Test Bank for Clinical Manifestations and Assessment of Respiratory Dis
f f f f f f f f f
ease 8th Edition Jardins f f f
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8thE
f f f f f f f f f f
dition
Chapter 01: The Patient Interview
f f f f
MULTIPLEfCHOICE
1. Thefrespiratoryfcarefpractitionerfisfconductingfafpatientfinterview.fThefmainfpurposefoffthisfinte
rviewfisfto:
a. reviewfdatafwithfthefpatient.
b. gatherfsubjectivefdataffromfthefpatient.
c. gatherfobjectivefdataffromfthefpatient.
d. fillfoutfthefhistoryfformforfchecklist.
ANS:f B
Thefinterviewfisfafmeetingfbetweenfthefrespiratoryfcarefpractitionerfandfthefpatient.fItfallowsfthefcoll
ectionfoffsubjectivefdatafaboutfthefpatient’sffeelingsfregardingfhis/her
condition.fThefhistoryfshouldfbefdonefbeforefthefinterview.fAlthoughfdatafcanfbefreviewed,thatfisfnotf
thefprimaryfpurposefoffthefinterview.
2. Forfthereftofbefafsuccessfulfinterview,fthefrespiratoryftherapistfmust:
a. providefleadingfquestionsftofguidefthefpatient.
b. reassurefthefpatient.
c. befanfactiveflistener.
d. usefmedicalfterminologyftofshowfknowledgefoffthefsubjectfmatter.
ANS:ff C
N R I G B.C M
UfSfNfTfmustfhaveftoOfconductfafsuccessfulfinterviewfinclude
f f f f f
Thefpersonalfqualitiesfthatfafrespiratoryftherapist
beingfanfactiveflistener,fhavingfafgenuinefconcernfforfthefpatient,fandfhavingfempathy.fLeadingfquestionsfmus
tfbefavoided.fReassurancefmayfprovidefaffalsefsensefoffcomfortftofthefpatient.fMedicaljargonfcanfsoundfexclu
sionaryfandfpaternalisticftofafpatient.
3. Whichfofftheffollowingfwouldfbeffoundfonfafhistoryfform?
1. Age
2. Chieffcomplaint
3. Presentfhealth
4. Familyfhistory
5. Healthfinsurancefprovidera.f1,f
4
b.f2,f3
c.f3,f4,f5
d.f1,f2,f3,f4
ANS:f D
Age,fchieffcomplaint,fpresentfhealth,fandffamilyfhistoryfareftypicallyffoundfonfafhealthfhistoryfformfbeca
usefeachfcanfimpactfthefpatient’sfhealth.fHealthfinsurancefproviderfinformation,fwhileneededfforfbillingfp
urposes,fwouldfnotfbeffoundfonfthefhistoryfform.
, 4. Externalffactorsfthefrespiratoryfcarefpractitionerfshouldfmakefeffortsftofprovidefduringfanfint
erviewfincludefwhichfofftheffollowing?
1. Minimizeforfpreventfinterruptions.
2. Ensurefprivacyfduringfdiscussions.
3. Interviewerfisfthefsamefsexfasfthefpatientftofpreventfbias.
4. Befcomfortablefforfthefpatientfandfinterviewer.fa.
f1,f 4
b.f2,f3
c.f 1,f2,f 4
d.fff2,f3,f4
ANS:f C
Externalffactors,fsuchfasfafgoodfphysicalfsetting,fenhancefthefinterviewingfprocess.fRegardlessfoffthefinte
rviewfsettingf(thefpatient’sfbedside,fafcrowdedfemergencyfroom,fanfofficefinfthefhospitalforfclinic,forfthefp
atient’sfhome),feffortsfshouldfbefmadeftof(1)fensurefprivacy,f(2)fpreventfinterruptions,fandf(3)fsecurefafco
mfortablefphysicalfenvironmentf(e.g.,fcomfortablefroomftemperature,fsufficientflighting,fabsencefoffnois
e).fAnfinterviewerfoffeitherfgender,fwhofactsfprofessionally,fshouldfbefableftofinterviewfafpatientfoffeitherf
gender.
5. Thefrespiratoryftherapistfisfconductingfafpatientfinterview.fTheftherapistfchoosesftofusefop
en-endedfquestions.fOpen-
endedfquestionsfallowftheftherapistftofdofwhichfofftheffollowing?
1. Gatherfinformationfwhenfafpatientfintroducesfafnewftopic.
2. Introducefafnewfsubjectfarea.
3. Beginfthefinterviewfprocess.
4. Gatherfspecificfinformation.
a.f4 NURSINGTB.COM
b.f1,f3
c.f 1,f2,f 3
d.fff2,f3,f4
ANS:f C
Anfopen-
endedfquestionfshouldfbefusedftofstartfthefinterview,fintroducefafnewfsectionfoffquestions,fandfgatherfmor
efinformationffromfafpatient’sftopic.fClosedforfdirectfquestionsfarefusedftofgatherfspecificfinformation.
6. Thefdirectfquestionfinterviewfformatfisfusedfto:
1. speedfupfthefinterview.
2. letfthefpatientffullyfexplainfhis/herfsituation.
3. helpfthefrespiratoryftherapistfshowfempathy.
4. gatherfspecificfinformation.f
a.f1,f 4
b.fff2,f3
c.f 3,f 4
d.fff1,f2,f3
ANS:f A
Directforfclosedfquestionsfarefbestftofgatherfspecificfinformationfandfspeedfupfthefinterview.fOpen-
fendedfquestionsfarefbestfsuitedftofletfthefpatientffullyfexplainfhis/herfsituationfandfpossiblyfhelpfthefresp
iratoryftherapistfshowfempathy.
, 7. Duringfthefinterviewfthefpatientfstates,f“EveryftimefIfclimbfthefstairsfIfhaveftofstopftofcatchfmyfb
reath.”fHearingfthis,fthefrespiratoryftherapistfreplies,f“So,fitfsoundsflikefyoufgetfshortfoffbreathf
climbingfstairs.”fThisfinterviewingftechniquefisfcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:f D
Withfreflection,fpartfoffthefpatient’sfstatementfisfrepeated.fThisfletsfthefpatientfknowfthatfwhatfhe/s
hefsaidfwasfheard.fItfalsofencouragesfthefpatientftofelaboratefonftheftopic.
Clarification,fmodeling,fandfempathyfarefotherfcommunicationftechniques.
8. Thefrespiratoryftherapistfmayfchooseftofusefthefpatientfinterviewftechniquefoffsilencefinf
whichfofftheffollowingfsituations?
a. Tofpromptfthefpatientftofaskfafquestion
b. Afterfafdirectfquestion
c. Afterfanfopen-endedfquestion
d. Tofallowfthefpatientftofreviewfhis/herfhistory
ANS:f C
Afterfafpatientfhasfansweredfanfopen-
endedfquestion,fthefrespiratoryftherapistfshouldfpausef(usefsilence)fbeforefaskingfthefnextfquestion.fTh
isfpausefallowsfthefpatientftofaddfsomethingfelsefbeforefmovingfon.fThefpatientfmayfalsofchooseftofaskfa
fquestion.
9. Tofhavefthefmostfproductivefinterviewingfsession,fwhichfofftheffollowingftypesfoffresponsesftofa
ssistfinfthefinterviewfshouUN
ldfftR IffrGNfB
Sfhe . TiratoryftOherapistfavoid?
esp
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:f D
Withfconfrontation,fthefrespiratoryftherapistffocusesfthefpatient’sfattentionfonfanfaction,ffeeling,forfstat
ementfmadefbyfthefpatient.fThisfmayfpromptfaffurtherfdiscussion.fReflectionfhelpsfthefpatientffocusfo
nfspecificfareasfandfcontinuesfinfhis/herfownfway.fFacilitationfencouragesfpatientsftofsayfmore,ftofcon
tinuefwithfthefstory.fThefrespiratoryftherapistfshouldfavoidfgivingfadvice,fusingfavoidanceflanguage,fa
ndfusingfdistancingflanguage.
10. Whenfclosingfthefinterview,fthefrespiratoryftherapistfshouldfdofwhichfofftheffollowing?
1. Recheckfthefpatient’sfvitalfsigns.
2. Thankfthefpatient.
3. Askfiffthefpatientfhasfanyfquestions.
4. Closefthefdoorfbehindfhimself/herselffforfpatientfprivacy.
a.f2
b.f2,f3
c.f1,f3,f4
d.f1,f2,f4fANS:f B
, Tofendfthefinterviewfonfafpositivefnote,fthefrespiratoryftherapistfshouldfthankfthefpatientfandfaskfiffthefpa
tientfhasfanyfquestions.fIfftherefisfnofneedfforfthefvitalfsignsftofbefchecked,ftheyfshouldfnotfbe.fThefdoorfm
ayfbefleftfopenforfclosed,fdependingfonfthefsituation.
11. Thefrespiratoryftherapistfshouldfbefawarefoffafpatient’sfculturefandfreligiousfbeliefsfforfwhi
chfofftheffollowingfreasons?
a. Tofbefableftofengagefinfafmeaningfulfconversation
b. Tofchangefanyfmisguidedfnotionsfthefpatientfhasfthatfmayfimpactfhis/herfhealth
c. Tofexplainftofthefpatientfhowfthesefbeliefsfwillfleadftofdiscriminationfandfste
reotyping
d. Tofbetterfunderstandfhowfthefpatient’sfbeliefsfmayfimpactfhowfthefpatientfthinksfan
dfbehaves
ANS:f D
Culturefandfreligiousfbeliefsfmayfhavefafprofoundfeffectfonfhowfpatientsfthinkfandfbehave,fandfthisfmayfi
mpactftheirfhealthforfhealthfcarefdecisions.fThefrolefoffthefrespiratory
therapistfisfnotftofchangefthefpatient’sfbeliefs,fengagefinfsensitivefconversations,forfdiscussfdiscriminati
on.fRather,fthefrespiratoryftherapistfneedsftofunderstandfhowfthesefbeliefsfmayfimpactfthefpatient’sfhealt
hfcarefdecisions.
12. Whichfofftheffollowingfarefthefmostfimportantfcomponentsfoffafsuccessfulfinterview?
a. Communicationfandfunderstanding
b. Authorityfandfthefusefoffmedicalfterminology
c. Providingfassurancefandfgivingfadvice
d. Askingfleadingfquestionsfandfanticipatingfpatientfresponsesftofquestions
I GNB.C M
ANS:f A
NUR S f f
Communication and understanding are the basis foT
r a goodOpatient interview. Authority, the use of
f f f
f f f f f f f f f f f
medicalfjargon,fprovidingfassurance,fgivingfadvice,faskingfleadingfquestions,fandfanticipatingfarefallftyp
esfoffnonproductivefcommunicationfformsfandfcreatefbarriersftofpatientfcommunication.
13. Thefrespiratoryftherapistfisfconductingfafpatientfinterviewfandfrecordingfresponsesfinfthefpat
ient’sfelectronicfhealthfrecord.fThefrespiratoryftherapistfshouldftakefwhichfofftheffollowingf
intofaccountfregardingfthefusefoffthefcomputerftofrecordfresponses?
a. Theftherapist’sfattentionfmayfbefshiftedffromfthefpatientftofthefcomputer.
b. Thefpatientfwillffeelfmorefimportantfthanfiffthefinformationfisfrecordedfonfpaper.
c. Theftherapistfwillfbeflessflikelyftofmakefspellingferrorsfiffusingfafspell-
checkfprogram.
d. Thefenvironmentfwillfbefmorefprofessionalfandfthefpatientfwillfbefmoreflikelyftofope
nfupfiffthefinterviewfisfconductedfwithfpaper.
ANS:f A
Theftherapist’sfusefoffthefcomputerfcanfbefthreateningfandfmay,finfsomefcases,fbefafpotentialfhazardftofgo
odfpatientfcommunication.fThefpatientfcanfbefintimidatedftofthefpointfoff“shuttingfdown.”fInfaddition,ft
heftherapistfwhofhasftofshiftffocusffromfthefpatientftofthefcomputerfcanfmissfimportantfverbalfandfnonve
rbalfmessages.
f f f f f f f f f
ease 8th Edition Jardins f f f
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8thE
f f f f f f f f f f
dition
Chapter 01: The Patient Interview
f f f f
MULTIPLEfCHOICE
1. Thefrespiratoryfcarefpractitionerfisfconductingfafpatientfinterview.fThefmainfpurposefoffthisfinte
rviewfisfto:
a. reviewfdatafwithfthefpatient.
b. gatherfsubjectivefdataffromfthefpatient.
c. gatherfobjectivefdataffromfthefpatient.
d. fillfoutfthefhistoryfformforfchecklist.
ANS:f B
Thefinterviewfisfafmeetingfbetweenfthefrespiratoryfcarefpractitionerfandfthefpatient.fItfallowsfthefcoll
ectionfoffsubjectivefdatafaboutfthefpatient’sffeelingsfregardingfhis/her
condition.fThefhistoryfshouldfbefdonefbeforefthefinterview.fAlthoughfdatafcanfbefreviewed,thatfisfnotf
thefprimaryfpurposefoffthefinterview.
2. Forfthereftofbefafsuccessfulfinterview,fthefrespiratoryftherapistfmust:
a. providefleadingfquestionsftofguidefthefpatient.
b. reassurefthefpatient.
c. befanfactiveflistener.
d. usefmedicalfterminologyftofshowfknowledgefoffthefsubjectfmatter.
ANS:ff C
N R I G B.C M
UfSfNfTfmustfhaveftoOfconductfafsuccessfulfinterviewfinclude
f f f f f
Thefpersonalfqualitiesfthatfafrespiratoryftherapist
beingfanfactiveflistener,fhavingfafgenuinefconcernfforfthefpatient,fandfhavingfempathy.fLeadingfquestionsfmus
tfbefavoided.fReassurancefmayfprovidefaffalsefsensefoffcomfortftofthefpatient.fMedicaljargonfcanfsoundfexclu
sionaryfandfpaternalisticftofafpatient.
3. Whichfofftheffollowingfwouldfbeffoundfonfafhistoryfform?
1. Age
2. Chieffcomplaint
3. Presentfhealth
4. Familyfhistory
5. Healthfinsurancefprovidera.f1,f
4
b.f2,f3
c.f3,f4,f5
d.f1,f2,f3,f4
ANS:f D
Age,fchieffcomplaint,fpresentfhealth,fandffamilyfhistoryfareftypicallyffoundfonfafhealthfhistoryfformfbeca
usefeachfcanfimpactfthefpatient’sfhealth.fHealthfinsurancefproviderfinformation,fwhileneededfforfbillingfp
urposes,fwouldfnotfbeffoundfonfthefhistoryfform.
, 4. Externalffactorsfthefrespiratoryfcarefpractitionerfshouldfmakefeffortsftofprovidefduringfanfint
erviewfincludefwhichfofftheffollowing?
1. Minimizeforfpreventfinterruptions.
2. Ensurefprivacyfduringfdiscussions.
3. Interviewerfisfthefsamefsexfasfthefpatientftofpreventfbias.
4. Befcomfortablefforfthefpatientfandfinterviewer.fa.
f1,f 4
b.f2,f3
c.f 1,f2,f 4
d.fff2,f3,f4
ANS:f C
Externalffactors,fsuchfasfafgoodfphysicalfsetting,fenhancefthefinterviewingfprocess.fRegardlessfoffthefinte
rviewfsettingf(thefpatient’sfbedside,fafcrowdedfemergencyfroom,fanfofficefinfthefhospitalforfclinic,forfthefp
atient’sfhome),feffortsfshouldfbefmadeftof(1)fensurefprivacy,f(2)fpreventfinterruptions,fandf(3)fsecurefafco
mfortablefphysicalfenvironmentf(e.g.,fcomfortablefroomftemperature,fsufficientflighting,fabsencefoffnois
e).fAnfinterviewerfoffeitherfgender,fwhofactsfprofessionally,fshouldfbefableftofinterviewfafpatientfoffeitherf
gender.
5. Thefrespiratoryftherapistfisfconductingfafpatientfinterview.fTheftherapistfchoosesftofusefop
en-endedfquestions.fOpen-
endedfquestionsfallowftheftherapistftofdofwhichfofftheffollowing?
1. Gatherfinformationfwhenfafpatientfintroducesfafnewftopic.
2. Introducefafnewfsubjectfarea.
3. Beginfthefinterviewfprocess.
4. Gatherfspecificfinformation.
a.f4 NURSINGTB.COM
b.f1,f3
c.f 1,f2,f 3
d.fff2,f3,f4
ANS:f C
Anfopen-
endedfquestionfshouldfbefusedftofstartfthefinterview,fintroducefafnewfsectionfoffquestions,fandfgatherfmor
efinformationffromfafpatient’sftopic.fClosedforfdirectfquestionsfarefusedftofgatherfspecificfinformation.
6. Thefdirectfquestionfinterviewfformatfisfusedfto:
1. speedfupfthefinterview.
2. letfthefpatientffullyfexplainfhis/herfsituation.
3. helpfthefrespiratoryftherapistfshowfempathy.
4. gatherfspecificfinformation.f
a.f1,f 4
b.fff2,f3
c.f 3,f 4
d.fff1,f2,f3
ANS:f A
Directforfclosedfquestionsfarefbestftofgatherfspecificfinformationfandfspeedfupfthefinterview.fOpen-
fendedfquestionsfarefbestfsuitedftofletfthefpatientffullyfexplainfhis/herfsituationfandfpossiblyfhelpfthefresp
iratoryftherapistfshowfempathy.
, 7. Duringfthefinterviewfthefpatientfstates,f“EveryftimefIfclimbfthefstairsfIfhaveftofstopftofcatchfmyfb
reath.”fHearingfthis,fthefrespiratoryftherapistfreplies,f“So,fitfsoundsflikefyoufgetfshortfoffbreathf
climbingfstairs.”fThisfinterviewingftechniquefisfcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:f D
Withfreflection,fpartfoffthefpatient’sfstatementfisfrepeated.fThisfletsfthefpatientfknowfthatfwhatfhe/s
hefsaidfwasfheard.fItfalsofencouragesfthefpatientftofelaboratefonftheftopic.
Clarification,fmodeling,fandfempathyfarefotherfcommunicationftechniques.
8. Thefrespiratoryftherapistfmayfchooseftofusefthefpatientfinterviewftechniquefoffsilencefinf
whichfofftheffollowingfsituations?
a. Tofpromptfthefpatientftofaskfafquestion
b. Afterfafdirectfquestion
c. Afterfanfopen-endedfquestion
d. Tofallowfthefpatientftofreviewfhis/herfhistory
ANS:f C
Afterfafpatientfhasfansweredfanfopen-
endedfquestion,fthefrespiratoryftherapistfshouldfpausef(usefsilence)fbeforefaskingfthefnextfquestion.fTh
isfpausefallowsfthefpatientftofaddfsomethingfelsefbeforefmovingfon.fThefpatientfmayfalsofchooseftofaskfa
fquestion.
9. Tofhavefthefmostfproductivefinterviewingfsession,fwhichfofftheffollowingftypesfoffresponsesftofa
ssistfinfthefinterviewfshouUN
ldfftR IffrGNfB
Sfhe . TiratoryftOherapistfavoid?
esp
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:f D
Withfconfrontation,fthefrespiratoryftherapistffocusesfthefpatient’sfattentionfonfanfaction,ffeeling,forfstat
ementfmadefbyfthefpatient.fThisfmayfpromptfaffurtherfdiscussion.fReflectionfhelpsfthefpatientffocusfo
nfspecificfareasfandfcontinuesfinfhis/herfownfway.fFacilitationfencouragesfpatientsftofsayfmore,ftofcon
tinuefwithfthefstory.fThefrespiratoryftherapistfshouldfavoidfgivingfadvice,fusingfavoidanceflanguage,fa
ndfusingfdistancingflanguage.
10. Whenfclosingfthefinterview,fthefrespiratoryftherapistfshouldfdofwhichfofftheffollowing?
1. Recheckfthefpatient’sfvitalfsigns.
2. Thankfthefpatient.
3. Askfiffthefpatientfhasfanyfquestions.
4. Closefthefdoorfbehindfhimself/herselffforfpatientfprivacy.
a.f2
b.f2,f3
c.f1,f3,f4
d.f1,f2,f4fANS:f B
, Tofendfthefinterviewfonfafpositivefnote,fthefrespiratoryftherapistfshouldfthankfthefpatientfandfaskfiffthefpa
tientfhasfanyfquestions.fIfftherefisfnofneedfforfthefvitalfsignsftofbefchecked,ftheyfshouldfnotfbe.fThefdoorfm
ayfbefleftfopenforfclosed,fdependingfonfthefsituation.
11. Thefrespiratoryftherapistfshouldfbefawarefoffafpatient’sfculturefandfreligiousfbeliefsfforfwhi
chfofftheffollowingfreasons?
a. Tofbefableftofengagefinfafmeaningfulfconversation
b. Tofchangefanyfmisguidedfnotionsfthefpatientfhasfthatfmayfimpactfhis/herfhealth
c. Tofexplainftofthefpatientfhowfthesefbeliefsfwillfleadftofdiscriminationfandfste
reotyping
d. Tofbetterfunderstandfhowfthefpatient’sfbeliefsfmayfimpactfhowfthefpatientfthinksfan
dfbehaves
ANS:f D
Culturefandfreligiousfbeliefsfmayfhavefafprofoundfeffectfonfhowfpatientsfthinkfandfbehave,fandfthisfmayfi
mpactftheirfhealthforfhealthfcarefdecisions.fThefrolefoffthefrespiratory
therapistfisfnotftofchangefthefpatient’sfbeliefs,fengagefinfsensitivefconversations,forfdiscussfdiscriminati
on.fRather,fthefrespiratoryftherapistfneedsftofunderstandfhowfthesefbeliefsfmayfimpactfthefpatient’sfhealt
hfcarefdecisions.
12. Whichfofftheffollowingfarefthefmostfimportantfcomponentsfoffafsuccessfulfinterview?
a. Communicationfandfunderstanding
b. Authorityfandfthefusefoffmedicalfterminology
c. Providingfassurancefandfgivingfadvice
d. Askingfleadingfquestionsfandfanticipatingfpatientfresponsesftofquestions
I GNB.C M
ANS:f A
NUR S f f
Communication and understanding are the basis foT
r a goodOpatient interview. Authority, the use of
f f f
f f f f f f f f f f f
medicalfjargon,fprovidingfassurance,fgivingfadvice,faskingfleadingfquestions,fandfanticipatingfarefallftyp
esfoffnonproductivefcommunicationfformsfandfcreatefbarriersftofpatientfcommunication.
13. Thefrespiratoryftherapistfisfconductingfafpatientfinterviewfandfrecordingfresponsesfinfthefpat
ient’sfelectronicfhealthfrecord.fThefrespiratoryftherapistfshouldftakefwhichfofftheffollowingf
intofaccountfregardingfthefusefoffthefcomputerftofrecordfresponses?
a. Theftherapist’sfattentionfmayfbefshiftedffromfthefpatientftofthefcomputer.
b. Thefpatientfwillffeelfmorefimportantfthanfiffthefinformationfisfrecordedfonfpaper.
c. Theftherapistfwillfbeflessflikelyftofmakefspellingferrorsfiffusingfafspell-
checkfprogram.
d. Thefenvironmentfwillfbefmorefprofessionalfandfthefpatientfwillfbefmoreflikelyftofope
nfupfiffthefinterviewfisfconductedfwithfpaper.
ANS:f A
Theftherapist’sfusefoffthefcomputerfcanfbefthreateningfandfmay,finfsomefcases,fbefafpotentialfhazardftofgo
odfpatientfcommunication.fThefpatientfcanfbefintimidatedftofthefpointfoff“shuttingfdown.”fInfaddition,ft
heftherapistfwhofhasftofshiftffocusffromfthefpatientftofthefcomputerfcanfmissfimportantfverbalfandfnonve
rbalfmessages.
