Respiratory Care,
9th Edition by Albert J. Heuer,
Chapters 1 - 21
,Wilkins'YClinicalYAssessmentYinYRespiratoryYCare,
Contents:
ChapterY1.YPreparingYforYtheYPatientYEncounter
ChapterY2.YTheYMedicalYHistoryYandYtheYInterview
ChapterY3.YCardiopulmonaryYSymptoms
ChapterY4.YVitalYSigns
ChapterY5.YFundamentalsYofYPhysicalYExamination
ChapterY6.YNeurologicYAssessment
ChapterY7.YClinicalYLaboratoryYStudies
ChapterY8.YInterpretationYofYBloodYGases
ChapterY9.YPulmonaryYFunctionYTesting
ChapterY10.YChestYImaging
ChapterY11.YElectrocardiography
ChapterY12.YNeonatalYandYPediatricYAssessment
ChapterY13.YOlderYPatientYAssessment
ChapterY14.YMonitoringYinYCriticalYCare
ChapterY15.YVascularYPressureYMonitoring
ChapterY16.YCardiacYOutputYMeasurement
ChapterY17.YBronchoscopy
ChapterY18.YNutritionalYAssessment
ChapterY19.YSleepYandYBreathingYAssessment
ChapterY20.YHomeYCareYPatientYAssessment
ChapterY21.YDocumentation
,Chapter 1: Preparing for the Patient Encounter Te
Y Y Y Y Y Y Y
st Bank
Y
MULTIPLEYCHOICE
1. WhichYofYtheYfollowingYactivitiesYisYnotYpartYofYtheYroleYofYrespiratoryYtherapistsY(RTs)Yi
nYpatientYassessment?
a. AssistYtheYphysicianYwithYdiagnosticYreasoningYskills.
b. HelpYtheYphysicianYselectYappropriateYpulmonaryYfunctionYtests.
c. InterpretYarterialYbloodYgasYvaluesYandYsuggestYmechanicalYventilationYchanges.
d. DocumentYtheYpatientYdiagnosisYinYtheYpatient’sYchart.
ANSWER:Y D
RTsYareYnotYqualifiedYtoYmakeYanYofficialYdiagnosis.YThisYisYtheYroleYofYtheYattendingYphysician.
REF:Y TableY1-1,Ypg.Y4 OBJ:Y Y 9
2. InYwhichYofYtheYfollowingYstagesYofYpatient–
clinicianYinteractionYisYtheYreviewYofYphysicianYordersYcarriedYout?
a. TreatmentYstage
b. IntroductoryYstage
c. PreinteractionYstage
d. InitialYassessmentYstage
ANSWER:Y C
PhysicianYordersYshouldYbeYreviewedYinYtheYpatient’sYchartYbeforeYtheYphysicianYseesYtheYpati
ent.
REF:Y TableY1-1,Ypg.Y4 OBJ:Y Y 9
3. InYwhichYstageYofYpatient–clinicianYinteractionYisYtheYpatientYidentificationYbraceletYchecked?
a. IntroductoryYstage
b. PreinteractionYstage
c. InitialYassessmentYstage
d. TreatmentYstage
ANSWER:Y A
TheYpatientYIDYbraceletYmustYbeYcheckedYbeforeYmovingYforwardYwithYassessmentYandYtreat
ment.
REF:Y TableY1-1,Ypg.Y4 OBJ:Y Y 9
4. WhatYshouldYbeYdoneYjustYbeforeYtheYpatient’sYIDYbraceletYisYchecked?
a. CheckYtheYpatient’sYSpO2.
b. AskYtheYpatientYforYpermission.
c. CheckYtheYchartYforYvitalYsigns.
d. ListenYtoYbreathYsounds.
ANSWER:Y B
ItYisYconsideredYpoliteYtoYaskYtheYpatientYforYpermissionYbeforeYtouchingYandYreadingYhisYorYh
erYIDYbracelet.
, REF:Y Y pg.Y3 OBJ:Y Y 3Y|Y5
5. WhatYisYtheYgoalYofYtheYintroductoryYphase?
a. AssessYtheYpatient’sYapparentYage.
b. IdentifyYtheYpatient’sYfamilyYhistory.
c. DetermineYtheYpatient’sYdiagnosis.
d. EstablishYaYrapportYwithYtheYpatient.
ANSWER:Y D
TheYintroductoryYphaseYisYallYaboutYgettingYtoYknowYtheYpatientYandYestablishingYaYrapportYwithY
himYorYher.
REF:Y TableY1-1,Ypg.Y4 OBJ:Y Y 3
6. WhichYofYtheYfollowingYbehaviorsYisYnotYconsistentYwithYresistiveYbehaviorYofYaYpatient?
a. CrossedYarms
b. MinimalYeyeYcontact
c. BriefYanswersYtoYquestions
d. AskingYtheYpurposeYofYtheYtreatment
ANSWER:Y D
IfYaYpatientYasksYaboutYtheYpurposeYofYtheYtreatmentYyouYareYaboutYtoYgive,YthisYgenerallyYind
icatesYthatYheYorYsheYisYnotYupset.
REF:Y TableY1-1,Ypg.Y4 OBJ:Y Y 3
7. WhatYisYtheYmainYpurposeYofYtheYinitialYassessmentYstage?
a. ToYidentifyYanyYallergiesYtoYmedications
b. ToYdocumentYtheYpatient’sYsmokingYhistory
c. ToYpersonallyYgetYtoYknowYtheYpatientYbetter
d. ToYverifyYthatYtheYprescribedYtreatmentYisYstillYneededYandYappropriate
ANSWER:Y D
WhenYyouYfirstYseeYtheYpatient,YyouYareYencouragedYtoYperformYaYbriefYassessmentYtoYmakeYsu
reYtheYtreatmentYorderYbyYtheYphysicianYisYstillYappropriate.YTheYpatient’sYstatusYmayYhaveYcha
ngedYabruptlyYrecently.
REF:Y TableY1-1,Ypg.Y4 OBJ:Y Y 3
8. WhatYisYtheYappropriateYdistanceYforYtheYsocialYspaceYfromYtheYpatient?
a. 3YtoY5Yfeet
b. 4YtoY12Yfeet
c. 6YtoY18Yfeet
d. 8YtoY20Yfeet
ANSWER:Y B
TheYsocialYspaceYisY4YtoY12Yfeet.
REF:Y Y pg.Y5 OBJ:Y Y 5
9. WhatYisYtheYappropriateYdistanceYforYtheYpersonalYspace?