TEST BANK: CLINICAL MANIFESTATIONS AND A
m m m m m
SSESSMENT OF RESPIRATORY DISEASE, 9TH ED
m m m m m
ITION BY DES JARDINS
m m m
,Chapterm01:mThemHospitalmclientmInterview
MULTIPLEmSELECTION
1. Themrespiratorymcaremspecialistmismconductingmamhospitalmclientminterview.mThemmainmpur
posemofmthisminterviewmismto:
a. reviewmdatamwithmthemhospitalmclient.
b. gathermsubjectivemdatamfrommthemhospitalmclient.
c. gathermobjectivemdatamfrommthemhospitalmclient.
d. fillmoutmthemhistorymformmormchecklist.
ACCURATEmANSWER:-m B
Reasoningm:-
>>>Theminterviewmismammeetingmbetweenmthemrespiratorymcaremspecialistmandmthemhospitalmclient.mItmal
lowsmthemcollectionmofmsubjectivemdatamaboutmthemhospitalmclient’smfeelingsmregardingmhis/her
condition.mThemhistorymshouldmbemdonembeforemtheminterview.mAlthoughmdatamcanmbemrevi
ewed,mthatmismnotmthemprimarympurposemofmtheminterview.
2. Formtheremtombemamsuccessfulminterview,mthemrespiratorympsychotherapistmmust:
a. providemleadingmquestionsmtomguidemthemhospitalmclient.
b. reassuremthemhospitalmclient.
c. bemanmactivemlistener.
d. usemmedicalmterminologymtomshowmknowledgemofmthemsubjectmmatter.
ACCURATEmANSWER:-m C
Reasoningm:-
>>>Thempersonalmqualitiesmthatmamrespiratorympsychotherapistmmustmhavemtomconductmamsuccessfulm
interviewmincludembeingmanmactivemlistener,mhavingmamgenuinemconcernmformthemhospitalmclient,mand
mhavingmempathy. mLeadingmquestionsmmustmbe mavoided.mReassurance mmaymprovidemamfalsemsensem
ofmcomfortmtomthemhospitalmclient.mMedicalmjargonmcanmsoundmexclusionarymandmpaternalisticmtomam
hospitalmclient.
3. Whichmofmthemfollowingmwouldmbemfoundmonmamhistorymform?
1. Age
2. Chiefmcomplaint
3. Presentmhealth
4. Familymhistory
5. Healthminsurancemprovid
erma.m1,m 4
b.m2,m3
c.m3,m4,m5
d.m1,m2,m3,m4
ACCURATEmANSWER:-m D
Reasoningm:-
>>>Age,mchiefmcomplaint,mpresentmhealth,mandmfamilymhistorymaremtypicallymfoundmonmamhealt
hmhistorymformmbecausemeachmcanmimpactmthemhospitalmclient’smhealth.mHealthminsurancemprovi
derminformation,mwhilemneededmformbillingmpurposes,mwouldmnotmbemfoundmonmthemhistorymfor
m.
4. Externalmfactorsmthemrespiratorymcaremspecialistmshouldmmakemeffortsmtomprovidemdurin
, gmanminterviewmincludemwhichmofmthemfollowing?
1. Minimizemormpreventminterruptions.
2. Ensuremprivacymduringmdiscussions.
3. Interviewermismthemsamemsexmasmthemhospitalmclientmtompreventmbias.
4. Bemcomfortablemformthemhospitalmclientmandmi
nterviewer.ma.m1,m 4
b.m2,m3
c.m 1,m2,m 4
d.m 2,m3,m4
ACCURATEmANSWER:-m C
Reasoningm:-
>>>Externalmfactors,msuchmasmamgoodmphysicalmsetting,menhancemtheminterviewingmprocess.mRegard
lessmofmtheminterviewmsettingm(themhospitalmclient’smbedside,mamcrowdedmemergencymroom,manmoffic
eminmthemhospitalmormclinic,mormthemhospitalmclient’smhome),meffortsmshouldmbemmademtom(1)mensurem
privacy,m(2)mpreventminterruptions,mandm(3)msecuremamcomfortablemphysicalmenvironmentm(e.g.,mcom
fortablemroommtemperature,msufficientmlighting,mabsencemofmnoise).mAnminterviewermofmeithermgend
er,mwhomactsmprofessionally,mshouldmbemablemtominterviewmamhospitalmclientmofmeithermgender.
5. Themrespiratorympsychotherapistmismconductingmamhospitalmclientminterview.mThempsy
chotherapistmchoosesmtomusemopen-endedmquestions.mOpen-
endedmquestionsmallowmthempsychotherapistmtomdomwhichmofmthemfollowing?
1. Gatherminformationmwhenmamhospitalmclientmintroducesmamnewmtopic.
2. Introducemamnewmsubjectmarea.
3. Beginmtheminterviewmprocess.
4. Gathermspecificminformation.
a.m4
b.m1,m3
c.m 1,m2,m 3
d.m 2,m3,m4
ACCURATEmANSWER:-m C
Reasoningm:->>>Anmopen-
endedmquestionmshouldmbemusedmtomstartmtheminterview,mintroducemamnewmsectionmofmquestions,mand
mgathermmoreminformationmfrommamhospitalmclient’smtopic.mClosedmormdirectmquestionsmaremusedmto
mgathermspecificm information.
6. Themdirectmquestionminterviewmformatmismusedmto:
1. speedmupmtheminterview.
2. letmthemhospitalmclientmfullymexplainmhis/hermsituation.
3. helpmthemrespiratorympsychotherapistmshowmempathy.
4. gathermspecificminformatio
n.ma.m1,m 4
b.mmm2,m3
c.m 3,m 4
d.mm1,m2,m3
, ACCURATEmANSWER:-m A
Reasoningm:-
>>>Directmormclosedmquestionsmarembestmtomgathermspecificminformationmandmspeedmupmtheminter
view.mOpen-
mended mquestionsmarembest msuitedmto mletmthemhospitalmclientmfullymexplainmhis/hermsituationmandmp
ossiblymhelpmthemrespiratorympsychotherapistmshowmempathy.
7. Duringmtheminterviewmthemhospitalmclientmstates,m“EverymtimemImclimbmthemstairsmImhavem
tomstopmtomcatchmmymbreath.”mHearingmthis,mthemrespiratorympsychotherapistmreplies,m“So,
mitmsounds mlikemyoumgetmshortmofmbreathmclimbingmstairs.”mThisminterviewingmtechniquem
ismcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATEmANSWER:-m D
Reasoningm:-
>>>Withmreflection,mpartmofmthemhospitalmclient’smstatementmismrepeated.mThismletsmthemhospitalmclientm
knowmthatmwhatmhe/shemsaidmwasmheard.mItmalsomencouragesmthemhospitalmclientmtomelaboratemonmthemto
pic.
Clarification,mmodeling,mandmempathymaremothermcommunicationmtechniques.
8. Themrespiratorympsychotherapistmmaymchoosemtomusemthemhospitalmclientminterviewm
techniquemofmsilenceminmwhichmofmthemfollowingmsituations?
a. Tompromptmthemhospitalmclientmtomaskmamquestion
b. Aftermamdirectmquestion
c. Aftermanmopen-endedmquestion
d. Tomallowmthemhospitalmclientmtomreviewmhis/hermhistory
ACCURATEmANSWER:-m C
Reasoningm:->>>Aftermamhospitalmclientmhasmansweredmanmopen-
endedmquestion,mthemrespiratorympsychotherapistmshouldmpausem(usemsilence)mbeforemaskingmthemne
xtmquestion.mThismpausemallowsmthemhospitalmclientmtomaddmsomethingmelsembeforemmovingmon.mThe
mhospitalmclientm maymalsom choosemtom askmamquestion.
9. Tomhavemthemmostmproductiveminterviewingmsession,mwhichmofmthemfollowingmtypesmofmres
NmRmImGmB.
ponsesmtomassistminmtheminterviewmshouUldmtShemrNespTiratorymtOherapistmavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATEmANSWER:-m D
Reasoningm:-
>>>Withmconfrontation,mthemrespiratorympsychotherapistmfocusesmthemhospitalmclient’smattentionmon
manmaction,mfeeling,mormstatementmmadembymthe mhospitalmclient. mThismmaympromptmamfurthermdiscus
sion.mReflectionmhelpsmthemhospitalmclientmfocusmonmspecificmareasmandmcontinuesminmhis/hermownm
way.mFacilitationmencouragesmhospitalmclientsmtomsaymmore,mtomcontinuemwithmthemstory.mThemrespi
ratorympsychotherapistmshouldmavoidmgivingmadvice,musingmavoidancemlanguage,mandmusingmdistanc
ingmlanguage.
10. Whenmclosingmtheminterview,mthemrespiratorympsychotherapistmshouldmdomwhichmofmthemfollo
wing?
m m m m m
SSESSMENT OF RESPIRATORY DISEASE, 9TH ED
m m m m m
ITION BY DES JARDINS
m m m
,Chapterm01:mThemHospitalmclientmInterview
MULTIPLEmSELECTION
1. Themrespiratorymcaremspecialistmismconductingmamhospitalmclientminterview.mThemmainmpur
posemofmthisminterviewmismto:
a. reviewmdatamwithmthemhospitalmclient.
b. gathermsubjectivemdatamfrommthemhospitalmclient.
c. gathermobjectivemdatamfrommthemhospitalmclient.
d. fillmoutmthemhistorymformmormchecklist.
ACCURATEmANSWER:-m B
Reasoningm:-
>>>Theminterviewmismammeetingmbetweenmthemrespiratorymcaremspecialistmandmthemhospitalmclient.mItmal
lowsmthemcollectionmofmsubjectivemdatamaboutmthemhospitalmclient’smfeelingsmregardingmhis/her
condition.mThemhistorymshouldmbemdonembeforemtheminterview.mAlthoughmdatamcanmbemrevi
ewed,mthatmismnotmthemprimarympurposemofmtheminterview.
2. Formtheremtombemamsuccessfulminterview,mthemrespiratorympsychotherapistmmust:
a. providemleadingmquestionsmtomguidemthemhospitalmclient.
b. reassuremthemhospitalmclient.
c. bemanmactivemlistener.
d. usemmedicalmterminologymtomshowmknowledgemofmthemsubjectmmatter.
ACCURATEmANSWER:-m C
Reasoningm:-
>>>Thempersonalmqualitiesmthatmamrespiratorympsychotherapistmmustmhavemtomconductmamsuccessfulm
interviewmincludembeingmanmactivemlistener,mhavingmamgenuinemconcernmformthemhospitalmclient,mand
mhavingmempathy. mLeadingmquestionsmmustmbe mavoided.mReassurance mmaymprovidemamfalsemsensem
ofmcomfortmtomthemhospitalmclient.mMedicalmjargonmcanmsoundmexclusionarymandmpaternalisticmtomam
hospitalmclient.
3. Whichmofmthemfollowingmwouldmbemfoundmonmamhistorymform?
1. Age
2. Chiefmcomplaint
3. Presentmhealth
4. Familymhistory
5. Healthminsurancemprovid
erma.m1,m 4
b.m2,m3
c.m3,m4,m5
d.m1,m2,m3,m4
ACCURATEmANSWER:-m D
Reasoningm:-
>>>Age,mchiefmcomplaint,mpresentmhealth,mandmfamilymhistorymaremtypicallymfoundmonmamhealt
hmhistorymformmbecausemeachmcanmimpactmthemhospitalmclient’smhealth.mHealthminsurancemprovi
derminformation,mwhilemneededmformbillingmpurposes,mwouldmnotmbemfoundmonmthemhistorymfor
m.
4. Externalmfactorsmthemrespiratorymcaremspecialistmshouldmmakemeffortsmtomprovidemdurin
, gmanminterviewmincludemwhichmofmthemfollowing?
1. Minimizemormpreventminterruptions.
2. Ensuremprivacymduringmdiscussions.
3. Interviewermismthemsamemsexmasmthemhospitalmclientmtompreventmbias.
4. Bemcomfortablemformthemhospitalmclientmandmi
nterviewer.ma.m1,m 4
b.m2,m3
c.m 1,m2,m 4
d.m 2,m3,m4
ACCURATEmANSWER:-m C
Reasoningm:-
>>>Externalmfactors,msuchmasmamgoodmphysicalmsetting,menhancemtheminterviewingmprocess.mRegard
lessmofmtheminterviewmsettingm(themhospitalmclient’smbedside,mamcrowdedmemergencymroom,manmoffic
eminmthemhospitalmormclinic,mormthemhospitalmclient’smhome),meffortsmshouldmbemmademtom(1)mensurem
privacy,m(2)mpreventminterruptions,mandm(3)msecuremamcomfortablemphysicalmenvironmentm(e.g.,mcom
fortablemroommtemperature,msufficientmlighting,mabsencemofmnoise).mAnminterviewermofmeithermgend
er,mwhomactsmprofessionally,mshouldmbemablemtominterviewmamhospitalmclientmofmeithermgender.
5. Themrespiratorympsychotherapistmismconductingmamhospitalmclientminterview.mThempsy
chotherapistmchoosesmtomusemopen-endedmquestions.mOpen-
endedmquestionsmallowmthempsychotherapistmtomdomwhichmofmthemfollowing?
1. Gatherminformationmwhenmamhospitalmclientmintroducesmamnewmtopic.
2. Introducemamnewmsubjectmarea.
3. Beginmtheminterviewmprocess.
4. Gathermspecificminformation.
a.m4
b.m1,m3
c.m 1,m2,m 3
d.m 2,m3,m4
ACCURATEmANSWER:-m C
Reasoningm:->>>Anmopen-
endedmquestionmshouldmbemusedmtomstartmtheminterview,mintroducemamnewmsectionmofmquestions,mand
mgathermmoreminformationmfrommamhospitalmclient’smtopic.mClosedmormdirectmquestionsmaremusedmto
mgathermspecificm information.
6. Themdirectmquestionminterviewmformatmismusedmto:
1. speedmupmtheminterview.
2. letmthemhospitalmclientmfullymexplainmhis/hermsituation.
3. helpmthemrespiratorympsychotherapistmshowmempathy.
4. gathermspecificminformatio
n.ma.m1,m 4
b.mmm2,m3
c.m 3,m 4
d.mm1,m2,m3
, ACCURATEmANSWER:-m A
Reasoningm:-
>>>Directmormclosedmquestionsmarembestmtomgathermspecificminformationmandmspeedmupmtheminter
view.mOpen-
mended mquestionsmarembest msuitedmto mletmthemhospitalmclientmfullymexplainmhis/hermsituationmandmp
ossiblymhelpmthemrespiratorympsychotherapistmshowmempathy.
7. Duringmtheminterviewmthemhospitalmclientmstates,m“EverymtimemImclimbmthemstairsmImhavem
tomstopmtomcatchmmymbreath.”mHearingmthis,mthemrespiratorympsychotherapistmreplies,m“So,
mitmsounds mlikemyoumgetmshortmofmbreathmclimbingmstairs.”mThisminterviewingmtechniquem
ismcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATEmANSWER:-m D
Reasoningm:-
>>>Withmreflection,mpartmofmthemhospitalmclient’smstatementmismrepeated.mThismletsmthemhospitalmclientm
knowmthatmwhatmhe/shemsaidmwasmheard.mItmalsomencouragesmthemhospitalmclientmtomelaboratemonmthemto
pic.
Clarification,mmodeling,mandmempathymaremothermcommunicationmtechniques.
8. Themrespiratorympsychotherapistmmaymchoosemtomusemthemhospitalmclientminterviewm
techniquemofmsilenceminmwhichmofmthemfollowingmsituations?
a. Tompromptmthemhospitalmclientmtomaskmamquestion
b. Aftermamdirectmquestion
c. Aftermanmopen-endedmquestion
d. Tomallowmthemhospitalmclientmtomreviewmhis/hermhistory
ACCURATEmANSWER:-m C
Reasoningm:->>>Aftermamhospitalmclientmhasmansweredmanmopen-
endedmquestion,mthemrespiratorympsychotherapistmshouldmpausem(usemsilence)mbeforemaskingmthemne
xtmquestion.mThismpausemallowsmthemhospitalmclientmtomaddmsomethingmelsembeforemmovingmon.mThe
mhospitalmclientm maymalsom choosemtom askmamquestion.
9. Tomhavemthemmostmproductiveminterviewingmsession,mwhichmofmthemfollowingmtypesmofmres
NmRmImGmB.
ponsesmtomassistminmtheminterviewmshouUldmtShemrNespTiratorymtOherapistmavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATEmANSWER:-m D
Reasoningm:-
>>>Withmconfrontation,mthemrespiratorympsychotherapistmfocusesmthemhospitalmclient’smattentionmon
manmaction,mfeeling,mormstatementmmadembymthe mhospitalmclient. mThismmaympromptmamfurthermdiscus
sion.mReflectionmhelpsmthemhospitalmclientmfocusmonmspecificmareasmandmcontinuesminmhis/hermownm
way.mFacilitationmencouragesmhospitalmclientsmtomsaymmore,mtomcontinuemwithmthemstory.mThemrespi
ratorympsychotherapistmshouldmavoidmgivingmadvice,musingmavoidancemlanguage,mandmusingmdistanc
ingmlanguage.
10. Whenmclosingmtheminterview,mthemrespiratorympsychotherapistmshouldmdomwhichmofmthemfollo
wing?
