Respiratory Care,
9th Edition by Albert J. Heuer, Chapters 1
- 21
,Wilkins' Clinical Assessment in Respiratory Care,
Contents:
Chapter 1. Preparing for the Patient Encounter
Chapter 2. The Medical History and the Interview
Chapter 3. Cardiopulmonary Symptoms
Chapter 4. Vital Signs
Chapter 5. Fundamentals of Physical Examination
Chapter 6. Neurologic Assessment
Chapter 7. Clinical Laboratory Studies
Chapter 8. Interpretation of Blood Gases
Chapter 9. Pulmonary Function Testing
Chapter 10. Chest Imaging
Chapter 11. Electrocardiography
Chapter 12. Neonatal and Pediatric Assessment
Chapter 13. Older Patient Assessment
Chapter 14. Monitoring in Critical Care
Chapter 15. Vascular Pressure Monitoring
Chapter 16. Cardiac Output Measurement
Chapter 17. Bronchoscopy
Chapter 18. Nutritional Assessment
Chapter 19. Sleep and Breathing Assessment
Chapter 20. Home Care Patient Assessment
Chapter 21. Documentation
,Chapter 1: Preparing for the Patient Encounter Test
Bank
MULTIPLE CHOICE
1. Which of the following activities is not part of the role of respiratory therapists (RTs) in
patient assessment?
a. Assist the physician with diagnostic reasoning skills.
b. Help the physician select appropriate pulmonary function tests.
c. Interpret arterial blood gas values and suggest mechanical ventilation changes.
d. Document the patient diagnosis in the patient’s chart.
ANSWER: D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
REF: Table 1-1, pg. 4 OBJ: 9
2. In which of the following stages of patient–clinician interaction is the review of physician
orders carried out?
a. Treatment stage
b. Introductory stage
c. Preinteraction stage
d. Initial assessment stage
ANSWER: C
Physician orders should be reviewed in the patient’s chart before the physician sees the
patient.
REF: Table 1-1, pg. 4 OBJ: 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
a. Introductory stage
b. Preinteraction stage
c. Initial assessment stage
d. Treatment stage
ANSWER: A
The patient ID bracelet must be checked before moving forward with assessment and
treatment.
REF: Table 1-1, pg. 4 OBJ: 9
4. What should be done just before the patient’s ID bracelet is checked?
a. Check the patient’s SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANSWER: B
It is considered polite to ask the patient for permission before touching and reading his or
her ID bracelet.
REF: pg. 3 OBJ: 3 | 5
, 5. What is the goal of the introductory phase?
a. Assess the patient’s apparent age.
b. Identify the patient’s family history.
c. Determine the patient’s diagnosis.
d. Establish a rapport with the patient.
ANSWER: D
The introductory phase is all about getting to know the patient and establishing a rapport
with him or her.
REF: Table 1-1, pg. 4 OBJ: 3
6. Which fof fthe ffollowing fbehaviors fis fnot fconsistent fwith fresistive fbehavior fof fa fpatient?
a. Crossed farms
b. Minimal feye fcontact
c. Brief fanswers fto fquestions
d. Asking fthe fpurpose fof fthe ftreatment
ANSWER: f D
If fa fpatient fasks fabout fthe fpurpose fof fthe ftreatment fyou fare fabout fto fgive, fthis
fgenerally findicates fthat fhe for fshe fis fnot fupset.
REF: f Table f1-1, fpg. f4 OBJ: f f3
7. What fis fthe fmain fpurpose fof fthe finitial fassessment fstage?
a. To fidentify fany fallergies fto fmedications
b. To fdocument fthe fpatient’s fsmoking fhistory
c. To fpersonally fget fto fknow fthe fpatient fbetter
d. To fverify fthat fthe fprescribed ftreatment fis fstill fneeded fand fappropriate
ANSWER: f D
When fyou ffirst fsee fthe fpatient, fyou fare fencouraged fto fperform fa fbrief fassessment fto
fmake fsure fthe ftreatment forder fby fthe fphysician fis fstill fappropriate. fThe fpatient’s fstatus
fmay fhave fchanged fabruptly frecently.
REF: f Table f1-1, fpg. f4 OBJ: f f3
8. What fis fthe fappropriate fdistance ffor fthe fsocial fspace ffrom fthe fpatient?
a. 3 fto f5 ffeet
b. 4 fto f12 ffeet
c. 6 fto f18 ffeet
d. 8 fto f20 ffeet
ANSWER: f B
The fsocial fspace fis f4 fto f12 ffeet.
REF: f f pg. f5 OBJ: f f5
9. What fis fthe fappropriate fdistance ffor fthe fpersonal fspace?
a. 0 fto f18 finches
b. 18 finches fto f4 ffeet
c. 4 fto f12 ffeet
d. 6 fto f15 ffeet
ANSWER: f B
The fpersonal fspace fis fabout f2 fto f4 ffeet ffrom fthe fpatient.
REF: f f pg. f5 OBJ: f f5