Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 9th Edition by Terry Des Jardins and George G. Burton isbn-9780323871501 all Chapters Covered Latest Verified Guide Graded A+

,Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease,
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9th Edition
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Chapter 01: The Patient Interview
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MULTIPLE CHOICE bbbb




1. The respiratory care practitioner is conducting a patient interview. The main
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purpose of this interview is to:
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a. review data with the patient. bbbb bbbb bbbb bbbb


b. gather subjective data from the patient. bbbb bbbb bbbb bbbb bbbb


c. gather objective data from the patient. bbbb bbbb bbbb bbbb bbbb


d. fill out the history form or checklist.
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ANS: B b b b b


The interview is a meeting between the respiratory care
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patient. It allows the collection of subjective data
bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb about the patient’s
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feelings regarding his/her condition. The history should
bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbbbe done before the
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interview. Although data can be reviewed, that isnot
bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb the primary purpose
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of the interview.
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2. For there to be a successful interview, the respiratory therapist must:
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a. provide leading questions to guide the patient. bbbb bbbb bbbb bbbb bbbb bbbb


b. reassure the patient. bbbb bbbb


c. be an active listener. bbbb bbbb bbbb


d. use medical terminology to show knowledge of the subject matter.
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ANS: b b b b C
The personal qualities that a respUir at oSr y tNh e r aTp i s t m u Os t have to conduct a
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successful interview include being an active listener, having a genuine concern for the
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patient, and having empathy. Leading questions must be avoided. Reassurance may
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provide a false sense of comfort to
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bbbb patient. bbbb bbbb bbbb bbbb b b b b b b b b


Medical jargon can sound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form?
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1. Age
2. Chief complaint bbbb


3. Present health bbbb


4. Family history bbbb


5. Health insurance providera. 1, bbbb bbbb bbbb


4
b. 2, 3 bbbb


c. 3, 4, 5 bbbb bbbb


d. 1, 2, 3, 4 bbbb bbbb bbbb




ANS: D b b b b


Age, chief complaint, present health, and family history are typically found on a
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health history form because each can impact the patient’s health. Health
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insurance provider information, while needed forbilling purposes, would not be
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found on the history form.
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, 4. External factors the respiratory care practitioner should make efforts to provide
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during an interview include which of the following?
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1. Minimize or prevent interruptions. bbbb bbbb bbbb


2. Ensure privacy during discussions. bbbb bbbb bbbb


3. Interviewer is the same sex as the patient to prevent bias. bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb


4. Be comfortable for the patient and interviewer.
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a. 1, 4 bb b b


b. 2, 3 bbbb


c. 1, 2, 4 bbbb bbbb


d. 2, 3, 4 bbbb bbbb




ANS: C b b b b


External factors, such as a good physical setting, enhance the interviewing process.
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Regardless of the interview setting (the patient’s bedside, a crowded emergency room,
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an office in the hospital or clinic, or the patient’s home), efforts should be made to
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(1) ensure privacy, (2) prevent interruptions, and (3) secure a comfortable physical
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environment (e.g., comfortable room temperature, sufficient lighting, absence of noise).
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An interviewer of either gender, who acts professionally, should be able to interview
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a patient of either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist
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chooses to use open-ended questions. Open-ended questions allow the
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therapist to do which of the following?
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1. Gather information when a patient introduces a new topic.
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2. Introduce a new subject area. bbbb bbbb bbbb bbbb


3. Begin the interview process. bbbb bbbb bbbb


4. Gather specific information. bbbb bbbb


a. 4 NURSINGTB.COM
b. 1, 3 bbbb


c. 1, 2, bbbb


3 bbbb


d. 2, 3, bbbb


4 bbbb




ANS:
C b b b b


An open-ended question should be used to start the interview, introduce a new
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section of questions, and gather more information from a patient’s topic. Closed or
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direct questions are used to gather specific information.
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6. The direct question interview format is used to:
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1. speed up the interview. bbbb bbbb bbbb


2. let the patient fully explain his/her situation.
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3. help the respiratory therapist show empathy.
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4. gather specific information. bbbb bbbb


a. 1, 4 bb b b


b. 2, 3 bbbb


c. 3, 4 bb b b


d. 1, 2, 3 bbbb bbbb




ANS: A b b b b


Direct or closed questions are best to gather specific information and speed up the
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interview. Open- ended questions are best suited to let the patient fully explain
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his/her situation and possibly help the respiratory therapist show empathy.
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, 7. During the interview the patient states, ―Every time I climb the stairs I have
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to stop to catch my breath.‖ Hearing this, the respiratory therapist replies,
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―So, it sounds like you get short of breath climbing stairs.‖ This
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interviewing technique is called:
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a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D b b b b


With reflection, part of the patient’s statement is repeated. This lets the patient know that
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what he/she said was heard. It also encourages the patient to elaborate on the
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topic.
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Clarification, modeling, and empathy are other communication techniques. bbbb bbbb bbbb bbbb bbbb bbbb bbbb




8. The respiratory therapist may choose to use the patient interview technique
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of silence in which of the following situations?
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a. To prompt the patient to ask a question
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b. After a direct question bbbb bbbb bbbb


c. After an open-ended question bbbb bbbb bbbb


d. To allow the patient to review his/her history
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ANS: C b b b b


After a patient has answered an open-ended question, the respiratory therapist should
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pause (use silence) before asking the next question. This pause allows the patient to
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add something else before moving on. The patient may also choose to ask a
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question.
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9. To have the most productive interviewing session, which of the following types of
responses to assist in the interview s h No u URl d t I
S h eGr N eB.s p T ir a tory tOherapist
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bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb bbbb bb bbbb b b b bbb

avoid? bbbb


a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D b b b b


With confrontation, the respiratory therapist focuses the patient’s attention on an action,
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feeling, or statement made by the patient. This may prompt a further discussion.
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Reflection helps the patient focus on specific areas and continues in his/her own
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way. Facilitation encourages patients to say more, to continue with the story. The
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respiratory therapist should avoid giving advice, using avoidance language, and
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using distancing language.
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10. When closing the interview, the respiratory therapist should do which of the following?
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1. Recheck the patient’s vital signs. bbbb bbbb bbbb bbbb


2. Thank the patient. bbbb bbbb


3. Ask if the patient has any questions. bbbb bbbb bbbb bbbb bbbb bbbb


4. Close the door behind himself/herself for patient privacy.
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a. 2
b. 2, 3 bbbb


c. 1, 3, 4 bbbb bbbb


d. 1, 2, 4 ANS:
bbbb B
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