Respiratory Care,
9th Edition by Albert J. Heuer,
Chapters 1 - 21
,Wilkins' Clinical Assessment in Respiratory Care,
YC YC YC YC YC
Contents:
Chapter 1. Preparing for the Patient Encounter
YC YC YC YC YC YC
Chapter 2. The Medical History and the Interview
YC YC YC YC YC YC YC
Chapter 3. Cardiopulmonary Symptoms
YC YC YC
Chapter 4. Vital Signs
YC YC YC
Chapter 5. Fundamentals of Physical Examination
YC YC YC YC YC
Chapter 6. Neurologic Assessment
YC YC YC
Chapter 7. Clinical Laboratory Studies
YC YC YC YC
Chapter 8. Interpretation of Blood Gases
YC YC YC YC YC
Chapter 9. Pulmonary Function Testing
YC YC YC YC
Chapter 10. Chest Imaging
YC YC YC
Chapter 11. Electrocardiography
YC YC
Chapter 12. Neonatal and Pediatric Assessment
YC YC YC YC YC
Chapter 13. Older Patient Assessment
YC YC YC YC
Chapter 14. Monitoring in Critical Care
YC YC YC YC YC
Chapter 15. Vascular Pressure Monitoring
YC YC YC YC
Chapter 16. Cardiac Output Measurement
YC YC YC YC
Chapter 17. Bronchoscopy
YC YC
Chapter 18. Nutritional Assessment
YC YC YC
Chapter 19. Sleep and Breathing Assessment
YC YC YC YC YC
Chapter 20. Home Care Patient Assessment
YC YC YC YC YC
Chapter 21. Documentation
YC YC
,Chapter 1: Preparing for the Patient Encounter T
YC YC YC YC YC YC YC
est Bank
YC
MULTIPLE CHOICE YC
1. Which of the following activities is not part of the role of respiratory therapists (RTs)
YC YC YC YC YC YC YC YC YC YC YC YC YC YC Y
Cin patient assessment?
YC YC
a. Assist the physician with diagnostic reasoning skills.
YC YC YC YC YC YC
b. Help the physician select appropriate pulmonary function tests.
YC YC YC YC YC YC YC
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
YC YC YC YC YC YC YC YC YC
d. Document the patient diagnosis in the patient’s chart. YC YC YC YC YC YC YC
ANSWER: Y C D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician
YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC
.
REF: Y C Table 1-1, pg. 4 YC YC YC OBJ: Y C Y C 9
2. In which of the following stages of patient–
YC YC YC YC YC YC YC
clinician interaction is the review of physician orders carried out?
YC YC YC YC YC YC YC YC YC
a. Treatment stage YC
b. Introductory stage YC
c. Preinteraction stage YC
d. Initial assessment stage YC YC
ANSWER: Y C C
Physician orders should be reviewed in the patient’s chart before the physician sees the pat
YC YC YC YC YC YC YC YC YC YC YC YC YC YC
ient.
REF: Y C Table 1-1, pg. 4 YC YC YC OBJ: Y C Y C 9
3. In YC which stage of patient–clinician interaction is the patient identification bracelet checked?
YC YC YC YC YC YC YC YC YC YC
a. Introductory stage YC
b. Preinteraction stage YC
c. Initial assessment stage YC YC
d. Treatment stage YC
ANSWER: Y C A
The patient ID bracelet must be checked before moving forward with assessment and treat
YC YC YC YC YC YC YC YC YC YC YC YC YC
ment.
REF: Y C Table 1-1, pg. 4 YC YC YC OBJ: Y C Y C 9
4. What should be done just before the patient’s ID bracelet is checked?
YC YC YC YC YC YC YC YC YC YC YC
a. Check the patient’s SpO2. YC YC YC
b. Ask the patient for permission.
YC YC YC YC
c. Check the chart for vital signs. YC YC YC YC YC
d. Listen to breath sounds. YC YC YC
ANSWER: Y C B
It is considered polite to ask the patient for permission before touching and reading his or
YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC
her ID bracelet.
YC YC
, REF: Y C Y C pg. 3 YC OBJ: Y C Y C 3|5 YC YC
5. What is the goal of the introductory phase?
YC YC YC YC YC YC YC
a. Assess the patient’s apparent age. YC YC YC YC
b. Identify the patient’s family history. YC YC YC YC
c. Determine the patient’s diagnosis. YC YC YC
d. Establish a rapport with the patient. YC YC YC YC YC
ANSWER: Y C D
The introductory phase is all about getting to know the patient and establishing a rapport wit
YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC
h him or her.
YC YC YC
REF: Y C Table 1-1, pg. 4 YC YC YC OBJ: Y C Y C 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
YC YC YC YC YC YC YC YC YC YC YC YC YC
a. Crossed arms YC
b. Minimal eye contact YC YC
c. Brief answers to questions YC YC YC
d. Asking the purpose of the treatment YC YC YC YC YC
ANSWER: Y C D
If a patient asks about the purpose of the treatment you are about to give, this generally in
YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC
dicates that he or she is not upset.
YC YC YC YC YC YC YC
REF: Y C Table 1-1, pg. 4 YC YC YC OBJ: Y C Y C 3
7. What is the main purpose of the initial assessment stage?
YC YC YC YC YC YC YC YC YC
a. To identify any allergies to medications
YC YC YC YC YC
b. To document the patient’s smoking history
YC YC YC YC YC
c. To personally get to know the patient better
YC YC YC YC YC YC YC
d. To verify that the prescribed treatment is still needed and appropriate
YC YC YC YC YC YC YC YC YC YC
ANSWER: Y C D
When you first see the patient, you are encouraged to perform a brief assessment to make s
YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC
ure the treatment order by the physician is still appropriate. The patient’s status may have c
YC YC YC YC YC YC YC YC YC YC YC YC YC YC YC
hanged abruptly recently. YC YC
REF: Y C Table 1-1, pg. 4 YC YC YC OBJ: Y C Y C 3
8. What is the appropriate distance for the social space from the patient?
YC YC YC YC YC YC YC YC YC YC YC
a. 3 to 5 feet
YC YC YC
b. 4 to 12 feet
YC YC YC
c. 6 to 18 feet
YC YC YC
d. 8 to 20 feet
YC YC YC
ANSWER: Y C B
The social space is 4 to 12 feet.
YC YC YC YC YC YC YC
REF: Y C Y C pg. 5 YC OBJ: Y C Y C 5
9. What is the appropriate distance for the personal space?
YC YC YC YC YC YC YC YC