Wilkins Clinical Assessment in Respiratory Care 8th E
Test Bank
Chapter 01: Preparing for the Patient Encounter
Heuer: Wilkins’ Clinical Assessment in Respiratory Care, 8th Edition
MULTIPLE CHOICE
1. Which of the following activities are parts of the role of respiratory therapists (RTs) in patient assessm
1. Assist the physician with diagnostic reasoning skills.
2. Help the physician select appropriate pulmonary function tests.
3. Interpret arterial blood gas values and suggest mechanical ventilation changes.
4. Document the patient diagnosis in the patient’s chart.
a. 1 and 4
b. 1, 3, and 4
c. 2 and 3
d. 1, 2, and 3
ANS: D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
REF: Table 1.1 | p. 4 OBJ: 9
2. In which of the following stages of patient–clinician interaction is the review of physician orders carrie
a. Treatment stage
b. Introductory stage
c. Preinteraction stage
d. Initial assessment stage
ANS: C
Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
REF: Table 1.1 | p. 4 OBJ: 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
a. Introductory stage
b. Preinteraction stage
c. Initial assessment stage
d. Treatment stage
ANS: A
The patient ID bracelet must be checked before moving forward with assessment and treatment.
REF: Table 1.1 | p. 4 OBJ: 9
4. What should be done just before the patient’s ID bracelet is checked?
a. Check the patient’s SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANS: B
It is considered polite to ask the patient for permission before touching and reading his or her ID bracel
REF: p. 3 OBJ: 3 | 5
5. What is the goal of the introductory phase?
a. Assess the patient’s apparent age.
, 7. What is the main purpose of the initial assessment stage?
a. To identify any allergies to medications
b. To document the patient’s smoking history
c. To personally get to know the patient better
d. To verify that the prescribed treatment is still needed and appropriate
ANS: D
When you first see the patient, you are encouraged to perform a brief assessment to make sure the treat
is still appropriate. The patient’s status may have changed abruptly recently.
REF: Table 1.1 | p. 4 OBJ: 3
8. What is the appropriate distance for the social space from the patient?
a. 3 to 5 feet
b. 4 to 12 feet
c. 6 to 18 feet
d. 8 to 20 feet
ANS: B
The social space is 4 to 12 feet.
REF: p. 5 OBJ: 5
9. What is the appropriate distance for the personal space?
a. 0 to 18 inches
b. 18 inches to 4 feet
c. 4 to 12 feet
d. 6 to 15 feet
ANS: B
The personal space is about 2 to 4 feet from the patient.
REF: p. 5 OBJ: 5
10. Which of the following activities is best performed in the personal space?
a. The interview
b. The introduction
c. The physical examination
d. Listening for breath sounds
ANS: A
The interview is best performed with you sitting about 2 to 4 feet from the patient. If you sit farther aw
answer your questions in a louder voice, and because some of the information may be private, this wou
REF: Table 1.1 | p. 4 OBJ: 5
11. What type of behavior is least appropriate in the patient’s intimate space?
a. Eye contact
b. Pulse check
c. Auscultation
d. Simple commands
ANS: A
Eye contact is inappropriate in the intimate space and will make the patient very uncomfortable.
REF: p. 3 OBJ: 5
12. You are riding in an elevator at the hospital where you are employed as an RT. The elevator is full, but
the RT who is scheduled to relieve you. He turns to you and asks, “How is Mr. Copper doing?” Earlier
a cardiac arrest, and he is now being mechanically ventilated. How should you respond to Joe?
a. “He took a turn for the worse.”
,14. Which of the following techniques for expressing genuine concern is the most difficult to use appropria
a. Touch
b. Posture
c. Eye contact
d. Proper introductions
ANS: A
Touch is most difficult to use properly because gender and cultural differences often become an issue.
REF: Table 1.1 | pp. 3-4 OBJ: 5 | 7
15. Which of the following techniques are associated with the demonstration of active listening?
1. Good eye contact
2. Taking notes while a patient is talking
3. Asking for clarification
4. Use of touch
a. 1 and 4
b. 1, 3, and 4
c. 2 and 3
d. 1, 2, and 3
ANS: D
Use of touch helps with demonstrating empathy but has little to do with active listening.
REF: p. 2 OBJ: 2
16. Two respiratory care students are taking their lunch break and want to compare notes about patients the
morning. Which of the following locations would be considered a violation of HIPAA standards?
a. The unit nursing station in front of the unit clerk’s desk
b. A table in the cafeteria with no one within hearing distance
c. The respiratory department report room
d. The intensive care unit (ICU) staff break room
ANS: A
Protected Health Information (PHI) should be discussed only in nonpublic areas of the hospital. The sp
clerk’s desk is likely to be occupied with members of the public asking for information.
REF: Table 1.2 | pp. 4-5 OBJ: 6
17. A 20-year-old respiratory care student enters the room of a 65-year-old female patient, saying, “Hi, Lin
Respiratory Care.” He immediately approaches her, looks her in the eye, and places his stethoscope on
a. Joe’s approach to this patient is appropriate.
b. Joe has inappropriately entered the patient’s social space.
c. Joe has inappropriately entered the patient’s personal space.
d. Joe has inappropriately entered the patient’s intimate space.
ANS: D
Joe has established no rapport with this patient, has touched her without asking permission, and looks h
examining her.
REF: p. 4 OBJ: 7
18. A respiratory care student returns from a clinical experience, excited that she has had the opportunity to
resuscitation (CPR) for the first time. She immediately goes to her Facebook page and describes her da
entries would be a violation of HIPAA standards?
a. “At clinical today got to do CPR on a patient on the 6th floor of Mercy Hospital.
Patient survived! What a rush!!”
b. “Got to do CPR for the first time today. Patient survived!! What a rush!”
c. “Got to do CPR for the first time in clinical today! What a rush!!”
d. All of the above
, 19. Which of the following would be the most appropriate way for respiratory care student Amy Long to in
58-year-old female patient, Mrs. Nora Jones?
a. “Hello, Mrs. Jones. I am Amy from respiratory care, and with your permission I
would like to assess you for your treatment.” (Amy stands 5 feet from the patient
and makes direct eye contact.)
b. Hey there, Nora! Isn’t this a great day!?! I’m Amy and I need to listen to you.”
(Amy holds out her stethoscope in front of her and approaches the patient to
within 1.5 feet.)
c. “Hi, I’m Amy, here to give you your treatment.” (Amy makes no eye contact and
looks around the room for a nebulizer.)
d. Hi, Mrs. Jones. I’m here for your treatment.” (Amy makes direct eye contact.)
ANS: A
The initial contact with a patient should be from the patient’s social space (4 to 12 feet). Patients shoul
name. When first speaking to a patient, the therapist should make direct eye contact, but he or she shou
when in the patient’s intimate space.
REF: Table 1.1 | pp. 3-4 OBJ: 2 | 7
20. The umbrella term patient-centered care includes which of the following elements?
1. Individualized care
2. Assistance with financial and insurance issues
3. Patient involvement
4. Provider collaboration
a. 1 and 4
b. 1, 3, and 4
c. 2 and 3
d. 1, 2, and 3
ANS: B
Patient-centered care involves individualized care, patient involvement, and provider collaboration.
REF: p. 2 OBJ: 1
21. The golden rule of bedside care can be summarized as:
a. Patients should be cared for primarily at the bedside.
b. All patient services should be delivered to the patient at the bedside whenever
possible.
c. As a caregiver, at all times treat a patient as you would hope to be treated if you
were the patient.
d. Make sure that all safety equipment is in place at the bedside for maximum
patient protection from hazards such as falls.
ANS: C
The golden rule is that as a caregiver, you treat patients the way you wish to be treated.
REF: p. 2 OBJ: 1
22. In interacting with patients, behaviors such as body movements, touch and eye movements, and facial
examples of:
a. nonverbal communication.
b. expressions of caregiver interest in patient welfare.
c. mechanisms to put patients at ease.
d. none of the above.
ANS: A
These are mechanisms of nonverbal communication that help to put patients at ease and can be used to
concern to patients.
REF: p. 2 OBJ: 2
Test Bank
Chapter 01: Preparing for the Patient Encounter
Heuer: Wilkins’ Clinical Assessment in Respiratory Care, 8th Edition
MULTIPLE CHOICE
1. Which of the following activities are parts of the role of respiratory therapists (RTs) in patient assessm
1. Assist the physician with diagnostic reasoning skills.
2. Help the physician select appropriate pulmonary function tests.
3. Interpret arterial blood gas values and suggest mechanical ventilation changes.
4. Document the patient diagnosis in the patient’s chart.
a. 1 and 4
b. 1, 3, and 4
c. 2 and 3
d. 1, 2, and 3
ANS: D
RTs are not qualified to make an official diagnosis. This is the role of the attending physician.
REF: Table 1.1 | p. 4 OBJ: 9
2. In which of the following stages of patient–clinician interaction is the review of physician orders carrie
a. Treatment stage
b. Introductory stage
c. Preinteraction stage
d. Initial assessment stage
ANS: C
Physician orders should be reviewed in the patient’s chart before the physician sees the patient.
REF: Table 1.1 | p. 4 OBJ: 9
3. In which stage of patient–clinician interaction is the patient identification bracelet checked?
a. Introductory stage
b. Preinteraction stage
c. Initial assessment stage
d. Treatment stage
ANS: A
The patient ID bracelet must be checked before moving forward with assessment and treatment.
REF: Table 1.1 | p. 4 OBJ: 9
4. What should be done just before the patient’s ID bracelet is checked?
a. Check the patient’s SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANS: B
It is considered polite to ask the patient for permission before touching and reading his or her ID bracel
REF: p. 3 OBJ: 3 | 5
5. What is the goal of the introductory phase?
a. Assess the patient’s apparent age.
, 7. What is the main purpose of the initial assessment stage?
a. To identify any allergies to medications
b. To document the patient’s smoking history
c. To personally get to know the patient better
d. To verify that the prescribed treatment is still needed and appropriate
ANS: D
When you first see the patient, you are encouraged to perform a brief assessment to make sure the treat
is still appropriate. The patient’s status may have changed abruptly recently.
REF: Table 1.1 | p. 4 OBJ: 3
8. What is the appropriate distance for the social space from the patient?
a. 3 to 5 feet
b. 4 to 12 feet
c. 6 to 18 feet
d. 8 to 20 feet
ANS: B
The social space is 4 to 12 feet.
REF: p. 5 OBJ: 5
9. What is the appropriate distance for the personal space?
a. 0 to 18 inches
b. 18 inches to 4 feet
c. 4 to 12 feet
d. 6 to 15 feet
ANS: B
The personal space is about 2 to 4 feet from the patient.
REF: p. 5 OBJ: 5
10. Which of the following activities is best performed in the personal space?
a. The interview
b. The introduction
c. The physical examination
d. Listening for breath sounds
ANS: A
The interview is best performed with you sitting about 2 to 4 feet from the patient. If you sit farther aw
answer your questions in a louder voice, and because some of the information may be private, this wou
REF: Table 1.1 | p. 4 OBJ: 5
11. What type of behavior is least appropriate in the patient’s intimate space?
a. Eye contact
b. Pulse check
c. Auscultation
d. Simple commands
ANS: A
Eye contact is inappropriate in the intimate space and will make the patient very uncomfortable.
REF: p. 3 OBJ: 5
12. You are riding in an elevator at the hospital where you are employed as an RT. The elevator is full, but
the RT who is scheduled to relieve you. He turns to you and asks, “How is Mr. Copper doing?” Earlier
a cardiac arrest, and he is now being mechanically ventilated. How should you respond to Joe?
a. “He took a turn for the worse.”
,14. Which of the following techniques for expressing genuine concern is the most difficult to use appropria
a. Touch
b. Posture
c. Eye contact
d. Proper introductions
ANS: A
Touch is most difficult to use properly because gender and cultural differences often become an issue.
REF: Table 1.1 | pp. 3-4 OBJ: 5 | 7
15. Which of the following techniques are associated with the demonstration of active listening?
1. Good eye contact
2. Taking notes while a patient is talking
3. Asking for clarification
4. Use of touch
a. 1 and 4
b. 1, 3, and 4
c. 2 and 3
d. 1, 2, and 3
ANS: D
Use of touch helps with demonstrating empathy but has little to do with active listening.
REF: p. 2 OBJ: 2
16. Two respiratory care students are taking their lunch break and want to compare notes about patients the
morning. Which of the following locations would be considered a violation of HIPAA standards?
a. The unit nursing station in front of the unit clerk’s desk
b. A table in the cafeteria with no one within hearing distance
c. The respiratory department report room
d. The intensive care unit (ICU) staff break room
ANS: A
Protected Health Information (PHI) should be discussed only in nonpublic areas of the hospital. The sp
clerk’s desk is likely to be occupied with members of the public asking for information.
REF: Table 1.2 | pp. 4-5 OBJ: 6
17. A 20-year-old respiratory care student enters the room of a 65-year-old female patient, saying, “Hi, Lin
Respiratory Care.” He immediately approaches her, looks her in the eye, and places his stethoscope on
a. Joe’s approach to this patient is appropriate.
b. Joe has inappropriately entered the patient’s social space.
c. Joe has inappropriately entered the patient’s personal space.
d. Joe has inappropriately entered the patient’s intimate space.
ANS: D
Joe has established no rapport with this patient, has touched her without asking permission, and looks h
examining her.
REF: p. 4 OBJ: 7
18. A respiratory care student returns from a clinical experience, excited that she has had the opportunity to
resuscitation (CPR) for the first time. She immediately goes to her Facebook page and describes her da
entries would be a violation of HIPAA standards?
a. “At clinical today got to do CPR on a patient on the 6th floor of Mercy Hospital.
Patient survived! What a rush!!”
b. “Got to do CPR for the first time today. Patient survived!! What a rush!”
c. “Got to do CPR for the first time in clinical today! What a rush!!”
d. All of the above
, 19. Which of the following would be the most appropriate way for respiratory care student Amy Long to in
58-year-old female patient, Mrs. Nora Jones?
a. “Hello, Mrs. Jones. I am Amy from respiratory care, and with your permission I
would like to assess you for your treatment.” (Amy stands 5 feet from the patient
and makes direct eye contact.)
b. Hey there, Nora! Isn’t this a great day!?! I’m Amy and I need to listen to you.”
(Amy holds out her stethoscope in front of her and approaches the patient to
within 1.5 feet.)
c. “Hi, I’m Amy, here to give you your treatment.” (Amy makes no eye contact and
looks around the room for a nebulizer.)
d. Hi, Mrs. Jones. I’m here for your treatment.” (Amy makes direct eye contact.)
ANS: A
The initial contact with a patient should be from the patient’s social space (4 to 12 feet). Patients shoul
name. When first speaking to a patient, the therapist should make direct eye contact, but he or she shou
when in the patient’s intimate space.
REF: Table 1.1 | pp. 3-4 OBJ: 2 | 7
20. The umbrella term patient-centered care includes which of the following elements?
1. Individualized care
2. Assistance with financial and insurance issues
3. Patient involvement
4. Provider collaboration
a. 1 and 4
b. 1, 3, and 4
c. 2 and 3
d. 1, 2, and 3
ANS: B
Patient-centered care involves individualized care, patient involvement, and provider collaboration.
REF: p. 2 OBJ: 1
21. The golden rule of bedside care can be summarized as:
a. Patients should be cared for primarily at the bedside.
b. All patient services should be delivered to the patient at the bedside whenever
possible.
c. As a caregiver, at all times treat a patient as you would hope to be treated if you
were the patient.
d. Make sure that all safety equipment is in place at the bedside for maximum
patient protection from hazards such as falls.
ANS: C
The golden rule is that as a caregiver, you treat patients the way you wish to be treated.
REF: p. 2 OBJ: 1
22. In interacting with patients, behaviors such as body movements, touch and eye movements, and facial
examples of:
a. nonverbal communication.
b. expressions of caregiver interest in patient welfare.
c. mechanisms to put patients at ease.
d. none of the above.
ANS: A
These are mechanisms of nonverbal communication that help to put patients at ease and can be used to
concern to patients.
REF: p. 2 OBJ: 2
