VERIFIE
Des Jardins: Clinical Manifestations and
Assessment of Respiratory Disease, 8th Edition
Chapter 01: The Patient Interview
M1LTIPLE CHOICE
1. The respiratory care practitioner is cond1cting a patient interview. The main p1rpose of thisinterview
is to:
a. review data with the patient.
b. gather s1bjective data from the patient.
c. gather objective data from the patient.
d. fill o1t the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows thecollection
of s1bjective data abo1t the patient’s feelings regarding his/her
condition. The history sho1ld be done before the interview. Altho1gh data can be reviewed,that is not
the primary p1rpose of the interview.
2. For there to be a s1ccessf1l interview, the respiratory therapist m1st:
a. provide leading q1estions to g1ide the patient.
b. reass1re the patient.
c. be an active listener.
d. 1se medical terminology to show knowledge of the s1bject matter.
ANS: C N R I G B.C M
The personal q1alities that a respiratory therapist m1st have to cond1ct a s1ccessf1l interview incl1de
being an active listener, having a gen1ine concern for the patient, and having empathy. Leading q1estions
m1st be avoided. Reass1rance may provide a false sense of comfort to the patient. Medicaljargon can so1nd
excl1sionary and paternalistic to a patient.
3. Which of the following wo1ld be fo1nd on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health ins1rance providera.
1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically fo1nd on a health history form
beca1se each can impact the patient’s health. Health ins1rance provider information, whileneeded for
billing p1rposes, wo1ld not be fo1nd on the history form.
, 4. External factors the respiratory care practitioner sho1ld make efforts to provide d1ring aninterview
incl1de which of the following?
1. Minimize or prevent interr1ptions.
2. Ens1re privacy d1ring disc1ssions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.a. 1,
4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, s1ch as a good physical setting, enhance the interviewing process. Regardless of the interview
setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,or the patient’s
home), efforts sho1ld be made to (1) ens1re privacy, (2) prevent interr1ptions, and (3)sec1re a comfortable
physical environment (e.g., comfortable room temperat1re, s1fficient lighting, absence of noise). An interviewer
of either gender, who acts professionally, sho1ld be able to interview a patient of either gender.
5. The respiratory therapist is cond1cting a patient interview. The therapist chooses to 1seopen-
ended q1estions. Open-ended q1estions allow the therapist to do which of the following?
1. Gather information when a patient introd1ces a new topic.
2. Introd1ce a new s1bject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended q1estion sho1ld be 1sed to start the interview, introd1ce a new section of q1estions,and gather
more information from a patient’s topic. Closed or direct q1estions are 1sed to gather specific information.
6. The direct q1estion interview format is 1sed to:
1. speed 1p the interview.
2. let the patient f1lly explain his/her sit1ation.
3. help the respiratory therapist show empathy.
4. gather specific information.a.
1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed q1estions are best to gather specific information and speed 1p the interview. Open- ended
q1estions are best s1ited to let the patient f1lly explain his/her sit1ation and possibly help the respiratory
therapist show empathy.
, 7. D1ring the interview the patient states, “Every time I climb the stairs I have to stop to catchmy
breath.” Hearing this, the respiratory therapist replies, “So, it so1nds like yo1 get short of breath
climbing stairs.” This interviewing techniq1e is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know that whathe/she
said was heard. It also enco1rages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other comm1nication techniq1es.
8. The respiratory therapist may choose to 1se the patient interview techniq1e of silencein which
of the following sit1ations?
a. To prompt the patient to ask a q1estion
b. After a direct q1estion
c. After an open-ended q1estion
d. To allow the patient to review his/her history
ANS: C
After a patient has answered an open-ended q1estion, the respiratory therapist sho1ld pa1se (1se silence)
before asking the next q1estion. This pa1se allows the patient to add something else beforemoving on. The
patient may also choose to ask a q1estion.
9. To have the most prod1ctive interviewing session, which of the following types of responsesto assist in
N R I G B.
the interview sho11ld tShe rNespTiratory tOherapist avoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist foc1ses the patient’s attention on an action, feeling, orstatement
made by the patient. This may prompt a f1rther disc1ssion. Reflection helps the patient foc1s on specific areas
and contin1es in his/her own way. Facilitation enco1rages patients to say more, to contin1e with the story. The
respiratory therapist sho1ld avoid giving advice, 1sing avoidance lang1age, and 1sing distancing lang1age.
10. When closing the interview, the respiratory therapist sho1ld do which of the following?
1. Recheck the patient’s vital signs.
2. Thank the patient.
3. Ask if the patient has any q1estions.
4. Close the door behind himself/herself for patient privacy.
a. 2
b. 2, 3
c. 1, 3, 4
d. 1, 2, 4 ANS: B
, To end the interview on a positive note, the respiratory therapist sho1ld thank the patient and ask if the patient
has any q1estions. If there is no need for the vital signs to be checked, they sho1ld not be.The door may be left
open or closed, depending on the sit1ation.
11. The respiratory therapist sho1ld be aware of a patient’s c1lt1re and religio1s beliefs forwhich of
the following reasons?
a. To be able to engage in a meaningf1l conversation
b. To change any misg1ided notions the patient has that may impact his/her health
c. To explain to the patient how these beliefs will lead to discrimination and
stereotyping
d. To better 1nderstand how the patient’s beliefs may impact how the patient thinksand
behaves
ANS: D
C1lt1re and religio1s beliefs may have a profo1nd effect on how patients think and behave, and this may
impact their health or health care decisions. The role of the respiratory
therapist is not to change the patient’s beliefs, engage in sensitive conversations, or disc1ss discrimination.
Rather, the respiratory therapist needs to 1nderstand how these beliefs may impact the patient’s health care
decisions.
12. Which of the following are the most important components of a s1ccessf1l interview?
a. Comm1nication and 1nderstanding
b. A1thority and the 1se of medical terminology
c. Providing ass1rance and giving advice
d. Asking leading q1estions and anticipating patient responses to q1estions
ANS: A G B.C M
NRI
Comm1nication and 1nderstanding are1the S
basN
is foT
r a goodOpatient interview. A1thority, the 1se of medical jargon,
providing ass1rance, giving advice, asking leading q1estions, and anticipating are alltypes of nonprod1ctive
comm1nication forms and create barriers to patient comm1nication.
13. The respiratory therapist is cond1cting a patient interview and recording responses in thepatient’s
electronic health record. The respiratory therapist sho1ld take which of the following into acco1nt
regarding the 1se of the comp1ter to record responses?
a. The therapist’s attention may be shifted from the patient to the comp1ter.
b. The patient will feel more important than if the information is recorded on paper.
c. The therapist will be less likely to make spelling errors if 1sing a spell-checkprogram.
d. The environment will be more professional and the patient will be more likely toopen 1p if
the interview is cond1cted with paper.
ANS: A
The therapist’s 1se of the comp1ter can be threatening and may, in some cases, be a potential hazardto good
patient comm1nication. The patient can be intimidated to the point of “sh1tting down.” In addition, the therapist
who has to shift foc1s from the patient to the comp1ter can miss important verbal and nonverbal messages.
Des Jardins: Clinical Manifestations and
Assessment of Respiratory Disease, 8th Edition
Chapter 01: The Patient Interview
M1LTIPLE CHOICE
1. The respiratory care practitioner is cond1cting a patient interview. The main p1rpose of thisinterview
is to:
a. review data with the patient.
b. gather s1bjective data from the patient.
c. gather objective data from the patient.
d. fill o1t the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It allows thecollection
of s1bjective data abo1t the patient’s feelings regarding his/her
condition. The history sho1ld be done before the interview. Altho1gh data can be reviewed,that is not
the primary p1rpose of the interview.
2. For there to be a s1ccessf1l interview, the respiratory therapist m1st:
a. provide leading q1estions to g1ide the patient.
b. reass1re the patient.
c. be an active listener.
d. 1se medical terminology to show knowledge of the s1bject matter.
ANS: C N R I G B.C M
The personal q1alities that a respiratory therapist m1st have to cond1ct a s1ccessf1l interview incl1de
being an active listener, having a gen1ine concern for the patient, and having empathy. Leading q1estions
m1st be avoided. Reass1rance may provide a false sense of comfort to the patient. Medicaljargon can so1nd
excl1sionary and paternalistic to a patient.
3. Which of the following wo1ld be fo1nd on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health ins1rance providera.
1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically fo1nd on a health history form
beca1se each can impact the patient’s health. Health ins1rance provider information, whileneeded for
billing p1rposes, wo1ld not be fo1nd on the history form.
, 4. External factors the respiratory care practitioner sho1ld make efforts to provide d1ring aninterview
incl1de which of the following?
1. Minimize or prevent interr1ptions.
2. Ens1re privacy d1ring disc1ssions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.a. 1,
4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, s1ch as a good physical setting, enhance the interviewing process. Regardless of the interview
setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,or the patient’s
home), efforts sho1ld be made to (1) ens1re privacy, (2) prevent interr1ptions, and (3)sec1re a comfortable
physical environment (e.g., comfortable room temperat1re, s1fficient lighting, absence of noise). An interviewer
of either gender, who acts professionally, sho1ld be able to interview a patient of either gender.
5. The respiratory therapist is cond1cting a patient interview. The therapist chooses to 1seopen-
ended q1estions. Open-ended q1estions allow the therapist to do which of the following?
1. Gather information when a patient introd1ces a new topic.
2. Introd1ce a new s1bject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended q1estion sho1ld be 1sed to start the interview, introd1ce a new section of q1estions,and gather
more information from a patient’s topic. Closed or direct q1estions are 1sed to gather specific information.
6. The direct q1estion interview format is 1sed to:
1. speed 1p the interview.
2. let the patient f1lly explain his/her sit1ation.
3. help the respiratory therapist show empathy.
4. gather specific information.a.
1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed q1estions are best to gather specific information and speed 1p the interview. Open- ended
q1estions are best s1ited to let the patient f1lly explain his/her sit1ation and possibly help the respiratory
therapist show empathy.
, 7. D1ring the interview the patient states, “Every time I climb the stairs I have to stop to catchmy
breath.” Hearing this, the respiratory therapist replies, “So, it so1nds like yo1 get short of breath
climbing stairs.” This interviewing techniq1e is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know that whathe/she
said was heard. It also enco1rages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other comm1nication techniq1es.
8. The respiratory therapist may choose to 1se the patient interview techniq1e of silencein which
of the following sit1ations?
a. To prompt the patient to ask a q1estion
b. After a direct q1estion
c. After an open-ended q1estion
d. To allow the patient to review his/her history
ANS: C
After a patient has answered an open-ended q1estion, the respiratory therapist sho1ld pa1se (1se silence)
before asking the next q1estion. This pa1se allows the patient to add something else beforemoving on. The
patient may also choose to ask a q1estion.
9. To have the most prod1ctive interviewing session, which of the following types of responsesto assist in
N R I G B.
the interview sho11ld tShe rNespTiratory tOherapist avoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist foc1ses the patient’s attention on an action, feeling, orstatement
made by the patient. This may prompt a f1rther disc1ssion. Reflection helps the patient foc1s on specific areas
and contin1es in his/her own way. Facilitation enco1rages patients to say more, to contin1e with the story. The
respiratory therapist sho1ld avoid giving advice, 1sing avoidance lang1age, and 1sing distancing lang1age.
10. When closing the interview, the respiratory therapist sho1ld do which of the following?
1. Recheck the patient’s vital signs.
2. Thank the patient.
3. Ask if the patient has any q1estions.
4. Close the door behind himself/herself for patient privacy.
a. 2
b. 2, 3
c. 1, 3, 4
d. 1, 2, 4 ANS: B
, To end the interview on a positive note, the respiratory therapist sho1ld thank the patient and ask if the patient
has any q1estions. If there is no need for the vital signs to be checked, they sho1ld not be.The door may be left
open or closed, depending on the sit1ation.
11. The respiratory therapist sho1ld be aware of a patient’s c1lt1re and religio1s beliefs forwhich of
the following reasons?
a. To be able to engage in a meaningf1l conversation
b. To change any misg1ided notions the patient has that may impact his/her health
c. To explain to the patient how these beliefs will lead to discrimination and
stereotyping
d. To better 1nderstand how the patient’s beliefs may impact how the patient thinksand
behaves
ANS: D
C1lt1re and religio1s beliefs may have a profo1nd effect on how patients think and behave, and this may
impact their health or health care decisions. The role of the respiratory
therapist is not to change the patient’s beliefs, engage in sensitive conversations, or disc1ss discrimination.
Rather, the respiratory therapist needs to 1nderstand how these beliefs may impact the patient’s health care
decisions.
12. Which of the following are the most important components of a s1ccessf1l interview?
a. Comm1nication and 1nderstanding
b. A1thority and the 1se of medical terminology
c. Providing ass1rance and giving advice
d. Asking leading q1estions and anticipating patient responses to q1estions
ANS: A G B.C M
NRI
Comm1nication and 1nderstanding are1the S
basN
is foT
r a goodOpatient interview. A1thority, the 1se of medical jargon,
providing ass1rance, giving advice, asking leading q1estions, and anticipating are alltypes of nonprod1ctive
comm1nication forms and create barriers to patient comm1nication.
13. The respiratory therapist is cond1cting a patient interview and recording responses in thepatient’s
electronic health record. The respiratory therapist sho1ld take which of the following into acco1nt
regarding the 1se of the comp1ter to record responses?
a. The therapist’s attention may be shifted from the patient to the comp1ter.
b. The patient will feel more important than if the information is recorded on paper.
c. The therapist will be less likely to make spelling errors if 1sing a spell-checkprogram.
d. The environment will be more professional and the patient will be more likely toopen 1p if
the interview is cond1cted with paper.
ANS: A
The therapist’s 1se of the comp1ter can be threatening and may, in some cases, be a potential hazardto good
patient comm1nication. The patient can be intimidated to the point of “sh1tting down.” In addition, the therapist
who has to shift foc1s from the patient to the comp1ter can miss important verbal and nonverbal messages.
