ASSESSMENT OF RESPIRATORY DISEASE, 9TH
EDITION BY DES JARDINS
,Chapter 01: The Hospital client Interview
TT TT TT TT TT
MULTIPLE SELECTION TT
1. The respiratory care specialist is conducting a hospital client interview. The main
TT TT TT TT TT TT TT TT TT TT TT
purpose of thisinterview is to:
TT TT TT T TT TT
a. review data with the hospital client. TT TT TT TT TT
b. gather subjective data from the hospital client.
TT TT TT TT TT TT
c. gather objective data from the hospital client.
TT TT TT TT TT TT
d. fill out the history form or checklist.
TT TT TT TT TT TT
ACCURATE ANSWER:- B TT T T
Reasoning :->>>The interview is a meeting between the respiratory care specialist and the
TT TT TT TT TT TT TT TT TT TT TT TT
hospital client. It allows thecollection of subjective data about the hospital client’s feelings
TT TT TT TT TT T TT TT TT TT TT TT TT TT
regarding his/her
TT TT
condition. The history should be done before the interview. Although data can be
TT TT TT TT TT TT TT TT TT TT TT TT
reviewed,that is not the primary purpose of the interview.
TT T TT TT TT TT TT TT TT TT
2. For there to be a successful interview, the respiratory psychotherapist must:
TT TT TT TT TT TT TT TT TT TT
a. provide leading questions to guide the hospital client.
TT TT TT TT TT TT TT
b. reassure the hospital client. TT TT TT
c. be an active listener. TT TT TT
d. use medical terminology to show knowledge of the subject matter.
TT TT TT TT TT TT TT TT TT
ACCURATE ANSWER:- TT T T C
Reasoning :->>>The personal qualities that a respiratory psychotherapist must have to conduct
TT TT TT TT TT TT TT TT TT TT TT
a successful interview includebeing an active listener, having a genuine concern for the
TT TT TT TT T TT TT TT TT TT TT TT TT TT
hospital client, and having empathy. Leading questions must be avoided. Reassurance may
TT TT TT TT TT TT TT TT TT TT TT TT
provide a false sense of comfort to the hospital client. Medicaljargon can sound exclusionary
TT TT TT TT TT TT TT TT TT TT TT T TT TT TT
and paternalistic to a hospital client.
TT TT TT TT TT TT
3. Which of the following would be found on a history form?
TT TT TT TT TT TT TT TT TT TT
1. Age
2. Chief complaint TT
3. Present health TT
4. Family history TT
5. Health insurance TT
providera. 1, 4
TT T TT TT
b. 2, 3 TT TT
c. 3, 4, 5 TT TT TT
d. 1, 2, 3, 4 TT TT TT TT
ACCURATE ANSWER:- D TT T T
Reasoning :->>>Age, chief complaint, present health, and family history are typically
TT TT TT TT TT TT TT TT TT TT
found on a health history form because each can impact the hospital client’s health.
TT TT TT TT TT TT TT TT TT TT TT TT TT TT
Health insurance provider information, while needed for billing purposes, would not be
TT TT TT TT TT TT TT TT TT TT TT TT
found on the history form.
TT TT TT TT TT
4. External factors the respiratory care specialist should make efforts to provide
TT TT TT TT TT TT TT TT TT TT
during aninterview include which of the following?
TT TT T TT TT TT TT TT
1. Minimize or prevent interruptions. TT TT TT
, 2. Ensure privacy during discussions. TT TT TT
3. Interviewer is the same sex as the hospital client to prevent bias.
TT TT TT TT TT TT TT TT TT TT TT
4. Be comfortable for the hospital client and
TT TT TT TT TT TT
interviewer.a. 1, 4
TT T TT TT
b. 2, 3
TT TT
c. 1, 2, 4
T T TT TT
d. 2, 3, 4
T T TT TT
ACCURATE ANSWER:- C TT T T
Reasoning :->>>External factors, such as a good physical setting, enhance the interviewing
TT TT TT TT TT TT TT TT TT TT TT
process. Regardless of theinterview setting (the hospital client’s bedside, a crowded
TT TT TT TT T TT TT TT TT TT TT TT
emergency room, an office in the hospital or clinic,or the hospital client’s home), efforts
TT TT TT TT TT TT TT TT TT T TT TT TT TT TT
should be made to (1) ensure privacy, (2) prevent interruptions, and (3)secure a comfortable
TT TT TT TT TT TT TT TT TT TT TT TT T TT TT
physical environment (e.g., comfortable room temperature, sufficient lighting, absence of
TT TT TT TT TT TT TT TT TT TT
noise). An interviewer of either gender, who acts professionally, should be able to interview
TT TT TT TT TT TT TT TT TT TT TT TT TT TT
a hospital client of either gender.
TT TT TT TT TT TT
5. The respiratory psychotherapist is conducting a hospital client interview. The
TT TT TT TT TT TT TT TT TT
psychotherapist chooses to useopen-ended questions. Open-ended questions allow
TT TT TT TT T TT TT TT TT
the psychotherapist to do which of the following?
TT TT TT TT TT TT TT TT
1. Gather information when a hospital client introduces a new topic.
TT TT TT TT TT TT TT TT TT
2. Introduce a new subject area. TT TT TT TT
3. Begin the interview process. TT TT TT
4. Gather specific information. TT TT
a. 4 TT
b. 1, 3 TT TT
c. 1, 2, 3 T T TT TT
d. 2, 3, 4T T TT TT
ACCURATE ANSWER:- C TT T T
Reasoning :->>>An open-ended question should be used to start the interview, introduce a
TT TT TT TT TT TT TT TT TT TT TT TT
new section of questions,and gather more information from a hospital client’s topic. Closed
TT TT TT TT T TT TT TT TT TT TT TT TT TT
or direct questions are used to gather specific information.
TT TT TT TT TT TT TT TT TT
6. The direct question interview format is used to:
TT TT TT TT TT TT TT
1. speed up the interview. TT TT TT
2. let the hospital client fully explain his/her situation.
TT TT TT TT TT TT TT
3. help the respiratory psychotherapist show empathy.
TT TT TT TT TT
4. gather specific TT
information.a. 1, 4
TT T TT TT
b. 2, 3 TT TT TT TT
c. 3, 4 T T TT
d. 1, 2, 3 TT TT TT TT
, ACCURATE ANSWER:- A TT T T
Reasoning :->>>Direct or closed questions are best to gather specific information and
TT TT TT TT TT TT TT TT TT TT TT
speed up the interview. Open- ended questions are best suited to let the hospital client
TT TT TT TT TT T TT TT TT TT TT TT TT TT TT
fully explain his/her situation and possibly help the respiratory psychotherapist show
TT TT TT TT TT TT TT TT T TT TT
empathy.
TT
7. During the interview the hospital client states, “Every time I climb the stairs I have
TT TT TT TT TT TT TT TT TT TT TT TT TT TT
to stop to catchmy breath.” Hearing this, the respiratory psychotherapist replies,
TT TT TT TT T TT TT TT TT TT TT TT
“So, it sounds like you get short of breath climbing stairs.” This interviewing
TT TT TT TT TT TT TT TT TT TT TT TT TT
technique is called:
TT TT TT
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATE ANSWER:- D TT T T
Reasoning :->>>With reflection, part of the hospital client’s statement is repeated. This lets the
TT TT TT TT TT TT TT TT TT TT TT TT TT
hospital client know that whathe/she said was heard. It also encourages the hospital client to
TT TT TT TT TT T TT TT TT TT TT TT TT TT TT TT
elaborate on the topic.
TT TT TT TT
Clarification, modeling, and empathy are other communication techniques. TT TT TT TT TT TT TT
8. The respiratory psychotherapist may choose to use the hospital client interview
TT TT TT TT TT TT TT TT TT TT
technique of silencein which of the following situations?
TT TT TT T TT TT TT TT TT
a. To prompt the hospital client to ask a question
TT TT TT TT TT TT TT TT
b. After a direct question TT TT TT
c. After an open-ended question TT TT TT
d. To allow the hospital client to review his/her history
TT TT TT TT TT TT TT TT
ACCURATE ANSWER:- C TT T T
Reasoning :->>>After a hospital client has answered an open-ended question, the respiratory
TT TT TT TT TT TT TT TT TT TT TT
psychotherapist should pause (use silence) before asking the next question. This pause allows
TT TT TT TT TT TT TT TT TT TT TT TT TT
the hospital client to add something else beforemoving on. The hospital client may also
TT TT TT TT TT TT TT TT T TT TT TT TT TT TT
choose to ask a question.
TT TT TT TT TT
9. To have the most productive interviewing session, which of the following types of
responsesto assist in the Ninterview
R I shou
G BU.ld tShe rNespTiratory tOherapist avoid?
TT TT TT TT TT TT TT TT TT TT TT TT
TT T TT TT TT TT TT TT TT TT TT
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATE ANSWER:- D TT T T
Reasoning :->>>With confrontation, the respiratory psychotherapist focuses the hospital client’s
TT TT TT TT TT TT TT TT TT
attention on an action, feeling, orstatement made by the hospital client. This may prompt a
TT TT TT TT TT TT T TT TT TT TT TT TT TT TT TT
further discussion. Reflection helps the hospital client focus on specific areas and continues
TT TT TT TT TT TT TT TT TT TT TT TT TT
in his/her own way. Facilitation encourages hospital clients to say more, to continue with
TT TT TT TT TT TT TT TT TT TT TT TT TT TT
the story. The respiratory psychotherapist should avoid giving advice, using avoidance
TT TT TT TT TT TT TT TT TT TT TT
language, and using distancing language.
TT TT TT TT TT
10. When closing the interview, the respiratory psychotherapist should do which of the
TT TT TT TT TT TT TT TT TT TT TT
following?TT
1. Recheck the hospital client’s vital signs. TT TT TT TT TT
2. Thank the hospital client. TT TT TT
3. Ask if the hospital client has any questions.
TT TT TT TT TT TT TT