L
YFTT L
YFTT YFTT L L
YFTT L
YFTT YFTT L



all types of nonproductive communication forms and create barriers to patient communication.
L
YFTT YF TT L L
Y FT T L
YF T T YF TT L YF TT L YFTT L Y FT T L YFTT L Y FT T L YFTT L YFTT L




13. The respiratory therapist is conducting a patient interview and recording responses in YFTT L L
YFT YFTT L L
YFTT YFTT L YFTTL L
YFTT YFTT L L
YFTT L
YFTT L
YFTT




the patient’s electronic health record. The respiratory therapist should take which of
L
YFTT YF TT L YF T T L Y FT T L YFT T L YFTT L YFT T L YF TT L YFTT L L
Y FT T YF TT L YF TT L



the following into account regarding the use of the computer to record responses?
YFTT L YF T T L YF TT L YFTT L YFTT L YF TT L YF TT L YFT T L Y FT T L L
YFT T YFTT L YFTT L YFTT L



a. The therapist’s attention may be shifted from the patient to the computer. T
F
YL YFTT L YFTT L L
YFTT YFTT L YFTT L L
YFTT YFTTL L
YFTT YFTTL YFTT L



b. The patient will feel more important than if the information is recorded on paper. YFTTL YFTT L YFTT L YFTT L YFTT L L
YFTT YFTT L YFTTL YFTTL L
YFT T L
YFTT YFTT L YF TT L



c. The therapist will be less likely to make spelling errors if using a spell- YFTT L YFTT L YFTTL L
YFTT YFTTL YFL
TT L
YFTT L
YFTT YFTTL L
YFTT YFTT L L
YFTT L
YFTT




check program. YFT T L



d. The environment will be more professional and the patient will be more likely YFTTL YFTTL YFTT L L
YFTT L
YFTT YFTT L YFTT L L
YFTT YFTTL YFTT L L
YFTT YFTT L



to open up if the interview is conducted with paper. L
YFTT YFTT L YF TT L YF TT L YFT T L YF TT L YF TT L YF T TL YFTT L YFT T L




ANS: A Y F T T L



The therapist’s use of the computer can be threatening and may, in some cases, be a potential hazard
L
YFTT L
YFTT L
YFTT L
YFTT YFTT L L
YFTT L
YFTT L
YFTT YFTT L L
YFTT YFTT L YFTTL L
YFTT L
YFTT L
YFTT L
YFTT YFTT L



to good patient communication. The patient can be intimidated to the point of “shutting
YFTT L YFTT L YFTT L YFT T L YF TT L YFT T L YFTT L YF T T L Y FT T L YFT T L L
YFTT Y FT T L YFT T L YF TT L



down.” In addition, the therapist who has to shift focus from the patient to the computer can
YFTT L YF TT L YFT T L YF TT L Y FT T L YFT T L YFTT L Y FT T L YFTTL YFT T L YF TT L Y FT T L Y FT T L YFTT L YFTT L YF TT L YFTT L



miss important verbal and nonverbal messages.
YFTT L YF TT L YFTT L Y FT T L YFT T L YFT T L