x
,Chapter 01: The Patient Interview
x x x x
MULTIPLE xCHOICE
1. The xrespiratory xcare xpractitioner xis xconducting xa xpatient xinterview. xThe xmain xpurpose
xof xthis xinterview xis xto:
a. review xdata xwith xthe xpatient.
b. gather xsubjective xdata xfrom xthe xpatient.
c. gather xobjective xdata xfrom xthe xpatient.
d. fill xout xthe xhistory xform xor xchecklist.
ANS: x B
The xinterview xis xa xmeeting xbetween xthe xrespiratory xcare xpractitioner xand xthe xpatient. xIt xallows
xthe xcollection xof xsubjective xdata xabout xthe xpatient’s xfeelings xregarding xhis/her
condition. xThe xhistory xshould xbe xdone xbefore xthe xinterview. xAlthough xdata xcan xbe
xreviewed, xthat xis xnot xthe xprimary xpurpose xof xthe xinterview.
2. For xthere xto xbe xa xsuccessful xinterview, xthe xrespiratory xtherapist xmust:
a. provide xleading xquestions xto xguide xthe xpatient.
b. reassure xthe xpatient.
c. be xan xactive xlistener.
d. use xmedical xterminology xto xshow xknowledge xof xthe xsubject xmatter.
ANS: x C
The xpersonal xqualities xthat xa xrespiratory xtherapist xmust xhave xto xconduct xa xsuccessful xinterview
xinclude xbeing xan xactive xlistener, xhaving xa xgenuine xconcern xfor xthe xpatient, xand xhaving
xempathy. xLeading xquestions xmust xbe xavoided. xReassurance xmay xprovide xa xfalse xsense xof
xcomfort xto xthe xpatient. xMedical xjargon xcan xsound xexclusionary xand xpaternalistic xto xa xpatient.
3. Which xof xthe xfollowing xwould xbe xfound xon xa xhistory xform?
1. Age
2. Chief xcomplaint
3. Present xhealth
4. Family xhistory
5. Health xinsurance xprovider
a. 1, x 4
b. 2, x3
c. 3, x4, x5
d. 1, x2, x3, x4
ANS: x D
Age, xchief xcomplaint, xpresent xhealth, xand xfamily xhistory xare xtypically xfound xon xa xhealth
xhistory xform xbecause xeach xcan ximpact xthe xpatient’s xhealth. xHealth xinsurance xprovider
xinformation, xwhile xneeded xfor xbilling xpurposes, xwould xnot xbe xfound xon xthe xhistory xform.
, 4. External xfactors xthe xrespiratory xcare xpractitioner xshould xmake xefforts xto xprovide
xduring xan xinterview xinclude xwhich xof xthe xfollowing?
1. Minimize xor xprevent xinterruptions.
2. Ensure xprivacy xduring xdiscussions.
3. Interviewer xis xthe xsame xsex xas xthe xpatient xto xprevent xbias.
4. Be xcomfortable xfor xthe xpatient xand xinterviewer.
a. 1, x 4
b. 2, x3
c. 1, x2, x 4
d. 2, x3, x4
ANS: x C
External xfactors, xsuch xas xa xgood xphysical xsetting, xenhance xthe xinterviewing xprocess.
xRegardless xof xthe xinterview xsetting x(the xpatient’s xbedside, xa xcrowded xemergency xroom, xan
xoffice xin xthe xhospital xor xclinic, xor xthe xpatient’s xhome), xefforts xshould xbe xmade xto x(1) xensure
xprivacy, x(2) xprevent xinterruptions, xand x(3) xsecure xa xcomfortable xphysical xenvironment x(e.g.,
xcomfortable xroom xtemperature, xsufficient xlighting, xabsence xof xnoise). xAn xinterviewer xof xeither
xgender, xwho xacts xprofessionally, xshould xbe xable xto xinterview xa xpatient xof xeither xgender.
5. The xrespiratory xtherapist xis xconducting xa xpatient xinterview. xThe xtherapist xchooses
xto xuse xopen-ended xquestions. xOpen-ended xquestions xallow xthe xtherapist xto xdo
xwhich xof xthe xfollowing?
1. Gather xinformation xwhen xa xpatient xintroduces xa xnew xtopic.
2. Introduce xa xnew xsubject xarea.
3. Begin xthe xinterview xprocess.
4. Gather xspecific xinformation.
a. 4
b. 1, x3
c. 1, x2, x 3
d. 2, x3,
x4 xANS:
x C
An xopen-ended xquestion xshould xbe xused xto xstart xthe xinterview, xintroduce xa xnew xsection xof
xquestions, xand xgather xmore xinformation xfrom xa xpatient’s xtopic. xClosed xor xdirect xquestions xare
xused xto xgather xspecific xinformation.
6. The xdirect xquestion xinterview xformat xis xused xto:
1. speed xup xthe xinterview.
2. let xthe xpatient xfully xexplain xhis/her xsituation.
3. help xthe xrespiratory xtherapist xshow xempathy.
4. gather xspecific xinformation.
a. 1, x 4
b. 2, x3
c. 3, x 4
d. 1, x2, x3
ANS: x A
Direct xor xclosed xquestions xare xbest xto xgather xspecific xinformation xand xspeed xup xthe
xinterview. xOpen- xended xquestions xare xbest xsuited xto xlet xthe xpatient xfully xexplain xhis/her
xsituation xand xpossibly xhelp xthe xrespiratory xtherapist xshow xempathy.
, 7. During xthe xinterview xthe xpatient xstates, x“Every xtime xI xclimb xthe xstairs xI xhave xto xstop
xto xcatch xmy xbreath.” xHearing xthis, xthe xrespiratory xtherapist xreplies, x“So, xit xsounds
xlike xyou xget xshort xof xbreath xclimbing xstairs.” xThis xinterviewing xtechnique xis xcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: x D
With xreflection, xpart xof xthe xpatient’s xstatement xis xrepeated. xThis xlets xthe xpatient xknow xthat
xwhat xhe/she xsaid xwas xheard. xIt xalso xencourages xthe xpatient xto xelaborate xon xthe xtopic.
Clarification, xmodeling, xand xempathy xare xother xcommunication xtechniques.
8. The xrespiratory xtherapist xmay xchoose xto xuse xthe xpatient xinterview xtechnique xof
xsilence xin xwhich xof xthe xfollowing xsituations?
a. To xprompt xthe xpatient xto xask xa xquestion
b. After xa xdirect xquestion
c. After xan xopen-ended xquestion
d. To xallow xthe xpatient xto xreview xhis/her xhistory
ANS: x C
After xa xpatient xhas xanswered xan xopen-ended xquestion, xthe xrespiratory xtherapist xshould xpause
x(use xsilence) xbefore xasking xthe xnext xquestion. xThis xpause xallows xthe xpatient xto xadd xsomething
xelse xbefore xmoving xon. xThe xpatient xmay xalso xchoose xto xask xa xquestion.
9. To xhave xthe xmost xproductive xinterviewing xsession, xwhich xof xthe xfollowing xtypes xof
N xR xI xG
xresponses xto xassist xin xthe xinterview xshouUld xtShe xrNespTiratory xtOherapist xavoid?
xB
.
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: x D
With xconfrontation, xthe xrespiratory xtherapist xfocuses xthe xpatient’s xattention xon xan xaction, xfeeling,
xor xstatement xmade xby xthe xpatient. xThis xmay xprompt xa xfurther xdiscussion. xReflection xhelps
xthe xpatient xfocus xon xspecific xareas xand xcontinues xin xhis/her xown xway. xFacilitation
xencourages xpatients xto xsay xmore, xto xcontinue xwith xthe xstory. xThe xrespiratory xtherapist xshould
xavoid xgiving xadvice, xusing xavoidance xlanguage, xand xusing xdistancing xlanguage.
10. When xclosing xthe xinterview, xthe xrespiratory xtherapist xshould xdo xwhich xof xthe xfollowing?
1. Recheck xthe xpatient’s xvital xsigns.
2. Thank xthe xpatient.
3. Ask xif xthe xpatient xhas xany xquestions.
4. Close xthe xdoor xbehind xhimself/herself xfor xpatient xprivacy.
a. 2
b. 2, x3
c. 1, x3, x4
d. 1, x2, x4 xANS: x B