Chapter 01: Preparing for the Patient Encounter
Heuer: Wilkins’ Clinical Assessment in Respiratory Care, 9th Edition
MULTIPLE CHOICE
1. Which of the following is an example of how the respiratory therapist (RT) helps promote
high-quality care that is patient-and-family-centered?
a. Deliver care given is consistent with each individual’s values, needs, and
preferences.
b. Help the physician select pulmonary function tests.
c. Provide communication to the family only when the physician is present.
d. Ensure patients can rest and are not required to participate in their own care.
ANS: A
The core goal of patient-and family-centered care (PFCC) is to advance the quality of
interactions between patients and care providers while promoting compassion, respect and
dignity for all parties. Individualized care requires empathetic, two-way communication,
respect for each patient’s values and privacy along with sensitivity to cultural values.
PFCC is designed to ensure that the care given is consistent with each individual’s values,
needs, and preferences, and patients become active participants in their own care.
OBJ: 1
2. What should be done before the patient’s ID bracelet is checked?
a. Check the patient’s SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANS: B
It is considered polite to ask the patient for permission before touching and reading his or
her ID bracelet.
OBJ: 3
3. What is the goal of the introductory phase?
a. Assess the patient’s apparent age.
b. Identify the patient’s family history.
c. Determine the patient’s diagnosis.
d. Establish a rapport with the patient.
ANS: D
The introductory phase is all about getting to know the patient and establishing a rapport
with him or her.
OBJ: 3
4. You walk into a room to assess a patient prior to medication delivery. You removed some
belongings from the bedside table and placed them on the chair and the patient
immediately crosses his arms and refuses to talk to you. What is the most likely issue?
, a. The patient is hungry.
b. You entered the patient’s territory.
c. The patient is upset about his diagnosis.
d. You did not establish a rapport with the patient.
ANS: B
Related to the concept of proximity is that of territoriality. Removing items from the
patient’s “territory” should occur only after permission has been obtained. For example,
when borrowing a chair from the bedside of a patient for use at the bedside of the patient
you should for permission, being sure to replace any items temporarily removed from the
patient’s territory.
OBJ: 5
5. What is the main purpose of the initial assessment stage?
a. To identify any allergies to medications
b. To document the patient’s smoking history
c. To personally get to know the patient better
d. To verify that the prescribed treatment is still needed and appropriate
ANS: D
When you first see the patient, you are encouraged to perform a brief assessment to make
sure the treatment order by the physician is still appropriate. The patient’s status may have
changed abruptly recently.
OBJ: 3
6. What is the appropriate distance for the social space from the patient?
a. 3 to 5 feet
b. 4 to 12 feet
c. 6 to 18 feet
d. 8 to 20 feet
ANS: B
The social space is 4 to 12 feet.
OBJ: 5
7. What is the appropriate distance for the personal space?
a. 0 to 18 inches
b. 18 inches to 4 feet
c. 4 to 12 feet
d. 6 to 15 feet
ANS: B
The personal space is about 2 to 4 feet from the patient.
OBJ: 5
8. Which of the following activities is best performed in the personal space?
a. The interview
b. The introduction
Heuer: Wilkins’ Clinical Assessment in Respiratory Care, 9th Edition
MULTIPLE CHOICE
1. Which of the following is an example of how the respiratory therapist (RT) helps promote
high-quality care that is patient-and-family-centered?
a. Deliver care given is consistent with each individual’s values, needs, and
preferences.
b. Help the physician select pulmonary function tests.
c. Provide communication to the family only when the physician is present.
d. Ensure patients can rest and are not required to participate in their own care.
ANS: A
The core goal of patient-and family-centered care (PFCC) is to advance the quality of
interactions between patients and care providers while promoting compassion, respect and
dignity for all parties. Individualized care requires empathetic, two-way communication,
respect for each patient’s values and privacy along with sensitivity to cultural values.
PFCC is designed to ensure that the care given is consistent with each individual’s values,
needs, and preferences, and patients become active participants in their own care.
OBJ: 1
2. What should be done before the patient’s ID bracelet is checked?
a. Check the patient’s SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANS: B
It is considered polite to ask the patient for permission before touching and reading his or
her ID bracelet.
OBJ: 3
3. What is the goal of the introductory phase?
a. Assess the patient’s apparent age.
b. Identify the patient’s family history.
c. Determine the patient’s diagnosis.
d. Establish a rapport with the patient.
ANS: D
The introductory phase is all about getting to know the patient and establishing a rapport
with him or her.
OBJ: 3
4. You walk into a room to assess a patient prior to medication delivery. You removed some
belongings from the bedside table and placed them on the chair and the patient
immediately crosses his arms and refuses to talk to you. What is the most likely issue?
, a. The patient is hungry.
b. You entered the patient’s territory.
c. The patient is upset about his diagnosis.
d. You did not establish a rapport with the patient.
ANS: B
Related to the concept of proximity is that of territoriality. Removing items from the
patient’s “territory” should occur only after permission has been obtained. For example,
when borrowing a chair from the bedside of a patient for use at the bedside of the patient
you should for permission, being sure to replace any items temporarily removed from the
patient’s territory.
OBJ: 5
5. What is the main purpose of the initial assessment stage?
a. To identify any allergies to medications
b. To document the patient’s smoking history
c. To personally get to know the patient better
d. To verify that the prescribed treatment is still needed and appropriate
ANS: D
When you first see the patient, you are encouraged to perform a brief assessment to make
sure the treatment order by the physician is still appropriate. The patient’s status may have
changed abruptly recently.
OBJ: 3
6. What is the appropriate distance for the social space from the patient?
a. 3 to 5 feet
b. 4 to 12 feet
c. 6 to 18 feet
d. 8 to 20 feet
ANS: B
The social space is 4 to 12 feet.
OBJ: 5
7. What is the appropriate distance for the personal space?
a. 0 to 18 inches
b. 18 inches to 4 feet
c. 4 to 12 feet
d. 6 to 15 feet
ANS: B
The personal space is about 2 to 4 feet from the patient.
OBJ: 5
8. Which of the following activities is best performed in the personal space?
a. The interview
b. The introduction
