Test bank for Wilkins clinical assessment in respiratory care 8th edition by Huber, Complete Guide.

Test bank For Wilkins clinical assessment in
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respiratory care 8th edition by Huber,
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Chapters 1 - 21
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,Wilkins' Clinical Assessment in Respiratory Care, 7th Edition
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Contents:
Chapter 1. Preparing for the Patient Encounter
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Chapter 2. The Medical History and the Interview
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Chapter 3. Cardiopulmonary Symptoms
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Chapter 4. Vital Signs
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Chapter 5. Fundamentals of Physical Examination
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Chapter 6. Neurologic Assessment
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Chapter 7. Clinical Laboratory Studies
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Chapter 8. Interpretation of Blood Gases
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Chapter 9. Pulmonary Function Testing
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Chapter 10. Chest Imaging
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Chapter 11. Electrocardiography
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Chapter 12. Neonatal and Pediatric Assessment
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Chapter 13. Older Patient Assessment
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Chapter 14. Monitoring in Critical Care
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Chapter 15. Vascular Pressure Monitoring
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Chapter 16. Cardiac Output Measurement
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Chapter 17. Bronchoscopy
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Chapter 18. Nutritional Assessment
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Chapter 19. Sleep and Breathing Assessment
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Chapter 20. Home Care Patient Assessment
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Chapter 21. Documentation
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,Chapter 1: Preparing for the Patient Encounter Test
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Bank
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MULTIPLE CHOICE t




1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
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tpatient assessment? t


a. Assist the physician with diagnostic reasoning skills. t t t t t t


b. Help the physician select appropriate pulmonary function tests.
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c. Interpret arterial blood gas values and suggest mechanical ventilation changes. t t t t t t t t t


d. Document the patient diagnosis in the patient’s chart. t t t t t t t




ANSWER: D t


RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
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REF: Table 1-1, pg. 4 t t t t OBJ: 9 t




2. In which of the following stages of patient–clinician interaction is the review of physician
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torders carried out? t t


a. Treatment stage t


b. Introductory stage t


c. Preinteraction stage t


d. Initial assessment stage t t




ANSWER: C t


Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
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REF: Table 1-1, pg. 4 t t t t OBJ: 9 t




3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
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a. Introductory stage t


b. Preinteraction stage t


c. Initial assessment stage t t


d. Treatment stage t




ANSWER: A t


The patient ID bracelet must be checked before moving forward with assessment and treatment.
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REF: Table 1-1, pg. 4 t t t t OBJ: 9 t




4. What should be done just before the patient’s ID bracelet is checked?
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a. Check the patient’s SpO2. t t t


b. Ask the patient for permission. t t t t


c. Check the chart for vital signs. t t t t t


d. Listen to breath sounds. t t t




ANSWER: B t


It is considered polite to ask the patient for permission before touching and reading his or her ID
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bracelet.
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, REF: pg. 3 t t t OBJ: 3 | 5 t t t




5. What is the goal of the introductory phase?
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a. Assess the patient’s apparent age. t t t t


b. Identify the patient’s family history. t t t t


c. Determine the patient’s diagnosis. t t t


d. Establish a rapport with the patient. t t t t t




ANSWER: D t


The introductory phase is all about getting to know the patient and establishing a rapport with him
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or her.
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REF: Table 1-1, pg. 4 t t t t OBJ: 3 t




6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms t


b. Minimal eye contact t t


c. Brief answers to questions t t t


d. Asking the purpose of the treatment t t t t t




ANSWER: D t


If a patient asks about the purpose of the treatment you are about to give, this generally indicates
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that he or she is not upset.
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REF: Table 1-1, pg. 4 t t t t OBJ: 3 t




7. What is the main purpose of the initial assessment stage?
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a. To identify any allergies to medications
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b. To document the patient’s smoking history
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c. To personally get to know the patient better
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d. To verify that the prescribed treatment is still needed and appropriate
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ANSWER: D t


When you first see the patient, you are encouraged to perform a brief assessment to make sure the
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treatment order by the physician is still appropriate. The patient’s status may have changed
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abruptly recently.
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REF: Table 1-1, pg. 4 t t t t OBJ: 3 t




8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet t t t


b. 4 to 12 feet t t t


c. 6 to 18 feet t t t


d. 8 to 20 feet t t t




ANSWER: B t


The social space is 4 to 12 feet.
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REF: pg. 5 t t t OBJ: 5 t




9. What is the appropriate distance for the personal space?
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