Test Bank For Wilkins' Clinical Assessment in Respiratory Care 9th Edition By Al Heuer ( ) / 9780323696999 / Chapter 1-21 / Complete Questions and Answers A+

Test Bank for Wilkins’ Clinical Assessment in Respirator
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y Care,9th Edition by Heuer,
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Chapters 1 – 21.
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,Wilkins' Clinical Assessment in Respiratory Care,
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Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical History and the Interview
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Chapter 3. Cardiopulmonary Symptoms
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Chapter 4. Vital Signs
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Chapter 5. Fundamentals of Physical Examination
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Chapter 6. Neurologic Assessment
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Chapter 7. Clinical Laboratory Studies
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Chapter 8. Interpretation of Blood Gases
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Chapter 9. Pulmonary Function Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
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Chapter 12. Neonatal and Pediatric Assessment
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Chapter 13. Older Patient Assessment
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Chapter 14. Monitoring in Critical Care
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Chapter 15. Vascular Pressure Monitoring
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Chapter 16. Cardiac Output Measurement
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Chapter 17. Bronchoscopy
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Chapter 18. Nutritional Assessment
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Chapter 19. Sleep and Breathing Assessment
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Chapter 20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter 1: Preparing for the Patient Encounter Test Ba
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nk

MULTIPLE CHOICE pr




1. Which of the following activities is not part of the role of respiratory therapists (RTs) in p
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atient assessment? pr


a. Assist the physician with diagnostic reasoning skills.
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b. Help the physician select appropriate pulmonary function tests.
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c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
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d. Document the patient diagnosis in the patient’s chart. pr pr pr pr pr pr pr




ANSWER: D p r


RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
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REF: p r Table 1-1, pg. 4 pr pr pr OBJ: p r p r 9

2. In which of the following stages of patient–
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clinician interaction is the review of physician orders carried out?
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a. Treatment stage pr


b. Introductory stage pr


c. Preinteraction stage pr


d. Initial assessment stage pr pr




ANSWER: C p r


Physician orders should be reviewed in the patient’s chart before the physician sees the patien
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t.

REF: p r Table 1-1, pg. 4 pr pr pr OBJ: p r p r 9

3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductory stage pr


b. Preinteraction stage pr


c. Initial assessment stage pr pr


d. Treatment stage pr




ANSWER: A p r


The patient ID bracelet must be checked before moving forward with assessment and treatme
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nt.

REF: p r Table 1-1, pg. 4 pr pr pr OBJ: p r p r 9

4. What should be done just before the patient’s ID bracelet is checked?
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a. Check the patient’s SpO2. pr pr pr


b. Ask the patient for permission.
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c. Check the chart for vital signs. pr pr pr pr pr


d. Listen to breath sounds. pr pr pr




ANSWER: p r B
It is considered polite to ask the patient for permission before touching and reading his or her
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rID bracelet.
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, REF: prpr pg. 3 pr OBJ: p r p r 3|5 pr pr




5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age.
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b. Identify the patient’s family history. pr pr pr pr


c. Determine the patient’s diagnosis. pr pr pr


d. Establish a rapport with the patient. pr pr pr pr pr




ANSWER: D p r


The introductory phase is all about getting to know the patient and establishing a rapport with hi
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m or her.
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REF: p r Table 1-1, pg. 4 pr pr pr OBJ: p r p r 3

6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms pr


b. Minimal eye contact pr pr


c. Brief answers to questionspr pr pr


d. Asking the purpose of the treatment pr pr pr pr pr




ANSWER: D p r


If a patient asks about the purpose of the treatment you are about to give, this generally indi
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cates that he or she is not upset.
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REF: p r Table 1-1, pg. 4 pr pr pr OBJ: p r p r 3

7. What is the main purpose of the initial assessment stage?
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a. To identify any allergies to medications
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b. To document the patient’s smoking history
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c. To personally get to know the patient better
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d. To verify that the prescribed treatment is still needed and appropriate
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ANSWER: D p r


When you first see the patient, you are encouraged to perform a brief assessment to make sur
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e the treatment order by the physician is still appropriate. The patient’s status may have chang
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ed abruptly recently.
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REF: p r Table 1-1, pg. 4 pr pr pr OBJ: p r p r 3

8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet pr pr pr


b. 4 to 12 feet pr pr pr


c. 6 to 18 feet pr pr pr


d. 8 to 20 feet pr pr pr




ANSWER: p r B
The social space is 4 to 12 feet.
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REF: prpr pg. 5 pr OBJ: p r p r 5

9. What is the appropriate distance for the personal space?
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