,Wilkins' Clinical Assessment in Respiratory Care,
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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 . Fun da me ntals o f Physical Exa minatio n
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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. Pulmo nary F un ctio n Testin g
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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 1 5. Va scular Pressure Mo nitoring
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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 Ba n
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MULTIPLE CHOICE aa
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in pa t
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ient assessment? bg
a. Assist the p hysicia n with dia g nostic re aso nin g skills.
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b. Helpthe physician select appropriate pulmonary function tests.
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c. Interpretarterialblood gas values and suggest mechanical ventilation changes.
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d. Docume nt th e pa tient dia gn osis in th e p atie nt’s ch art. bg bg bg bg bg bg bg
ANSWER: D
RTs are not q ualified to ma ke an official dia gn osis. This is the role of the atten ding physician.
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REF: Table 1-1, pg. 4 bg bg bg OBJ: 9
2. Inwhich 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. Treatme nt stage bg
b. Introd uctory stage b g
c. Preinteraction stage b g
d. Initial assessme nt stage bg bg
ANSWER: C
Physicia n ord ers sho uld b e re view e d in the p atien t’s chart b efore the ph ysicia n se es the patien t
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.
REF: Table 1-1, pg. 4 bg bg bg OBJ: 9
3. Inwhich stage of p atient–clinician interaction is the patient identification bracelet checked?
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a. Introd uctory stage b g
b. Preinteraction stage b g
c. Initial assessme nt stage bg bg
d. Treatme nt stage bg
ANSWER: A
The patientID bracelet must be checked before moving forward with assessment and treatmen t
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.
REF: Table 1-1, pg. 4 bg bg bg OBJ: 9
4. Whatshould be done just before the patient’s ID bracelet is checked?
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a. Check the p atie nt’s SpO 2. aa bg bg
b. Ask the patient for permission. bg bg bg bg
c. Check the chart for vital signs. bg bg bg bg bg
d. Listen to bre ath so un ds. bg bg bg
ANSWER: B
It is considered polite to ask the patient for permission before touching and reading his or her I
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D bracelet.
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, REF: pg. 3 bg OBJ: 3|5 bg bg
5. What is the goal of the introductory phase?
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a. Assess the p atie nt’s ap pare nt age. bg bg bg bg
b. Identify the patient’s family history. bg bg bg bg
c. Determine the patient’s diagnosis. bg bg aa
d. Establish a rapport with the patient. bg bg bg bg bg
ANSWER: D
The introductory phase is all about getting to know the patient and establishing a rapport with hi
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m or her. bg bg
REF: Table 1-1, pg. 4 bg bg bg OBJ: 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms b g
b. Minimal eye contact bg bg
c. Brief a nsw ers to questions bg bg bg
d. Asking the purpose of the treatment gb bg bg bg bg
ANSWER: D
If a patient asks about the purpose of the treatment you are about to give, this generally indic
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ates that he or she is not upset.
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REF: Table 1-1, pg. 4 bg bg bg OBJ: 3
7. What is th e m ain p urpo se of the initial a sse ssmen t stag e?
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a. To identify any allergies to medications
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b. To do cum en t th e p atie nt’s smokin g history
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c. To personallyget to know the patient better
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d. Toverify that the prescribed treatment is still needed and appropriate
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ANSWER: D
When you first see the patient, you are encouraged to perform a brief assessment to make sur
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e the treatment order by the physician i s still appropriate. The patient’s status may have change d
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abruptly recently.
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REF: Table 1-1, pg. 4 bg bg bg OBJ: 3
8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet bg bg bg
b. 4 to 12 feet bg bg bg
c. 6 to 18 feet bg bg bg
d. 8 to 20 feet bg bg bg
ANSWER: B
Thesocial space i s 4 to 12 feet.
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REF: pg. 5 bg OBJ: 5
9. What is the appropriate distance for the personal space?
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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 . Fun da me ntals o f Physical Exa minatio n
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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. Pulmo nary F un ctio n Testin g
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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 1 5. Va scular Pressure Mo nitoring
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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 Ba n
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k
MULTIPLE CHOICE aa
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in pa t
gb bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
ient assessment? bg
a. Assist the p hysicia n with dia g nostic re aso nin g skills.
bg bg bg bg bg bg
b. Helpthe physician select appropriate pulmonary function tests.
gb bg bg bg bg bg bg
c. Interpretarterialblood gas values and suggest mechanical ventilation changes.
gb gb bg bg bg bg bg bg bg
d. Docume nt th e pa tient dia gn osis in th e p atie nt’s ch art. bg bg bg bg bg bg bg
ANSWER: D
RTs are not q ualified to ma ke an official dia gn osis. This is the role of the atten ding physician.
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
REF: Table 1-1, pg. 4 bg bg bg OBJ: 9
2. Inwhich 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. Treatme nt stage bg
b. Introd uctory stage b g
c. Preinteraction stage b g
d. Initial assessme nt stage bg bg
ANSWER: C
Physicia n ord ers sho uld b e re view e d in the p atien t’s chart b efore the ph ysicia n se es the patien t
bg bg bg bg bg bg bg bg bg bg bg bg bg b g
.
REF: Table 1-1, pg. 4 bg bg bg OBJ: 9
3. Inwhich stage of p atient–clinician interaction is the patient identification bracelet checked?
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a. Introd uctory stage b g
b. Preinteraction stage b g
c. Initial assessme nt stage bg bg
d. Treatme nt stage bg
ANSWER: A
The patientID bracelet must be checked before moving forward with assessment and treatmen t
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.
REF: Table 1-1, pg. 4 bg bg bg OBJ: 9
4. Whatshould be done just before the patient’s ID bracelet is checked?
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a. Check the p atie nt’s SpO 2. aa bg bg
b. Ask the patient for permission. bg bg bg bg
c. Check the chart for vital signs. bg bg bg bg bg
d. Listen to bre ath so un ds. bg bg bg
ANSWER: B
It is considered polite to ask the patient for permission before touching and reading his or her I
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D bracelet.
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, REF: pg. 3 bg OBJ: 3|5 bg bg
5. What is the goal of the introductory phase?
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a. Assess the p atie nt’s ap pare nt age. bg bg bg bg
b. Identify the patient’s family history. bg bg bg bg
c. Determine the patient’s diagnosis. bg bg aa
d. Establish a rapport with the patient. bg bg bg bg bg
ANSWER: D
The introductory phase is all about getting to know the patient and establishing a rapport with hi
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
m or her. bg bg
REF: Table 1-1, pg. 4 bg bg bg OBJ: 3
6. Which of the following behaviors is not consistent with resistive behavior of a patient?
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a. Crossed arms b g
b. Minimal eye contact bg bg
c. Brief a nsw ers to questions bg bg bg
d. Asking the purpose of the treatment gb bg bg bg bg
ANSWER: D
If a patient asks about the purpose of the treatment you are about to give, this generally indic
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
ates that he or she is not upset.
bg bg bg bg bg bg bg
REF: Table 1-1, pg. 4 bg bg bg OBJ: 3
7. What is th e m ain p urpo se of the initial a sse ssmen t stag e?
bg bg bg bg bg bg bg bg bg
a. To identify any allergies to medications
bg bg bg bg bg
b. To do cum en t th e p atie nt’s smokin g history
bg bg bg bg bg
c. To personallyget to know the patient better
bg gb bg bg bg bg bg
d. Toverify that the prescribed treatment is still needed and appropriate
gb bg bg bg bg bg bg bg bg bg
ANSWER: D
When you first see the patient, you are encouraged to perform a brief assessment to make sur
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
e the treatment order by the physician i s still appropriate. The patient’s status may have change d
bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg bg
abruptly recently.
bg bg
REF: Table 1-1, pg. 4 bg bg bg OBJ: 3
8. What is the appropriate distance for the social space from the patient?
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a. 3 to 5 feet bg bg bg
b. 4 to 12 feet bg bg bg
c. 6 to 18 feet bg bg bg
d. 8 to 20 feet bg bg bg
ANSWER: B
Thesocial space i s 4 to 12 feet.
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REF: pg. 5 bg OBJ: 5
9. What is the appropriate distance for the personal space?
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