Clinical Manifestations and Assessment of Respiratory Disease
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by Terry Des Jardins, George G. Burton 8TH EDITION.
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FULL TEST BANK!!!
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,Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 8th
Edition Jardins
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
Edition
Chapter 01: The Patient Interview
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
collection 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.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
N R I G B.C M
The personal qualities that a respiratoryUtheS
rapiN
st mTu s t haveOto 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.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance providera. 1,
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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.
, 4. External factors the respiratory care practitioner should make efforts to provide
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during an interview include which of the following?
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1. Minimize or prevent interruptions. @sc @sc @sc
2. Ensure privacy during discussions. @sc @sc @sc
3. Interviewer is the same sex as the patient to prevent bias. @sc @sc @sc @sc @sc @sc @sc @sc @sc @sc
4. Be comfortable for the patient and interviewer.
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a. 1, 4 @sc
b. 2, 3 @sc
c. 1, 2, 4 @sc @sc
d. 2, 3, 4 @sc @sc
ANS: C @ s c
External factors, such as a good physical setting, enhance the interviewing process.
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Regardless of the interview setting (the patient’s bedside, a crowded emergency room, an
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office in the hospital or clinic, or the patient’s home), efforts should be made to (1) ensure
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privacy, (2) prevent interruptions, and (3) secure a comfortable physical environment (e.g.,
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comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either
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gender, who acts professionally, should be able to interview a patient of either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist chooses to
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use open-ended questions. Open-ended questions allow the therapist to do
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which of the following?
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1. Gather information when a patient introduces a new topic. @sc @sc @sc @sc @sc @sc @sc @sc
2. Introduce a new subject area. @sc @sc @sc @sc
3. Begin the interview process. @sc @sc @sc
4. Gather specific information. @sc @sc
a. 4 NURSINGTB.COM
b. 1, 3 @sc
c. 1, 2, @sc
3 @sc
d. 2, 3, @sc
4 @sc
ANS:
C @ s c
An open-ended question should be used to start the interview, introduce a new section of
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questions, and gather more information from a patient’s topic. Closed or direct questions are
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used to gather specific information.
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6. The direct question interview format is used to:
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1. speed up the interview. @sc @sc @sc
2. let the patient fully explain his/her situation.
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3. help the respiratory therapist show empathy. @sc @sc @sc @sc @sc
4. gather specific information. @sc @sc
a. 1, 4 @sc
b. 2, 3 @sc
c. 3, 4 @sc
d. 1, 2, 3 @sc @sc
ANS: A @ s c
Direct or closed questions are best to gather specific information and speed up the
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interview. Open- ended questions are best suited to let the patient fully explain his/her
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situation and possibly help the respiratory therapist show empathy.
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, 7. During the interview the patient states, “Every time I climb the stairs I have to stop
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to catch my breath.” Hearing this, the respiratory therapist replies, “So, it sounds
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like you get short of breath climbing stairs.” This interviewing technique is
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called: @sc
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D @ s c
With reflection, part of the patient’s statement is repeated. This lets the patient know that
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what he/she said was heard. It also encourages the patient to elaborate on the topic.
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Clarification, modeling, and empathy are other communication techniques. @sc @sc @sc @sc @sc @sc @sc
8. The respiratory therapist may choose to use the patient interview technique of
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silence in which of the following situations?
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a. To prompt the patient to ask a question
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b. After a direct question @sc @sc @sc
c. After an open-ended question @sc @sc @sc
d. To allow the patient to review his/her history
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ANS: C @ s c
After a patient has answered an open-ended question, the respiratory therapist should pause
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(use silence) before asking the next question. This pause allows the patient to add something
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else before moving on. The patient may also choose to ask a question.
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9. To have the most productive interviewing session, which of the following types of
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responses to assist in the interview s hN
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o u URl d t I
S heGr N eB.sp T iratory tOherapist avoid?
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a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D @ s c
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling,
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or statement made by the patient. This may prompt a further discussion. Reflection helps
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the patient focus on specific areas and continues in his/her own way. Facilitation
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encourages patients to say more, to continue with the story. The respiratory therapist should
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avoid giving advice, using avoidance language, and using distancing language.
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10. When closing the interview, the respiratory therapist should do which of the following?
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1. Recheck the patient’s vital signs. @sc @sc @sc @sc
2. Thank the patient. @sc @sc
3. Ask if the patient has any questions. @sc @sc @sc @sc @sc @sc
4. Close the door behind himself/herself for patient privacy.
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a. 2
b. 2, 3 @sc
c. 1, 3, 4 @sc @sc
d. 1, 2, 4 ANS: B
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