Test bank for clinical manifestations and assessment of respiratory disease 8th edition by des jardins 100 verified

TESTBANK
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,Chapter 01: The Patient Interview
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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
The |personal |qualities |that |a |respiratory |therapist |must |have |to |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. |Medical

|jargon |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 |provider
a. 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, |while

|needed |for |billing |purposes, |would |not |be |found |on |the |history |form.

, 4. External |factors |the |respiratory |care |practitioner |should |make |efforts |to |provide |during |an
|interview |include |which |of |the |following?

1. Minimize |or |prevent |interruptions.
2. Ensure |privacy |during |discussions.
3. Interviewer |is |the |same |sex |as |the |patient |to |prevent |bias.
4. Be |comfortable |for |the |patient |and |interviewer.
a. 1, | 4
b. 2, |3
c. 1, |2, | 4
d. 2, |3, |4
ANS: | C
External |factors, |such |as |a |good |physical |setting, |enhance |the |interviewing |process. |Regardless |of |the
|interview |setting |(the |patient’s |bedside, |a |crowded |emergency |room, |an |office |in |the |hospital |or |clinic, |or

|the |patient’s |home), |efforts |should |be |made |to |(1) |ensure |privacy, |(2) |prevent |interruptions, |and |(3)

|secure |a |comfortable |physical |environment |(e.g., |comfortable |room |temperature, |sufficient |lighting,

|absence |of |noise). |An |interviewer |of |either |gender, |who |acts |professionally, |should |be |able |to |interview

|a |patient |of |either |gender.




5. The |respiratory |therapist |is |conducting |a |patient |interview. |The |therapist |chooses |to |use
|open-ended |questions. |Open-ended |questions |allow |the |therapist |to |do |which |of |the

|following?

1. Gather |information |when |a |patient |introduces |a |new |topic.
2. Introduce |a |new |subject |area.
3. Begin |the |interview |process.
4. Gather |specific |information.
a. 4
b. 1, |3
c. 1, |2, | 3
d. 2, |3, |4
ANS: | C
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An |open-ended |question |should |be |used |to |start |the |interview, |introduce |a |new |section |of |questions, |and
|gather |more |information |from |a |patient’s |topic. |Closed |or |direct |questions |are |used |to |gather |specific

|information.




6. The |direct |question |interview |format |is |used |to:
1. speed |up |the |interview.
2. let |the |patient |fully |explain |his/her |situation.
3. help |the |respiratory |therapist |show |empathy.
4. gather |specific |information.
a. 1, | 4
b. 2, |3
c. 3, | 4
d. 1, |2, |3
ANS: | A
Direct |or |closed |questions |are |best |to |gather |specific |information |and |speed |up |the |interview. |Open-
|ended |questions |are |best |suited |to |let |the |patient |fully |explain |his/her |situation |and |possibly |help |the

|respiratory |therapist |show |empathy.

, 7. During |the |interview |the |patient |states, |“Every |time |I |climb |the |stairs |I |have |to |stop |to |catch |my
|breath.” |Hearing |this, |the |respiratory |therapist |replies, |“So, |it |sounds |like |you |get |short |of

|breath |climbing |stairs.” |This |interviewing |technique |is |called:

a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: | D
With |reflection, |part |of |the |patient’s |statement |is |repeated. |This |lets |the |patient |know |that |what |he/she
|said |was |heard. |It |also |encourages |the |patient |to |elaborate |on |the |topic.

Clarification, |modeling, |and |empathy |are |other |communication |techniques.

8. The |respiratory |therapist |may |choose |to |use |the |patient |interview |technique |of |silence |in
|which |of |the |following |situations?

a. To |prompt |the |patient |to |ask |a |question
b. After |a |direct |question
c. After |an |open-ended |question
d. To |allow |the |patient |to |review |his/her |history
ANS: | C
After |a |patient |has |answered |an |open-ended |question, |the |respiratory |therapist |should |pause |(use
|silence) |before |asking |the |next |question. |This |pause |allows |the |patient |to |add |something |else |before

|moving |on. |The |patient |may |also |choose |to |ask |a |question.




9. To |have |the |most |productive |interviewing |session, |which |of |the |following |types |of |responses |to
N |R |I |G |B.
|assist |in |the |interview |shouUld |tShe |rNespTiratory |tOherapist |avoid?


a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: | D
With |confrontation, |the |respiratory |therapist |focuses |the |patient’s |attention |on |an |action, |feeling, |or
|statement |made |by |the |patient. |This |may |prompt |a |further |discussion. |Reflection |helps |the |patient |focus

|on |specific |areas |and |continues |in |his/her |own |way. |Facilitation |encourages |patients |to |say |more, |to

|continue |with |the |story. |The |respiratory |therapist |should |avoid |giving |advice, |using |avoidance

|language, |and |using |distancing |language.




10. When |closing |the |interview, |the |respiratory |therapist |should |do |which |of |the |following?
1. Recheck |the |patient’s |vital |signs.
2. Thank |the |patient.
3. Ask |if |the |patient |has |any |questions.
4. Close |the |door |behind |himself/herself |for |patient |privacy.
a. 2
b. 2, |3
c. 1, |3, |4
d. 1, |2, |4 |ANS: | B