Test Bank | Clinical Manifestations and Assessment of Respiratory Disease | 8th Edition by Terry Des Jardins & George G. Burton | Latest Update | Verified Questions & Correct Answers

, Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease,
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8th Edition
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Chapter 01: The Patient Interviewgg gg gg gg


MULTIPLE CHOICE gg




1. The respiratory care practitioner is conducting a patient interview. The main
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purpose of thisinterview is to:
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a. review data with the patient. gg gg g g g g


b. gather subjective data from the patient. gg gg g g gg gg


c. gather objective data from the patient. gg gg g g gg gg


d. fill out the history form or checklist.g g g g g g gg g g g g




ANS: B
The interview is a meeting between the respiratory care practitioner and the
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patient. It allows the collection of subjective data about the patient’s feelings
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regarding his/her
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condition. The history should be done before the interview. Although data
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can be reviewed,that isnot the primary purpose of the interview.
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2. For there to be a successful interview, the respiratory therapist must:
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a. provide leading questions to guide the patient. gg gg g g gg g g gg


b. reassure the patient. gg gg


c. be an active listener. gg gg gg


d. use medical terminology to show knowledge of the subject matter.
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ANS: C
N R IGB .C M
U SN T O must have to conduct a successful interview
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The personal qualities that a respiratory
gg therapist
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include being an active listener, having a genuine concern for the patient, and having
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empathy. Leading questionsmust be avoided. Reassurance may provide a false sense of
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comfort to the patient.
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Medicaljargon can sound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form?
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1. Age
2. Chief complaint gg


3. Present health gg


4. Family history gg


5. Health insurance gg


providera. 1,4
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b. 2, 3 g g


c. 3, 4, 5 g g g g


d. 1, 2, 3, 4 g g g g g g




ANS: D
Age, chief complaint, present health, and family history are typically found on a
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health history form because each can impact the patient’s health. Health insurance
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provider information, whileneeded forbilling purposes, would not be found on the
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history form.
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, 4. External factors the respiratory care practitioner should make efforts to
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provide during aninterview include which of the following?
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1. Minimize or prevent interruptions. gg gg g g


2. Ensure privacy during discussions. gg gg gg


3. Interviewer is the same sex as the patient to prevent bias. gg gg gg g g g g gg gg g g g g gg


4. Be comfortable for the patient gg gg gg gg


and interviewer.a. 1, 4
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b. 2, 3 g g


c. 1, 2, 4 g g g g


d. 2, 3, 4 g g g g




ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
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Regardless of the interview setting (the patient’s bedside, a crowded emergency
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room, an office in the hospital or clinic,or the patient’s home), efforts should be
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made to (1) ensure privacy, (2) prevent interruptions, and (3) secure a comfortable
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physical environment (e.g., comfortable room temperature, sufficient lighting, absence
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of noise). An interviewer of either gender, who acts professionally, should be
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able to interview a patient of either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist
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chooses to useopen-ended questions. Open-ended questions allow the
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therapist to do which of the following?
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1. Gather information when a patient introduces a new topic.
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2. Introduce a new subject area. gg gg gg g g


3. Begin the interview process. gg gg gg


4. Gather specific information. gg gg


a. 4 NURSINGTB.COM
b. 1, 3 g g


c. 1,
2, 3 g g


d. 2,
3, g g


4
ANS:
C
An open-ended question should be used to start the interview, introduce a new
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section of questions, and gather more information from a patient’s topic. Closed or
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direct questions are used to gather specific information.
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6. The direct question interview format is used to:
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1. speed up the interview. gg gg gg


2. let the patient fully explain his/her situation.
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3. help the respiratory therapist show empathy.
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4. gather specific gg


information.a. 1, 4 gg g g


b. 2, 3 g g


c. 3, 4 g g


d. 1, 2, 3 g g g g




ANS: A
Direct or closed questions are best to gather specific information and speed up the interview.
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g Open- ended questions are best suited to let the patient fully explain his/her
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situation and possibly help therespiratory therapist show empathy.
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, 7. During the interview the patient states, ―Every time I climb the stairs I have
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to stop to catch my breath.‖ Hearing this, the respiratory therapist replies,
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―So, it sounds like you get short of breath climbing stairs.‖ This
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interviewing technique is called:
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a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient
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know that what he/she said was heard. It also encourages the patient to
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elaborate on the topic.
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Clarification, modeling, and empathy are other communication techniques. gg g g gg gg gg g g gg




8. The respiratory therapist may choose to use the patient interview
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technique of silencein which of the following situations?
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a. To prompt the patient to ask a question
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b. After a direct question gg gg g g


c. After an open-ended question gg gg gg


d. To allow the patient to review his/her history
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ANS: C
After a g g patient has answered an open-ended question, the respiratory therapist
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should
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patient
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ask a
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9. To have the most productive interviewing session, which of the following
types of responses to N R IinGBthe
. interview shouUld tShe rNespTiratory
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assist g g g


O
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t herapist avoid?
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a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an
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action, feeling, orstatement made by the patient. This may prompt a further
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discussion. Reflection helps the patient focus on specific areas and continues
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in his/her own way. Facilitation encourages patients to say more, to continue
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with the story. The respiratory therapist should avoid giving advice, using
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avoidance language, and using distancing language.
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10. When closing the interview, the respiratory therapist should do which of the
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following? gg


1. Recheck the patient’s vital signs. gg gg gg gg


2. Thank the patient. gg g g


3. Ask if the patient has any questions. gg gg gg g g g g gg


4. Close the door behind himself/herself for patient privacy.
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a. 2
b. 2, 3 g g


c. 1, 3, 4 g g g g


d. 1, 2, 4 ANS: B
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