TEST BANK FOR Clinical Manifestations and As
g g g g g g
sessment of Respiratory Disease, 8thEdition BY DE
g g g g g g g
S JARDINS COMPLETE CHAPTERS WITH AN
g g g g g
SWERS
CHAPTERg1
MULTIPLEgCHOICE
1. Thegrespiratorygcaregpractitionergisgconductinggagpatientginterview.gThegmaingpurposegofgthi
sginterviewgisgto:
a. reviewgdatagwithgthegpatient.
b. gathergsubjectivegdatagfromgthegpatient.
c. gathergobjectivegdatagfromgthegpatient.
d. fillgoutgtheghistorygformgorgchecklist.
ANS:g B
Theginterviewgisgagmeetinggbetweengthegrespiratorygcaregpractitionergandgthegpatient.gItgallowsgthegcol
lectiongofgsubjectivegdatagaboutgthegpatient’sgfeelingsgregardingghis/her
condition.gTheghistorygshouldgbegdonegbeforegtheginterview.gAlthoughgdatagcangbegreviewed
,gthatgisgnotgthegprimarygpurposegofgtheginterview.
2. Forgtheregtogbegagsuccessfulginterview,gthegrespiratorygtherapistgmust:
a. providegleadinggquestionsgtogguidegthegpatient.
b. reassuregthegpatient.
c. begangactiveglistener.
d. usegmedicalgterminologygtogshowgknowledgegofgthegsubjectgmatter.
ANS:g C
Thegpersonalgqualitiesgthatgagrespiratorygtherapistgmustghavegtogconductgagsuccessfulginterviewginclud
egbeinggangactiveglistener,ghavinggaggenuinegconcerngforgthegpatient,gandghavinggempathy.gLeadinggq
uestionsgmustgbegavoided.gReassurancegmaygprovidegagfalsegsensegofgcomfortgtogthegpatient.gMedical
gjargongcangsoundgexclusionarygandgpaternalisticgtogagpatient.
3. Whichgofgthegfollowinggwouldgbegfoundgongaghistorygform?
1. Age
2. Chiefgcomplaint
3. Presentghealth
4. Familyghistory
5. Healthginsurancegprovider
a. 1,g 4
b. 2,g3
c. 3,g4,g5
d. 1,g2,g3,g4
, ANS:g D
Age,gchiefgcomplaint,gpresentghealth,gandgfamilyghistorygaregtypicallygfoundgongaghealthghistoryg
formgbecausegeachgcangimpactgthegpatient’sghealth.gHealthginsurancegproviderginformation,gwhile
gneededgforgbillinggpurposes,gwouldgnotgbegfoundgongtheghistorygform.
4. Externalgfactorsgthegrespiratorygcaregpractitionergshouldgmakegeffortsgtogprovidegduringga
nginterviewgincludegwhichgofgthegfollowing?
1. Minimizegorgpreventginterruptions.
2. Ensuregprivacygduringgdiscussions.
3. Interviewergisgthegsamegsexgasgthegpatientgtogpreventgbias.
4. Begcomfortablegforgthegpatientgandginterviewer.
a. 1,g 4
b. 2,g3
c. 1,g2,g 4
d. 2,g3,g4
ANS:g g C
Externalgfactors,gsuchgasgaggoodgphysicalgsetting,genhancegtheginterviewinggprocess.gRegardlessgofgth
eginterviewgsettingg(thegpatient’sgbedside,gagcrowdedgemergencygroom,gangofficegingtheghospitalgorgcli
nic,gorgthegpatient’sghome),geffortsgshouldgbegmadegtog(1)gensuregprivacy,g(2)gpreventginterruptions,ga
ndg(3)gsecuregagcomfortablegphysicalgenvironmentg(e.g.,gcomfortablegroomgtemperature,gsufficientglig
hting,gabsencegofgnoise).gAnginterviewergofgeitherggender,gwhogactsgprofessionally,gshouldgbegablegto
ginterviewgagpatientgofgeitherggender.
5. Thegrespiratorygtherapistgisgconductinggagpatientginterview.gThegtherapistgchoosesgtogus
egopen-endedgquestions.gOpen-
endedgquestionsgallowgthegtherapistgtogdogwhichgofgthegfollowing?
1. Gatherginformationgwhengagpatientgintroducesgagnewgtopic.
2. Introducegagnewgsubjectgarea.
3. Begingtheginterviewgprocess.
4. Gathergspecificginformation.
a. 4
b. 1,g3
c. 1,g2,g 3
d. 2,g3,g4
ANS:g g C
Angopen-
endedgquestiongshouldgbegusedgtogstartgtheginterview,gintroducegagnewgsectiongofgquestions,gandggathe
rgmoreginformationgfromgagpatient’sgtopic.gClosedgorgdirectgquestionsgaregusedgtoggathergspecificginfo
rmation.
6. Thegdirectgquestionginterviewgformatgisgusedgto:
1. speedgupgtheginterview.
2. letgthegpatientgfullygexplainghis/hergsituation.
3. helpgthegrespiratorygtherapistgshowgempathy.
, 4. gathergspecificginformation.
a. 1,g 4
b. 2,g3
c. 3,g 4
d. 1,g2,g3
ANS:g g A
Directgorgclosedgquestionsgaregbestgtoggathergspecificginformationgandgspeedgupgtheginterview.gOpe
n-
gendedgquestionsgaregbestgsuitedgtogletgthegpatientgfullygexplainghis/hergsituationgandgpossiblyghelpgt
hegrespiratorygtherapistgshowgempathy.
, 7. Duringgtheginterviewgthegpatientgstates,g―EverygtimegIgclimbgthegstairsgIghavegtogstopgtogcat
chgmygbreath.‖gHearinggthis,gthegrespiratorygtherapistgreplies,g―So,gitgsoundsglikegyouggetgs
hortgofgbreathgclimbinggstairs.‖gThisginterviewinggtechniquegisgcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:g D
Withgreflection,gpartgofgthegpatient’sgstatementgisgrepeated.gThisgletsgthegpatientgknowgthatgwhatgh
e/shegsaidgwasgheard.gItgalsogencouragesgthegpatientgtogelaborategongthegtopic.
Clarification,gmodeling,gandgempathygaregothergcommunicationgtechniques.
8. Thegrespiratorygtherapistgmaygchoosegtogusegthegpatientginterviewgtechniquegofgsilenc
egingwhichgofgthegfollowinggsituations?
a. Togpromptgthegpatientgtogaskgagquestion
b. Aftergagdirectgquestion
c. Aftergangopen-endedgquestion
d. Togallowgthegpatientgtogreviewghis/herghistory
ANS:g C
Aftergagpatientghasgansweredgangopen-
endedgquestion,gthegrespiratorygtherapistgshouldgpauseg(usegsilence)gbeforegaskinggthegnextgquestion.g
Thisgpausegallowsgthegpatientgtogaddgsomethinggelsegbeforegmovinggon.gThegpatientgmaygalsogchooseg
togaskgagquestion.
9. Toghavegthegmostgproductiveginterviewinggsession,gwhichgofgthegfollowinggtypesgofgresponse
sgtogassistgingtheginterviewgN gRgU
shou IldgGgtS
gB. N
hegr espTiratorygtOherapistgavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:g D
Withgconfrontation,gthegrespiratorygtherapistgfocusesgthegpatient’sgattentiongongangaction,gfeeling,gorgst
atementgmadegbygthegpatient.gThisgmaygpromptgagfurthergdiscussion.gReflectionghelpsgthegpatientgfoc
usgongspecificgareasgandgcontinuesginghis/hergowngway.gFacilitationgencouragesgpatientsgtogsaygmore,
gtogcontinuegwithgthegstory.gThegrespiratorygtherapistgshouldgavoidggivinggadvice,gusinggavoidancegla
nguage,gandgusinggdistancingglanguage.
10. Whengclosinggtheginterview,gthegrespiratorygtherapistgshouldgdogwhichgofgthegfollowing?
1. Recheckgthegpatient’sgvitalgsigns.
2. Thankgthegpatient.
3. Askgifgthegpatientghasganygquestions.
4. Closegthegdoorgbehindghimself/herselfgforgpatientgprivacy.
a. 2
b. 2,g3
c. 1,g3,g4
d. 1,g2,g4gANS:g B
g g g g g g
sessment of Respiratory Disease, 8thEdition BY DE
g g g g g g g
S JARDINS COMPLETE CHAPTERS WITH AN
g g g g g
SWERS
CHAPTERg1
MULTIPLEgCHOICE
1. Thegrespiratorygcaregpractitionergisgconductinggagpatientginterview.gThegmaingpurposegofgthi
sginterviewgisgto:
a. reviewgdatagwithgthegpatient.
b. gathergsubjectivegdatagfromgthegpatient.
c. gathergobjectivegdatagfromgthegpatient.
d. fillgoutgtheghistorygformgorgchecklist.
ANS:g B
Theginterviewgisgagmeetinggbetweengthegrespiratorygcaregpractitionergandgthegpatient.gItgallowsgthegcol
lectiongofgsubjectivegdatagaboutgthegpatient’sgfeelingsgregardingghis/her
condition.gTheghistorygshouldgbegdonegbeforegtheginterview.gAlthoughgdatagcangbegreviewed
,gthatgisgnotgthegprimarygpurposegofgtheginterview.
2. Forgtheregtogbegagsuccessfulginterview,gthegrespiratorygtherapistgmust:
a. providegleadinggquestionsgtogguidegthegpatient.
b. reassuregthegpatient.
c. begangactiveglistener.
d. usegmedicalgterminologygtogshowgknowledgegofgthegsubjectgmatter.
ANS:g C
Thegpersonalgqualitiesgthatgagrespiratorygtherapistgmustghavegtogconductgagsuccessfulginterviewginclud
egbeinggangactiveglistener,ghavinggaggenuinegconcerngforgthegpatient,gandghavinggempathy.gLeadinggq
uestionsgmustgbegavoided.gReassurancegmaygprovidegagfalsegsensegofgcomfortgtogthegpatient.gMedical
gjargongcangsoundgexclusionarygandgpaternalisticgtogagpatient.
3. Whichgofgthegfollowinggwouldgbegfoundgongaghistorygform?
1. Age
2. Chiefgcomplaint
3. Presentghealth
4. Familyghistory
5. Healthginsurancegprovider
a. 1,g 4
b. 2,g3
c. 3,g4,g5
d. 1,g2,g3,g4
, ANS:g D
Age,gchiefgcomplaint,gpresentghealth,gandgfamilyghistorygaregtypicallygfoundgongaghealthghistoryg
formgbecausegeachgcangimpactgthegpatient’sghealth.gHealthginsurancegproviderginformation,gwhile
gneededgforgbillinggpurposes,gwouldgnotgbegfoundgongtheghistorygform.
4. Externalgfactorsgthegrespiratorygcaregpractitionergshouldgmakegeffortsgtogprovidegduringga
nginterviewgincludegwhichgofgthegfollowing?
1. Minimizegorgpreventginterruptions.
2. Ensuregprivacygduringgdiscussions.
3. Interviewergisgthegsamegsexgasgthegpatientgtogpreventgbias.
4. Begcomfortablegforgthegpatientgandginterviewer.
a. 1,g 4
b. 2,g3
c. 1,g2,g 4
d. 2,g3,g4
ANS:g g C
Externalgfactors,gsuchgasgaggoodgphysicalgsetting,genhancegtheginterviewinggprocess.gRegardlessgofgth
eginterviewgsettingg(thegpatient’sgbedside,gagcrowdedgemergencygroom,gangofficegingtheghospitalgorgcli
nic,gorgthegpatient’sghome),geffortsgshouldgbegmadegtog(1)gensuregprivacy,g(2)gpreventginterruptions,ga
ndg(3)gsecuregagcomfortablegphysicalgenvironmentg(e.g.,gcomfortablegroomgtemperature,gsufficientglig
hting,gabsencegofgnoise).gAnginterviewergofgeitherggender,gwhogactsgprofessionally,gshouldgbegablegto
ginterviewgagpatientgofgeitherggender.
5. Thegrespiratorygtherapistgisgconductinggagpatientginterview.gThegtherapistgchoosesgtogus
egopen-endedgquestions.gOpen-
endedgquestionsgallowgthegtherapistgtogdogwhichgofgthegfollowing?
1. Gatherginformationgwhengagpatientgintroducesgagnewgtopic.
2. Introducegagnewgsubjectgarea.
3. Begingtheginterviewgprocess.
4. Gathergspecificginformation.
a. 4
b. 1,g3
c. 1,g2,g 3
d. 2,g3,g4
ANS:g g C
Angopen-
endedgquestiongshouldgbegusedgtogstartgtheginterview,gintroducegagnewgsectiongofgquestions,gandggathe
rgmoreginformationgfromgagpatient’sgtopic.gClosedgorgdirectgquestionsgaregusedgtoggathergspecificginfo
rmation.
6. Thegdirectgquestionginterviewgformatgisgusedgto:
1. speedgupgtheginterview.
2. letgthegpatientgfullygexplainghis/hergsituation.
3. helpgthegrespiratorygtherapistgshowgempathy.
, 4. gathergspecificginformation.
a. 1,g 4
b. 2,g3
c. 3,g 4
d. 1,g2,g3
ANS:g g A
Directgorgclosedgquestionsgaregbestgtoggathergspecificginformationgandgspeedgupgtheginterview.gOpe
n-
gendedgquestionsgaregbestgsuitedgtogletgthegpatientgfullygexplainghis/hergsituationgandgpossiblyghelpgt
hegrespiratorygtherapistgshowgempathy.
, 7. Duringgtheginterviewgthegpatientgstates,g―EverygtimegIgclimbgthegstairsgIghavegtogstopgtogcat
chgmygbreath.‖gHearinggthis,gthegrespiratorygtherapistgreplies,g―So,gitgsoundsglikegyouggetgs
hortgofgbreathgclimbinggstairs.‖gThisginterviewinggtechniquegisgcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:g D
Withgreflection,gpartgofgthegpatient’sgstatementgisgrepeated.gThisgletsgthegpatientgknowgthatgwhatgh
e/shegsaidgwasgheard.gItgalsogencouragesgthegpatientgtogelaborategongthegtopic.
Clarification,gmodeling,gandgempathygaregothergcommunicationgtechniques.
8. Thegrespiratorygtherapistgmaygchoosegtogusegthegpatientginterviewgtechniquegofgsilenc
egingwhichgofgthegfollowinggsituations?
a. Togpromptgthegpatientgtogaskgagquestion
b. Aftergagdirectgquestion
c. Aftergangopen-endedgquestion
d. Togallowgthegpatientgtogreviewghis/herghistory
ANS:g C
Aftergagpatientghasgansweredgangopen-
endedgquestion,gthegrespiratorygtherapistgshouldgpauseg(usegsilence)gbeforegaskinggthegnextgquestion.g
Thisgpausegallowsgthegpatientgtogaddgsomethinggelsegbeforegmovinggon.gThegpatientgmaygalsogchooseg
togaskgagquestion.
9. Toghavegthegmostgproductiveginterviewinggsession,gwhichgofgthegfollowinggtypesgofgresponse
sgtogassistgingtheginterviewgN gRgU
shou IldgGgtS
gB. N
hegr espTiratorygtOherapistgavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:g D
Withgconfrontation,gthegrespiratorygtherapistgfocusesgthegpatient’sgattentiongongangaction,gfeeling,gorgst
atementgmadegbygthegpatient.gThisgmaygpromptgagfurthergdiscussion.gReflectionghelpsgthegpatientgfoc
usgongspecificgareasgandgcontinuesginghis/hergowngway.gFacilitationgencouragesgpatientsgtogsaygmore,
gtogcontinuegwithgthegstory.gThegrespiratorygtherapistgshouldgavoidggivinggadvice,gusinggavoidancegla
nguage,gandgusinggdistancingglanguage.
10. Whengclosinggtheginterview,gthegrespiratorygtherapistgshouldgdogwhichgofgthegfollowing?
1. Recheckgthegpatient’sgvitalgsigns.
2. Thankgthegpatient.
3. Askgifgthegpatientghasganygquestions.
4. Closegthegdoorgbehindghimself/herselfgforgpatientgprivacy.
a. 2
b. 2,g3
c. 1,g3,g4
d. 1,g2,g4gANS:g B