Test Bank - Clinical Manifestations and Assessment of Respiratory Disease, 9th Edition (Des Jardins, 2025), Newest Edition

,Chapter 01: The Patient Interview
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Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th E
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dition

MULTIPLE CHOICE x@




1. The respiratory care practitioner is conducting a patient interview. The main purpose
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of this interview is to:
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a. review data with the patient. x@ x@ x@ x@


b. gather subjective data from the patient.
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c. gather objective data from the patient.
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d. fill out the history form or checklist.
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ANS: B x @


The interview is a meeting between the respiratory care practitioner and the patient. It allows t
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he collection of subjective data about the patient’s feelings regarding his/her
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condition. The history should be done before the interview. Although data can be revi
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ewed, that is not the primary purpose of the interview.
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2. For there to be a successful interview, the respiratory therapist must:
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a. provide leading questions to guide the patient.
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b. reassure the patient. x@ x@


c. be an active listener. x@ x@ x@


d. use medical terminology to show knowledge of the subject matter.
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ANS: x @ C
N R I G B.C M
U Stherapist
N T must O
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x@ x@ x@
The personal qualities that a
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de
being an active listener, having a genuine concern for the patient, and having empathy. Leadi
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ng questions must be avoided. Reassurance may provide a false sense of comfort to the patien
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t. Medical jargon can sound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form?
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1. Age
2. Chief complaint x@


3. Present health x@


4. Family history x@


5. Health insurance provider x@ x@


a. 1, 4 x@


b. 2, 3 x@


c. 3, 4, 5 x@ x@


d. 1, 2, 3, 4 x@ x@ x@




ANS: D x @


Age, chief complaint, present health, and family history are typically found on a health h
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istory form because each can impact the patient’s health. Health insurance provider inform
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ation, while needed for billing purposes, would not be found on the history form.
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NURSINGTB.COM

, 4. External factors the respiratory care practitioner should make efforts to provide duri
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ng an interview include which of the following?
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1. Minimize or prevent interruptions. x@ x@ x@


2. Ensure privacy during discussions. x@ x@ x@


3. Interviewer is the same sex as the patient to prevent bias.
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4. Be comfortable for the patient and interviewer.
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a. 1, 4 x@


b. 2, 3 x@


c. 1, 2, 4 x@ x@


d. 2, 3, 4 x@ x@




ANS: C x@x@


External factors, such as a good physical setting, enhance the interviewing process. Regardless
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of the interview setting (the patient’s bedside, a crowded emergency room, an office in the ho
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spital or clinic, or the patient’s home), efforts should be made to (1) ensure privacy, (2) preve
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nt interruptions, and (3) secure a comfortable physical environment (e.g., comfortable room te
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mperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts pr
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ofessionally, should be able to interview a patient of either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist chooses t
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o use open-ended questions. Open-
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ended questions allow the therapist to do which of the following?
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1. Gather information when a patient introduces a new topic.
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2. Introduce a new subject area. x@ x@ x@ x@


3. Begin the interview process. x@ x@ x@


4. Gather specific information. x@ x@


a. 4 NURSINGTB.COM
b. 1, 3 x@


c. 1, 2, x@ x@


3
d. 2, 3, x@ x@


4
ANS: x@x@


C
An open-
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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
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@specific information. x@




6. The direct question interview format is used to:
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1. speed up the interview. x@ x@ x@


2. let the patient fully explain his/her situation.
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3. help the respiratory therapist show empathy.
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4. gather specific information. x@ x@


a. 1, 4 x@


b. 2, 3 x@


c. 3, 4 x@


d. 1, 2, 3 x@ x@




ANS: A x@x@


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


With reflection, part of the patient’s statement is repeated. This lets the patient know that
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what he/she 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.
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8. The respiratory therapist may choose to use the patient interview technique of s
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ilence in which of the following situations?
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a. To prompt the patient to ask a question
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b. After a direct question x@ x@ x@


c. After an open-ended question x@ x@ x@


d. To allow the patient to review his/her history
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ANS: C x @


After a patient has answered an open-
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ended question, the respiratory therapist should pause (use silence) before asking the next ques
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tion. This pause allows the patient to add something else before moving on. The patient may
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also choose to ask a question.
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9. To have the most productive interviewing session, which of the following types of res
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NRIG
ponses to assist in the interview
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B.
shou Uld tShe rNespTiratory tOherapist avoid?
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x@
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a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D x @


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


2. Thank the patient. x@ x@


3. Ask if the patient has any questions.
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4. Close the door behind himself/herself for patient privacy.
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a. 2
b. 2, 3 x@


c. 1, 3, 4 x@ x@


d. 1, 2, 4 ANS: B
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