m
,Chapterm01:mThemPatientmInterview
MULTIPLEmCHOICE
1. Themrespiratorymcarempractitionermismconductingmampatientminterview.mThemmainmpurposem
ofmthisminterviewmismto:
a. reviewmdatamwithmthempatient.
b. gathermsubjectivemdatamfrommthempatient.
c. gathermobjectivemdatamfrommthempatient.
d. fillmoutmthemhistorymformmormchecklist.
ANS:m B
Theminterviewmismammeetingmbetweenmthemrespiratorymcarempractitionermandmthempatient.mItmallowsmt
hemcollectionmofmsubjectivemdatamaboutmthempatient’smfeelingsmregardingmhis/her
condition.mThemhistorymshouldmbemdonembeforemtheminterview.mAlthoughmdatamcanmbemrevi
ewed,mthatmismnotmthemprimarympurposemofmtheminterview.
2. Formtheremtombemamsuccessfulminterview,mthemrespiratorymtherapistmmust:
a. providemleadingmquestionsmtomguidemthempatient.
b. reassuremthempatient.
c. bemanmactivemlistener.
d. usemmedicalmterminologymtomshowmknowledgemofmthemsubjectmmatter.
ANS:m C
Thempersonalmqualitiesmthatmamrespiratorymtherapistmmustmhavemtomconductmamsuccessfulminterviewmi
ncludembeingmanmactivemlistener,mhavingmamgenuinemconcernmformthempatient,mandmhavingmempathy.
mLeadingmquestionsmmustmbemavoided.mReassurancemmaymprovidemamfalsemsensemofmcomfortmtomthe
mpatient.mMedicalmjargonmcan msound mexclusionarymandmpaternalisticmtomampatient.
3. Whichmofmthemfollowingmwouldmbemfoundmonmamhistorymform?
1. Age
2. Chiefmcomplaint
3. Presentmhealth
4. Familymhistory
5. Healthminsurancemprovider
a. 1,m4
b. 2,m3
c. 3,m4,m5
d. 1,m2,m3,m4
ANS:m D
Age,mchiefmcomplaint,mpresentmhealth,mandmfamilymhistorymaremtypicallymfoundmonmamhealthmhi
storymformmbecausemeachmcanmimpactmthempatient’smhealth.mHealthminsurancemproviderminforma
tion,mwhilemneededmformbillingmpurposes,mwouldmnotmbemfoundmonmthemhistorymform.
, 4. Externalmfactorsmthemrespiratorymcarempractitionermshouldmmakemeffortsmtomprovidemduri
ngmanminterviewmincludemwhichmofmthemfollowing?
1. Minimizemormpreventminterruptions.
2. Ensuremprivacymduringmdiscussions.
3. Interviewermismthemsamemsexmasmthempatientmtompreventmbias.
4. Bemcomfortablemformthempatientmandminterviewer.
a. 1,m4
b. 2,m3
c. 1,m2,m 4
d. 2,m3,m4
ANS:m C
Externalmfactors,msuchmasmamgoodmphysicalmsetting,menhancemtheminterviewingmprocess.mRegardless
mofmthe minterview msettingm(thempatient’s mbedside,mamcrowdedmemergencymroom,manmofficemin mthemho
spitalmormclinic,mormthempatient’smhome),meffortsmshouldmbemmademtom(1)mensuremprivacy,m(2)mpreve
ntminterruptions,mandm(3)msecuremamcomfortablemphysicalmenvironmentm(e.g.,mcomfortablemroommte
mperature,msufficientmlighting,mabsencemofmnoise).mAnminterviewermofmeithermgender,mwhomactsmpro
fessionally,mshouldmbemablemtominterviewmampatientmofmeithermgender.
5. Themrespiratorymtherapistmismconductingmampatientminterview.mThemtherapistmchoosesmt
omusemopen-endedmquestions.mOpen-
endedmquestionsmallowmthemtherapistmtomdomwhichmofmthemfollowing?
1. Gatherminformationmwhenmampatientmintroducesmamnewmtopic.
2. Introducemamnewmsubjectmarea.
3. Beginmtheminterviewmprocess.
4. Gathermspecificminformation.
a. 4
b. 1,m3
c. 1,m2,m 3
d. 2,m3,m
4mANS:
m C
Anmopen-
endedmquestionmshouldmbemusedmtomstartmtheminterview,mintroducemamnewmsectionmofmquestions,mand
mgathermmoreminformationmfrommampatient’s mtopic.mClosed mormdirectmquestionsmaremusedmtomgatherm
specificminformation.
6. Themdirectmquestionminterviewmformatmismusedmto:
1. speedmupmtheminterview.
2. letmthempatientmfullymexplainmhis/hermsituation.
3. helpmthemrespiratorymtherapistmshowmempathy.
4. gathermspecificminformation.
a. 1,m4
b. 2,m3
c. 3,m4
d. 1,m2,m3
ANS:m A
Directmormclosedmquestionsmarembestmtomgathermspecificminformationmandmspeedmupmtheminterview.
mOpen-
mended mquestionsmarembestmsuited mto mletmthempatientmfullymexplain mhis/hermsituationmand mpossibly
mhelpmthe mrespiratorymtherapistmshowmempathy.
, 7. Duringmtheminterviewmthempatientmstates,m“EverymtimemImclimbmthemstairsmImhavemtomstopm
tomcatchmmymbreath.”mHearingmthis,mthemrespiratorymtherapistmreplies,m“So,mitmsoundsmlik
emyoumgetmshortmofmbreathmclimbingmstairs.”mThisminterviewingmtechniquemismcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:m D
Withmreflection,mpartmofmthempatient’smstatementmismrepeated.mThismletsmthempatientmknowmthatm
whatmhe/shemsaidmwasmheard.mItmalsomencouragesmthempatientmtomelaboratemonmthemtopic.
Clarification,mmodeling,mandmempathymaremothermcommunicationmtechniques.
8. Themrespiratorymtherapistmmaymchoosemtomusemthempatientminterviewmtechniquemofms
ilenceminmwhichmofmthemfollowingmsituations?
a. Tompromptmthempatientmtomaskmamquestion
b. Aftermamdirectmquestion
c. Aftermanmopen-endedmquestion
d. Tomallowmthempatientmtomreviewmhis/hermhistory
ANS:m C
Aftermampatientmhasmansweredmanmopen-
endedmquestion,mthemrespiratorymtherapistmshouldmpausem(usemsilence)mbeforemaskingmthemnextmques
tion.mThismpausemallowsmthempatientmtomaddmsomethingmelsembeforemmovingmon.mThempatientmmayma
lsomchoosemtomaskmamquestion.
9. Tomhavemthemmostmproductiveminterviewingmsession,mwhichmofmthemfollowingmtypesmofmres
NmRmImmG
ponsesmtomassistminmtheminterview mB
.UldmtShemrNespTiratorymtOherapistmavoid?
shou
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:m D
Withmconfrontation,mthemrespiratorymtherapistmfocusesmthempatient’smattentionmonmanmaction,mfeeling,
mormstatement mmadembymthempatient.mThismmaympromptmamfurthermdiscussion.mReflectionmhelpsmthe
mpatientmfocusmonmspecificmareasmandmcontinues minmhis/hermown mway. mFacilitationmencourages mpati
entsmtomsaymmore,mtomcontinuemwithmthemstory.mThemrespiratorymtherapistmshouldmavoidmgivingmadv
ice,musingmavoidancemlanguage,mandmusingmdistancingmlanguage.
10. Whenmclosingmtheminterview,mthemrespiratorymtherapistmshouldmdomwhichmofmthemfollowing?
1. Recheckmthempatient’smvitalmsigns.
2. Thankmthempatient.
3. Askmifmthempatientmhasmanymquestions.
4. Closemthemdoormbehindmhimself/herselfmformpatientmprivacy.
a. 2
b. 2,m3
c. 1,m3,m4
d. 1,m2,m4mANS:m B