Test Bank for Clinical Manifestations and Assessment of Respiratory Di
d d d d d d d d d
sease 8th Edition Jardins d d d
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
d d d d d d d d d d
Edition
Chapter 01: The Patient Interview
d d d d
MULTIPLEdCHOICE
1. Thedrespiratorydcaredpractitionerdisdconductingdadpatientdinterview.dThedmaindpurposedofdthisdi
nterviewdisdto:
a. reviewddatadwithdthedpatient.
b. gatherdsubjectiveddatadfromdthedpatient.
c. gatherdobjectiveddatadfromdthedpatient.
d. filldoutdthedhistorydformdordchecklist.
ANS:d B
Thedinterviewdisdadmeetingdbetweendthedrespiratorydcaredpractitionerdanddthedpatient.dItdallowsdthedc
ollectiondofdsubjectiveddatadaboutdthedpatient’sdfeelingsdregardingdhis/her
condition.dThedhistorydshoulddbeddonedbeforedthedinterview.dAlthoughddatadcandbedreviewed,thatdisdn
otdthedprimarydpurposedofdthedinterview.
2. Fordtheredtodbedadsuccessfuldinterview,dthedrespiratorydtherapistdmust:
a. providedleadingdquestionsdtodguidedthedpatient.
b. reassuredthedpatient.
c. bedandactivedlistener.
d. usedmedicaldterminologydtodshowdknowledgedofdthedsubjectdmatter.
ANS:dd C
N R I G B.C M
ThedpersonaldqualitiesdthatdadrespiratoryU dSdNdT O
d d d d d
dtherapistdmustdhavedtodconductdadsuccessfuldinterviewdinclude
beingdandactivedlistener,dhavingdadgenuinedconcerndfordthedpatient,danddhavingdempathy.dLeadingdquestionsd
mustdbedavoided.dReassurancedmaydprovidedadfalsedsensedofdcomfortdtodthedpatient.dMedicaljargondcandsoun
ddexclusionarydanddpaternalisticdtodadpatient.
3. Whichdofdthedfollowingdwoulddbedfounddondadhistorydform?
1. Age
2. Chiefdcomplaint
3. Presentdhealth
4. Familydhistory
5. Healthdinsurancedprovidera.d1,d
4
b.d2,d3
c.d3,d4,d5
d.d1,d2,d3,d4
ANS:d D
Age,dchiefdcomplaint,dpresentdhealth,danddfamilydhistorydaredtypicallydfounddondadhealthdhistorydformdb
ecausedeachdcandimpactdthedpatient’sdhealth.dHealthdinsurancedproviderdinformation,dwhileneededdfordbil
lingdpurposes,dwoulddnotdbedfounddondthedhistorydform.
, 4. Externaldfactorsdthedrespiratorydcaredpractitionerdshoulddmakedeffortsdtodprovidedduringdandi
nterviewdincludedwhichdofdthedfollowing?
1. Minimizedordpreventdinterruptions.
2. Ensuredprivacydduringddiscussions.
3. Interviewerdisdthedsamedsexdasdthedpatientdtodpreventdbias.
4. Bedcomfortabledfordthedpatientdanddinterviewer.d
a.d1,d 4
b.d2,d3
c.d 1,d2,d 4
d.ddd2,d3,d4
ANS:d C
Externaldfactors,dsuchdasdadgooddphysicaldsetting,denhancedthedinterviewingdprocess.dRegardlessdofdthedin
terviewdsettingd(thedpatient’sdbedside,dadcrowdeddemergencydroom,dandofficedindthedhospitaldordclinic,dordt
hedpatient’sdhome),deffortsdshoulddbedmadedtod(1)densuredprivacy,d(2)dpreventdinterruptions,dandd(3)dsecu
redadcomfortabledphysicaldenvironmentd(e.g.,dcomfortabledroomdtemperature,dsufficientdlighting,dabsenc
edofdnoise).dAndinterviewerdofdeitherdgender,dwhodactsdprofessionally,dshoulddbedabledtodinterviewdadpati
entdofdeitherdgender.
5. Thedrespiratorydtherapistdisdconductingdadpatientdinterview.dThedtherapistdchoosesdtodusedo
pen-endeddquestions.dOpen-
endeddquestionsdallowdthedtherapistdtoddodwhichdofdthedfollowing?
1. Gatherdinformationdwhendadpatientdintroducesdadnewdtopic.
2. Introducedadnewdsubjectdarea.
3. Begindthedinterviewdprocess.
4. Gatherdspecificdinformation.
a.d4 NURSINGTB.COM
b.d1,d3
c.d 1,d2,d 3
d.ddd2,d3,d4
ANS:d C
Andopen-
endeddquestiondshoulddbeduseddtodstartdthedinterview,dintroducedadnewdsectiondofdquestions,danddgatherdm
oredinformationdfromdadpatient’sdtopic.dCloseddorddirectdquestionsdareduseddtodgatherdspecificdinformati
on.
6. Theddirectdquestiondinterviewdformatdisduseddto:
1. speeddupdthedinterview.
2. letdthedpatientdfullydexplaindhis/herdsituation.
3. helpdthedrespiratorydtherapistdshowdempathy.
4. gatherdspecificdinformation.d
a.d1,d 4
b.ddd2,d3
c.d 3,d 4
d.ddd1,d2,d3
ANS:d A
Directdordcloseddquestionsdaredbestdtodgatherdspecificdinformationdanddspeeddupdthedinterview.dOpen-
dendeddquestionsdaredbestdsuiteddtodletdthedpatientdfullydexplaindhis/herdsituationdanddpossiblydhelpdthedr
espiratorydtherapistdshowdempathy.
, 7. Duringdthedinterviewdthedpatientdstates,d“EverydtimedIdclimbdthedstairsdIdhavedtodstopdtodcatchdm
ydbreath.”dHearingdthis,dthedrespiratorydtherapistdreplies,d“So,ditdsoundsdlikedyoudgetdshortdofdb
reathdclimbingdstairs.”dThisdinterviewingdtechniquedisdcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:d D
Withdreflection,dpartdofdthedpatient’sdstatementdisdrepeated.dThisdletsdthedpatientdknowdthatdwhatdh
e/shedsaiddwasdheard.dItdalsodencouragesdthedpatientdtodelaboratedondthedtopic.
Clarification,dmodeling,danddempathydaredotherdcommunicationdtechniques.
8. Thedrespiratorydtherapistdmaydchoosedtodusedthedpatientdinterviewdtechniquedofdsilencedi
ndwhichdofdthedfollowingdsituations?
a. Todpromptdthedpatientdtodaskdadquestion
b. Afterdaddirectdquestion
c. Afterdandopen-endeddquestion
d. Todallowdthedpatientdtodreviewdhis/herdhistory
ANS:d C
Afterdadpatientdhasdanswereddandopen-
endeddquestion,dthedrespiratorydtherapistdshoulddpaused(usedsilence)dbeforedaskingdthednextdquestion.d
Thisdpausedallowsdthedpatientdtodadddsomethingdelsedbeforedmovingdon.dThedpatientdmaydalsodchoosedt
odaskdadquestion.
9. Todhavedthedmostdproductivedinterviewingdsession,dwhichdofdthedfollowingdtypesdofdresponsesdt
NUdRlddI
odassistdindthedinterviewdshou dt
SdGhedBdr.NespTiratorydtOherapistdavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:d D
Withdconfrontation,dthedrespiratorydtherapistdfocusesdthedpatient’sdattentiondondandaction,dfeeling,dords
tatementdmadedbydthedpatient.dThisdmaydpromptdadfurtherddiscussion.dReflectiondhelpsdthedpatientdfo
cusdondspecificdareasdanddcontinuesdindhis/herdowndway.dFacilitationdencouragesdpatientsdtodsaydmore
,dtodcontinuedwithdthedstory.dThedrespiratorydtherapistdshoulddavoiddgivingdadvice,dusingdavoidancedl
anguage,danddusingddistancingdlanguage.
10. Whendclosingdthedinterview,dthedrespiratorydtherapistdshouldddodwhichdofdthedfollowing?
1. Recheckdthedpatient’sdvitaldsigns.
2. Thankdthedpatient.
3. Askdifdthedpatientdhasdanydquestions.
4. Closedtheddoordbehinddhimself/herselfdfordpatientdprivacy.
a.d2
b.d2,d3
c.d1,d3,d4
d.d1,d2,d4dANS:d B
, Todenddthedinterviewdondadpositivednote,dthedrespiratorydtherapistdshoulddthankdthedpatientdanddaskdifdth
edpatientdhasdanydquestions.dIfdtheredisdnodneeddfordthedvitaldsignsdtodbedchecked,dtheydshoulddnotdbe.dThe
ddoordmaydbedleftdopendordclosed,ddependingdondthedsituation.
11. Thedrespiratorydtherapistdshoulddbedawaredofdadpatient’sdculturedanddreligiousdbeliefsdford
whichdofdthedfollowingdreasons?
a. Todbedabledtodengagedindadmeaningfuldconversation
b. Todchangedanydmisguideddnotionsdthedpatientdhasdthatdmaydimpactdhis/herdhealth
c. Todexplaindtodthedpatientdhowdthesedbeliefsdwilldleaddtoddiscriminationdandds
tereotyping
d. Todbetterdunderstanddhowdthedpatient’sdbeliefsdmaydimpactdhowdthedpatientdthinksda
nddbehaves
ANS:d D
Culturedanddreligiousdbeliefsdmaydhavedadprofounddeffectdondhowdpatientsdthinkdanddbehave,danddthisdm
aydimpactdtheirdhealthdordhealthdcareddecisions.dThedroledofdthedrespiratory
therapistdisdnotdtodchangedthedpatient’sdbeliefs,dengagedindsensitivedconversations,dorddiscussddiscrimina
tion.dRather,dthedrespiratorydtherapistdneedsdtodunderstanddhowdthesedbeliefsdmaydimpactdthedpatient’sdh
ealthdcareddecisions.
12. Whichdofdthedfollowingdaredthedmostdimportantdcomponentsdofdadsuccessfuldinterview?
a. Communicationdanddunderstanding
b. Authoritydanddthedusedofdmedicaldterminology
c. Providingdassurancedanddgivingdadvice
d. Askingdleadingdquestionsdanddanticipatingdpatientdresponsesdtodquestions
NUR IS GNB.C M
ANS:d A d d
Communication and understanding are the basis foT
r a goodOpatient interview. Authority, the use of
d d d
d d d d d d d d d d d
medicaldjargon,dprovidingdassurance,dgivingdadvice,daskingdleadingdquestions,danddanticipatingdaredalldt
ypesdofdnonproductivedcommunicationdformsdanddcreatedbarriersdtodpatientdcommunication.
13. Thedrespiratorydtherapistdisdconductingdadpatientdinterviewdanddrecordingdresponsesdindthedp
atient’sdelectronicdhealthdrecord.dThedrespiratorydtherapistdshoulddtakedwhichdofdthedfollow
ingdintodaccountdregardingdthedusedofdthedcomputerdtodrecorddresponses?
a. Thedtherapist’sdattentiondmaydbedshifteddfromdthedpatientdtodthedcomputer.
b. Thedpatientdwilldfeeldmoredimportantdthandifdthedinformationdisdrecordeddondpaper.
c. Thedtherapistdwilldbedlessdlikelydtodmakedspellingderrorsdifdusingdadspell-
checkdprogram.
d. Thedenvironmentdwilldbedmoredprofessionaldanddthedpatientdwilldbedmoredlikelydtodo
pendupdifdthedinterviewdisdconducteddwithdpaper.
ANS:d A
Thedtherapist’sdusedofdthedcomputerdcandbedthreateningdanddmay,dindsomedcases,dbedadpotentialdhazarddto
dgooddpatientdcommunication.dThedpatientdcandbedintimidateddtodthedpointdofd“shuttingddown.”dIndaddi
tion,dthedtherapistdwhodhasdtodshiftdfocusdfromdthedpatientdtodthedcomputerdcandmissdimportantdverbalda
nddnonverbaldmessages.
d d d d d d d d d
sease 8th Edition Jardins d d d
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
d d d d d d d d d d
Edition
Chapter 01: The Patient Interview
d d d d
MULTIPLEdCHOICE
1. Thedrespiratorydcaredpractitionerdisdconductingdadpatientdinterview.dThedmaindpurposedofdthisdi
nterviewdisdto:
a. reviewddatadwithdthedpatient.
b. gatherdsubjectiveddatadfromdthedpatient.
c. gatherdobjectiveddatadfromdthedpatient.
d. filldoutdthedhistorydformdordchecklist.
ANS:d B
Thedinterviewdisdadmeetingdbetweendthedrespiratorydcaredpractitionerdanddthedpatient.dItdallowsdthedc
ollectiondofdsubjectiveddatadaboutdthedpatient’sdfeelingsdregardingdhis/her
condition.dThedhistorydshoulddbeddonedbeforedthedinterview.dAlthoughddatadcandbedreviewed,thatdisdn
otdthedprimarydpurposedofdthedinterview.
2. Fordtheredtodbedadsuccessfuldinterview,dthedrespiratorydtherapistdmust:
a. providedleadingdquestionsdtodguidedthedpatient.
b. reassuredthedpatient.
c. bedandactivedlistener.
d. usedmedicaldterminologydtodshowdknowledgedofdthedsubjectdmatter.
ANS:dd C
N R I G B.C M
ThedpersonaldqualitiesdthatdadrespiratoryU dSdNdT O
d d d d d
dtherapistdmustdhavedtodconductdadsuccessfuldinterviewdinclude
beingdandactivedlistener,dhavingdadgenuinedconcerndfordthedpatient,danddhavingdempathy.dLeadingdquestionsd
mustdbedavoided.dReassurancedmaydprovidedadfalsedsensedofdcomfortdtodthedpatient.dMedicaljargondcandsoun
ddexclusionarydanddpaternalisticdtodadpatient.
3. Whichdofdthedfollowingdwoulddbedfounddondadhistorydform?
1. Age
2. Chiefdcomplaint
3. Presentdhealth
4. Familydhistory
5. Healthdinsurancedprovidera.d1,d
4
b.d2,d3
c.d3,d4,d5
d.d1,d2,d3,d4
ANS:d D
Age,dchiefdcomplaint,dpresentdhealth,danddfamilydhistorydaredtypicallydfounddondadhealthdhistorydformdb
ecausedeachdcandimpactdthedpatient’sdhealth.dHealthdinsurancedproviderdinformation,dwhileneededdfordbil
lingdpurposes,dwoulddnotdbedfounddondthedhistorydform.
, 4. Externaldfactorsdthedrespiratorydcaredpractitionerdshoulddmakedeffortsdtodprovidedduringdandi
nterviewdincludedwhichdofdthedfollowing?
1. Minimizedordpreventdinterruptions.
2. Ensuredprivacydduringddiscussions.
3. Interviewerdisdthedsamedsexdasdthedpatientdtodpreventdbias.
4. Bedcomfortabledfordthedpatientdanddinterviewer.d
a.d1,d 4
b.d2,d3
c.d 1,d2,d 4
d.ddd2,d3,d4
ANS:d C
Externaldfactors,dsuchdasdadgooddphysicaldsetting,denhancedthedinterviewingdprocess.dRegardlessdofdthedin
terviewdsettingd(thedpatient’sdbedside,dadcrowdeddemergencydroom,dandofficedindthedhospitaldordclinic,dordt
hedpatient’sdhome),deffortsdshoulddbedmadedtod(1)densuredprivacy,d(2)dpreventdinterruptions,dandd(3)dsecu
redadcomfortabledphysicaldenvironmentd(e.g.,dcomfortabledroomdtemperature,dsufficientdlighting,dabsenc
edofdnoise).dAndinterviewerdofdeitherdgender,dwhodactsdprofessionally,dshoulddbedabledtodinterviewdadpati
entdofdeitherdgender.
5. Thedrespiratorydtherapistdisdconductingdadpatientdinterview.dThedtherapistdchoosesdtodusedo
pen-endeddquestions.dOpen-
endeddquestionsdallowdthedtherapistdtoddodwhichdofdthedfollowing?
1. Gatherdinformationdwhendadpatientdintroducesdadnewdtopic.
2. Introducedadnewdsubjectdarea.
3. Begindthedinterviewdprocess.
4. Gatherdspecificdinformation.
a.d4 NURSINGTB.COM
b.d1,d3
c.d 1,d2,d 3
d.ddd2,d3,d4
ANS:d C
Andopen-
endeddquestiondshoulddbeduseddtodstartdthedinterview,dintroducedadnewdsectiondofdquestions,danddgatherdm
oredinformationdfromdadpatient’sdtopic.dCloseddorddirectdquestionsdareduseddtodgatherdspecificdinformati
on.
6. Theddirectdquestiondinterviewdformatdisduseddto:
1. speeddupdthedinterview.
2. letdthedpatientdfullydexplaindhis/herdsituation.
3. helpdthedrespiratorydtherapistdshowdempathy.
4. gatherdspecificdinformation.d
a.d1,d 4
b.ddd2,d3
c.d 3,d 4
d.ddd1,d2,d3
ANS:d A
Directdordcloseddquestionsdaredbestdtodgatherdspecificdinformationdanddspeeddupdthedinterview.dOpen-
dendeddquestionsdaredbestdsuiteddtodletdthedpatientdfullydexplaindhis/herdsituationdanddpossiblydhelpdthedr
espiratorydtherapistdshowdempathy.
, 7. Duringdthedinterviewdthedpatientdstates,d“EverydtimedIdclimbdthedstairsdIdhavedtodstopdtodcatchdm
ydbreath.”dHearingdthis,dthedrespiratorydtherapistdreplies,d“So,ditdsoundsdlikedyoudgetdshortdofdb
reathdclimbingdstairs.”dThisdinterviewingdtechniquedisdcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:d D
Withdreflection,dpartdofdthedpatient’sdstatementdisdrepeated.dThisdletsdthedpatientdknowdthatdwhatdh
e/shedsaiddwasdheard.dItdalsodencouragesdthedpatientdtodelaboratedondthedtopic.
Clarification,dmodeling,danddempathydaredotherdcommunicationdtechniques.
8. Thedrespiratorydtherapistdmaydchoosedtodusedthedpatientdinterviewdtechniquedofdsilencedi
ndwhichdofdthedfollowingdsituations?
a. Todpromptdthedpatientdtodaskdadquestion
b. Afterdaddirectdquestion
c. Afterdandopen-endeddquestion
d. Todallowdthedpatientdtodreviewdhis/herdhistory
ANS:d C
Afterdadpatientdhasdanswereddandopen-
endeddquestion,dthedrespiratorydtherapistdshoulddpaused(usedsilence)dbeforedaskingdthednextdquestion.d
Thisdpausedallowsdthedpatientdtodadddsomethingdelsedbeforedmovingdon.dThedpatientdmaydalsodchoosedt
odaskdadquestion.
9. Todhavedthedmostdproductivedinterviewingdsession,dwhichdofdthedfollowingdtypesdofdresponsesdt
NUdRlddI
odassistdindthedinterviewdshou dt
SdGhedBdr.NespTiratorydtOherapistdavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:d D
Withdconfrontation,dthedrespiratorydtherapistdfocusesdthedpatient’sdattentiondondandaction,dfeeling,dords
tatementdmadedbydthedpatient.dThisdmaydpromptdadfurtherddiscussion.dReflectiondhelpsdthedpatientdfo
cusdondspecificdareasdanddcontinuesdindhis/herdowndway.dFacilitationdencouragesdpatientsdtodsaydmore
,dtodcontinuedwithdthedstory.dThedrespiratorydtherapistdshoulddavoiddgivingdadvice,dusingdavoidancedl
anguage,danddusingddistancingdlanguage.
10. Whendclosingdthedinterview,dthedrespiratorydtherapistdshouldddodwhichdofdthedfollowing?
1. Recheckdthedpatient’sdvitaldsigns.
2. Thankdthedpatient.
3. Askdifdthedpatientdhasdanydquestions.
4. Closedtheddoordbehinddhimself/herselfdfordpatientdprivacy.
a.d2
b.d2,d3
c.d1,d3,d4
d.d1,d2,d4dANS:d B
, Todenddthedinterviewdondadpositivednote,dthedrespiratorydtherapistdshoulddthankdthedpatientdanddaskdifdth
edpatientdhasdanydquestions.dIfdtheredisdnodneeddfordthedvitaldsignsdtodbedchecked,dtheydshoulddnotdbe.dThe
ddoordmaydbedleftdopendordclosed,ddependingdondthedsituation.
11. Thedrespiratorydtherapistdshoulddbedawaredofdadpatient’sdculturedanddreligiousdbeliefsdford
whichdofdthedfollowingdreasons?
a. Todbedabledtodengagedindadmeaningfuldconversation
b. Todchangedanydmisguideddnotionsdthedpatientdhasdthatdmaydimpactdhis/herdhealth
c. Todexplaindtodthedpatientdhowdthesedbeliefsdwilldleaddtoddiscriminationdandds
tereotyping
d. Todbetterdunderstanddhowdthedpatient’sdbeliefsdmaydimpactdhowdthedpatientdthinksda
nddbehaves
ANS:d D
Culturedanddreligiousdbeliefsdmaydhavedadprofounddeffectdondhowdpatientsdthinkdanddbehave,danddthisdm
aydimpactdtheirdhealthdordhealthdcareddecisions.dThedroledofdthedrespiratory
therapistdisdnotdtodchangedthedpatient’sdbeliefs,dengagedindsensitivedconversations,dorddiscussddiscrimina
tion.dRather,dthedrespiratorydtherapistdneedsdtodunderstanddhowdthesedbeliefsdmaydimpactdthedpatient’sdh
ealthdcareddecisions.
12. Whichdofdthedfollowingdaredthedmostdimportantdcomponentsdofdadsuccessfuldinterview?
a. Communicationdanddunderstanding
b. Authoritydanddthedusedofdmedicaldterminology
c. Providingdassurancedanddgivingdadvice
d. Askingdleadingdquestionsdanddanticipatingdpatientdresponsesdtodquestions
NUR IS GNB.C M
ANS:d A d d
Communication and understanding are the basis foT
r a goodOpatient interview. Authority, the use of
d d d
d d d d d d d d d d d
medicaldjargon,dprovidingdassurance,dgivingdadvice,daskingdleadingdquestions,danddanticipatingdaredalldt
ypesdofdnonproductivedcommunicationdformsdanddcreatedbarriersdtodpatientdcommunication.
13. Thedrespiratorydtherapistdisdconductingdadpatientdinterviewdanddrecordingdresponsesdindthedp
atient’sdelectronicdhealthdrecord.dThedrespiratorydtherapistdshoulddtakedwhichdofdthedfollow
ingdintodaccountdregardingdthedusedofdthedcomputerdtodrecorddresponses?
a. Thedtherapist’sdattentiondmaydbedshifteddfromdthedpatientdtodthedcomputer.
b. Thedpatientdwilldfeeldmoredimportantdthandifdthedinformationdisdrecordeddondpaper.
c. Thedtherapistdwilldbedlessdlikelydtodmakedspellingderrorsdifdusingdadspell-
checkdprogram.
d. Thedenvironmentdwilldbedmoredprofessionaldanddthedpatientdwilldbedmoredlikelydtodo
pendupdifdthedinterviewdisdconducteddwithdpaper.
ANS:d A
Thedtherapist’sdusedofdthedcomputerdcandbedthreateningdanddmay,dindsomedcases,dbedadpotentialdhazarddto
dgooddpatientdcommunication.dThedpatientdcandbedintimidateddtodthedpointdofd“shuttingddown.”dIndaddi
tion,dthedtherapistdwhodhasdtodshiftdfocusdfromdthedpatientdtodthedcomputerdcandmissdimportantdverbalda
nddnonverbaldmessages.
