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Exam (elaborations)

Test Bank - Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition (Des Jardins, 2026), Newest Edition

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Test Bank - Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition (Des Jardins, 2026), Newest Edition

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TEST BANK: CLINICAL MANIFESTATIONS
ff ff ff




ANDASSESSMENT OF RESPIRATORY DISEASE,
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9TH EDITION BY DES JARDINS
ff ff ff ff ff

,Chapter 01: The Hospital client Interview
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MULTIPLE SELECTION ff




1. The respiratory care specialist is conducting a hospital client interview. The main purpose
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of thisinterview is to:
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a. review data with the hospital client. ff ff ff ff ff


b. gather subjective data from the hospital client. ff ff ff ff ff ff


c. gather objective data from the hospital client. ff ff ff ff ff ff


d. fill out the history form or checklist. ff ff ff ff ff ff




ACCURATE ANSWER:- B ff f f


Reasoning :->>>The interview is a meeting between the respiratory care specialist and the hospital
ff ff ff ff ff ff ff ff ff ff ff ff ff


client. It allows thecollection of subjective data about the hospital client’s feelings regarding his/her
ff ff ff ff f ff ff ff ff ff ff ff ff ff ff


condition. The history should be done before the interview. Although data can be ff ff ff ff ff ff ff ff ff ff ff ff


reviewed,that is not the primary purpose of the interview.
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2. For there to be a successful interview, the respiratory psychotherapist must:
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a. provide leading questions to guide the hospital client. ff ff ff ff ff ff ff


b. reassure the hospital client. ff ff ff


c. be an active listener. ff ff ff


d. use medical terminology to show knowledge of the subject matter.
ff ff ff ff ff ff ff ff ff




ACCURATE ANSWER:- ff f f C
Reasoning :->>>The personal qualities that a respiratory psychotherapist must have to conduct a
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successful interview includebeing an active listener, having a genuine concern for the hospital
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client, and having empathy. Leading questions must be avoided. Reassurance may provide a false
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sense of comfort to the hospital client. Medicaljargon can sound exclusionary and paternalistic to a
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hospital client.
ff ff




3. Which of the following would be found on a history form?ff ff ff ff ff ff ff ff ff ff


1. Age
2. Chief complaint ff


3. Present health ff


4. Family history ff


5. Health insurance ff


providera. 1, 4
ff f ff ff


b. 2, 3 ff ff


c. 3, 4, 5 ff ff ff


d. 1, 2, 3, 4 ff ff ff ff




ACCURATE ANSWER:- D ff f f


Reasoning :->>>Age, chief complaint, present health, and family history are typically found
ff ff ff ff ff ff ff ff ff ff ff


on a health history form because each can impact the hospital client’s health. Health insurance
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provider information, while needed for billing purposes, would not be found on the history
ff ff ff ff ff ff ff ff ff ff ff ff ff ff


form.
ff




4. External factors the respiratory care specialist should make efforts to provide during
ff ff ff ff ff ff ff ff ff ff ff


aninterview include which of the following?
ff f ff ff ff ff ff


1. Minimize or prevent interruptions. ff ff ff


2. Ensure privacy during discussions. ff ff ff

, 3. Interviewer is the same sex as the hospital client to prevent bias. ff ff ff ff ff ff ff ff ff ff ff


4. Be comfortable for the hospital client and
ff ff ff ff ff ff


interviewer.a. 1, 4
ff f ff ff


b. 2, 3 ff ff


c. 1, 2, 4 f f ff ff


d. 2, 3, 4 f f ff ff




ACCURATE ANSWER:- C ff f f


Reasoning :->>>External factors, such as a good physical setting, enhance the interviewing
ff ff ff ff ff ff ff ff ff ff ff


process. Regardless of theinterview setting (the hospital client’s bedside, a crowded emergency
ff ff ff ff f ff ff ff ff ff ff ff ff


room, an office in the hospital or clinic,or the hospital client’s home), efforts should be made to (1)
ff ff ff ff ff ff ff ff f ff ff ff ff ff ff ff ff ff ff


ensure privacy, (2) prevent interruptions, and (3)secure a comfortable physical environment (e.g.,
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comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either
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gender, who acts professionally, should be able to interview a hospital client of either gender.
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5. The respiratory psychotherapist is conducting a hospital client interview. The
ff ff ff ff ff ff ff ff ff


psychotherapist chooses to useopen-ended questions. Open-ended questions allow
ff ff ff ff f ff ff ff ff


the psychotherapist to do which of the following?
ff ff ff ff ff ff ff ff


1. Gather information when a hospital client introduces a new topic. ff ff ff ff ff ff ff ff ff


2. Introduce a new subject area. ff ff ff ff


3. Begin the interview process. ff ff ff


4. Gather specific information. ff ff


a. 4 ff


b. 1, 3 ff ff


c. 1, 2, 3 f f ff ff


d. 2, 3, 4 f f ff ff




ACCURATE ANSWER:- C ff f f


Reasoning :->>>An open-ended question should be used to start the interview, introduce a new
ff ff ff ff ff ff ff ff ff ff ff ff ff


section of questions,and gather more information from a hospital client’s topic. Closed or direct
ff ff ff f ff ff ff ff ff ff ff ff ff ff ff


questions are used to gather specific information.
ff ff ff ff ff ff ff




6. The direct question interview format is used to:
ff ff ff ff ff ff ff


1. speed up the interview. ff ff ff


2. let the hospital client fully explain his/her situation.
ff ff ff ff ff ff ff


3. help the respiratory psychotherapist show empathy. ff ff ff ff ff


4. gather specific ff


information.a. 1, 4ff f ff ff


b. 2, 3 ff ff ff ff


c. 3, 4 f f ff


d. 1, 2, 3 ff ff ff ff

, ACCURATE ANSWER:- A ff f f


Reasoning :->>>Direct or closed questions are best to gather specific information and speed up
ff ff ff ff ff ff ff ff ff ff ff ff ff


the interview. Open-ended questions are best suited to let the hospital client fully explain his/her
ff ff ff f ff ff ff ff ff ff ff ff ff ff ff ff


situation and possibly help therespiratory psychotherapist show empathy.
ff ff ff ff ff f ff ff ff




7. During the interview the hospital client states, ―Every time I climb the stairs I have to
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff


stop to catchmy breath.‖ Hearing this, the respiratory psychotherapist replies, ―So, it
ff ff ff f ff ff ff ff ff ff ff ff ff


sounds like you get short of breath climbing stairs.‖ This interviewing technique is
ff ff ff ff ff ff ff ff ff ff ff ff ff


called: ff


a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATE ANSWER:- D ff f f


Reasoning :->>>With reflection, part of the hospital client’s statement is repeated. This lets the hospital
ff ff ff ff ff ff ff ff ff ff ff ff ff ff


client know that whathe/she said was heard. It also encourages the hospital client to elaborate on the
ff ff ff ff f ff ff ff ff ff ff ff ff ff ff ff ff ff


topic.
ff


Clarification, modeling, and empathy are other communication techniques. ff ff ff ff ff ff ff




8. The respiratory psychotherapist may choose to use the hospital client interview
ff ff ff ff ff ff ff ff ff ff


technique of silencein which of the following situations?
ff ff ff f ff ff ff ff ff


a. To prompt the hospital client to ask a questionff ff ff ff ff ff ff ff


b. After a direct question ff ff ff


c. After an open-ended question ff ff ff


d. To allow the hospital client to review his/her history
ff ff ff ff ff ff ff ff




ACCURATE ANSWER:- C ff f f


Reasoning :->>>After a hospital client has answered an open-ended question, the respiratory
ff ff ff ff ff ff ff ff ff ff ff


psychotherapist should pause (use silence) before asking the next question. This pause allows the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff


hospital client to add something else beforemoving on. The hospital client may also choose to ask
ff ff ff ff ff ff ff f ff ff ff ff ff ff ff ff ff


a question.
ff ff




9. To have the most productive interviewing session, which of the following types of
ff
N R I G B.
responsesto assist in the interview shouUld tShe rNespTiratory tOherapist avoid?
ff ff


f
ff


ff
ff


ff ff ff
ff
ff ff
ff
ff ff
ff


ff
ff


ff
ff ff ff


ff
ff


ff
ff




a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATE ANSWER:- D ff f f


Reasoning :->>>With confrontation, the respiratory psychotherapist focuses the hospital client’s
ff ff ff ff ff ff ff ff ff


attention on an action, feeling, orstatement made by the hospital client. This may prompt a further
ff ff ff ff ff ff f ff ff ff ff ff ff ff ff ff ff


discussion. Reflection helps the hospital client focus on specific areas and continues in his/her own
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff


way. Facilitation encourages hospital clients to say more, to continue with the story. The
ff ff ff ff ff ff ff ff ff ff ff ff ff ff


respiratory psychotherapist should avoid giving advice, using avoidance language, and using
ff ff ff ff ff ff ff ff ff ff ff


distancing language.
ff ff




10. When closing the interview, the respiratory psychotherapist should do which of the following?
ff ff ff ff ff ff ff ff ff ff ff ff


1. Recheck the hospital client’s vital signs. ff ff ff ff ff


2. Thank the hospital client. ff ff ff


3. Ask if the hospital client has any questions. ff ff ff ff ff ff ff


4. Close the door behind himself/herself for hospital client privacy. ff ff ff ff ff ff ff ff


a. 2 ff

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Publisher: 2023 ISBN: 9780323871518 Edition: Unknown

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