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