Test Bank for Clinical Manifestations and A
m m m m m mm
ssessment of Respiratory Disease 8th Editio
m m m m mm
n by Des Jardins
m m m
,Chapter m01:mThemPatientmInterview
DesmJardins:mClinicalmManifestations mandmAssessmentmofmRespiratorymDisease,m8thmEdit
ion
MULTIPLEmCHOICE
1. Themrespiratorymcarempractitionermismconductingmampatient minterview.mThemmainmpurpose moft
hisminterview mismto:
a. review mdatamwithmthempatient.
b. gathermsubjectivemdatamfrommthempatient.
c. gathermobjectivemdatamfrommthempatient.
d. fillmout mthemhistorymformmormchecklist.
ANS:m B
Theminterview mismammeetingmbetweenmthemrespiratorymcarempractitionermand mthempatient.mIt mallowsmthemc
ollectionmof msubjectivemdatamabout mthempatient’smfeelingsmregardingmhis/her
condition.mThemhistorymshould mbemdonembeforemtheminterview.mAlthoughmdatamcanmbemreviewe
d,mthat mismnot mthemprimarympurposemof mtheminterview.
2. Formtheremtombemamsuccessfulminterview,mthemrespiratorymtherapist mmust:
a. providemleadingmquestionsmtomguidemthempatient.
b. reassuremthempatient.
c. bemanmactivemlistener.
d. usemmedicalmterminologymtomshow mknowledgemof mthemsubject mmatter.
ANS:m C N R I G B.C M
m m m m m
m m m m m
USNT
m
m m m
m
O
The personal qualities that a respiratory therapist must have to conduct a successful interview include
m m m m m m m
beingmanmactivemlistener,mhavingmamgenuinemconcern mformthempatient,mand mhavingmempathy.mLeadingmqu
estionsmmust mbemavoided.mReassurancemmaymprovidemamfalsemsensemof mcomfort mtomthempatient.mMedicalm
jargonmcanmsound mexclusionarymand mpaternalisticmtomampatient.
3. Whichmof mthemfollowingmwould mbemfound monmamhistorymform?
1. Age
2. Chief mcomplaint
3. Present mhealth
4. Familymhistory
5. Healthminsurancemprovider
a. 1,m 4
b. 2,m3
c. 3,m4,m5
d. 1,m2,m3,m4
ANS:m D
Age,mchief mcomplaint,mpresent mhealth,mand mfamilymhistorymaremtypicallymfound monmamhealthmhistory
mformmbecausemeachmcanmimpact mthempatient’smhealth.mHealthminsurancemproviderminformation,mwhil
emneeded mformbillingmpurposes,mwould mnot mbemfound monmthemhistorymform.
, 4. Externalmfactorsmthemrespiratorymcarempractitionermshould mmakemeffortsmtomprovidemduringm
anminterview mincludemwhichmof mthemfollowing?
1. Minimizemormprevent minterruptions.
2. Ensuremprivacymduringmdiscussions.
3. Interviewermismthemsamemsexmasmthempatient mtomprevent mbias.
4. Bemcomfortablemformthempatient mand minterviewer.
a. 1,m 4
b. 2,m3
c. 1,m2,m 4
d. 2,m3,m4
ANS:m m C
Externalmfactors,msuchmasmamgood mphysicalmsetting,menhancemtheminterviewingmprocess.mRegardlessmof mt
heminterview msettingm(thempatient’smbedside,mamcrowded memergencymroom,manmofficeminmthemhospitalmorm
clinic,mormthempatient’smhome),meffortsmshould mbemmademtom(1)mensuremprivacy,m(2)mprevent minterruption
s,mand m(3)msecuremamcomfortablemphysicalmenvironment m(e.g.,mcomfortablem roommtemperature,msufficien
t mlighting,mabsencemof mnoise).mAnminterviewermof meithermgender,mwhomactsmprofessionally,mshould mbemab
lemtominterview mampatient mof meithermgender.
5. Themrespiratorymtherapist mismconductingmampatient minterview.mThemtherapist mchoosesmtomu
semopen-ended mquestions.mOpen-
ended mquestionsmallow mthemtherapist mtomdomwhichmof mthemfollowing?
1. Gatherminformationmwhenmampatient mintroducesmamnew mtopic.
2. Introducemamnew msubject marea.
3. Beginmtheminterview mprocess.
4. Gathermspecificminformation.
a. 4 NURSINGTB.COM
b. 1,m3
c. 1,m2,m 3
d. 2,m3,m4
ANS:m m C
Anmopen-
ended mquestionmshould mbemused mtomstart mtheminterview,mintroducemamnew msectionmof mquestions,mand mgat
hermmoreminformationmfrommampatient’smtopic.mClosed mormdirect mquestionsmaremused mtomgathermspecificm
information.
6. Themdirect mquestionminterview mformat mismused mto:
1. speed mupmtheminterview.
2. let mthempatient mfullymexplainmhis/hermsituation.
3. helpmthemrespiratorymtherapist mshowmempathy.
4. gathermspecificminformation.
a. 1,m 4
b. 2,m3
c. 3,m 4
d. 1,m2,m3
ANS:m m A
Direct mormclosed mquestionsmarembest mtomgathermspecificminformationmand mspeed mupmtheminterview.mOp
en-
mended mquestionsmarembest msuited mtomlet mthempatient mfullymexplainmhis/hermsituationmand mpossiblymhelp
mthemrespiratorymtherapist mshow mempathy.
, 7. Duringmtheminterview mthempatient mstates,m“EverymtimemI mclimbmthemstairsmI mhavemtomstopmtomca
tchmmymbreath.”mHearingmthis,mthemrespiratorymtherapist mreplies,m“So,m it msoundsmlikemyoumget
mshort mof mbreathmclimbingmstairs.”mThisminterviewingmtechniquem ismcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:m D
Withmreflection,mpart mof mthempatient’smstatement mismrepeated.mThismletsmthempatient mknow mthat mwhatm
he/shemsaid mwasmheard.mIt malsomencouragesmthempatient mtomelaboratemonmthemtopic.
Clarification,mmodeling,mand mempathymaremothermcommunicationmtechniques.
8. Themrespiratorymtherapist mmaymchoosemtomusemthempatient minterview mtechniquemof msilen
ceminmwhichmof mthemfollowingmsituations?
a. Tomprompt mthempatient mtomaskmamquestion
b. Aftermamdirect mquestion
c. Aftermanmopen-ended mquestion
d. Tomallow mthempatient mtomreview mhis/herm history
ANS:m C
Aftermampatient mhasmanswered manmopen-
ended mquestion,mthemrespiratorymtherapist mshould mpausem(usemsilence)mbeforemaskingmthemnext mquestion.
mThismpausemallowsmthempatient mtomadd msomethingmelsembeforemmovingmon.mThempatient mmaymalsomchoo
semtomaskmamquestion.
9. Tomhavemthemmost mproductiveminterviewingmsession,mwhichmof mthemfollowingmtypesmof mrespons
esmtomassist minmtheminterviewNmshou
mR mI mG mB.
Uld mtShemrNespTiratorymtOherapist mavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:m D
Withmconfrontation,mthemrespiratorymtherapist mfocusesmthempatient’smattentionmonmanmaction,mfeeling,morm
statement mmadembymthempatient.mThismmaymprompt mamfurthermdiscussion.mReflectionmhelpsmthempatient mf
ocusmonmspecificmareasmand mcontinuesminmhis/hermownmway.mFacilitationmencouragesmpatientsmtomsaymm
ore,mtomcontinuemwithmthemstory.mThemrespiratorymtherapist mshould mavoid mgivingmadvice,musingmavoidan
cemlanguage,mand musingmdistancingmlanguage.
10. Whenmclosingmtheminterview,mthemrespiratorymtherapist mshould mdomwhichmof mthemfollowing?
1. Recheckmthempatient’smvitalmsigns.
2. Thankmthempatient.
3. Askmif mthempatient mhasmanymquestions.
4. Closemthemdoormbehind mhimself/herself mformpatient mprivacy.
a. 2
b. 2,m3
c. 1,m3,m4
d. 1,m2,m4mANS:mB
m m m m m mm
ssessment of Respiratory Disease 8th Editio
m m m m mm
n by Des Jardins
m m m
,Chapter m01:mThemPatientmInterview
DesmJardins:mClinicalmManifestations mandmAssessmentmofmRespiratorymDisease,m8thmEdit
ion
MULTIPLEmCHOICE
1. Themrespiratorymcarempractitionermismconductingmampatient minterview.mThemmainmpurpose moft
hisminterview mismto:
a. review mdatamwithmthempatient.
b. gathermsubjectivemdatamfrommthempatient.
c. gathermobjectivemdatamfrommthempatient.
d. fillmout mthemhistorymformmormchecklist.
ANS:m B
Theminterview mismammeetingmbetweenmthemrespiratorymcarempractitionermand mthempatient.mIt mallowsmthemc
ollectionmof msubjectivemdatamabout mthempatient’smfeelingsmregardingmhis/her
condition.mThemhistorymshould mbemdonembeforemtheminterview.mAlthoughmdatamcanmbemreviewe
d,mthat mismnot mthemprimarympurposemof mtheminterview.
2. Formtheremtombemamsuccessfulminterview,mthemrespiratorymtherapist mmust:
a. providemleadingmquestionsmtomguidemthempatient.
b. reassuremthempatient.
c. bemanmactivemlistener.
d. usemmedicalmterminologymtomshow mknowledgemof mthemsubject mmatter.
ANS:m C N R I G B.C M
m m m m m
m m m m m
USNT
m
m m m
m
O
The personal qualities that a respiratory therapist must have to conduct a successful interview include
m m m m m m m
beingmanmactivemlistener,mhavingmamgenuinemconcern mformthempatient,mand mhavingmempathy.mLeadingmqu
estionsmmust mbemavoided.mReassurancemmaymprovidemamfalsemsensemof mcomfort mtomthempatient.mMedicalm
jargonmcanmsound mexclusionarymand mpaternalisticmtomampatient.
3. Whichmof mthemfollowingmwould mbemfound monmamhistorymform?
1. Age
2. Chief mcomplaint
3. Present mhealth
4. Familymhistory
5. Healthminsurancemprovider
a. 1,m 4
b. 2,m3
c. 3,m4,m5
d. 1,m2,m3,m4
ANS:m D
Age,mchief mcomplaint,mpresent mhealth,mand mfamilymhistorymaremtypicallymfound monmamhealthmhistory
mformmbecausemeachmcanmimpact mthempatient’smhealth.mHealthminsurancemproviderminformation,mwhil
emneeded mformbillingmpurposes,mwould mnot mbemfound monmthemhistorymform.
, 4. Externalmfactorsmthemrespiratorymcarempractitionermshould mmakemeffortsmtomprovidemduringm
anminterview mincludemwhichmof mthemfollowing?
1. Minimizemormprevent minterruptions.
2. Ensuremprivacymduringmdiscussions.
3. Interviewermismthemsamemsexmasmthempatient mtomprevent mbias.
4. Bemcomfortablemformthempatient mand minterviewer.
a. 1,m 4
b. 2,m3
c. 1,m2,m 4
d. 2,m3,m4
ANS:m m C
Externalmfactors,msuchmasmamgood mphysicalmsetting,menhancemtheminterviewingmprocess.mRegardlessmof mt
heminterview msettingm(thempatient’smbedside,mamcrowded memergencymroom,manmofficeminmthemhospitalmorm
clinic,mormthempatient’smhome),meffortsmshould mbemmademtom(1)mensuremprivacy,m(2)mprevent minterruption
s,mand m(3)msecuremamcomfortablemphysicalmenvironment m(e.g.,mcomfortablem roommtemperature,msufficien
t mlighting,mabsencemof mnoise).mAnminterviewermof meithermgender,mwhomactsmprofessionally,mshould mbemab
lemtominterview mampatient mof meithermgender.
5. Themrespiratorymtherapist mismconductingmampatient minterview.mThemtherapist mchoosesmtomu
semopen-ended mquestions.mOpen-
ended mquestionsmallow mthemtherapist mtomdomwhichmof mthemfollowing?
1. Gatherminformationmwhenmampatient mintroducesmamnew mtopic.
2. Introducemamnew msubject marea.
3. Beginmtheminterview mprocess.
4. Gathermspecificminformation.
a. 4 NURSINGTB.COM
b. 1,m3
c. 1,m2,m 3
d. 2,m3,m4
ANS:m m C
Anmopen-
ended mquestionmshould mbemused mtomstart mtheminterview,mintroducemamnew msectionmof mquestions,mand mgat
hermmoreminformationmfrommampatient’smtopic.mClosed mormdirect mquestionsmaremused mtomgathermspecificm
information.
6. Themdirect mquestionminterview mformat mismused mto:
1. speed mupmtheminterview.
2. let mthempatient mfullymexplainmhis/hermsituation.
3. helpmthemrespiratorymtherapist mshowmempathy.
4. gathermspecificminformation.
a. 1,m 4
b. 2,m3
c. 3,m 4
d. 1,m2,m3
ANS:m m A
Direct mormclosed mquestionsmarembest mtomgathermspecificminformationmand mspeed mupmtheminterview.mOp
en-
mended mquestionsmarembest msuited mtomlet mthempatient mfullymexplainmhis/hermsituationmand mpossiblymhelp
mthemrespiratorymtherapist mshow mempathy.
, 7. Duringmtheminterview mthempatient mstates,m“EverymtimemI mclimbmthemstairsmI mhavemtomstopmtomca
tchmmymbreath.”mHearingmthis,mthemrespiratorymtherapist mreplies,m“So,m it msoundsmlikemyoumget
mshort mof mbreathmclimbingmstairs.”mThisminterviewingmtechniquem ismcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:m D
Withmreflection,mpart mof mthempatient’smstatement mismrepeated.mThismletsmthempatient mknow mthat mwhatm
he/shemsaid mwasmheard.mIt malsomencouragesmthempatient mtomelaboratemonmthemtopic.
Clarification,mmodeling,mand mempathymaremothermcommunicationmtechniques.
8. Themrespiratorymtherapist mmaymchoosemtomusemthempatient minterview mtechniquemof msilen
ceminmwhichmof mthemfollowingmsituations?
a. Tomprompt mthempatient mtomaskmamquestion
b. Aftermamdirect mquestion
c. Aftermanmopen-ended mquestion
d. Tomallow mthempatient mtomreview mhis/herm history
ANS:m C
Aftermampatient mhasmanswered manmopen-
ended mquestion,mthemrespiratorymtherapist mshould mpausem(usemsilence)mbeforemaskingmthemnext mquestion.
mThismpausemallowsmthempatient mtomadd msomethingmelsembeforemmovingmon.mThempatient mmaymalsomchoo
semtomaskmamquestion.
9. Tomhavemthemmost mproductiveminterviewingmsession,mwhichmof mthemfollowingmtypesmof mrespons
esmtomassist minmtheminterviewNmshou
mR mI mG mB.
Uld mtShemrNespTiratorymtOherapist mavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:m D
Withmconfrontation,mthemrespiratorymtherapist mfocusesmthempatient’smattentionmonmanmaction,mfeeling,morm
statement mmadembymthempatient.mThismmaymprompt mamfurthermdiscussion.mReflectionmhelpsmthempatient mf
ocusmonmspecificmareasmand mcontinuesminmhis/hermownmway.mFacilitationmencouragesmpatientsmtomsaymm
ore,mtomcontinuemwithmthemstory.mThemrespiratorymtherapist mshould mavoid mgivingmadvice,musingmavoidan
cemlanguage,mand musingmdistancingmlanguage.
10. Whenmclosingmtheminterview,mthemrespiratorymtherapist mshould mdomwhichmof mthemfollowing?
1. Recheckmthempatient’smvitalmsigns.
2. Thankmthempatient.
3. Askmif mthempatient mhasmanymquestions.
4. Closemthemdoormbehind mhimself/herself mformpatient mprivacy.
a. 2
b. 2,m3
c. 1,m3,m4
d. 1,m2,m4mANS:mB
