Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses (5th Edition) by Goolsby – Chapters 1–22 Complete Test Bank – Practice Questions and Answers

TEST BANK: CLINICAL MANIFESTATIONS AND
ASSESSMENT OF RESPIRATORY DISEASE, 9TH
EDITION BY DES JARDINS

,Chapter 01: The Hospital client Interview


MULTIPLE SELECTION

1. The respiratory care specialist is conducting a hospital client interview. The main purpose
of thisinterview is to:
a. review data with the hospital client.
b. gather subjective data from the hospital client.
c. gather objective data from the hospital client.
d. fill out the history form or checklist.
ACCURATE ANSWER:- B
Reasoning :->>>The interview is a meeting between the respiratory care specialist and the hospital
client. It allows thecollection of subjective data about the hospital client’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 successful interview, the respiratory psychotherapist must:
a. provide leading questions to guide the hospital client.
b. reassure the hospital client.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.

ACCURATE ANSWER:- C
Reasoning :->>>The personal qualities that a respiratory psychotherapist must have to conduct a
successful interview includebeing an active listener, having a genuine concern for the hospital client,
and having empathy. Leading questions must be avoided. Reassurance may provide a false sense of
comfort to the hospital client. Medicaljargon can sound exclusionary and paternalistic to a hospital
client.

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
ACCURATE ANSWER:- D
Reasoning :->>>Age, chief complaint, present health, and family history are typically found on
a health history form because each can impact the hospital client’s health. Health insurance
provider information, while needed for billing purposes, would not be found on the history form.




4. External factors the respiratory care specialist 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 hospital client to prevent bias.

, 4. Be comfortable for the hospital client and
interviewer.a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ACCURATE ANSWER:- C
Reasoning :->>>External factors, such as a good physical setting, enhance the interviewing process.
Regardless of theinterview setting (the hospital client’s bedside, a crowded emergency room, an
office in the hospital or clinic,or the hospital client’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 hospital client of either gender.

5. The respiratory psychotherapist is conducting a hospital client interview. The
psychotherapist chooses to useopen-ended questions. Open-ended questions allow the
psychotherapist to do which of the following?
1. Gather information when a hospital client 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
ACCURATE ANSWER:- C
Reasoning :->>>An open-ended question should be used to start the interview, introduce a new
section of questions,and gather more information from a hospital client’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 hospital client fully explain his/her situation.
3. help the respiratory psychotherapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3

, ACCURATE ANSWER:- A
Reasoning :->>>Direct or closed questions are best to gather specific information and speed up the
interview. Open- ended questions are best suited to let the hospital client fully explain his/her
situation and possibly help therespiratory psychotherapist show empathy.



7. During the interview the hospital client states, “Every time I climb the stairs I have to stop
to catchmy breath.” Hearing this, the respiratory psychotherapist replies, “So, it sounds
like you get short of breath climbing stairs.” This interviewing technique is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATE ANSWER:- D
Reasoning :->>>With reflection, part of the hospital client’s statement is repeated. This lets the hospital
client know that whathe/she said was heard. It also encourages the hospital client to elaborate on the
topic.
Clarification, modeling, and empathy are other communication techniques.

8. The respiratory psychotherapist may choose to use the hospital client interview
technique of silencein which of the following situations?
a. To prompt the hospital client to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the hospital client to review his/her history
ACCURATE ANSWER:- C
Reasoning :->>>After a hospital client has answered an open-ended question, the respiratory
psychotherapist should pause (use silence) before asking the next question. This pause allows the
hospital client to add something else beforemoving on. The hospital client may also choose to ask a
question.

9. To have the most productive interviewing session, which of the following types of responses
N URld tI
to assist in the interview shou SheGrNB. Tiratory tOherapist avoid?
esp
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATE ANSWER:- D
Reasoning :->>>With confrontation, the respiratory psychotherapist focuses the hospital client’s
attention on an action, feeling, orstatement made by the hospital client. This may prompt a further
discussion. Reflection helps the hospital client focus on specific areas and continues in his/her own
way. Facilitation encourages hospital clients to say more, to continue with the story. The respiratory
psychotherapist should avoid giving advice, using avoidance language, and using distancing
language.

10. When closing the interview, the respiratory psychotherapist should do which of the following?
1. Recheck the hospital client’s vital signs.
2. Thank the hospital client.
3. Ask if the hospital client has any questions.
4. Close the door behind himself/herself for hospital client privacy.
a. 2
b. 2, 3