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TEST BANK FOR CLINICAL MANIFESTATIONS AND ASSESSMENT OF RESPIRATORY DISEASE 8TH EDITION JARDINS

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  • 27 de febrero de 2024
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TEST BANK FOR
CLINICAL
MANIFESTATIONS AND
ASSESSMENT OF
RESPIRATORY
DISEASE 8TH EDITION
JARDINS
Chapter 01: The Patient Interview

MULTIPLE CHOICE

• The respiratory care practitioner is conducting a patient interview. The
main purpose of thisinterview is to:
• review data with the patient.
• gather subjective data from the patient.

, • gather objective data from the patient.
• fill out the history form or checklist.

ANS: B
The interview is a meeting between the respiratory care practitioner and the
patient. It allows thecollection of subjective data about the patient’s feelings
regarding his/her
condition. The history should be done before the interview. Although
data can be reviewed,that is not the primary purpose of the interview.

• For there to be a successful interview, the respiratory therapist must:
• provide leading questions to guide the patient.
• reassure the patient.
• be an active listener.
• use medical terminology to show knowledge of the subject matter.

ANS: C

The personal qualities that a respiratory therapist must have to conduct a
successful interview include being an active listener, having a genuine
concern for the patient, and having empathy. Leading questions
must be avoided. Reassurance may provide a false sense of comfort to the patient.
Medicaljargon can sound exclusionary and paternalistic to a patient.

• Which of the following would be found on a history form?
• Age
• Chief complaint
• Present health
• Family history
• Health insurance providera. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically
found on a health history form because each can impact the patient’s
health. Health insurance provider information, whileneeded for billing
purposes, would not be found on the history form.

• External factors the respiratory care practitioner should make efforts
to provide during aninterview include which of the following?
• Minimize or prevent interruptions.
• Ensure privacy during discussions.
• Interviewer is the same sex as the patient to prevent bias.

, • Be comfortable for the patient
and interviewer.a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing
process. Regardless of the interview setting (the patient’s bedside, a crowded
emergency room, an office in the hospital or clinic,or the patient’s home), efforts
should be made to (1) ensure privacy, (2) prevent interruptions, and (3)secure a
comfortable physical environment (e.g., comfortable room temperature, sufficient
lighting, absence of noise). An interviewer of either gender, who acts
professionally, should be able to interview a patient of either gender.

• The respiratory therapist is conducting a patient interview. The
therapist chooses to useopen- ended questions. Open-ended
questions allow the therapist to do which of the following?
• Gather information when a patient introduces a new topic.
• Introduce a new subject area.
• Begin the interview process.
• Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4

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

• The direct question interview format is used to:
• speed up the interview.
• let the patient fully explain his/her situation.
• help the respiratory therapist show empathy.
• gather specific information.
• a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up
the interview. Open- ended questions are best suited to let the patient fully

, explain his/her situation and possibly help the respiratory therapist show
empathy.

• During the interview the patient states, “Every time I climb the stairs
I have to stop to catchmy breath.” Hearing this, the respiratory
therapist replies, “So, it sounds like you get short of breath climbing
stairs.” This interviewing technique is called:
• clarification.
• modeling.
• empathy.
• reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the
patient know that whathe/she said was heard. It also encourages the
patient to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.

• The respiratory therapist may choose to use the patient interview
technique of silencein which of the following situations?
• To prompt the patient to ask a question
• After a direct question
• After an open-ended question
• To allow the patient to review his/her history

ANS: C
After a patient has answered an open-ended question, the respiratory
therapist should pause (use silence) before asking the next question. This
pause allows the patient to add something else beforemoving on. The patient
may also choose to ask a question.



• To have the most productive interviewing session, which of the following
types of responsesto assist in the interview shouUld tShe rNespTiratory
tOherapist avoid?
• Confrontation
• Reflection
• Facilitation
• Distancing

ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an
action, feeling, orstatement made by the patient. This may prompt a further

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