Clinical Manifestations and Assessment of Respiratory Disease
8th Edition by Des Jardins
Chaptere01:eTheePatienteInterview
DeseJardins:eClinicaleManifestationseandeAssessmenteofeRespiratoryeDisease,
e8theEdition
MULTIPLEeCHOICE
1. Theerespiratoryecareepractitionereiseconductingeaepatienteinterview.eTheemainepurposee
ofethiseintervieweiseto:
a. reviewedataewithetheepatient.
b. gatheresubjectiveedataefrometheepatient.
c. gathereobjectiveedataefrometheepatient.
d. filleoutetheehistoryeformeorechecklist.
ANS:e B
Theeintervieweiseaemeetingebetweenetheerespiratoryecareepractitionereandetheepatient.eIteall
owsetheecollectioneofesubjectiveedataeaboutetheepatient’sefeelingseregardingehis/her
condition.eTheehistoryeshouldebeedoneebeforeetheeinterview.eAlthoughedataecanebeerev
iewed,ethateisenotetheeprimaryepurposeeofetheeinterview.
2. Forethereetoebeeaesuccessfuleinterview,etheerespiratoryetherapistemust:
a. provideeleadingequestionsetoeguideetheepatient.
b. reassureetheepatient.
c. beeaneactiveelistener.
d. useemedicaleterminologyetoeshoweknowledgeeofetheesubjectematter.
ANS:ee C
NeReIeGeB.CeM
UeSeNeT O
Theepersonalequalitiesethateaerespiratoryetherapistemustehaveetoeconducteaesuccessfuleintervieweincl
ude
beingeaneactiveelistener,ehavingeaegenuineeconcerneforetheepatient,eandehavingeempathy.eLeadi
ngequestionsemustebeeavoided.eReassuranceemayeprovideeaefalseesenseeofecomfortetoetheepatie
nt.eMedicalejargonecanesoundeexclusionaryeandepaternalisticetoeaepatient.
, 3. Whicheofetheefollowingewouldebeefoundeoneaehistoryeform?
1. Age
2. Chiefecomplaint
3. Presentehealth
4. Familyehistory
5. Healtheinsuranceeprovide
rea.e1,e4
b.e2,e3
c.e3,e4,e5
d.e1,e2,e3,e4
ANS:e D
Age,echiefecomplaint,epresentehealth,eandefamilyehistoryeareetypicallyefoundeoneaehealtheh
istoryeformebecauseeeachecaneimpactetheepatient’sehealth.eHealtheinsuranceeprovidereinfor
mation,ewhileeneededeforebillingepurposes,ewouldenotebeefoundeonetheehistoryeform.
DAWIT
, 4. Externalefactorsetheerespiratoryecareepractitionereshouldemakeeeffortsetoeprovideeduri
ngeaneintervieweincludeewhicheofetheefollowing?
1. Minimizeeorepreventeinterruptions.
2. Ensureeprivacyeduringediscussions.
3. Interviewereisetheesameesexeasetheepatientetoepreventebias.
4. Beecomfortableeforetheepatienteandeintervie
wer.ea.e1,e4
b.e2,e3
c.e 1,e2,e4
d.eee2,e3,e4
ANS:e C
Externalefactors,esucheaseaegoodephysicalesetting,eenhanceetheeinterviewingeprocess.eRegardlesse
ofetheeinterviewesettinge(theepatient’sebedside,eaecrowdedeemergencyeroom,eaneofficeeinetheehos
pitaleoreclinic,eoretheepatient’sehome),eeffortseshouldebeemadeetoe(1)eensureeprivacy,e(2)eprevent
einterruptions,eande(3)esecureeaecomfortableephysicaleenvironmente(e.g.,ecomfortableeroometempe
rature,esufficientelighting,eabsenceeofenoise).eAneinterviewereofeeitheregender,ewhoeactseprofessi
onally,eshouldebeeableetoeintervieweaepatienteofeeitheregender.
5. Theerespiratoryetherapisteiseconductingeaepatienteinterview.eTheetherapistechooseset
oeuseeopen-endedequestions.eOpen-
endedequestionseallowetheetherapistetoedoewhicheofetheefollowing?
1. Gathereinformationewheneaepatienteintroduceseaenewetopic.
2. Introduceeaenewesubjectearea.
3. Beginetheeintervieweprocess.
4. Gatherespecificeinformation.
a.e4 DAWIT
b.e1,e3
c.e 1,e2,e
3
d.eee2,e3,
e4
ANS:e C
Aneopen-
endedequestioneshouldebeeusedetoestartetheeinterview,eintroduceeaenewesectioneofequestions,eand
egatheremoreeinformationefromeaepatient’setopic.eClosedeoredirectequestionseareeusedetoegather
especificeinformation.
6. Theedirectequestioneintervieweformateiseusedeto:
1. speedeupetheeinterview.
2. letetheepatientefullyeexplainehis/heresituation.
3. helpetheerespiratoryetherapisteshoweempathy.
4. gatherespecificeinformatio
n.ea.e1,e4
b.eee2,e3
c.e 3,e4
d.eee1,e2,e3
ANS:e A
Directeoreclosedequestionseareebestetoegatherespecificeinformationeandespeedeupetheeinterview.
eOpen-
eendedequestionseareebestesuitedetoeletetheepatientefullyeexplainehis/heresituationeandepossiblye
helpetheerespiratoryetherapisteshoweempathy.
, 7. Duringetheeinterviewetheepatientestates,e“EveryetimeeIeclimbetheestairseIehaveetoestope
toecatchemyebreath.”eHearingethis,etheerespiratoryetherapistereplies,e“So,eitesoundselike
eyouegeteshorteofebreatheclimbingestairs.”eThiseinterviewingetechniqueeisecalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:e D
Withereflection,eparteofetheepatient’sestatementeiserepeated.eThiseletsetheepatienteknoweth
atewhatehe/sheesaidewaseheard.eItealsoeencouragesetheepatientetoeelaborateeonetheetopic.
Clarification,emodeling,eandeempathyeareeotherecommunicationetechniques.
8. Theerespiratoryetherapistemayechooseetoeuseetheepatienteinterviewetechniqueeofes
ilenceeinewhicheofetheefollowingesituations?
a. Toepromptetheepatientetoeaskeaequestion
b. Aftereaedirectequestion
c. Aftereaneopen-endedequestion
d. Toeallowetheepatientetoereviewehis/herehistory
ANS:e C
Aftereaepatientehaseansweredeaneopen-
endedequestion,etheerespiratoryetherapisteshouldepausee(useesilence)ebeforeeaskingetheenextequ
estion.eThisepauseeallowsetheepatientetoeaddesomethingeelseebeforeemovingeon.eTheepatientem
ayealsoechooseetoeaskeaequestion.
9. Toehaveetheemosteproductiveeinterviewingesession,ewhicheofetheefollowingetypeseoferes
NeReIeGeB
ponsesetoeassisteinetheeintervieweshou . SheerNespTiratoryetOherapisteavoid?
Uldet
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:e D
Witheconfrontation,etheerespiratoryetherapistefocusesetheepatient’seattentioneoneaneaction,efeeli
ng,eorestatementemadeebyetheepatient.eThisemayeprompteaefurtherediscussion.eReflectionehelp
setheepatientefocuseonespecificeareaseandecontinueseinehis/hereowneway.eFacilitationeencoura
gesepatientsetoesayemore,etoecontinueewithetheestory.eTheerespiratoryetherapisteshouldeavoide
givingeadvice,eusingeavoidanceelanguage,eandeusingedistancingelanguage.
10. Wheneclosingetheeinterview,etheerespiratoryetherapisteshouldedoewhicheofetheefollowing?
1. Rechecketheepatient’sevitalesigns.
2. Thanketheepatient.
3. Askeifetheepatientehaseanyequestions.
4. Closeetheedoorebehindehimself/herselfeforepatienteprivacy.
a.e2
b.e2,e3
c.e1,e3,e4
d.e1,e2,e4eANS:e B
8th Edition by Des Jardins
Chaptere01:eTheePatienteInterview
DeseJardins:eClinicaleManifestationseandeAssessmenteofeRespiratoryeDisease,
e8theEdition
MULTIPLEeCHOICE
1. Theerespiratoryecareepractitionereiseconductingeaepatienteinterview.eTheemainepurposee
ofethiseintervieweiseto:
a. reviewedataewithetheepatient.
b. gatheresubjectiveedataefrometheepatient.
c. gathereobjectiveedataefrometheepatient.
d. filleoutetheehistoryeformeorechecklist.
ANS:e B
Theeintervieweiseaemeetingebetweenetheerespiratoryecareepractitionereandetheepatient.eIteall
owsetheecollectioneofesubjectiveedataeaboutetheepatient’sefeelingseregardingehis/her
condition.eTheehistoryeshouldebeedoneebeforeetheeinterview.eAlthoughedataecanebeerev
iewed,ethateisenotetheeprimaryepurposeeofetheeinterview.
2. Forethereetoebeeaesuccessfuleinterview,etheerespiratoryetherapistemust:
a. provideeleadingequestionsetoeguideetheepatient.
b. reassureetheepatient.
c. beeaneactiveelistener.
d. useemedicaleterminologyetoeshoweknowledgeeofetheesubjectematter.
ANS:ee C
NeReIeGeB.CeM
UeSeNeT O
Theepersonalequalitiesethateaerespiratoryetherapistemustehaveetoeconducteaesuccessfuleintervieweincl
ude
beingeaneactiveelistener,ehavingeaegenuineeconcerneforetheepatient,eandehavingeempathy.eLeadi
ngequestionsemustebeeavoided.eReassuranceemayeprovideeaefalseesenseeofecomfortetoetheepatie
nt.eMedicalejargonecanesoundeexclusionaryeandepaternalisticetoeaepatient.
, 3. Whicheofetheefollowingewouldebeefoundeoneaehistoryeform?
1. Age
2. Chiefecomplaint
3. Presentehealth
4. Familyehistory
5. Healtheinsuranceeprovide
rea.e1,e4
b.e2,e3
c.e3,e4,e5
d.e1,e2,e3,e4
ANS:e D
Age,echiefecomplaint,epresentehealth,eandefamilyehistoryeareetypicallyefoundeoneaehealtheh
istoryeformebecauseeeachecaneimpactetheepatient’sehealth.eHealtheinsuranceeprovidereinfor
mation,ewhileeneededeforebillingepurposes,ewouldenotebeefoundeonetheehistoryeform.
DAWIT
, 4. Externalefactorsetheerespiratoryecareepractitionereshouldemakeeeffortsetoeprovideeduri
ngeaneintervieweincludeewhicheofetheefollowing?
1. Minimizeeorepreventeinterruptions.
2. Ensureeprivacyeduringediscussions.
3. Interviewereisetheesameesexeasetheepatientetoepreventebias.
4. Beecomfortableeforetheepatienteandeintervie
wer.ea.e1,e4
b.e2,e3
c.e 1,e2,e4
d.eee2,e3,e4
ANS:e C
Externalefactors,esucheaseaegoodephysicalesetting,eenhanceetheeinterviewingeprocess.eRegardlesse
ofetheeinterviewesettinge(theepatient’sebedside,eaecrowdedeemergencyeroom,eaneofficeeinetheehos
pitaleoreclinic,eoretheepatient’sehome),eeffortseshouldebeemadeetoe(1)eensureeprivacy,e(2)eprevent
einterruptions,eande(3)esecureeaecomfortableephysicaleenvironmente(e.g.,ecomfortableeroometempe
rature,esufficientelighting,eabsenceeofenoise).eAneinterviewereofeeitheregender,ewhoeactseprofessi
onally,eshouldebeeableetoeintervieweaepatienteofeeitheregender.
5. Theerespiratoryetherapisteiseconductingeaepatienteinterview.eTheetherapistechooseset
oeuseeopen-endedequestions.eOpen-
endedequestionseallowetheetherapistetoedoewhicheofetheefollowing?
1. Gathereinformationewheneaepatienteintroduceseaenewetopic.
2. Introduceeaenewesubjectearea.
3. Beginetheeintervieweprocess.
4. Gatherespecificeinformation.
a.e4 DAWIT
b.e1,e3
c.e 1,e2,e
3
d.eee2,e3,
e4
ANS:e C
Aneopen-
endedequestioneshouldebeeusedetoestartetheeinterview,eintroduceeaenewesectioneofequestions,eand
egatheremoreeinformationefromeaepatient’setopic.eClosedeoredirectequestionseareeusedetoegather
especificeinformation.
6. Theedirectequestioneintervieweformateiseusedeto:
1. speedeupetheeinterview.
2. letetheepatientefullyeexplainehis/heresituation.
3. helpetheerespiratoryetherapisteshoweempathy.
4. gatherespecificeinformatio
n.ea.e1,e4
b.eee2,e3
c.e 3,e4
d.eee1,e2,e3
ANS:e A
Directeoreclosedequestionseareebestetoegatherespecificeinformationeandespeedeupetheeinterview.
eOpen-
eendedequestionseareebestesuitedetoeletetheepatientefullyeexplainehis/heresituationeandepossiblye
helpetheerespiratoryetherapisteshoweempathy.
, 7. Duringetheeinterviewetheepatientestates,e“EveryetimeeIeclimbetheestairseIehaveetoestope
toecatchemyebreath.”eHearingethis,etheerespiratoryetherapistereplies,e“So,eitesoundselike
eyouegeteshorteofebreatheclimbingestairs.”eThiseinterviewingetechniqueeisecalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:e D
Withereflection,eparteofetheepatient’sestatementeiserepeated.eThiseletsetheepatienteknoweth
atewhatehe/sheesaidewaseheard.eItealsoeencouragesetheepatientetoeelaborateeonetheetopic.
Clarification,emodeling,eandeempathyeareeotherecommunicationetechniques.
8. Theerespiratoryetherapistemayechooseetoeuseetheepatienteinterviewetechniqueeofes
ilenceeinewhicheofetheefollowingesituations?
a. Toepromptetheepatientetoeaskeaequestion
b. Aftereaedirectequestion
c. Aftereaneopen-endedequestion
d. Toeallowetheepatientetoereviewehis/herehistory
ANS:e C
Aftereaepatientehaseansweredeaneopen-
endedequestion,etheerespiratoryetherapisteshouldepausee(useesilence)ebeforeeaskingetheenextequ
estion.eThisepauseeallowsetheepatientetoeaddesomethingeelseebeforeemovingeon.eTheepatientem
ayealsoechooseetoeaskeaequestion.
9. Toehaveetheemosteproductiveeinterviewingesession,ewhicheofetheefollowingetypeseoferes
NeReIeGeB
ponsesetoeassisteinetheeintervieweshou . SheerNespTiratoryetOherapisteavoid?
Uldet
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:e D
Witheconfrontation,etheerespiratoryetherapistefocusesetheepatient’seattentioneoneaneaction,efeeli
ng,eorestatementemadeebyetheepatient.eThisemayeprompteaefurtherediscussion.eReflectionehelp
setheepatientefocuseonespecificeareaseandecontinueseinehis/hereowneway.eFacilitationeencoura
gesepatientsetoesayemore,etoecontinueewithetheestory.eTheerespiratoryetherapisteshouldeavoide
givingeadvice,eusingeavoidanceelanguage,eandeusingedistancingelanguage.
10. Wheneclosingetheeinterview,etheerespiratoryetherapisteshouldedoewhicheofetheefollowing?
1. Rechecketheepatient’sevitalesigns.
2. Thanketheepatient.
3. Askeifetheepatientehaseanyequestions.
4. Closeetheedoorebehindehimself/herselfeforepatienteprivacy.
a.e2
b.e2,e3
c.e1,e3,e4
d.e1,e2,e4eANS:e B
