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

TESTBANK
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,Chapter01:The Patient Interview qq q qq qq




MULTIPLECHOICE q




1. Therespiratorycarepractitionerisconductingapatientinterview.Themainpurposeofthis
q q q q q q q q q q qq q qq




interview is to:qq qq qq




a. reviewdatawith the patient. qq qq qq qq




b. gathersubjective data fromthepatient. qq qq qq qq qq




c. gatherobjectivedata from the patient. qq qq qq qq qq




d. fill out the historyform or checklist. qq qq qq qq qq qq




ANS: B q q




Theinterviewisa meetingbetweentherespiratorycarepractitionerand thepatient. It allowsthe collection of
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subjective data about the patient’s feelings regarding his/her
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condition.Thehistoryshouldbedonebeforetheinterview.Althoughdatacanbereviewed, that is q q q q q q qq q q q qq q q qq qq




not the primary purpose of the interview.
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2. Fortheretobe a successful interview, therespiratorytherapist must:
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a. provideleading questions to guide thepatient. q qq qq qq qq qq




b. reassurethepatient. q qq




c. beanactivelistener. q qq qq




d. usemedicalterminology toshow knowledge of thesubject matter. q qq qq qq qq qq qq qq qq




ANS: C q q




Thepersonalqualities thatarespiratorytherapistmusthavetoconductasuccessful interview include being
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an active listener, having a genuine concern for the patient, and having empathy. Leading questions must
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be avoided. Reassurance mayprovide afalse sense of comfort to the patient. Medical jargon can sound
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exclusionary and paternalistic to a patient.
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3. Which ofthe following would befound on a history form? qq qq qq qq qq qq qq qq qq qq




1. Age
2. Chiefcomplaint qq




3. Presenthealth q




4. Familyhistory q




5. Healthinsuranceprovider qq qq




a. 1, 4 q q




b. 2, 3 qq




c. 3, 4, 5 qq qq




d. 1, 2, 3, 4 qq qq qq




ANS: D q q




Age, chief complaint, present health, and family history are typically found on a health history form
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becauseeachcanimpactthepatient’shealth.Healthinsuranceproviderinformation,while needed for
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billing purposes, would not be found on the history form.
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, 4. Externalfactorstherespiratorycarepractitioner shouldmakeeffortstoprovideduringan q q q q q qq qq q qq q q q




interview include which of the following?
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1. Minimizeor prevent interruptions. q qq qq




2. Ensureprivacy duringdiscussions. q qq qq




3. Intervieweristhe same sex asthe patient to prevent bias. q qq qq qq qq qq qq qq qq qq




4. Becomfortableforthepatientand interviewer. q q q q q qq




a. 1, 4 q q




b. 2, 3 qq




c. 1, 2, 4 qq q q




d. 2, 3, 4 qq qq




ANS: C q q




External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
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interviewsetting(thepatient’sbedside,acrowded emergencyroom,anofficeinthe hospitalorclinic, orthe
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patient’s home), efforts should bemadeto (1) ensure privacy, (2)prevent interruptions, and (3) secure a
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comfortable physical environment (e.g., comfortable room temperature, sufficient lighting, absence of
qq qq qq qq qq qq qq qq qq qq qq




noise). An interviewer of either gender, who acts professionally, should be able to interview a patient of
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either gender.
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5. Therespiratorytherapistisconductingapatientinterview.Thetherapistchoosestouse open-
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ended questions. Open-ended questions allow the therapist to do which of the following?
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1. Gatherinformation when apatient introduces a new topic. q qq qq q qq qq qq qq




2. Introduce anewsubject area. qq q qq qq




3. Begintheinterview process. q q qq




4. Gatherspecificinformation. q q




a. 4
b. 1, 3 qq




c. 1, 2, 3 qq q q




d. 2,3,4 q q




ANS: C
qq qq




Anopen-endedquestionshouldbeusedtostarttheinterview,introduceanewsectionofquestions, and gather
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more information from a patient’s topic. Closed or direct questions are used to gather specific
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information.
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6. Thedirect question interview formatisused to: q qq qq qq qq qq qq




1. speed uptheinterview. qq q qq




2. let thepatient fullyexplain his/her situation. qq qq qq q qq qq




3. helptherespiratorytherapistshow empathy. q q q qq qq




4. gatherspecificinformation. q qq




a. 1, 4 q q




b. 2, 3 qq




c. 3, 4 q q




d. 1, 2, 3 qq qq




ANS: A q q




Direct or closed questions are best to gather specific information and speed up the interview. Open- ended
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questions are best suited to let the patient fully explain his/her situation and possibly help the respiratory
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therapist show empathy.
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, 7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch my q q qq qq qq qq q qq q qq q qq q qq qq qq q qq




breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short of breath
qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq qq




climbing stairs.” This interviewing technique is called:
qq qq qq qq qq qq qq




a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D q q




Withreflection,partofthepatient’sstatementisrepeated.Thisletsthepatientknowthatwhat he/she
q q qq q q q qq q q qq q q qq q q qq




said was heard. It also encourages the patient to elaborate on the topic.
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Clarification,modeling,andempathyareother communication techniques. q qq qq qq qq qq qq




8. Therespiratorytherapist maychoosetousethe patientinterviewtechniqueofsilence in
q q qq q q q q qq qq qq qq q qq




which of the following situations?
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a. Topromptthepatient to askaquestion q qq qq qq qq qq qq




b. After adirect question qq qq qq




c. After anopen-endedquestion qq qq qq




d. Toallowthepatient toreviewhis/her history q qq qq qq qq qq qq




ANS: C q q




After a patient has answered an open-ended question, the respiratory therapist should pause (use silence)
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beforeaskingthe nextquestion.Thispauseallows thepatient toaddsomethingelsebefore moving on. The
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patient may also choose to ask a question.
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9. Tohavethemost productiveinterviewingsession, whichofthefollowingtypes ofresponses to
assist in the interview shouUNldRtS
Ihe
GrB.
NespTiratory tOherapist avoid?
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qq qq qq qq



qq qq qq qq qq qq qq qq qq




a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D q q




Withconfrontation,therespiratorytherapistfocusesthepatient’sattentiononanaction,feeling,or statement
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made by the patient. This may prompt a further discussion. Reflection helps the patient focus on specific
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areas and continues in his/her own way. Facilitation encourages patients to say more, to continue with the
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story. The respiratory therapist should avoid giving advice, using avoidance language, and using
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distancing language.
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10. Whenclosingthe interview,the respiratorytherapist should dowhich ofthe following? qq qq qq qq qq q qq qq qq qq qq qq




1. Recheckthepatient’svital signs. q q q qq




2. Thankthe patient. qq qq




3. Ask ifthe patient has any questions. qq qq qq qq qq qq




4. Closethedoorbehind himself/herselffor patient privacy. q qq q qq qq qq qq




a. 2
b. 2, 3 qq




c. 1, 3, 4 qq qq




d. 1,2, 4ANS: B
q qq q q q