CLINICAL MANIFESTATIONS & ASSESSMENT OF
RESPIRATORY DISEASE 8TH EDITION BY TERRY
DES JARDINS
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,Table of content
Chapter l The Patient Interview
Chapter 2 The Physical Examination
Chapter 3 The Pathophysiologic Basis for Common Clinical Manifestations
Chapter 4 Pulmonary Function Testing
Chapter 5 Blood Gas Assessment
Chapter 6 Assessment of Oxygenation
Chapter 7 Assessment of the Cardiovascular System
Chapter 8 Radiologic Examination of the Chest
Chapter 9 Other Important Tests and Procedures
Chapter l O The Therapist-Driven Protocol Program
Chapter II Respiratory Insufficiency, Respiratory Failure, and Ventilatory Management Protocols
Chapter 12 Recording Skills and Intraprofessional Communication
Chapter 13 Chronic Obstructive Pulmonary Disease, Chronic Bronchitis, and Emphysema
Chapter 14 Asthma
Chapter 15 Cystic Fibrosis
Chapter 16 Bronchiectasis
Chapter 17 Atelectasis
Chapter 18 Pneumonia, Lung Abscess Formation, and Important Fungal Diseases
Chapter I9 Tuberculosis
Chapter 20 Pulmonary Edema
Chapter 21 Pulmonary Vascular Disease
Chapter 22 Flail Chest
Chapter 23 Pneumothorax
Chapter 24 Pleural Effusion and Empyema
Chapter 25 Kyphoscoliosis
Chapter 26 Cancer of the Lung
Chapter 27 Interstitial Lung Diseases
Chapter 28 Acute Respiratory Distress Syndrome
Chapter 29 Guillain-Barr~ Syndrome
Chapter 30 Myasthenia Gravis
Chapter 31 Cardiopulmonary Assessment and Care of Patients with Neuromuscular Disease
Chapter 32 Sleep Apnea
Chapter 33 Newborn Assessment and Management
Chapter 34 Pediatric Assessment and Management
Chapter 35 Meconium Aspiration Syndrome
Chapter 36 Transient Tachypnea of the Newborn
Chapter 37 Respiratory Distress Syndrome
Chapter 38 Pulmonary Air Leak Syndromes
Chapter 39 Respiratory Syncytial Virus Infection (Bronchiolitis)
Chapter 40 Chronic Lung Disease of Infancy
Chapter 41 Congenital Diaphragmatic Hernia
Chapter 42 Congenital Heart Diseases
Chapter 43 Croup and Croup-Like Syndromes
Chapter 44 Near Drowning/Wet Drowning
Chapter 45 Smoke Inhalation. Thermal Lung Iniuries. and Carbon Mono
,Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
Edition
Chapter 01: The Patient Interview
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 isnot 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 respUiratoSry tNhe raTp i s t m uO
s t 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 providera. 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 forbilling purposes, would not be found on the history form.
, 4. External dfactors dthe drespiratory dcare dpractitioner dshould dmake defforts dto dprovide
dduring dan dinterview dinclude dwhich dof dthe dfollowing?
1. Minimize dor dprevent dinterruptions.
2. Ensure dprivacy dduring ddiscussions.
3. Interviewer dis dthe dsame dsex das dthe dpatient dto dprevent dbias.
4. Be dcomfortable dfor dthe dpatient dand dinterviewer.
a. 1, d 4
b. 2, d3
c. 1, d2, d 4
d. 2, d3, d4
ANS: d C
External dfactors, dsuch das da dgood dphysical dsetting, denhance dthe dinterviewing dprocess.
dRegardless dof dthe dinterview dsetting d(the dpatient’s dbedside, da dcrowded demergency droom, dan
doffice din dthe dhospital dor dclinic, dor dthe dpatient’s dhome), defforts dshould dbe dmade dto d(1) densure
dprivacy, d(2) dprevent dinterruptions, dand d(3) dsecure da dcomfortable dphysical denvironment d(e.g.,
dcomfortable droom dtemperature, dsufficient dlighting, dabsence dof dnoise). dAn dinterviewer dof deither
dgender, dwho dacts dprofessionally, dshould dbe dable dto dinterview da dpatient dof deither dgender.
5. The drespiratory dtherapist dis dconducting da dpatient dinterview. dThe dtherapist dchooses
dto duse dopen-ended dquestions. dOpen-ended dquestions dallow dthe dtherapist dto ddo
dwhich dof dthe dfollowing?
1. Gather dinformation dwhen da dpatient dintroduces da dnew dtopic.
2. Introduce da dnew dsubject darea.
3. Begin dthe dinterview dprocess.
4. Gather dspecific dinformation.
a. 4 NURSINGTB.COM
b. 1, d3
c. 1, d2,
d3
d. 2, d3,
d4
ANS:
d C
An dopen-ended dquestion dshould dbe dused dto dstart dthe dinterview, dintroduce da dnew dsection dof
dquestions, dand dgather dmore dinformation dfrom da dpatient’s dtopic. dClosed dor ddirect dquestions
dare dused dto dgather dspecific dinformation.
6. The ddirect dquestion dinterview dformat dis dused dto:
1. speed dup dthe dinterview.
2. let dthe dpatient dfully dexplain dhis/her dsituation.
3. help dthe drespiratory dtherapist dshow dempathy.
4. gather dspecific dinformation.
a. 1, d 4
b. 2, d3
c. 3, d 4
d. 1, d2, d3
ANS: d A
Direct dor dclosed dquestions dare dbest dto dgather dspecific dinformation dand dspeed dup dthe
dinterview. dOpen- dended dquestions dare dbest dsuited dto dlet dthe dpatient dfully dexplain dhis/her
dsituation dand dpossibly dhelp dthe drespiratory dtherapist dshow dempathy.