Test Bank For Clinical Manifestations & Assessment of Respiratory Disease 8e Chapter 01: The Patient Interview Chapter 01: The Patient Interview 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. General Feedback: 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 is not the primary purpose of the interview. Feedback: *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 is not the primary purpose of the interview. 2. For there to be a succe ssful 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. General Feedback: The personal qualities that a respiratory therapist must 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. Feedback: *c) The personal qualities that a respiratory therapist must have to conduct a successful interview include being an active listener, having a g enuine 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 provider a. 1, 4 b. 2, 3 c. 3, 4, 5 *d. 1, 2, 3, 4 1 Test Bank For Clinical Manifestations & Assessment of Respiratory Disease 8e Chapter 01: The Patient Interview General Feedback: Age, chief complaint, present health, and family history are typical ly found on a health history form because each can impact the patient’s health. Health insurance provider information, while needed for billing purposes, would not be found on the history form. Feedback: *d) Age, chief complaint, present health, and f amily history are typically found on a health history form because each can impact the patient’s health. Health insurance provider information, while needed for billing purposes, would not be found on the history form. 4. External factors the respirator y care practitioner should make efforts to provide during an interview include which of the following? 1. Minimize or prevent interruptions. 2. Ensure privacy during discussions. 3. Interviewer is the same sex as the patient to prevent bias. 4. Be comfortable for the patient and interviewer. a. 1, 4 b. 2, 3 *c. 1, 2, 4 d. 2, 3, 4 General Feedback: External factors, such as a good physical setting, enhance the interviewing process. Regardless of the interview setting (the patient’s bedside, a crowde d emergency room, an office in the hospital or clinic, or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3) secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts professionally, should be able to interview a patient of either gender. Feedback: *c) External factors, such as a good physical setting, enhance the interviewing process. Regardless of the interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic, or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3) secure a comfortable physical environment ( e.g., comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts professionally, should be able to interview a patient of either gender. 5. The respiratory therapist is conducting a patient interview. The therapist chooses to use open -ended questions. Open-ended questions allow the therapist to do which of the following? 1. Gather information when a patient introduces a new topic. 2. Introduce a new subject area. 3. Begin the interview process. 4. Gather specific information. a. 4 b. 1, 3 *c. 1, 2, 3 d. 2, 3, 4 2 Test Bank For Clinical Manifestations & Assessment of Respiratory Disease 8e Chapter 01: The Patient Interview General Feedback: An open-ended question should be used to start the interview, introduce a new section of questions, and gather more information from a patient’s topic. Closed or dir ect questions are used to gather specific information. Feedback: *c) An open-ended question should be used to start the interview, introduce a new section of questions, and gather more information from a patient’s topic. Closed or direct questions are used to gather specific information. 6. The direct question interview format is used to: 1. speed up the interview. 2. let the patient fully explain his/her situation. 3. help the respiratory therapist show empathy. 4. gather specific information. *a. 1, 4 b. 2, 3 c. 3, 4 d. 1, 2, 3 General Feedback: Direct or closed questions are best to gather specific information and speed up the interview. Open-ended questions are best suited to let the patient fully explain his/her situation and possibly h elp the respiratory therapist show empathy. Feedback: *a) Direct or closed questions are best to gather specific information and speed up the interview. Open-ended questions are best suited to let the patient fully explain his/her situation and possib ly help the respiratory therapist show empathy. 7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short of breath c limbing stairs.” This interviewing technique is called: a. clarification. b. modeling. c. empathy. *d. reflection. General Feedback: With reflection, part of the patient’s statement is repeated. This lets the patient know that what he/she said was heard. It also encourages the patient to elaborate on the topic. Clarification, modeling, and empathy are other communication techniques. Feedback: *d) With reflection, part of the patient’s statement is repeated. This lets the patient know that what he/she said was heard. It also encourages the patient to elaborate on the topic. Clarification, modeling, and empathy are other communication techniques. 3
