Test bank for wilkins clinical assessment in respiratory care 7th edition by al heuer

Test Bank for Wilkins’ Clinical Assessment in
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Respiratory Care,
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9th Edition by Albert J. Heuer,
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Chapters 1 - 21b b b

,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
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Bank
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MULTIPLE CHOICE b




1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
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bpatient assessment? b




a. Assist the physician with diagnostic reasoning skills. b b b b b b




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. b b b b b b b




ANSWER: D b




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




2. In which of the following stages of patient–clinician interaction is the review of physician
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borders carried out? b b




a. Treatment stage b




b. Introductory stage b




c. Preinteraction stage b




d. Initial assessment stage b b




ANSWER: C b




Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
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REF: Table 1-1, pg. 4 b b b b OBJ: 9 b b




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




b. Preinteraction stage b




c. Initial assessment stage b b




d. Treatment stage b




ANSWER: A b




The patient ID bracelet must be checked before moving forward with assessment and treatment.
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REF: Table 1-1, pg. 4 b b b b OBJ: 9 b b




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




b. Ask the patient for permission. b b b b




c. Check the chart for vital signs. b b b b b




d. Listen to breath sounds. b b b




ANSWER: B b




It is considered polite to ask the patient for permission before touching and reading his or her ID
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bracelet.
b

, REF: pg. 3 b b b OBJ: 3 | 5 b b b b




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




b. Identify the patient’s family history. b b b b




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




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




ANSWER: D b




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




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




b. Minimal eye contact b b




c. Brief answers to questions b b b




d. Asking the purpose of the treatment b b b b b




ANSWER: D b




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




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 b




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




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




b. 4 to 12 feet b b b




c. 6 to 18 feet b b b




d. 8 to 20 feet b b b




ANSWER: B b




The social space is 4 to 12 feet.
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REF: pg. 5 b b b OBJ: 5 b b




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