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Test Bank - Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition (Des Jardins, 2024), Chapters 1-45 | All Chapters Covered

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Master the clinical logic and diagnostic precision required for respiratory therapy with this comprehensive Test Bank for the 9th Edition of Clinical Manifestations and Assessment of Respiratory Disease by Terry Des Jardins and George G. Burton, a professional-grade academic resource featuring hundreds of exam-style questions—including arterial blood gas (ABG) interpretations, pulmonary function test (PFT) analysis, and patient assessment vignettes—meticulously designed to evaluate student proficiency in the Therapist-Driven Protocol (TDP) program. This resource provides exhaustive coverage for bedside diagnosis and laboratory findings in Chapter 1: The Patient Interview, Chapter 2: The Physical Examination, Chapter 3: Common Clinical Manifestations, Chapter 4: Pulmonary Function Testing, Chapter 5: Blood Gas Assessment, Chapter 6: Assessment of Oxygenation, Chapter 7: Assessment of the Cardiovascular System, Chapter 8: Radiologic Examination of the Chest, and Chapter 9: Other Important Tests and Procedures, while delivering rigorous evaluative support for management standards in Chapter 10: The Therapist-Driven Protocol Program, Chapter 11: Respiratory Failure and Ventilatory Management Protocols, and Chapter 12: Recording Skills and Intra-Professional Communication. Extensive diagnostic testing for adult, pediatric, and neonatal respiratory pathologies is provided through Chapter 13: COPD, Bronchitis, and Emphysema, Chapter 14: Asthma, Chapter 15: Cystic Fibrosis, Chapter 16: Bronchiectasis, Chapter 17: Atelectasis, Chapter 18: Pneumonia, Chapter 19: Tuberculosis, Chapter 20: Pulmonary Edema, Chapter 21: Pulmonary Embolism, Chapter 22: Flail Chest, Chapter 23: Pneumothorax, Chapter 24: Pleural Effusion, Chapter 25: Kyphoscoliosis, Chapter 26: Lung Cancer, Chapter 27: Interstitial Lung Diseases, Chapter 28: ARDS, Chapter 29: Guillain-Barre Syndrome, Chapter 30: Myasthenia Gravis, Chapter 31: Neuromuscular Disease, and Chapter 32: Sleep Apnea. Finally, the bank concludes with specialized maternal-child and emergency care in Chapter 33: Newborn Assessment, Chapter 34: Pediatric Assessment, Chapter 35: Meconium Aspiration, Chapter 36: Transient Tachypnea, Chapter 37: Respiratory Distress Syndrome (RDS), Chapter 38: Air Leak Syndromes, Chapter 39: RSV (Bronchiolitis), Chapter 40: Bronchopulmonary Dysplasia, Chapter 41: Diaphragmatic Hernia, Chapter 42: Congenital Heart Diseases, Chapter 43: Croup and Epiglottitis, Chapter 44: Near Drowning, and Chapter 45: Smoke Inhalation and Thermal Injuries, ensuring robust preparation for NBRC credentialing exams (TMC and CSE) and clinical excellence in respiratory care.

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Clinical Manifestations and Assessment of
Respiratory Disease 9th Edition
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, Chapter 01: The Patient Interview
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition

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 respiratory therapist must 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. Medicaljargon 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 provider
a. 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, whileneeded for
billing purposes, would not be found on the history form.

, 4. External factors the respiratory care practitioner should make efforts to provide during an
interview 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
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
or the 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 of noise). An interviewer of either gender, who acts professionally, should be able to
interview a patient of either gender.

5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
open-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
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 more information from a patient’s topic. Closed or direct questions are used to gather
specific information.

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
respiratory therapist show empathy.

, 7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
of breath 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 said 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
in 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. This pause allows the patient to add something else before
moving on. The patient may also choose to ask a question.

9. To have the most productive interviewing session, which of the following types of responses
N URld tI
to assist in the interview shou SheGrNesp
B.Tiratory 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
statement made by the patient. This may prompt a further discussion. Reflection helps the patient
focus 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 language, 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

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Publisher: Unknown ISBN: 9780323871501 Edition: Unknown

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