Test Bank for Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition by Terry Des Jardins & George G. Burton||ISBN 978-0323553698||Latest Edition.

Clinical ssManifestations ssand ssAssessment ssof ssRespiratory ssDisease ss8th ssEdition ssJardins ssTest ssBank

,Chapter 01: The Patient Interview
ss ss ss ss


Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
ss ss ss ss ss ss ss ss ss

Edition
ss




MULTIPLE ssCHOICE

1. The ssrespiratory sscare sspractitioner ssis ssconducting ssa sspatient ssinterview. ssThe ssmain sspurpose ssof
ssthis ssinterview ssis ssto:

a. review ssdata sswith ssthe sspatient.
b. gather sssubjective ssdata ssfrom ssthe sspatient.
c. gather ssobjective ssdata ssfrom ssthe sspatient.
d. fill ssout ssthe sshistory ssform ssor sschecklist.
ANS: s s B
The ssinterview ssis ssa ssmeeting ssbetween ssthe ssrespiratory sscare sspractitioner ssand ssthe sspatient. ssIt ssallows
ssthe sscollection ssof sssubjective ssdata ssabout ssthe sspatient’s ssfeelings ssregarding sshis/her

condition. ssThe sshistory ssshould ssbe ssdone ssbefore ssthe ssinterview. ssAlthough ssdata sscan ssbe
ssreviewed, ssthat ssis ssnot ssthe ssprimary sspurpose ssof ssthe ssinterview.




2. For ssthere ssto ssbe ssa sssuccessful ssinterview, ssthe ssrespiratory sstherapist ssmust:
a. provide ssleading ssquestions ssto ssguide ssthe sspatient.
b. reassure ssthe sspatient.
c. be ssan ssactive sslistener.
d. use ssmedical ssterminology ssto ssshow ssknowledge ssof ssthe sssubject ssmatter.
ANS: C
s s NUR SI N
ss
ss
G B.C
ss
T MO
ss
ss
ss
ss
ss

The sspersonal ssqualities ssthat ss ss
a respiratory therapist must have to conduct a successful interview
ss ss ss ss ss ss ss ss ssinclude

being ssan ssactive sslistener, sshaving ssa ssgenuine ssconcern ssfor ssthe sspatient, ssand sshaving ssempathy.
ssLeading ssquestions ssmust ssbe ssavoided. ssReassurance ssmay ssprovide ssa ssfalse sssense ssof sscomfort ssto ssthe

sspatient. ssMedical ssjargon sscan sssound ssexclusionary ssand sspaternalistic ssto ssa sspatient.




3. Which ssof ssthe ssfollowing sswould ssbe ssfound sson ssa sshistory ssform?
1. Age
2. Chief sscomplaint
3. Present sshealth
4. Family sshistory
5. Health ssinsurance ssprovider
a. 1, s s 4
b. 2, ss3
c. 3, ss4, ss5
d. 1, ss2, ss3, ss4
ANS: s s D
Age, sschief sscomplaint, sspresent sshealth, ssand ssfamily sshistory ssare sstypically ssfound sson ssa sshealth
sshistory ssform ssbecause sseach sscan ssimpact ssthe sspatient’s sshealth. ssHealth ssinsurance ssprovider

ssinformation, sswhile ssneeded ssfor ssbilling sspurposes, sswould ssnot ssbe ssfound sson ssthe sshistory ssform.




NURSINGTB.COM

, 4. External ssfactors ssthe ssrespiratory sscare sspractitioner ssshould ssmake ssefforts ssto ssprovide
ssduring ssan ssinterview ssinclude sswhich ssof ssthe ssfollowing?

1. Minimize ssor ssprevent ssinterruptions.
2. Ensure ssprivacy ssduring ssdiscussions.
3. Interviewer ssis ssthe sssame sssex ssas ssthe sspatient ssto ssprevent ssbias.
4. Be sscomfortable ssfor ssthe sspatient ssand ssinterviewer.
a. 1, s s 4
b. 2, ss3
c. 1, ss2, s s 4
d. 2, ss3, ss4
ANS: s s s s C
External ssfactors, sssuch ssas ssa ssgood ssphysical sssetting, ssenhance ssthe ssinterviewing ssprocess. ssRegardless
ssof ssthe ssinterview sssetting ss(the sspatient’s ssbedside, ssa sscrowded ssemergency ssroom, ssan ssoffice ssin ssthe

sshospital ssor ssclinic, ssor ssthe sspatient’s sshome), ssefforts ssshould ssbe ssmade ssto ss(1) ssensure ssprivacy, ss(2)

ssprevent ssinterruptions, ssand ss(3) sssecure ssa sscomfortable ssphysical ssenvironment ss(e.g., sscomfortable

ssroom sstemperature, sssufficient sslighting, ssabsence ssof ssnoise). ssAn ssinterviewer ssof sseither ssgender, sswho

ssacts ssprofessionally, ssshould ssbe ssable ssto ssinterview ssa sspatient ssof sseither ssgender.




5. The ssrespiratory sstherapist ssis ssconducting ssa sspatient ssinterview. ssThe sstherapist sschooses ssto
ssuse ssopen-ended ssquestions. ssOpen-ended ssquestions ssallow ssthe sstherapist ssto ssdo sswhich

ssof ssthe ssfollowing?

1. Gather ssinformation sswhen ssa sspatient ssintroduces ssa ssnew sstopic.
2. Introduce ssa ssnew sssubject ssarea.
3. Begin ssthe ssinterview ssprocess.
4. Gather ssspecific ssinformation.
a. 4 NURSINGTB.COM
b. 1, ss3
c. 1, ss2,
ss3

d. 2, ss3,
ss4



ANS: s s
ssC

An ssopen-ended ssquestion ssshould ssbe ssused ssto ssstart ssthe ssinterview, ssintroduce ssa ssnew sssection ssof
ssquestions, ssand ssgather ssmore ssinformation ssfrom ssa sspatient’s sstopic. ssClosed ssor ssdirect ssquestions ssare

ssused ssto ssgather ssspecific ssinformation.




6. The ssdirect ssquestion ssinterview ssformat ssis ssused ssto:
1. speed ssup ssthe ssinterview.
2. let ssthe sspatient ssfully ssexplain sshis/her sssituation.
3. help ssthe ssrespiratory sstherapist ssshow ssempathy.
4. gather ssspecific ssinformation.
a. 1, s s 4
b. 2, ss3
c. 3, s s 4
d. 1, ss2, ss3
ANS: s s s s A
Direct ssor ssclosed ssquestions ssare ssbest ssto ssgather ssspecific ssinformation ssand ssspeed ssup ssthe ssinterview.
ssOpen-ended ssquestions ssare ssbest sssuited ssto sslet ssthe sspatient ssfully ssexplain sshis/her sssituation ssand

sspossibly sshelp ssthe ssrespiratory sstherapist ssshow ssempathy.

, 7. During ssthe ssinterview ssthe sspatient ssstates, ss―Every sstime ssI ssclimb ssthe ssstairs ssI sshave ssto ssstop ssto
sscatch ssmy ssbreath.‖ ssHearing ssthis, ssthe ssrespiratory sstherapist ssreplies, ss―So, ssit sssounds sslike

ssyou ssget ssshort ssof ssbreath ssclimbing ssstairs.‖ ssThis ssinterviewing sstechnique ssis sscalled:

a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: s s D
With ssreflection, sspart ssof ssthe sspatient’s ssstatement ssis ssrepeated. ssThis sslets ssthe sspatient ssknow ssthat
sswhat sshe/she sssaid sswas ssheard. ssIt ssalso ssencourages ssthe sspatient ssto sselaborate sson ssthe sstopic.

Clarification, ssmodeling, ssand ssempathy ssare ssother sscommunication sstechniques.

8. The ssrespiratory sstherapist ssmay sschoose ssto ssuse ssthe sspatient ssinterview sstechnique ssof
sssilence ssin sswhich ssof ssthe ssfollowing sssituations?

a. To ssprompt ssthe sspatient ssto ssask ssa ssquestion
b. After ssa ssdirect ssquestion
c. After ssan ssopen-ended ssquestion
d. To ssallow ssthe sspatient ssto ssreview sshis/her sshistory
ANS: s s C
After ssa sspatient sshas ssanswered ssan ssopen-ended ssquestion, ssthe ssrespiratory sstherapist ssshould sspause
ss(use sssilence) ssbefore ssasking ssthe ssnext ssquestion. ssThis sspause ssallows ssthe sspatient ssto ssadd sssomething

sselse ssbefore ssmoving sson. ssThe sspatient ssmay ssalso sschoose ssto ssask ssa ssquestion.




9. To sshave ssthe ssmost ssproductive ssinterviewing sssession, sswhich ssof ssthe ssfollowing sstypes ssof
N ssR ssI ssG ssB.C
ssresponses ssto ssassist ssin ssthe ssinterview ssshouUld sstShe ssrNespTiratory sstOherapist ssavoid?


a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: s s D
With ssconfrontation, ssthe ssrespiratory sstherapist ssfocuses ssthe sspatient’s ssattention sson ssan ssaction, ssfeeling,
ssor ssstatement ssmade ssby ssthe sspatient. ssThis ssmay ssprompt ssa ssfurther ssdiscussion. ssReflection sshelps ssthe

sspatient ssfocus sson ssspecific ssareas ssand sscontinues ssin sshis/her ssown ssway. ssFacilitation ssencourages

sspatients ssto sssay ssmore, ssto sscontinue sswith ssthe ssstory. ssThe ssrespiratory sstherapist ssshould ssavoid ssgiving

ssadvice, ssusing ssavoidance sslanguage, ssand ssusing ssdistancing sslanguage.




10. When ssclosing ssthe ssinterview, ssthe ssrespiratory sstherapist ssshould ssdo sswhich ssof ssthe ssfollowing?
1. Recheck ssthe sspatient’s ssvital sssigns.
2. Thank ssthe sspatient.
3. Ask ssif ssthe sspatient sshas ssany ssquestions.
4. Close ssthe ssdoor ssbehind sshimself/herself ssfor sspatient ssprivacy.
a. 2
b. 2, ss3
c. 1, ss3, ss4
d. 1, ss2, ss4ssANS: s s B