Test bank For Wilkins clinical assessment in
B B B B B BB
respiratory care 8th edition by Huber,
B B B B B B
Chapters 1 - 21
B B B B
i a
t h
b u
M
,Chapter1: Preparing forthe Patient Encounter Test
B B B B B B
BBank
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
B patient 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 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: Table 1-1, pg. 4 B B B OBJ: 9
2. In which of the following stages of patient–clinician interaction is the review of
B B B B
a B B B B B B B B
physician orders carried out?
B B
i B B
a. Treatment stage
b.
c.
Introductory stage
Preinteraction stage
B
B
B
h
d. Initial assessment stage B B
t u
ANSWER: C B B
Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
B B B B B B
b B B B B B B B B
REF: Table 1-1, pg. 4 B B B OBJ: 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
B B B B B B B B
M B B B
a. Introductory stage B
b. Preinteraction stage B
c. Initial assessment stage B B
d. Treatment stage B
ANSWER: A B 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: Table 1-1, pg. 4 B B B OBJ: 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 B
It is considered polite to ask the patient for permission before touching and reading his or
B B B B B B B B B B B B B B B
her ID bracelet.
B B B
, REF: pg. 3 B OBJ: 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. Identifythe patient’s familyhistory. 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 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: Table 1-1, pg. 4 B B B OBJ: 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
c. Brief answers to questions
d. Asking the purpose of the treatment
B
B
B
B
B
i a B B
B B B
ANSWER: D
indicates that he or she is not upset.
B
B
B
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
t h B B
B B B B B B B B B B
REF: Table 1-1, pg. 4 OBJ: 3
7. What is the main purpose of the initial assessment stage?
B B B
B
B
B B
B B B
b u 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
ANSWER: D
B
d. To verify that the prescribed treatment is still needed and appropriate
B
B
B
B
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
B B B
B B
B
M 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: Table 1-1, pg. 4 B B B OBJ: 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 B
The social space is 4 to 12 feet.
B B B B B B B
REF: pg. 5 B OBJ: 5
9. What is the appropriate distance for the personal space?
B B B B B B B B
, a. 0 to 18 inches
B B B
b. 18 inches to 4 feet B B B B
c. 4 to 12 feet
B B B
d. 6 to 15 feet
B B B
ANSWER: B B B
The personal space is about 2 to 4 feet from the patient.
B B B B B B B B B B B
REF: pg. 5 B OBJ: 5
10. Which of the following activities is best performed in the personal space?
B B B B B B B B B B B
a. The interview B
b. The introduction B
c. The physical examination B B
d. Listening for breath sounds B B B
ANSWER: A B B
The interview is best performed with you sitting about 2 to 4 feet from the patient. If you sit
B
farther away, the patient will have to answer your questions in a louder voice, and
B B
because some of the information may be private, this would diminish
B B
B
B
B
B
i a B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B B
B
B
B
B B
B
B
B
B B
B
B
B B
B
B
communication.
B
h
REF: Table 1-1, pg. 4 B B B OBJ: 5
11. What type of behavior is least appropriate in the patient’s intimate space?
B B B B B
t B
u B B B B B
a. Eye contact B
b. Pulse check B
c. Auscultation
d. Simple commands
ANSWER: A
B
B B
b
Eye contact is inappropriate in the intimate space and will make the patient very
B
uncomfortable.
B
REF: pg. 3
B
B
B
OBJ:
B
5
B B B B B
M
B B B B
12. You are riding in an elevator at the hospital where you are employed as an RT. The
B B B B B B B B B B B B B B B B
Belevator is full, but standing next to you is Joe, the RT who is scheduled to relieve
B B B B B B B B B B B B B B B B
Byou. He turns to you and asks, ―How is Mr. Copper doing?‖ Earlier in the day, Mr. Copper
B B B B B B B B B B B B B B B B B
Bhad a cardiac arrest, and he is now being mechanically ventilated. How should you
B B B B B B B B B B B B B
Brespond to Joe? B B
a. ―He took a turn for the worse.‖ B B B B B B
b. ―He is fine.‖ B B
c. ―Let’s talk later in the report room.‖ B B B B B B
d. ―He is on a ventilator and will keep you very busy.‖
B B B B B B B B B B
ANSWER: C B B
The patient’s right to privacy prevents care providers from discussing a patient’s clinical status
B B B B B B B B B B B B B
in public places. All answers other than ―c‖ are unethical; giving such answers could
B B B B B B B B B B B B B B
cause an RT to be in legal trouble and get fired.
B B B B B B B B B B B
REF: B B B Table 1-2, pgs. 4-5 B B B OBJ: B B B 6
13. In 1996, Congress passed the HIPAA. What does the letter ―P‖ stand for?
B B B B B B B B B B B B
B B B B B BB
respiratory care 8th edition by Huber,
B B B B B B
Chapters 1 - 21
B B B B
i a
t h
b u
M
,Chapter1: Preparing forthe Patient Encounter Test
B B B B B B
BBank
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
B patient 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 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: Table 1-1, pg. 4 B B B OBJ: 9
2. In which of the following stages of patient–clinician interaction is the review of
B B B B
a B B B B B B B B
physician orders carried out?
B B
i B B
a. Treatment stage
b.
c.
Introductory stage
Preinteraction stage
B
B
B
h
d. Initial assessment stage B B
t u
ANSWER: C B B
Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
B B B B B B
b B B B B B B B B
REF: Table 1-1, pg. 4 B B B OBJ: 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
B B B B B B B B
M B B B
a. Introductory stage B
b. Preinteraction stage B
c. Initial assessment stage B B
d. Treatment stage B
ANSWER: A B 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: Table 1-1, pg. 4 B B B OBJ: 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 B
It is considered polite to ask the patient for permission before touching and reading his or
B B B B B B B B B B B B B B B
her ID bracelet.
B B B
, REF: pg. 3 B OBJ: 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. Identifythe patient’s familyhistory. 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 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: Table 1-1, pg. 4 B B B OBJ: 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
c. Brief answers to questions
d. Asking the purpose of the treatment
B
B
B
B
B
i a B B
B B B
ANSWER: D
indicates that he or she is not upset.
B
B
B
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
t h B B
B B B B B B B B B B
REF: Table 1-1, pg. 4 OBJ: 3
7. What is the main purpose of the initial assessment stage?
B B B
B
B
B B
B B B
b u 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
ANSWER: D
B
d. To verify that the prescribed treatment is still needed and appropriate
B
B
B
B
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
B B B
B B
B
M 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: Table 1-1, pg. 4 B B B OBJ: 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 B
The social space is 4 to 12 feet.
B B B B B B B
REF: pg. 5 B OBJ: 5
9. What is the appropriate distance for the personal space?
B B B B B B B B
, a. 0 to 18 inches
B B B
b. 18 inches to 4 feet B B B B
c. 4 to 12 feet
B B B
d. 6 to 15 feet
B B B
ANSWER: B B B
The personal space is about 2 to 4 feet from the patient.
B B B B B B B B B B B
REF: pg. 5 B OBJ: 5
10. Which of the following activities is best performed in the personal space?
B B B B B B B B B B B
a. The interview B
b. The introduction B
c. The physical examination B B
d. Listening for breath sounds B B B
ANSWER: A B B
The interview is best performed with you sitting about 2 to 4 feet from the patient. If you sit
B
farther away, the patient will have to answer your questions in a louder voice, and
B B
because some of the information may be private, this would diminish
B B
B
B
B
B
i a B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B B
B
B
B
B B
B
B
B
B B
B
B
B B
B
B
communication.
B
h
REF: Table 1-1, pg. 4 B B B OBJ: 5
11. What type of behavior is least appropriate in the patient’s intimate space?
B B B B B
t B
u B B B B B
a. Eye contact B
b. Pulse check B
c. Auscultation
d. Simple commands
ANSWER: A
B
B B
b
Eye contact is inappropriate in the intimate space and will make the patient very
B
uncomfortable.
B
REF: pg. 3
B
B
B
OBJ:
B
5
B B B B B
M
B B B B
12. You are riding in an elevator at the hospital where you are employed as an RT. The
B B B B B B B B B B B B B B B B
Belevator is full, but standing next to you is Joe, the RT who is scheduled to relieve
B B B B B B B B B B B B B B B B
Byou. He turns to you and asks, ―How is Mr. Copper doing?‖ Earlier in the day, Mr. Copper
B B B B B B B B B B B B B B B B B
Bhad a cardiac arrest, and he is now being mechanically ventilated. How should you
B B B B B B B B B B B B B
Brespond to Joe? B B
a. ―He took a turn for the worse.‖ B B B B B B
b. ―He is fine.‖ B B
c. ―Let’s talk later in the report room.‖ B B B B B B
d. ―He is on a ventilator and will keep you very busy.‖
B B B B B B B B B B
ANSWER: C B B
The patient’s right to privacy prevents care providers from discussing a patient’s clinical status
B B B B B B B B B B B B B
in public places. All answers other than ―c‖ are unethical; giving such answers could
B B B B B B B B B B B B B B
cause an RT to be in legal trouble and get fired.
B B B B B B B B B B B
REF: B B B Table 1-2, pgs. 4-5 B B B OBJ: B B B 6
13. In 1996, Congress passed the HIPAA. What does the letter ―P‖ stand for?
B B B B B B B B B B B B