TEST BANK For Wilkins’ Clinical Assessment in Respiratory Care, 9th Edition by Albert J. Heuer, All Chapters 1 - 21, Complete Newest Version

Test Bank for Wilkins’ Clinical Assessment in
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Respiratory Care,
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9th Edition by Albert J. Heuer,
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Chapters 1 - 21b b b

,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. Fundamentals of Physical Examination
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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. Pulmonary Function Testing
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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
b b b b b




Chapter 13. Older Patient Assessment
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Chapter 14. Monitoring in Critical Care
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Chapter 15. Vascular Pressure Monitoring
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Chapter 16. Cardiac Output Measurement
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Chapter 17. Bronchoscopy
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Chapter 18. Nutritional Assessment
b b b




Chapter 19. Sleep and Breathing Assessment
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Chapter 20. Home Care Patient Assessment
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Chapter 21. Documentation
b b

,Chapter 1: Preparing for the Patient Encounter
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Test Bank
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MULTIPLE CHOICE b




1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
b b b b b b b b b b b b b b b


bpatient assessment? b


a. Assist the physician with diagnostic reasoning skills.
b b b b b b


b. Help the physician select appropriate pulmonary function tests.
b b b b b b b


c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
b b b b b b b b b


d. Document the patient diagnosis in the patient’s chart. b b b b b b b




ANSWER: D b


RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
b b b b b b b b b b b b b b b b




REF: b Table 1-1, pg. 4 b b b OBJ: b b 9

2. In which of the following stages of patient–clinician interaction is the review of physician
b b b b b b b b b b b b b


borders carried out? b b


a. Treatment stage b


b. Introductory stage b


c. Preinteraction stage b


d. Initial assessment stage b b




ANSWER: C b


Physician orders should be reviewed in the patient’s chart before the physician sees the
b b b b b b b b b b b b b


patient.
b




REF: b Table 1-1, pg. 4 b b b OBJ: b b 9

3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
b b b b b b b b b b b


a. Introductory stage b


b. Preinteraction stage b


c. Initial assessment stage b b


d. Treatment stage b




ANSWER: A b


The patient ID bracelet must be checked before moving forward with assessment and
b b b b b b b b b b b b


treatment.
b




REF: b Table 1-1, pg. 4 b b b OBJ: b b 9

4. What should be done just before the patient’s ID bracelet is checked?
b b b b b b b b b b b


a. Check the patient’s SpO2. b b b


b. Ask the patient for permission.
b b b b


c. Check the chart for vital signs. b b b b b


d. Listen to breath sounds. b b b




ANSWER: B b


It is considered polite to ask the patient for permission before touching and reading his or her
b b b b b b b b b b b b b b b b


bID bracelet.
b

, REF: b b pg. 3 b OBJ: b b 3|5 b b




5. What is the goal of the introductory phase?
b b b b b b b


a. Assess the patient’s apparent age. b b b b


b. Identify the patient’s family history. b b b b


c. Determine the patient’s diagnosis. b b b


d. Establish a rapport with the patient. b b b b b




ANSWER: D b


The introductory phase is all about getting to know the patient and establishing a rapport with
b b b b b b b b b b b b b b b


him or her.
b b b




REF: b Table 1-1, pg. 4 b b b OBJ: b b 3

6. Which of the following behaviors is not consistent with resistive behavior of a patient?
b b b b b b b b b b b b b


a. Crossed arms b


b. Minimal eye contact b b


c. Brief answers to questions b b b


d. Asking the purpose of the treatment b b b b b




ANSWER: D b


If a patient asks about the purpose of the treatment you are about to give, this generally
b b b b b b b b b b b b b b b b


bindicates that he or she is not upset. b b b b b b b




REF: b Table 1-1, pg. 4 b b b OBJ: b b 3

7. What is the main purpose of the initial assessment stage?
b b b b b b b b b


a. To identify any allergies to medications
b b b b b


b. To document the patient’s smoking history
b b b b b


c. To personally get to know the patient better
b b b b b b b


d. To verify that the prescribed treatment is still needed and appropriate
b b b b b b b b b b




ANSWER: D b


When you first see the patient, you are encouraged to perform a brief assessment to make sure
b b b b b b b b b b b b b b b b


the treatment order by the physician is still appropriate. The patient’s status may have changed
b b b b b b b b b b b b b b b


abruptly recently.
b b




REF: b Table 1-1, pg. 4 b b b OBJ: b b 3

8. What is the appropriate distance for the social space from the patient?
b b b b b b b b b b b


a. 3 to 5 feet b b b


b. 4 to 12 feet b b b


c. 6 to 18 feet b b b


d. 8 to 20 feet b b b




ANSWER: B b


The social space is 4 to 12 feet.
b b b b b b b




REF: b b pg. 5 b OBJ: b b 5

9. What is the appropriate distance for the personal space?
b b b b b b b b