Clinical Manifestations and Assessment of Respiratory
&ik &ik &ik &ik &ik
Disease by Terry Des Jardins, George G. Burton
&ik &ik &ik &ik &ik &ik &ik &ik
8th Edition. &ik
FULL TEST BANK!!!
&ik &ik
, 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,
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 &ikfactors &ikthe &ikrespiratory &ikcare &ikpractitioner &ikshould &ikmake &ikefforts &ikto &ikprovide
&ikduring &ikan &ikinterview &ikinclude &ikwhich &ikof &ikthe &ikfollowing?
1. Minimize &ikor &ikprevent &ikinterruptions.
2. Ensure &ikprivacy &ikduring &ikdiscussions.
3. Interviewer &ikis &ikthe &iksame &iksex &ikas &ikthe &ikpatient &ikto &ikprevent &ikbias.
4. Be&ikcomfortable &ikfor &ikthe &ikpatient &ikand &ikinterviewer.
a. 1, & i k 4
b. 2, &ik3
c. 1, &ik2, & i k 4
d. 2, &ik3, &ik4
ANS: & i k C
External &ikfactors, &iksuch &ikas &ika &ikgood &ikphysical &iksetting, &ikenhance &ikthe &ikinterviewing &ikprocess.
&ikRegardless &ikof &ikthe &ikinterview &iksetting &ik(the &ikpatient’s &ikbedside, &ika &ikcrowded &ikemergency &ikroom,
&ikan &ikoffice &ikin &ikthe &ikhospital &ikor &ikclinic, &ikor &ikthe &ikpatient’s &ikhome), &ikefforts &ikshould &ikbe &ikmade &ikto
&ik(1) &ikensure &ikprivacy, &ik(2) &ikprevent &ikinterruptions, &ikand &ik(3) &iksecure &ika &ikcomfortable &ikphysical
&ikenvironment &ik(e.g., &ikcomfortable &ikroom &iktemperature, &iksufficient &iklighting, &ikabsence &ikof &iknoise).
&ikAn &ikinterviewer &ikof &ikeither &ikgender, &ikwho &ikacts &ikprofessionally, &ikshould &ikbe &ikable &ikto &ikinterview
&ika &ikpatient &ikof &ikeither &ikgender.
5. The &ikrespiratory &iktherapist &ikis &ikconducting &ika &ikpatient &ikinterview. &ikThe &iktherapist
&ikchooses &ikto &ikuse &ikopen-ended &ikquestions. &ikOpen-ended &ikquestions &ikallow &ikthe
&iktherapist &ikto &ikdo &ikwhich &ikof &ikthe &ikfollowing?
1. Gather &ikinformation &ikwhen &ika &ikpatient &ikintroduces &ika &iknew &iktopic.
2. Introduce &ika &iknew &iksubject &ikarea.
3. Begin &ikthe &ikinterview &ikprocess.
4. Gather &ikspecific &ikinformation.
a. 4 NURSINGTB.COM
b. 1, &ik3
c. 1, &ik2,
&ik3
d. 2, &ik3,
&ik4
ANS:
& i k C
An &ikopen-ended &ikquestion &ikshould &ikbe &ikused &ikto &ikstart &ikthe &ikinterview, &ikintroduce &ika &iknew &iksection
&ikof &ikquestions, &ikand &ikgather &ikmore &ikinformation &ikfrom &ika &ikpatient’s &iktopic. &ikClosed &ikor &ikdirect
&ikquestions &ikare &ikused &ikto &ikgather &ikspecific &ikinformation.
6. The &ikdirect &ikquestion &ikinterview &ikformat &ikis &ikused &ikto:
1. speed &ikup &ikthe &ikinterview.
2. let &ikthe &ikpatient &ikfully &ikexplain &ikhis/her &iksituation.
3. help &ikthe &ikrespiratory &iktherapist &ikshow &ikempathy.
4. gather &ikspecific &ikinformation.
a. 1, & i k 4
b. 2, &ik3
c. 3, & i k 4
d. 1, &ik2, &ik3
ANS: & i k A
Direct &ikor &ikclosed &ikquestions &ikare &ikbest &ikto &ikgather &ikspecific &ikinformation &ikand &ikspeed &ikup &ikthe
&ikinterview. &ikOpen- &ikended &ikquestions &ikare &ikbest &iksuited &ikto &iklet &ikthe &ikpatient &ikfully &ikexplain
&ikhis/her &iksituation &ikand &ikpossibly &ikhelp &ikthe &ikrespiratory &iktherapist &ikshow &ikempathy.
, 7. During &ikthe &ikinterview &ikthe &ikpatient &ikstates, &ik“Every &iktime &ikI &ikclimb &ikthe &ikstairs &ikI&ikhave
&ikto &ikstop &ikto &ikcatch &ikmy &ikbreath.” &ikHearing &ikthis, &ikthe &ikrespiratory &iktherapist &ikreplies,
&ik“So, &ikit &iksounds &iklike &ikyou &ikget &ikshort &ikof &ikbreath &ikclimbing &ikstairs.” &ikThis
&ikinterviewing &iktechnique &ikis &ikcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: & i k D
With &ikreflection, &ikpart &ikof &ikthe &ikpatient’s &ikstatement &ikis &ikrepeated. &ikThis &iklets &ikthe &ikpatient
&ikknow &ikthat &ikwhat &ikhe/she &iksaid &ikwas &ikheard. &ikIt &ikalso &ikencourages &ikthe &ikpatient &ikto
&ikelaborate &ikon &ikthe &iktopic.
Clarification, &ikmodeling, &ikand &ikempathy &ikare &ikother &ikcommunication &iktechniques.
8. The &ikrespiratory &iktherapist &ikmay &ikchoose &ikto &ikuse &ikthe &ikpatient &ikinterview &iktechnique
&ikof &iksilence &ikin &ikwhich &ikof &ikthe &ikfollowing &iksituations?
a. To &ikprompt &ikthe &ikpatient &ikto &ikask &ika &ikquestion
b. After &ika &ikdirect &ikquestion
c. After &ikan &ikopen-ended &ikquestion
d. To &ikallow &ikthe &ikpatient &ikto &ikreview &ikhis/her &ikhistory
ANS: & i k C
After &ika &ikpatient &ikhas &ikanswered &ikan &ikopen-ended &ikquestion, &ikthe &ikrespiratory &iktherapist &ikshould
&ikpause &ik(use &iksilence) &ikbefore &ikasking &ikthe &iknext &ikquestion. &ikThis &ikpause &ikallows &ikthe &ikpatient &ikto
&ikadd &iksomething &ikelse &ikbefore &ikmoving &ikon. &ikThe &ikpatient &ikmay &ikalso &ikchoose &ikto &ikask &ika
&ikquestion.
9. To &ikhave &ikthe &ikmost &ikproductive &ikinterviewing &iksession, &ikwhich &ikof &ikthe &ikfollowing &iktypes
N URl d &ikt I
&ikof &ikresponses &ikto &ikassist &ikin &ikthe &ikinterview &iks h o u
S heGr N eB.sp T iratory
&iktO herapist &ikavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: & i k D
With &ikconfrontation, &ikthe &ikrespiratory &iktherapist &ikfocuses &ikthe &ikpatient’s &ikattention &ikon &ikan &ikaction,
&ikfeeling, &ikor &ikstatement &ikmade &ikby &ikthe &ikpatient. &ikThis &ikmay &ikprompt &ika &ikfurther &ikdiscussion.
&ikReflection &ikhelps &ikthe &ikpatient &ikfocus &ikon &ikspecific &ikareas &ikand &ikcontinues &ikin &ikhis/her &ikown
&ikway. &ikFacilitation &ikencourages &ikpatients &ikto &iksay &ikmore, &ikto &ikcontinue &ikwith &ikthe &ikstory. &ikThe
&ikrespiratory &iktherapist &ikshould &ikavoid &ikgiving &ikadvice, &ikusing &ikavoidance &iklanguage, &ikand &ikusing
&ikdistancing &iklanguage.
10. When &ikclosing &ikthe &ikinterview, &ikthe &ikrespiratory &iktherapist &ikshould &ikdo &ikwhich &ikof &ikthe &ikfollowing?
1. Recheck &ikthe &ikpatient’s &ikvital &iksigns.
2. Thank &ikthe &ikpatient.
3. Ask &ikif &ikthe &ikpatient &ikhas &ikany &ikquestions.
4. Close &ikthe &ikdoor &ikbehind &ikhimself/herself &ikfor &ikpatient &ikprivacy.
a. 2
b. 2, &ik3
c. 1, &ik3, &ik4
d. 1, &ik2, &ik4 &ikANS: & i k B