TEST BANK
Contents:
1. Preparing for the Patient Encounter
2. The Medical History and the Interview
3. Cardiopulmonary Symptoms
4. Vital Signs
Wilkins' Clinical Assessment in 5. Fundamentals of Physical Examination
6. Neurologic Assessment
Respiratory Care, 7th Edition 7. Clinical Laboratory Studies
8. Interpretation of Blood Gases
by Al Heuer 9. Pulmonary Function Testing
10. Chest Imaging
11. Electrocardiography
12. Neonatal and Pediatric Assessment
13. Older Patient Assessment
14. Monitoring in Critical Care
15. Vascular Pressure Monitoring
16. Cardiac Output Measurement
17. Bronchoscopy
18. Nutritional Assessment
19. Sleep and Breathing Assessment
20. Home Care Patient Assessment
21. Documentation
, Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
Contents:
TEST BANK Chapter 1. Preparing for the Patient Encounter
Chapter 2. The Medical History and the Interview
Chapter 3. Cardiopulmonary Symptoms
Chapter 4. Vital Signs
Chapter 5. Fundamentals of Physical Examination
Chapter 6. Neurologic Assessment
Chapter 7. Clinical Laboratory Studies
Chapter 8. Interpretation of Blood Gases
Chapter 9. Pulmonary Function Testing
Chapter 10. Chest Imaging
Chapter 11. Electrocardiography
Chapter 12. Neonatal and Pediatric Assessment
Chapter 13. Older Patient Assessment
Chapter 14. Monitoring in Critical Care
Chapter 15. Vascular Pressure Monitoring
Chapter 16. Cardiac Output Measurement
Chapter 17. Bronchoscopy
Chapter 18. Nutritional Assessment
Chapter 19. Sleep and Breathing Assessment
Chapter 20. Home Care Patient Assessment
WILKINS' CLINICAL Chapter 21. Documentation
ASSESSMENT IN
RESPIRATORY CARE, 7TH
EDITION BY AL HEUER
,Chapter 1: Preparing for the Patient Encounter
Test Bank REF: pg. 3 OBJ: 3 | 5
5. What is the goal of the introductory phase?
MULTIPLE CHOICE a. Assess the patient’s apparent age.
b. Identify the patient’s family history.
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in c. Determine the patient’s diagnosis.
patient assessment? d. Establish a rapport with the patient.
a. Assist the physician with diagnostic reasoning skills. ANS: D
b. Help the physician select appropriate pulmonary function tests. The introductory phase is all about getting to know the patient and establishing a rapport with
c. Interpret arterial blood gas values and suggest mechanical ventilation changes. him or her.
d. Document the patient diagnosis in the patient’s chart.
ANS: D REF: Table 1-1, pg. 4 OBJ: 3
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
REF: Table 1-1, pg. 4 OBJ: 9 a. Crossed arms
b. Minimal eye contact
2. In which of the following stages of patient–clinician interaction is the review of physician c. Brief answers to questions
orders carried out? d. Asking the purpose of the treatment
a. Treatment stage ANS: D
b. Introductory stage If a patient asks about the purpose of the treatment you are about to give, this generally
c. Preinteraction stage indicates that he or she is not upset.
d. Initial assessment stage
ANS: C REF: Table 1-1, pg. 4 OBJ: 3
Physician orders should be reviewed in the patient’s chart before the physician sees the
7. What is the main purpose of the initial assessment stage?
patient.
a. To identify any allergies to medications
REF: Table 1-1, pg. 4 OBJ: 9 b. To document the patient’s smoking history
c. To personally get to know the patient better
3. In which stage of patient–clinician interaction is the patient identification bracelet checked? d. To verify that the prescribed treatment is still needed and appropriate
a. Introductory stage
ANS: D
b. Preinteraction stage When you first see the patient, you are encouraged to perform a brief assessment to make sure
c. Initial assessment stage the treatment order by the physician is still appropriate. The patient’s status may have changed
d. Treatment stage abruptly recently.
ANS: A
The patient ID bracelet must be checked before moving forward with assessment and REF: Table 1-1, pg. 4 OBJ: 3
treatment.
8. What is the appropriate distance for the social space from the patient?
REF: Table 1-1, pg. 4 OBJ: 9 a. 3 to 5 feet
b. 4 to 12 feet
4. What should be done just before the patient’s ID bracelet is checked? c. 6 to 18 feet
a. Check the patient’s SpO2. d. 8 to 20 feet
b. Ask the patient for permission.
ANS: B
c. Check the chart for vital signs. The social space is 4 to 12 feet.
d. Listen to breath sounds.
ANS: B REF: pg. 5 OBJ: 5
It is considered polite to ask the patient for permission before touching and reading his or her
9. What is the appropriate distance for the personal space?
ID bracelet.
, a. 0 to 18 inches a. Patient
b. 18 inches to 4 feet b. Payment
c. 4 to 12 feet c. Portability
d. 6 to 15 feet d. Personal
ANS: B ANS: C
The personal space is about 2 to 4 feet from the patient. HIPAA stands for Health Insurance Portability and Accountability Act.
REF: pg. 5 OBJ: 5 REF: pg. 4 OBJ: 6
10. Which of the following activities is best performed in the personal space? 14. Which of the following techniques for expressing genuine concern is the most difficult to use
a. The interview appropriately?
b. The introduction a. Touch
c. The physical examination b. Posture
d. Listening for breath sounds c. Eye contact
d. Proper introductions
ANS: A
The interview is best performed with you sitting about 2 to 4 feet from the patient. If you sit ANS: A
farther away, the patient will have to answer your questions in a louder voice, and because Touch is most difficult to use properly because gender and cultural differences often become
some of the information may be private, this would diminish communication. an issue.
REF: Table 1-1, pg. 4 OBJ: 5 REF: Table 1-1, pgs. 3-4 OBJ: 5 | 7
11. What type of behavior is least appropriate in the patient’s intimate space? 15. Which of the following techniques is not associated with the demonstration of active
a. Eye contact listening?
b. Pulse check a. Good eye contact
c. Auscultation b. Taking notes while a patient is talking
d. Simple commands c. Asking for clarification
d. Use of touch
ANS: A
Eye contact is inappropriate in the intimate space and will make the patient very ANS: D
uncomfortable. Use of touch helps with demonstrating empathy but has little to do with active listening.
REF: pg. 3 OBJ: 5 REF: pg. 2 OBJ: 2
12. You are riding in an elevator at the hospital where you are employed as an RT. The elevator is 16. Two respiratory care students are taking their lunch break and want to compare notes about
full, but standing next to you is Joe, the RT who is scheduled to relieve you. He turns to you patients they have seen during the morning. Which of the following locations would be
and asks, “How is Mr. Copper doing?” Earlier in the day, Mr. Copper had a cardiac arrest, and considered a violation of HIPAA standards?
he is now being mechanically ventilated. How should you respond to Joe? a. The unit nursing station in front of the unit clerk’s desk
a. “He took a turn for the worse.” b. A table in the cafeteria with no one within hearing distance
b. “He is fine.” c. The respiratory department report room
c. “Let’s talk later in the report room.” d. The intensive care unit (ICU) staff break room
d. “He is on a ventilator and will keep you very busy.”
ANS: A
ANS: C Patient Health Information (PHI) should be discussed only in nonpublic areas of the hospital.
The patient’s right to privacy prevents care providers from discussing a patient’s clinical status The space in front of the unit clerk’s desk is likely to be occupied with members of the public
in public places. All answers other than “c” are unethical; giving such answers could cause an asking for information.
RT to be in legal trouble and get fired.
REF: Table 1-2, pgs. 4-5 OBJ: 6
REF: Table 1-2, pgs. 4-5 OBJ: 6
13. In 1996, Congress passed the HIPAA. What does the letter “P” stand for?
Contents:
1. Preparing for the Patient Encounter
2. The Medical History and the Interview
3. Cardiopulmonary Symptoms
4. Vital Signs
Wilkins' Clinical Assessment in 5. Fundamentals of Physical Examination
6. Neurologic Assessment
Respiratory Care, 7th Edition 7. Clinical Laboratory Studies
8. Interpretation of Blood Gases
by Al Heuer 9. Pulmonary Function Testing
10. Chest Imaging
11. Electrocardiography
12. Neonatal and Pediatric Assessment
13. Older Patient Assessment
14. Monitoring in Critical Care
15. Vascular Pressure Monitoring
16. Cardiac Output Measurement
17. Bronchoscopy
18. Nutritional Assessment
19. Sleep and Breathing Assessment
20. Home Care Patient Assessment
21. Documentation
, Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
Contents:
TEST BANK Chapter 1. Preparing for the Patient Encounter
Chapter 2. The Medical History and the Interview
Chapter 3. Cardiopulmonary Symptoms
Chapter 4. Vital Signs
Chapter 5. Fundamentals of Physical Examination
Chapter 6. Neurologic Assessment
Chapter 7. Clinical Laboratory Studies
Chapter 8. Interpretation of Blood Gases
Chapter 9. Pulmonary Function Testing
Chapter 10. Chest Imaging
Chapter 11. Electrocardiography
Chapter 12. Neonatal and Pediatric Assessment
Chapter 13. Older Patient Assessment
Chapter 14. Monitoring in Critical Care
Chapter 15. Vascular Pressure Monitoring
Chapter 16. Cardiac Output Measurement
Chapter 17. Bronchoscopy
Chapter 18. Nutritional Assessment
Chapter 19. Sleep and Breathing Assessment
Chapter 20. Home Care Patient Assessment
WILKINS' CLINICAL Chapter 21. Documentation
ASSESSMENT IN
RESPIRATORY CARE, 7TH
EDITION BY AL HEUER
,Chapter 1: Preparing for the Patient Encounter
Test Bank REF: pg. 3 OBJ: 3 | 5
5. What is the goal of the introductory phase?
MULTIPLE CHOICE a. Assess the patient’s apparent age.
b. Identify the patient’s family history.
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in c. Determine the patient’s diagnosis.
patient assessment? d. Establish a rapport with the patient.
a. Assist the physician with diagnostic reasoning skills. ANS: D
b. Help the physician select appropriate pulmonary function tests. The introductory phase is all about getting to know the patient and establishing a rapport with
c. Interpret arterial blood gas values and suggest mechanical ventilation changes. him or her.
d. Document the patient diagnosis in the patient’s chart.
ANS: D REF: Table 1-1, pg. 4 OBJ: 3
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
REF: Table 1-1, pg. 4 OBJ: 9 a. Crossed arms
b. Minimal eye contact
2. In which of the following stages of patient–clinician interaction is the review of physician c. Brief answers to questions
orders carried out? d. Asking the purpose of the treatment
a. Treatment stage ANS: D
b. Introductory stage If a patient asks about the purpose of the treatment you are about to give, this generally
c. Preinteraction stage indicates that he or she is not upset.
d. Initial assessment stage
ANS: C REF: Table 1-1, pg. 4 OBJ: 3
Physician orders should be reviewed in the patient’s chart before the physician sees the
7. What is the main purpose of the initial assessment stage?
patient.
a. To identify any allergies to medications
REF: Table 1-1, pg. 4 OBJ: 9 b. To document the patient’s smoking history
c. To personally get to know the patient better
3. In which stage of patient–clinician interaction is the patient identification bracelet checked? d. To verify that the prescribed treatment is still needed and appropriate
a. Introductory stage
ANS: D
b. Preinteraction stage When you first see the patient, you are encouraged to perform a brief assessment to make sure
c. Initial assessment stage the treatment order by the physician is still appropriate. The patient’s status may have changed
d. Treatment stage abruptly recently.
ANS: A
The patient ID bracelet must be checked before moving forward with assessment and REF: Table 1-1, pg. 4 OBJ: 3
treatment.
8. What is the appropriate distance for the social space from the patient?
REF: Table 1-1, pg. 4 OBJ: 9 a. 3 to 5 feet
b. 4 to 12 feet
4. What should be done just before the patient’s ID bracelet is checked? c. 6 to 18 feet
a. Check the patient’s SpO2. d. 8 to 20 feet
b. Ask the patient for permission.
ANS: B
c. Check the chart for vital signs. The social space is 4 to 12 feet.
d. Listen to breath sounds.
ANS: B REF: pg. 5 OBJ: 5
It is considered polite to ask the patient for permission before touching and reading his or her
9. What is the appropriate distance for the personal space?
ID bracelet.
, a. 0 to 18 inches a. Patient
b. 18 inches to 4 feet b. Payment
c. 4 to 12 feet c. Portability
d. 6 to 15 feet d. Personal
ANS: B ANS: C
The personal space is about 2 to 4 feet from the patient. HIPAA stands for Health Insurance Portability and Accountability Act.
REF: pg. 5 OBJ: 5 REF: pg. 4 OBJ: 6
10. Which of the following activities is best performed in the personal space? 14. Which of the following techniques for expressing genuine concern is the most difficult to use
a. The interview appropriately?
b. The introduction a. Touch
c. The physical examination b. Posture
d. Listening for breath sounds c. Eye contact
d. Proper introductions
ANS: A
The interview is best performed with you sitting about 2 to 4 feet from the patient. If you sit ANS: A
farther away, the patient will have to answer your questions in a louder voice, and because Touch is most difficult to use properly because gender and cultural differences often become
some of the information may be private, this would diminish communication. an issue.
REF: Table 1-1, pg. 4 OBJ: 5 REF: Table 1-1, pgs. 3-4 OBJ: 5 | 7
11. What type of behavior is least appropriate in the patient’s intimate space? 15. Which of the following techniques is not associated with the demonstration of active
a. Eye contact listening?
b. Pulse check a. Good eye contact
c. Auscultation b. Taking notes while a patient is talking
d. Simple commands c. Asking for clarification
d. Use of touch
ANS: A
Eye contact is inappropriate in the intimate space and will make the patient very ANS: D
uncomfortable. Use of touch helps with demonstrating empathy but has little to do with active listening.
REF: pg. 3 OBJ: 5 REF: pg. 2 OBJ: 2
12. You are riding in an elevator at the hospital where you are employed as an RT. The elevator is 16. Two respiratory care students are taking their lunch break and want to compare notes about
full, but standing next to you is Joe, the RT who is scheduled to relieve you. He turns to you patients they have seen during the morning. Which of the following locations would be
and asks, “How is Mr. Copper doing?” Earlier in the day, Mr. Copper had a cardiac arrest, and considered a violation of HIPAA standards?
he is now being mechanically ventilated. How should you respond to Joe? a. The unit nursing station in front of the unit clerk’s desk
a. “He took a turn for the worse.” b. A table in the cafeteria with no one within hearing distance
b. “He is fine.” c. The respiratory department report room
c. “Let’s talk later in the report room.” d. The intensive care unit (ICU) staff break room
d. “He is on a ventilator and will keep you very busy.”
ANS: A
ANS: C Patient Health Information (PHI) should be discussed only in nonpublic areas of the hospital.
The patient’s right to privacy prevents care providers from discussing a patient’s clinical status The space in front of the unit clerk’s desk is likely to be occupied with members of the public
in public places. All answers other than “c” are unethical; giving such answers could cause an asking for information.
RT to be in legal trouble and get fired.
REF: Table 1-2, pgs. 4-5 OBJ: 6
REF: Table 1-2, pgs. 4-5 OBJ: 6
13. In 1996, Congress passed the HIPAA. What does the letter “P” stand for?
