Clinical Manifestations and Assessment of
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Respiratory Disease 9th Edition
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, Chapter 01: The Patient Interview
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Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition
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MULTIPLE mCHOICE
1. The mrespiratory mcare mpractitioner mis mconducting ma mpatient minterview. mThe mmain mpurpose mof
mthis minterview mis mto:
a. review mdata mwith mthe mpatient.
b. gather msubjective mdata mfrom mthe mpatient.
c. gather mobjective mdata mfrom mthe mpatient.
d. fill mout mthe mhistory mform mor mchecklist.
ANS: m B
The minterview mis ma mmeeting mbetween mthe mrespiratory mcare mpractitioner mand mthe mpatient. mIt
mallows mthe mcollection mof msubjective mdata mabout mthe mpatient’s mfeelings mregarding mhis/her
mcondition. mThe mhistory mshould mbe mdone mbefore mthe minterview. mAlthough mdata mcan mbe
mreviewed,that misnot mthe mprimary mpurpose mof mthe minterview.
2. For mthere mto mbe ma msuccessful minterview, mthe mrespiratory mtherapist mmust:
a. provide mleading mquestions mto mguide mthe mpatient.
b. reassure mthe mpatient.
c. be man mactive mlistener.
d. use mmedical mterminology mto mshow mknowledge mof mthe msubject mmatter.
The mpersonal mqualities mthat ma mrespiratory mtherapist mmust mhave mto mconduct ma msuccessful minterview
minclude mbeing man mactive mlistener, mhaving ma mgenuine mconcern mfor mthe mpatient, mand mhaving mempathy.
mLeading mquestions mmust mbe mavoided. mReassurance mmay mprovide ma mfalse msense mof mcomfort mto mthe
mpatient. mMedicaljargon mcan msound mexclusionary mand mpaternalistic mto ma mpatient.
3. Which mof mthe mfollowing mwould mbe mfound mon ma mhistory mform?
1. Age
2. Chief mcomplaint
3. Present mhealth
4. Family mhistory
5. Health minsurance mprovider
a. 1,4
b. 2, m3
c. 3, m4, m5
d. 1, m2, m3, m4
ANS: m D
Age, mchief mcomplaint, mpresent mhealth, mand mfamily mhistory mare mtypically mfound mon ma mhealth mhistory
mform mbecause meach mcan mimpact mthe mpatient’s mhealth. mHealth minsurance mprovider minformation,
mwhileneeded mfor mbilling mpurposes, mwould mnot mbe mfound mon mthe mhistory mform.
, 4. External mfactors mthe mrespiratory mcare mpractitioner mshould mmake mefforts mto mprovide
mduring man minterview minclude mwhich mof mthe mfollowing?
1. Minimize mor mprevent minterruptions.
2. Ensure mprivacy mduring mdiscussions.
3. Interviewer mis mthe msame msex mas mthe mpatient mto mprevent mbias.
4. Be mcomfortable mfor mthe mpatient mand minterviewer.
a. 1, m 4
b. 2, m3
c. 1, m2, m 4
d. 2, m3, m4
ANS: m C
External mfactors, msuch mas ma mgood mphysical msetting, menhance mthe minterviewing mprocess. mRegardless
mof mthe minterview msetting m(the mpatient’s mbedside, ma mcrowded memergency mroom, man moffice min mthe
mhospital mor mclinic, mor mthe mpatient’s mhome), mefforts mshould mbe mmade mto m(1) mensure mprivacy, m(2)
mprevent minterruptions, mand m(3) msecure ma mcomfortable mphysical menvironment m(e.g., mcomfortable
mroom mtemperature, msufficient mlighting, mabsence mof mnoise). mAn minterviewer mof meither mgender, mwho
macts mprofessionally, mshould mbe mable mto minterview ma mpatient mof meither mgender.
5. The mrespiratory mtherapist mis mconducting ma mpatient minterview. mThe mtherapist mchooses mto
muse mopen-ended mquestions. mOpen-ended mquestions mallow mthe mtherapist mto mdo mwhich
mof mthe mfollowing?
1. Gather minformation mwhen ma mpatient mintroduces ma mnew mtopic.
2. Introduce ma mnew msubject marea.
3. Begin mthe minterview mprocess.
4. Gather mspecific minformation.
a. 4
b. 1, m3
c. 1, m2, m 3
d. 2, m3, m4
ANS: m C
An mopen-ended mquestion mshould mbe mused mto mstart mthe minterview, mintroduce ma mnew msection mof
mquestions, mand mgather mmore minformation mfrom ma mpatient’s mtopic. mClosed mor mdirect mquestions mare
mused mto mgather mspecific minformation.
6. The mdirect mquestion minterview mformat mis mused mto:
1. speed mup mthe minterview.
2. let mthe mpatient mfully mexplain mhis/her msituation.
3. help mthe mrespiratory mtherapist mshow mempathy.
4. gather mspecific minformation.
a. 1, m 4
b. 2, m3
c. 3, m 4
d. 1, m2, m3
ANS: m A
Direct mor mclosed mquestions mare mbest mto mgather mspecific minformation mand mspeed mup mthe minterview.
mOpen- mended mquestions mare mbest msuited mto mlet mthe mpatient mfully mexplain mhis/her msituation mand
mpossibly mhelp mthe mrespiratory mtherapist mshow mempathy.
, 7. During mthe minterview mthe mpatient mstates, m―Every mtime mI mclimb mthe mstairs mI mhave mto mstop
mto mcatch mmy mbreath.‖ mHearing mthis, mthe mrespiratory mtherapist mreplies, m―So, mit msounds
mlike m you mget mshort mof mbreath mclimbing mstairs.‖ mThis minterviewing mtechnique mis mcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: m D
With mreflection, mpart mof mthe mpatient’s mstatement mis mrepeated. mThis mlets mthe mpatient mknow mthat
mwhat mhe/she msaid mwas mheard. m It malso mencourages mthe mpatient mto melaborate mon mthe mtopic.
Clarification, mmodeling, mand mempathy mare mother mcommunication mtechniques.
8. The mrespiratory mtherapist mmay mchoose mto muse mthe mpatient minterview mtechnique mof
msilence min mwhich mof mthe mfollowing msituations?
a. To mprompt mthe mpatient mto mask ma mquestion
b. After ma mdirect mquestion
c. After man mopen-ended mquestion
d. To mallow mthe mpatient mto mreview mhis/her mhistory
ANS: m C
After ma mpatient mhas manswered man mopen-ended mquestion, mthe mrespiratory mtherapist mshould mpause
m(use msilence) mbefore masking mthe mnext mquestion. mThis mpause mallows mthe mpatient mto madd msomething
melse mbefore mmoving mon. mThe mpatient mmay malso mchoose mto mask ma mquestion.
9. To mhave mthe mmost mproductive minterviewing msession, mwhich mof mthe mfollowing mtypes mof
N mR mI mG mB.
mresponses mto massist min mthe minterview mshouUld mtShe mrNespTiratory mtOherapist mavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: m D
With mconfrontation, mthe mrespiratory mtherapist mfocuses mthe mpatient’s mattention mon man maction, mfeeling,
mor mstatement mmade mby mthe mpatient. mThis mmay mprompt ma mfurther mdiscussion. mReflection mhelps mthe
mpatient mfocus mon mspecific mareas mand mcontinues min mhis/her mown mway. mFacilitation mencourages
mpatients mto msay mmore, mto mcontinue mwith mthe mstory. mThe mrespiratory mtherapist mshould mavoid mgiving
madvice, musing mavoidance mlanguage, mand musing mdistancing mlanguage.
10. When mclosing mthe minterview, mthe mrespiratory mtherapist mshould mdo mwhich mof mthe mfollowing?
1. Recheck mthe mpatient’s mvital msigns.
2. Thank mthe mpatient.
3. Ask mif mthe mpatient mhas many mquestions.
4. Close mthe mdoor mbehind mhimself/herself mfor mpatient mprivacy.
a. 2
b. 2, m3
c. 1, m3, m4
d. 1, m2, m4 mANS: m B