Clinical Manifestations and Assessment of Respiratory
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Disease by Terry Des Jardins, George G. Burton
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9th Edition. %cp
FULL TEST BANK!!!
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,Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 9th
Edition Jardins
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th
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,
4
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 %cpfactors %cpthe %cprespiratory %cpcare %cppractitioner %cpshould %cpmake %cpefforts %cpto
%cpprovide %cpduring %cpan %cpinterview %cpinclude %cpwhich %cpof %cpthe %cpfollowing?
1. Minimize %cpor %cpprevent %cpinterruptions.
2. Ensure %cpprivacy %cpduring %cpdiscussions.
3. Interviewer %cpis %cpthe %cpsame %cpsex %cpas %cpthe %cppatient %cpto %cpprevent %cpbias.
4. Be%cpcomfortable %cpfor %cpthe %cppatient %cpand %cpinterviewer.
a. 1, % c p 4
b. 2, %cp3
c. 1, %cp2, %c p 4
d. 2, %cp3, %cp4
ANS: % c p C
External %cpfactors, %cpsuch %cpas %cpa %cpgood %cpphysical %cpsetting, %cpenhance %cpthe %cpinterviewing %cpprocess.
%cpRegardless %cpof %cpthe %cpinterview %cpsetting %cp(the %cppatient’s %cpbedside, %cpa %cpcrowded %cpemergency
%cproom, %cpan %cpoffice %cpin %cpthe %cphospital %cpor %cpclinic, %cpor %cpthe %cppatient’s %cphome), %cpefforts %cpshould %cpbe
%cpmade %cpto %cp(1) %cpensure %cpprivacy, %cp(2) %cpprevent %cpinterruptions, %cpand %cp(3) %cpsecure %cpa %cpcomfortable
%cpphysical %cpenvironment %cp(e.g., %cpcomfortable %cproom %cptemperature, %cpsufficient %cplighting, %cpabsence
%cpof %cpnoise). %cpAn %cpinterviewer %cpof %cpeither %cpgender, %cpwho %cpacts %cpprofessionally, %cpshould %cpbe
%cpable %cpto %cpinterview %cpa %cppatient %cpof %cpeither %cpgender.
5. The %cprespiratory %cptherapist %cpis %cpconducting %cpa %cppatient %cpinterview. %cpThe %cptherapist
%cpchooses %cpto %cpuse %cpopen-ended %cpquestions. %cpOpen-ended %cpquestions %cpallow %cpthe
%cptherapist %cpto %cpdo %cpwhich %cpof %cpthe %cpfollowing?
1. Gather %cpinformation %cpwhen %cpa %cppatient %cpintroduces %cpa %cpnew %cptopic.
2. Introduce %cpa %cpnew %cpsubject %cparea.
3. Begin %cpthe %cpinterview %cpprocess.
4. Gather %cpspecific %cpinformation.
a. 4 NURSINGTB.COM
b. 1, %cp3
c. 1, %cp2,
%cp3
d. 2, %cp3,
%cp4
ANS:
% c p C
An %cpopen-ended %cpquestion %cpshould %cpbe %cpused %cpto %cpstart %cpthe %cpinterview, %cpintroduce %cpa %cpnew %cpsection
%cpof %cpquestions, %cpand %cpgather %cpmore %cpinformation %cpfrom %cpa %cppatient’s %cptopic. %cpClosed %cpor %cpdirect
%cpquestions %cpare %cpused %cpto %cpgather %cpspecific %cpinformation.
6. The %cpdirect %cpquestion %cpinterview %cpformat %cpis %cpused %cpto:
1. speed %cpup %cpthe %cpinterview.
2. let %cpthe %cppatient %cpfully %cpexplain %cphis/her %cpsituation.
3. help %cpthe %cprespiratory %cptherapist %cpshow %cpempathy.
4. gather %cpspecific %cpinformation.
a. 1, % c p 4
b. 2, %cp3
c. 3, % c p 4
d. 1, %cp2, %cp3
ANS: % c p A
Direct %cpor %cpclosed %cpquestions %cpare %cpbest %cpto %cpgather %cpspecific %cpinformation %cpand %cpspeed %cpup
%cpthe %cpinterview. %cpOpen- %cpended %cpquestions %cpare %cpbest %cpsuited %cpto %cplet %cpthe %cppatient %cpfully
%cpexplain %cphis/her %cpsituation %cpand %cppossibly %cphelp %cpthe %cprespiratory %cptherapist %cpshow %cpempathy.
, 7. During %cpthe %cpinterview %cpthe %cppatient %cpstates, %cp“Every %cptime %cpI %cpclimb %cpthe %cpstairs %cpI
%cphave %cpto %cpstop %cpto %cpcatch %cpmy %cpbreath.” %cpHearing %cpthis, %cpthe %cprespiratory %cptherapist
%cpreplies, %cp“So, %cpit %cpsounds %cplike %cpyou %cpget %cpshort %cpof %cpbreath %cpclimbing %cpstairs.”
%cpThis %cpinterviewing %cptechnique %cpis %cpcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: % c p D
With %cpreflection, %cppart %cpof %cpthe %cppatient’s %cpstatement %cpis %cprepeated. %cpThis %cplets %cpthe %cppatient
%cpknow %cpthat %cpwhat %cphe/she %cpsaid %cpwas %cpheard. %cpIt %cpalso %cpencourages %cpthe %cppatient %cpto
%cpelaborate %cpon %cpthe %cptopic.
Clarification, %cpmodeling, %cpand %cpempathy %cpare %cpother %cpcommunication %cptechniques.
8. The %cprespiratory %cptherapist %cpmay %cpchoose %cpto %cpuse %cpthe %cppatient %cpinterview
%cptechnique %cpof %cpsilence %cpin %cpwhich %cpof %cpthe %cpfollowing %cpsituations?
a. To %cpprompt %cpthe %cppatient %cpto %cpask %cpa %cpquestion
b. After %cpa %cpdirect %cpquestion
c. After %cpan %cpopen-ended %cpquestion
d. To %cpallow %cpthe %cppatient %cpto %cpreview %cphis/her %cphistory
ANS: % c p C
After %cpa %cppatient %cphas %cpanswered %cpan %cpopen-ended %cpquestion, %cpthe %cprespiratory %cptherapist %cpshould
%cppause %cp(use %cpsilence) %cpbefore %cpasking %cpthe %cpnext %cpquestion. %cpThis %cppause %cpallows %cpthe %cppatient
%cpto %cpadd %cpsomething %cpelse %cpbefore %cpmoving %cpon. %cpThe %cppatient %cpmay %cpalso %cpchoose %cpto %cpask %cpa
%cpquestion.
9. To %cphave %cpthe %cpmost %cpproductive %cpinterviewing %cpsession, %cpwhich %cpof %cpthe %cpfollowing
N URl d %cpt I
%cptypes %cpof %cpresponses %cpto %cpassist %cpin %cpthe %cpinterview %cps h o u
S heGr N eB.sp T iratory
%cptO herapist %cpavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: % c p D
With %cpconfrontation, %cpthe %cprespiratory %cptherapist %cpfocuses %cpthe %cppatient’s %cpattention %cpon %cpan %cpaction,
%cpfeeling, %cpor %cpstatement %cpmade %cpby %cpthe %cppatient. %cpThis %cpmay %cpprompt %cpa %cpfurther %cpdiscussion.
%cpReflection %cphelps %cpthe %cppatient %cpfocus %cpon %cpspecific %cpareas %cpand %cpcontinues %cpin %cphis/her %cpown
%cpway. %cpFacilitation %cpencourages %cppatients %cpto %cpsay %cpmore, %cpto %cpcontinue %cpwith %cpthe %cpstory. %cpThe
%cprespiratory %cptherapist %cpshould %cpavoid %cpgiving %cpadvice, %cpusing %cpavoidance %cplanguage, %cpand
%cpusing %cpdistancing %cplanguage.
10. When %cpclosing %cpthe %cpinterview, %cpthe %cprespiratory %cptherapist %cpshould %cpdo %cpwhich %cpof %cpthe
%cpfollowing?
1. Recheck %cpthe %cppatient’s %cpvital %cpsigns.
2. Thank %cpthe %cppatient.
3. Ask %cpif %cpthe %cppatient %cphas %cpany %cpquestions.
4. Close %cpthe %cpdoor %cpbehind %cphimself/herself %cpfor %cppatient %cpprivacy.
a. 2
b. 2, %cp3
c. 1, %cp3, %cp4
d. 1, %cp2, %cp4 %cpANS: % c p B