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

TESTBANK
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,Chapter01:ThePatient Interview s s s s




MULTIPLE CHOICE s




1. Therespiratorycare practitioner is conducting a patient interview.The main purpose of this
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interview is to:
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a. review data with the patient. s s s s




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




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




d. fill out the history form or checklist. s s s s s s




ANS: B s




The interview is a meeting between the respiratory care practitioner and the patient. It allows the collection
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of subjective data about the patient’s feelings regarding his/her
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condition.Thehistoryshould bedonebefore theinterview.Although data can be reviewed, that is s s s s s s s s s s s s s s s




not the primary purpose of the interview.
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2. Forthere to be a successful interview, the respiratory therapist must:
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a. provideleading questions to guide the patient. s s s s s s




b. reassure the patient. s s




c. bean active listener. s s s




d. usemedical terminology to show knowledge of the subject matter. s s s s s s s s s




ANS: C s




The personal qualities that a respiratory therapist must have to conduct asuccessful interview include being
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an active listener, having a genuine concern for the patient, and having empathy. Leading questions must
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be avoided. Reassurance may provide a false sense of comfort to the patient. Medical jargon can sound
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exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form? s s s s s s s s s s




1. Age
2. Chief complaint s




3. Present health s




4. Family history s




5. Health insurance provider s s




a. 1, 4 s




b. 2, 3 s




c. 3, 4, 5 s s




d. 1, 2, 3, 4 s s s




ANS: D s




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




2. Ensure privacy during discussions. s s s




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




4. Becomfortableforthepatientand interviewer. s s s s s s




a. 1, 4 s




b. 2, 3 s




c. 1, 2, 4 s s




d. 2, 3, 4 s s




ANS: C s




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




1. Gather information when a patient introduces a new topic. s s s s s s s s




2. Introduce a new subject area. s s s s




3. Begin the interview process. s s s




4. Gather specific information. s s




a. 4
b. 1, 3 s




c. 1, 2, 3 s s




d. 2,3,4 s s




s ANS: C s




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




2. let the patient fully explain his/her situation.
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3. help the respiratorytherapist show empathy. s s s s s




4. gatherspecific information. s s




a. 1, 4 s




b. 2, 3 s




c. 3, 4 s




d. 1, 2, 3 s s




ANS: A s




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




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




8. Therespiratorytherapist may choose to use the patient interview technique of silence in
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which of the following situations?
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a. To prompt the patient to ask a question s s s s s s s




b. After a direct question s s s




c. After an open-ended question s s s




d. To allow the patient to review his/her history s s s s s s s




ANS: C s




After a patient has answered an open-ended question, the respiratory therapist should pause (use silence)
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before asking the next question. This pause allows the patient to add something else before moving on. The
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patient may also choose to ask a question.
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9. To havethe most productive interviewing session, which of the following types ofresponses to
assist in the interview shouUNldRtSIheGrN
B.espTiratory tOherapist avoid?
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a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D s




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




2. Thank the patient. s s




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




4. Closethe door behind himself/herself for patient privacy. s s s s s s s




a. 2
b. 2, 3 s




c. 1, 3, 4 s s




d. 1, 2, 4ANS: B
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