ClinicalbManifestationsbandbAssessmentbofbRespiratorybDiseaseb8thbEditionbJardinsbTestbBank
Chapter 01: The Patient Interview
b b b b
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
b b b b b b b b b b
Edition
MULTIPLEbCHOICE
1. Thebrespiratorybcarebpractitionerbisbconductingbabpatientbinterview.bThebmainbpurposebofbthisbi
nterviewbisbto:
a. reviewbdatabwithbthebpatient.
b. gatherbsubjectivebdatabfrombthebpatient.
c. gatherbobjectivebdatabfrombthebpatient.
d. fillboutbthebhistorybformborbchecklist.
ANS:b B
Thebinterviewbisbabmeetingbbetweenbthebrespiratorybcarebpractitionerbandbthebpatient.bItballowsbthebc
ollectionbofbsubjectivebdatababoutbthebpatient’sbfeelingsbregardingbhis/her
condition.bThebhistorybshouldbbebdonebbeforebthebinterview.bAlthoughbdatabcanbbebreviewed,bth
atbisbnotbthebprimarybpurposebofbthebinterview.
2. Forbtherebtobbebabsuccessfulbinterview,bthebrespiratorybtherapistbmust:
a. providebleadingbquestionsbtobguidebthebpatient.
b. reassurebthebpatient.
c. bebanbactiveblistener.
d. usebmedicalbterminologybtobshowbknowledgebofbthebsubjectbmatter.
ANS: C
b
Thebpersonalbqualitiesbthatbabrespiratorybtherapistbmustbhavebtobconductbabsuccessfulbinterviewbinclude
beingbanbactiveblistener,bhavingbabgenuinebconcernbforbthebpatient,bandbhavingbempathy.bLeadingbquesti
onsbmustbbebavoided.bReassurancebmaybprovidebabfalsebsensebofbcomfortbtobthebpatient.bMedicalbjargonb
canbsoundbexclusionarybandbpaternalisticbtobabpatient.
3. Whichbofbthebfollowingbwouldbbebfoundbonbabhistorybform?
1. Age
2. Chiefbcomplaint
3. Presentbhealth
4. Familybhistory
5. Healthbinsurancebproviderb
a.b1,b 4
b.b2,b3
c.b3,b4,b5
d.b1,b2,b3,b4
ANS:b D
Age,bchiefbcomplaint,bpresentbhealth,bandbfamilybhistorybarebtypicallybfoundbonbabhealthbhistorybfo
rmbbecausebeachbcanbimpactbthebpatient’sbhealth.bHealthbinsurancebproviderbinformation,bwhilebnee
dedbforbbillingbpurposes,bwouldbnotbbebfoundbonbthebhistorybform.
NURSINGTB.COM
, 4. Externalbfactorsbthebrespiratorybcarebpractitionerbshouldbmakebeffortsbtobprovidebduringbanbi
nterviewbincludebwhichbofbthebfollowing?
1. Minimizeborbpreventbinterruptions.
2. Ensurebprivacybduringbdiscussions.
3. Interviewerbisbthebsamebsexbasbthebpatientbtobpreventbbias.
4. Bebcomfortablebforbthebpatientbandbinterviewer.b
a.b1,b 4
b.b2,b3
c.b 1,b2,b 4
d.bbb2,b3,b4
ANS:b C
Externalbfactors,bsuchbasbabgoodbphysicalbsetting,benhancebthebinterviewingbprocess.bRegardlessbofbthebin
terviewbsettingb(thebpatient’sbbedside,babcrowdedbemergencybroom,banbofficebinbthebhospitalborbclinic,borbt
hebpatient’sbhome),beffortsbshouldbbebmadebtob(1)bensurebprivacy,b(2)bpreventbinterruptions,bandb(3)bsecur
ebabcomfortablebphysicalbenvironmentb(e.g.,bcomfortablebroombtemperature,bsufficientblighting,babsence
bofbnoise).bAnbinterviewerbofbeitherbgender,bwhobactsbprofessionally, bshouldbbebablebtobinterviewbabpatien
tbofbeitherbgender.
5. Thebrespiratorybtherapistbisbconductingbabpatientbinterview.bThebtherapistbchoosesbtobusebo
pen-endedbquestions.bOpen-
endedbquestionsballowbthebtherapistbtobdobwhichbofbthebfollowing?
1. Gatherbinformationbwhenbabpatientbintroducesbabnewbtopic.
2. Introducebabnewbsubjectbarea.
3. Beginbthebinterviewbprocess.
4. Gatherbspecificbinformation.
a.b4
b.b1,b3
c.b 1,b2,b 3
d.bbb2,b3,b4
ANS:b C
Anbopen-
endedbquestionbshouldbbebusedbtobstartbthebinterview,bintroducebabnewbsectionbofbquestions,bandbgatherbm
orebinformationbfrombabpatient’sbtopic.bClosedborbdirectbquestionsbarebusedbtobgatherbspecificbinformatio
n.
6. Thebdirectbquestionbinterviewbformatbisbusedbto:
1. speedbupbthebinterview.
2. letbthebpatientbfullybexplainbhis/herbsituation.
3. helpbthebrespiratorybtherapistbshowbempathy.
4. gatherbspecificbinformation.b
a.b1,b 4
b.bbb2,b3
c.b 3,b 4
d.bbb1,b2,b3
ANS:b A
Directborbclosedbquestionsbarebbestbtobgatherbspecificbinformationbandbspeedbupbthebinterview.bOpen-
bendedbquestionsbarebbestbsuitedbtobletbthebpatientbfullybexplainbhis/herbsituationbandbpossiblybhelpbthebr
espiratorybtherapistbshowbempathy.
, 7. Duringbthebinterviewbthebpatientbstates,b“EverybtimebIbclimbbthebstairsbIbhavebtobstopbtobcatchbm
ybbreath.”bHearingbthis,bthebrespiratorybtherapistbreplies,b“So,bitbsoundsblikebyoubgetbshortbofbb
reathbclimbingbstairs.”bThisbinterviewingbtechniquebisbcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:b D
Withbreflection,bpartbofbthebpatient’sbstatementbisbrepeated.bThisbletsbthebpatientbknowbthatbwhatbh
e/shebsaidbwasbheard.bItbalsobencouragesbthebpatientbtobelaboratebonbthebtopic.
Clarification,bmodeling,bandbempathybarebotherbcommunicationbtechniques.
8. Thebrespiratorybtherapistbmaybchoosebtobusebthebpatientbinterviewbtechniquebofbsilencebi
nbwhichbofbthebfollowingbsituations?
a. Tobpromptbthebpatientbtobaskbabquestion
b. Afterbabdirectbquestion
c. Afterbanbopen-endedbquestion
d. Toballowbthebpatientbtobreviewbhis/herbhistory
ANS:b C
Afterbabpatientbhasbansweredbanbopen-
endedbquestion,bthebrespiratorybtherapistbshouldbpauseb(usebsilence)bbeforebaskingbthebnextbquestion.bThi
sbpauseballowsbthebpatientbtobaddbsomethingbelsebbeforebmovingbon.bThebpatientbmaybalsobchoosebtobaskbab
question.
9. Tobhavebthebmostbproductivebinterviewingbsession,bwhichbofbthebfollowingbtypesbofbresponsesbt
NbRbIbGbB.C
obassistbinbthebinterviewbshouUldbtShebrNespTiratorybtOherapistbavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:b D
Withbconfrontation,bthebrespiratorybtherapistbfocusesbthebpatient’sbattentionbonbanbaction,bfeeling,borbstat
ementbmadebbybthebpatient.bThisbmaybpromptbabfurtherbdiscussion.bReflectionbhelpsbthebpatientbfocusbo
nbspecificbareasbandbcontinuesbinbhis/herbownbway.bFacilitationbencouragesbpatientsbtobsaybmore,btobcon
tinuebwithbthebstory.bThebrespiratorybtherapistbshouldbavoidbgivingbadvice,busingbavoidanceblanguage,ba
ndbusingbdistancingblanguage.
10. Whenbclosingbthebinterview,bthebrespiratorybtherapistbshouldbdobwhichbofbthebfollowing?
1. Recheckbthebpatient’sbvitalbsigns.
2. Thankbthebpatient.
3. Askbifbthebpatientbhasbanybquestions.
4. Closebthebdoorbbehindbhimself/herselfbforbpatientbprivacy.
a.b2
b.b2,b3
c.b1,b3,b4
d.b1,b2,b4bANS:b B
, Tobendbthebinterviewbonbabpositivebnote,bthebrespiratorybtherapistbshouldbthankbthebpatientbandbaskbifbthe
bpatient bhasbanybquestions.bIfbtherebisbnobneedbforbthebvital bsignsbtobbebchecked,btheybshouldbnotbbe.bTheb
doorbmaybbebleftbopenborbclosed,bdependingbonbthebsituation.
11. Thebrespiratorybtherapistbshouldbbebawarebofbabpatient’sbculturebandbreligiousbbeliefsbforb
whichbofbthebfollowingbreasons?
a. Tobbebablebtobengagebinbabmeaningfulbconversation
b. Tobchangebanybmisguidedbnotionsbthebpatientbhasbthatbmaybimpactbhis/herbhealth
c. Tobexplainbtobthebpatientbhowbthesebbeliefsbwillbleadbtobdiscriminationbandbs
tereotyping
d. Tobbetterbunderstandbhowbthebpatient’sbbeliefsbmaybimpactbhowbthebpatientbthinksba
ndbbehaves
ANS:b D
Culturebandbreligiousbbeliefsbmaybhavebabprofoundbeffectbonbhowbpatientsbthinkbandbbehave,bandbthisbm
aybimpactbtheirbhealthborbhealthbcarebdecisions.bThebrolebofbthebrespiratory
therapistbisbnotbtobchangebthebpatient’sbbeliefs,bengagebinbsensitivebconversations,borbdiscussbdiscrimina
tion.bRather,bthebrespiratorybtherapistbneedsbtobunderstandbhowbthesebbeliefsbmaybimpactbthebpatient’sbh
ealthbcarebdecisions.
12. Whichbofbthebfollowingbarebthebmostbimportantbcomponentsbofbabsuccessfulbinterview?
a. Communicationbandbunderstanding
b. Authoritybandbthebusebofbmedicalbterminology
c. Providingbassurancebandbgivingbadvice
d. Askingbleadingbquestionsbandbanticipatingbpatientbresponsesbtobquestions
ANS:b A
CommunicationbandbunderstandingbareUthebS basiNsbfoT
rbabgoodOpatientbinterview.bAuthority,bthebusebofbmedical
bjargon,bprovidingbassurance, bgivingbadvice,baskingbleadingbquestions,bandbanticipatingbareballbtypesbofbnonp
roductivebcommunicationbformsbandbcreatebbarriersbtobpatientbcommunication.
13. Thebrespiratorybtherapistbisbconductingbabpatientbinterviewbandbrecordingbresponsesbinbthebp
atient’sbelectronicbhealthbrecord.bThebrespiratorybtherapistbshouldbtakebwhichbofbthebfollow
ingbintobaccountbregardingbthebusebofbthebcomputerbtobrecordbresponses?
a. Thebtherapist’sbattentionbmaybbebshiftedbfrombthebpatientbtobthebcomputer.
b. Thebpatientbwillbfeelbmorebimportantbthanbifbthebinformationbisbrecordedbonbpaper.
c. Thebtherapistbwillbbeblessblikelybtobmakebspellingberrorsbifbusingbabspell-
checkbprogram.
d. Thebenvironmentbwillbbebmorebprofessionalbandbthebpatientbwillbbebmoreblikelybtobo
penbupbifbthebinterviewbisbconductedbwithbpaper.
ANS:b A
Thebtherapist’sbusebofbthebcomputerbcanbbebthreateningbandbmay,binbsomebcases,bbebabpotentialbhazardbtob
goodbpatientbcommunication.bThebpatientbcanbbebintimidatedbtobthebpointbofb“shuttingbdown.”bInbadditi
on,bthebtherapistbwhobhasbtobshiftbfocusbfrombthebpatientbtobthebcomputerbcanbmissbimportantbverbalbandb
nonverbalbmessages.
Chapter 01: The Patient Interview
b b b b
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
b b b b b b b b b b
Edition
MULTIPLEbCHOICE
1. Thebrespiratorybcarebpractitionerbisbconductingbabpatientbinterview.bThebmainbpurposebofbthisbi
nterviewbisbto:
a. reviewbdatabwithbthebpatient.
b. gatherbsubjectivebdatabfrombthebpatient.
c. gatherbobjectivebdatabfrombthebpatient.
d. fillboutbthebhistorybformborbchecklist.
ANS:b B
Thebinterviewbisbabmeetingbbetweenbthebrespiratorybcarebpractitionerbandbthebpatient.bItballowsbthebc
ollectionbofbsubjectivebdatababoutbthebpatient’sbfeelingsbregardingbhis/her
condition.bThebhistorybshouldbbebdonebbeforebthebinterview.bAlthoughbdatabcanbbebreviewed,bth
atbisbnotbthebprimarybpurposebofbthebinterview.
2. Forbtherebtobbebabsuccessfulbinterview,bthebrespiratorybtherapistbmust:
a. providebleadingbquestionsbtobguidebthebpatient.
b. reassurebthebpatient.
c. bebanbactiveblistener.
d. usebmedicalbterminologybtobshowbknowledgebofbthebsubjectbmatter.
ANS: C
b
Thebpersonalbqualitiesbthatbabrespiratorybtherapistbmustbhavebtobconductbabsuccessfulbinterviewbinclude
beingbanbactiveblistener,bhavingbabgenuinebconcernbforbthebpatient,bandbhavingbempathy.bLeadingbquesti
onsbmustbbebavoided.bReassurancebmaybprovidebabfalsebsensebofbcomfortbtobthebpatient.bMedicalbjargonb
canbsoundbexclusionarybandbpaternalisticbtobabpatient.
3. Whichbofbthebfollowingbwouldbbebfoundbonbabhistorybform?
1. Age
2. Chiefbcomplaint
3. Presentbhealth
4. Familybhistory
5. Healthbinsurancebproviderb
a.b1,b 4
b.b2,b3
c.b3,b4,b5
d.b1,b2,b3,b4
ANS:b D
Age,bchiefbcomplaint,bpresentbhealth,bandbfamilybhistorybarebtypicallybfoundbonbabhealthbhistorybfo
rmbbecausebeachbcanbimpactbthebpatient’sbhealth.bHealthbinsurancebproviderbinformation,bwhilebnee
dedbforbbillingbpurposes,bwouldbnotbbebfoundbonbthebhistorybform.
NURSINGTB.COM
, 4. Externalbfactorsbthebrespiratorybcarebpractitionerbshouldbmakebeffortsbtobprovidebduringbanbi
nterviewbincludebwhichbofbthebfollowing?
1. Minimizeborbpreventbinterruptions.
2. Ensurebprivacybduringbdiscussions.
3. Interviewerbisbthebsamebsexbasbthebpatientbtobpreventbbias.
4. Bebcomfortablebforbthebpatientbandbinterviewer.b
a.b1,b 4
b.b2,b3
c.b 1,b2,b 4
d.bbb2,b3,b4
ANS:b C
Externalbfactors,bsuchbasbabgoodbphysicalbsetting,benhancebthebinterviewingbprocess.bRegardlessbofbthebin
terviewbsettingb(thebpatient’sbbedside,babcrowdedbemergencybroom,banbofficebinbthebhospitalborbclinic,borbt
hebpatient’sbhome),beffortsbshouldbbebmadebtob(1)bensurebprivacy,b(2)bpreventbinterruptions,bandb(3)bsecur
ebabcomfortablebphysicalbenvironmentb(e.g.,bcomfortablebroombtemperature,bsufficientblighting,babsence
bofbnoise).bAnbinterviewerbofbeitherbgender,bwhobactsbprofessionally, bshouldbbebablebtobinterviewbabpatien
tbofbeitherbgender.
5. Thebrespiratorybtherapistbisbconductingbabpatientbinterview.bThebtherapistbchoosesbtobusebo
pen-endedbquestions.bOpen-
endedbquestionsballowbthebtherapistbtobdobwhichbofbthebfollowing?
1. Gatherbinformationbwhenbabpatientbintroducesbabnewbtopic.
2. Introducebabnewbsubjectbarea.
3. Beginbthebinterviewbprocess.
4. Gatherbspecificbinformation.
a.b4
b.b1,b3
c.b 1,b2,b 3
d.bbb2,b3,b4
ANS:b C
Anbopen-
endedbquestionbshouldbbebusedbtobstartbthebinterview,bintroducebabnewbsectionbofbquestions,bandbgatherbm
orebinformationbfrombabpatient’sbtopic.bClosedborbdirectbquestionsbarebusedbtobgatherbspecificbinformatio
n.
6. Thebdirectbquestionbinterviewbformatbisbusedbto:
1. speedbupbthebinterview.
2. letbthebpatientbfullybexplainbhis/herbsituation.
3. helpbthebrespiratorybtherapistbshowbempathy.
4. gatherbspecificbinformation.b
a.b1,b 4
b.bbb2,b3
c.b 3,b 4
d.bbb1,b2,b3
ANS:b A
Directborbclosedbquestionsbarebbestbtobgatherbspecificbinformationbandbspeedbupbthebinterview.bOpen-
bendedbquestionsbarebbestbsuitedbtobletbthebpatientbfullybexplainbhis/herbsituationbandbpossiblybhelpbthebr
espiratorybtherapistbshowbempathy.
, 7. Duringbthebinterviewbthebpatientbstates,b“EverybtimebIbclimbbthebstairsbIbhavebtobstopbtobcatchbm
ybbreath.”bHearingbthis,bthebrespiratorybtherapistbreplies,b“So,bitbsoundsblikebyoubgetbshortbofbb
reathbclimbingbstairs.”bThisbinterviewingbtechniquebisbcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:b D
Withbreflection,bpartbofbthebpatient’sbstatementbisbrepeated.bThisbletsbthebpatientbknowbthatbwhatbh
e/shebsaidbwasbheard.bItbalsobencouragesbthebpatientbtobelaboratebonbthebtopic.
Clarification,bmodeling,bandbempathybarebotherbcommunicationbtechniques.
8. Thebrespiratorybtherapistbmaybchoosebtobusebthebpatientbinterviewbtechniquebofbsilencebi
nbwhichbofbthebfollowingbsituations?
a. Tobpromptbthebpatientbtobaskbabquestion
b. Afterbabdirectbquestion
c. Afterbanbopen-endedbquestion
d. Toballowbthebpatientbtobreviewbhis/herbhistory
ANS:b C
Afterbabpatientbhasbansweredbanbopen-
endedbquestion,bthebrespiratorybtherapistbshouldbpauseb(usebsilence)bbeforebaskingbthebnextbquestion.bThi
sbpauseballowsbthebpatientbtobaddbsomethingbelsebbeforebmovingbon.bThebpatientbmaybalsobchoosebtobaskbab
question.
9. Tobhavebthebmostbproductivebinterviewingbsession,bwhichbofbthebfollowingbtypesbofbresponsesbt
NbRbIbGbB.C
obassistbinbthebinterviewbshouUldbtShebrNespTiratorybtOherapistbavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:b D
Withbconfrontation,bthebrespiratorybtherapistbfocusesbthebpatient’sbattentionbonbanbaction,bfeeling,borbstat
ementbmadebbybthebpatient.bThisbmaybpromptbabfurtherbdiscussion.bReflectionbhelpsbthebpatientbfocusbo
nbspecificbareasbandbcontinuesbinbhis/herbownbway.bFacilitationbencouragesbpatientsbtobsaybmore,btobcon
tinuebwithbthebstory.bThebrespiratorybtherapistbshouldbavoidbgivingbadvice,busingbavoidanceblanguage,ba
ndbusingbdistancingblanguage.
10. Whenbclosingbthebinterview,bthebrespiratorybtherapistbshouldbdobwhichbofbthebfollowing?
1. Recheckbthebpatient’sbvitalbsigns.
2. Thankbthebpatient.
3. Askbifbthebpatientbhasbanybquestions.
4. Closebthebdoorbbehindbhimself/herselfbforbpatientbprivacy.
a.b2
b.b2,b3
c.b1,b3,b4
d.b1,b2,b4bANS:b B
, Tobendbthebinterviewbonbabpositivebnote,bthebrespiratorybtherapistbshouldbthankbthebpatientbandbaskbifbthe
bpatient bhasbanybquestions.bIfbtherebisbnobneedbforbthebvital bsignsbtobbebchecked,btheybshouldbnotbbe.bTheb
doorbmaybbebleftbopenborbclosed,bdependingbonbthebsituation.
11. Thebrespiratorybtherapistbshouldbbebawarebofbabpatient’sbculturebandbreligiousbbeliefsbforb
whichbofbthebfollowingbreasons?
a. Tobbebablebtobengagebinbabmeaningfulbconversation
b. Tobchangebanybmisguidedbnotionsbthebpatientbhasbthatbmaybimpactbhis/herbhealth
c. Tobexplainbtobthebpatientbhowbthesebbeliefsbwillbleadbtobdiscriminationbandbs
tereotyping
d. Tobbetterbunderstandbhowbthebpatient’sbbeliefsbmaybimpactbhowbthebpatientbthinksba
ndbbehaves
ANS:b D
Culturebandbreligiousbbeliefsbmaybhavebabprofoundbeffectbonbhowbpatientsbthinkbandbbehave,bandbthisbm
aybimpactbtheirbhealthborbhealthbcarebdecisions.bThebrolebofbthebrespiratory
therapistbisbnotbtobchangebthebpatient’sbbeliefs,bengagebinbsensitivebconversations,borbdiscussbdiscrimina
tion.bRather,bthebrespiratorybtherapistbneedsbtobunderstandbhowbthesebbeliefsbmaybimpactbthebpatient’sbh
ealthbcarebdecisions.
12. Whichbofbthebfollowingbarebthebmostbimportantbcomponentsbofbabsuccessfulbinterview?
a. Communicationbandbunderstanding
b. Authoritybandbthebusebofbmedicalbterminology
c. Providingbassurancebandbgivingbadvice
d. Askingbleadingbquestionsbandbanticipatingbpatientbresponsesbtobquestions
ANS:b A
CommunicationbandbunderstandingbareUthebS basiNsbfoT
rbabgoodOpatientbinterview.bAuthority,bthebusebofbmedical
bjargon,bprovidingbassurance, bgivingbadvice,baskingbleadingbquestions,bandbanticipatingbareballbtypesbofbnonp
roductivebcommunicationbformsbandbcreatebbarriersbtobpatientbcommunication.
13. Thebrespiratorybtherapistbisbconductingbabpatientbinterviewbandbrecordingbresponsesbinbthebp
atient’sbelectronicbhealthbrecord.bThebrespiratorybtherapistbshouldbtakebwhichbofbthebfollow
ingbintobaccountbregardingbthebusebofbthebcomputerbtobrecordbresponses?
a. Thebtherapist’sbattentionbmaybbebshiftedbfrombthebpatientbtobthebcomputer.
b. Thebpatientbwillbfeelbmorebimportantbthanbifbthebinformationbisbrecordedbonbpaper.
c. Thebtherapistbwillbbeblessblikelybtobmakebspellingberrorsbifbusingbabspell-
checkbprogram.
d. Thebenvironmentbwillbbebmorebprofessionalbandbthebpatientbwillbbebmoreblikelybtobo
penbupbifbthebinterviewbisbconductedbwithbpaper.
ANS:b A
Thebtherapist’sbusebofbthebcomputerbcanbbebthreateningbandbmay,binbsomebcases,bbebabpotentialbhazardbtob
goodbpatientbcommunication.bThebpatientbcanbbebintimidatedbtobthebpointbofb“shuttingbdown.”bInbadditi
on,bthebtherapistbwhobhasbtobshiftbfocusbfrombthebpatientbtobthebcomputerbcanbmissbimportantbverbalbandb
nonverbalbmessages.
