Test Bank for Clinical Manifestations and Assessment of Res
m m m m m m m m
piratory Disease 8th Edition Jardins
m m m m
DesmJardins:mClinicalmManifestations mandmAssessmentmofmRespiratory mDisease,m8
thmEdition
Chapter m01:mThemPatientmInterview
MULTIPLEmCHOICE
1. Themrespiratorymcarempractitionermismconductingmampatient minterview.mThemmainmpurposemof mt
hisminterview mismto:
a. review mdatamwithmthempatient.
b. gathermsubjectivemdatamfrommthempatient.
c. gathermobjectivemdatamfrommthempatient.
d. fillmout mthemhistorymformmormchecklist.
☺☺☺ANS:m B
Theminterview mismammeetingmbetweenmthemrespiratorymcarempractitionermand mthempatient.mIt mallowsm
themcollectionmof msubjectivemdatamabout mthempatient’smfeelingsmregardingmhis/her
condition.mThemhistorymshould mbemdonembeforemtheminterview.mAlthoughmdatamcanmbemreviewed,that
mism
not mthemprimarympurposemof mtheminterview.
2. Formtheremtombemamsuccessfulminterview,mthemrespiratorymtherapist mmust:
a. providemleadingmquestionsmtomguidemthempatient.
b. reassuremthempatient.
c. bemanmactivemlistener.
d. usemmedicalmterminologymtomshow mknowledgemof mthemsubject mmatter.
☺☺☺ANS:mm C
Thempersonalmqualitiesmthat mamrespiratorymtherapist mmust mhavemtomconduct mamsuccessfulminterview minclude
beingmanmactivemlistener,mhavingmamgenuinemconcern mformthempatient,mand mhavingmempathy.mLeadingmquesti
onsmmust mbemavoided.mReassurancemmaymprovidemamfalsemsensemof mcomfort mtomthempatient.mMedicaljargonmc
anmsound mexclusionarymand mpaternalisticmtomampatient.
3. Whichmof mthemfollowingmwould mbemfound monmamhistorymform?
1. Age
2. Chief mcomplaint
3. Present mhealth
4. Familymhistory
5. Healthminsurancemprovidera.m1
,m4
b.m2,m3
c.m3,m4,m5
d.m1,m2,m3,m4
☺☺☺ANS:m D
Age,mchief mcomplaint,mpresent mhealth,mand mfamilymhistorymaremtypicallymfound monmamhealthmhistorymfor
mmbecausemeachmcanmimpact mthempatient’smhealth.mHealthminsurancemproviderminformation,mwhileneede
d mformbillingmpurposes,mwould mnot mbemfound monmthemhistorymform.
, 4. Externalmfactorsmthemrespiratorymcarempractitionermshould mmakemeffortsmtomprovidemduringm
anminterview mincludemwhichmof mthemfollowing?
1. Minimizemormprevent minterruptions.
2. Ensuremprivacymduringmdiscussions.
3. Interviewermismthemsamemsexmasmthempatient mtomprevent mbias.
4. Bemcomfortablemformthempatient mand minterviewe
r.ma.m1,m 4
b.m2,m3
c.m 1,m2,m 4
d.mmm2,m3,m4
☺☺☺ANS: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 mbema
blemtominterview 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.m4
b.m1,m3
c.m 1,m2,m
3
d.mmm2,m3,m
4
☺☺AnsC
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
.ma.m1,m 4
b.mmm2,m3
c.m 3,m 4
d.mmm1,m2,m3
mmmmm☺☺ mANS:m A
Direct mormclosed mquestionsmarembest mtomgathermspecificminformationmand mspeed mupmtheminterview.mOp
en-
ended mquestionsmarembest msuited mtomlet mthempatient mfullymexplainmhis/hermsituationmand mpossiblymhelp
m
mthem
respiratorymtherapist mshow mempathy.
, 7. Duringmtheminterview mthempatient mstates,m“EverymtimemI mclimbmthemstairsmI mhavemtomstopmtomca
tchmmymbreath.”mHearingmthis,mthemrespiratorymtherapist mreplies,m“So, mit msoundsmlike myoumget m
short mof mbreathmclimbingmstairs.”mThisminterviewingmtechnique mis mcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
mmmmmm☺☺ANS:m D
Withmreflection,mpart mof mthempatient’smstatement mismrepeated.mThismletsmthempatient mknow mthatmw
hat mhe/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/hermhistory
mmmmm☺☺ANS:m C
Aftermampatient mhasmanswered manmopen-
ended mquestion,mthemrespiratorymtherapist mshould mpausem(usemsilence)mbeforemaskingmthemnext mquesti
on.mThismpausemallowsmthempatient mtomadd msomethingmelsembeforemmovingmon.mThempatient mmaymalsom
choosemtomaskmamquestion.
9. Tomhavemthemmost mproductiveminterviewingmsession,mwhichmof mthemfollowingmtypesmof mrespon
sesmtomassist minmtheminterviewNmshou
mR mI mG mB
Uld mt.ShemrNespTiratorymtOherapist mavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
mmmmm☺☺ANS:m D
Withmconfrontation,mthemrespiratorymtherapist mfocusesmthempatient’smattentionmonmanmaction,mfeeling,
morm
statement mmadembymthempatient.mThismmaymprompt mamfurthermdiscussion.mReflectionmhelpsmthempa
tient mfocusmonmspecificmareasmand mcontinuesminmhis/hermownmway.mFacilitationmencouragesmpatientsm
tomsaymmore,mtomcontinuemwithmthemstory.mThemrespiratorymtherapist mshould mavoid mgivingmadvice,mus
ingmavoidancemlanguage,mand musingmdistancingmlanguage.
10. Whenmclosingmtheminterview,mthemrespiratorymtherapist mshould mdomwhichmof mthemfollowing?
1. Recheckmthempatient’smvitalmsigns.
2. Thankmthempatient.
3. Askmif mthempatient mhasmanymquestions.
4. Closemthemdoormbehind mhimself/herself mformpatient mprivacy.
a.m2
b.m2,m3
c.m1,m3,m4
mmmmmmmmmmmmmmmmd.m1,m2,m4mmmm
mmm☺☺ANS:m B
, Tomend mtheminterview monmampositivemnote,mthemrespiratorymtherapist mshould mthankmthempatient mand maskm
if mthempatient mhasmanymquestions.mIf mtheremismnomneed mformthemvitalmsignsmtombemchecked,mtheymshould m
not mbe.mThemdoormmaymbemleft mopenmormclosed,mdependingmonmthemsituation.
11. Themrespiratorymtherapist mshould mbemawaremof mampatient’smculturemand mreligiousmbeliefsm
formwhichmof mthemfollowingmreasons?
a. Tombemablemtomengageminmammeaningfulmconversation
b. Tomchangemanymmisguided mnotionsmthempatient mhasmthat mmaymimpact mhis/hermhealth
c. Tomexplainmtomthempatient mhow mthesembeliefsmwillmlead mtomdiscriminationma
nd mstereotyping
d. Tombettermunderstand mhowmthempatient’smbeliefsmmaymimpact mhow mthempatient mthin
ksmand mbehaves
☺☺ANS:m D
Culturemand mreligiousmbeliefsmmaymhavemamprofound meffect monmhow mpatientsmthinkmand mbehave,mand mth
ismmaymimpact mtheirmhealthmormhealthmcaremdecisions.m Themrolemof mthemrespiratory
therapist mismnot mtomchangemthempatient’smbeliefs,mengageminmsensitivemconversations,mormdiscussmdiscri
mination.mRather,mthemrespiratorymtherapist mneedsmtomunderstand mhow mthesembeliefsmmaymimpact mthemp
atient’smhealthmcaremdecisions.
12. Whichmof mthemfollowingmaremthemmost mimportant mcomponentsmof mamsuccessfulminterview?
a. Communicationmand munderstanding
b. Authoritymand mthemusemof mmedicalmterminology
c. Providingmassurancemand mgivingmadvice
d. Askingmleadingmquestionsmand manticipatingmpatient mresponsesmtomquestions
☺☺ANS:m A
mmmm
Communicationmand munderstandingmareUthe SbasiN
s mfoT
r m a m goodOpatient minterview.mAuthority, mthemuse mof
medicalmjargon,mprovidingmassurance,mgivingmadvice,maskingmleadingmquestions,mand manticipatingmarem
allmtypesmof mnonproductivemcommunicationmformsmand mcreatembarriersmtompatient mcommunication.
13. Themrespiratorymtherapist mismconductingmampatient minterview mand mrecordingmresponsesminmt
hempatient’smelectronicmhealthmrecord.mThemrespiratorymtherapist mshould mtakemwhichmof mthe
mfollowingmintomaccount mregardingmthemusemof mthemcomputermtomrecord mresponses?
a. Themtherapist’smattentionmmaymbemshifted mfrommthempatient mtomthemcomputer.
b. Thempatient mwillmfeelmmoremimportant mthanmif mtheminformationmismrecorded monmpaper.
c. Themtherapist mwillmbemlessmlikelymtommakemspellingmerrorsmif musingmamspell-
checkmprogram.
d. Themenvironment mwillmbemmoremprofessionalmand mthempatient mwillmbemmoremlikely
mtom
openmupmif mtheminterview mismconducted mwithmpaper.
mmmmmm☺☺ANS:m A
Themtherapist’smusemof mthemcomputermcanmbemthreateningmand mmay,minmsomemcases,mbemampotentialmhaz
ard mtomgood mpatient mcommunication.mThempatient mcanmbemintimidated mtomthempoint mof m“shuttingmdown
.”mInmaddition,mthemtherapist mwhomhasmtomshift mfocusmfrommthempatient mtomthemcomputermcanmmissmimp
ortant mverbalmand mnonverbalmmessages.
m m m m m m m m
piratory Disease 8th Edition Jardins
m m m m
DesmJardins:mClinicalmManifestations mandmAssessmentmofmRespiratory mDisease,m8
thmEdition
Chapter m01:mThemPatientmInterview
MULTIPLEmCHOICE
1. Themrespiratorymcarempractitionermismconductingmampatient minterview.mThemmainmpurposemof mt
hisminterview mismto:
a. review mdatamwithmthempatient.
b. gathermsubjectivemdatamfrommthempatient.
c. gathermobjectivemdatamfrommthempatient.
d. fillmout mthemhistorymformmormchecklist.
☺☺☺ANS:m B
Theminterview mismammeetingmbetweenmthemrespiratorymcarempractitionermand mthempatient.mIt mallowsm
themcollectionmof msubjectivemdatamabout mthempatient’smfeelingsmregardingmhis/her
condition.mThemhistorymshould mbemdonembeforemtheminterview.mAlthoughmdatamcanmbemreviewed,that
mism
not mthemprimarympurposemof mtheminterview.
2. Formtheremtombemamsuccessfulminterview,mthemrespiratorymtherapist mmust:
a. providemleadingmquestionsmtomguidemthempatient.
b. reassuremthempatient.
c. bemanmactivemlistener.
d. usemmedicalmterminologymtomshow mknowledgemof mthemsubject mmatter.
☺☺☺ANS:mm C
Thempersonalmqualitiesmthat mamrespiratorymtherapist mmust mhavemtomconduct mamsuccessfulminterview minclude
beingmanmactivemlistener,mhavingmamgenuinemconcern mformthempatient,mand mhavingmempathy.mLeadingmquesti
onsmmust mbemavoided.mReassurancemmaymprovidemamfalsemsensemof mcomfort mtomthempatient.mMedicaljargonmc
anmsound mexclusionarymand mpaternalisticmtomampatient.
3. Whichmof mthemfollowingmwould mbemfound monmamhistorymform?
1. Age
2. Chief mcomplaint
3. Present mhealth
4. Familymhistory
5. Healthminsurancemprovidera.m1
,m4
b.m2,m3
c.m3,m4,m5
d.m1,m2,m3,m4
☺☺☺ANS:m D
Age,mchief mcomplaint,mpresent mhealth,mand mfamilymhistorymaremtypicallymfound monmamhealthmhistorymfor
mmbecausemeachmcanmimpact mthempatient’smhealth.mHealthminsurancemproviderminformation,mwhileneede
d mformbillingmpurposes,mwould mnot mbemfound monmthemhistorymform.
, 4. Externalmfactorsmthemrespiratorymcarempractitionermshould mmakemeffortsmtomprovidemduringm
anminterview mincludemwhichmof mthemfollowing?
1. Minimizemormprevent minterruptions.
2. Ensuremprivacymduringmdiscussions.
3. Interviewermismthemsamemsexmasmthempatient mtomprevent mbias.
4. Bemcomfortablemformthempatient mand minterviewe
r.ma.m1,m 4
b.m2,m3
c.m 1,m2,m 4
d.mmm2,m3,m4
☺☺☺ANS: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 mbema
blemtominterview 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.m4
b.m1,m3
c.m 1,m2,m
3
d.mmm2,m3,m
4
☺☺AnsC
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
.ma.m1,m 4
b.mmm2,m3
c.m 3,m 4
d.mmm1,m2,m3
mmmmm☺☺ mANS:m A
Direct mormclosed mquestionsmarembest mtomgathermspecificminformationmand mspeed mupmtheminterview.mOp
en-
ended mquestionsmarembest msuited mtomlet mthempatient mfullymexplainmhis/hermsituationmand mpossiblymhelp
m
mthem
respiratorymtherapist mshow mempathy.
, 7. Duringmtheminterview mthempatient mstates,m“EverymtimemI mclimbmthemstairsmI mhavemtomstopmtomca
tchmmymbreath.”mHearingmthis,mthemrespiratorymtherapist mreplies,m“So, mit msoundsmlike myoumget m
short mof mbreathmclimbingmstairs.”mThisminterviewingmtechnique mis mcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
mmmmmm☺☺ANS:m D
Withmreflection,mpart mof mthempatient’smstatement mismrepeated.mThismletsmthempatient mknow mthatmw
hat mhe/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/hermhistory
mmmmm☺☺ANS:m C
Aftermampatient mhasmanswered manmopen-
ended mquestion,mthemrespiratorymtherapist mshould mpausem(usemsilence)mbeforemaskingmthemnext mquesti
on.mThismpausemallowsmthempatient mtomadd msomethingmelsembeforemmovingmon.mThempatient mmaymalsom
choosemtomaskmamquestion.
9. Tomhavemthemmost mproductiveminterviewingmsession,mwhichmof mthemfollowingmtypesmof mrespon
sesmtomassist minmtheminterviewNmshou
mR mI mG mB
Uld mt.ShemrNespTiratorymtOherapist mavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
mmmmm☺☺ANS:m D
Withmconfrontation,mthemrespiratorymtherapist mfocusesmthempatient’smattentionmonmanmaction,mfeeling,
morm
statement mmadembymthempatient.mThismmaymprompt mamfurthermdiscussion.mReflectionmhelpsmthempa
tient mfocusmonmspecificmareasmand mcontinuesminmhis/hermownmway.mFacilitationmencouragesmpatientsm
tomsaymmore,mtomcontinuemwithmthemstory.mThemrespiratorymtherapist mshould mavoid mgivingmadvice,mus
ingmavoidancemlanguage,mand musingmdistancingmlanguage.
10. Whenmclosingmtheminterview,mthemrespiratorymtherapist mshould mdomwhichmof mthemfollowing?
1. Recheckmthempatient’smvitalmsigns.
2. Thankmthempatient.
3. Askmif mthempatient mhasmanymquestions.
4. Closemthemdoormbehind mhimself/herself mformpatient mprivacy.
a.m2
b.m2,m3
c.m1,m3,m4
mmmmmmmmmmmmmmmmd.m1,m2,m4mmmm
mmm☺☺ANS:m B
, Tomend mtheminterview monmampositivemnote,mthemrespiratorymtherapist mshould mthankmthempatient mand maskm
if mthempatient mhasmanymquestions.mIf mtheremismnomneed mformthemvitalmsignsmtombemchecked,mtheymshould m
not mbe.mThemdoormmaymbemleft mopenmormclosed,mdependingmonmthemsituation.
11. Themrespiratorymtherapist mshould mbemawaremof mampatient’smculturemand mreligiousmbeliefsm
formwhichmof mthemfollowingmreasons?
a. Tombemablemtomengageminmammeaningfulmconversation
b. Tomchangemanymmisguided mnotionsmthempatient mhasmthat mmaymimpact mhis/hermhealth
c. Tomexplainmtomthempatient mhow mthesembeliefsmwillmlead mtomdiscriminationma
nd mstereotyping
d. Tombettermunderstand mhowmthempatient’smbeliefsmmaymimpact mhow mthempatient mthin
ksmand mbehaves
☺☺ANS:m D
Culturemand mreligiousmbeliefsmmaymhavemamprofound meffect monmhow mpatientsmthinkmand mbehave,mand mth
ismmaymimpact mtheirmhealthmormhealthmcaremdecisions.m Themrolemof mthemrespiratory
therapist mismnot mtomchangemthempatient’smbeliefs,mengageminmsensitivemconversations,mormdiscussmdiscri
mination.mRather,mthemrespiratorymtherapist mneedsmtomunderstand mhow mthesembeliefsmmaymimpact mthemp
atient’smhealthmcaremdecisions.
12. Whichmof mthemfollowingmaremthemmost mimportant mcomponentsmof mamsuccessfulminterview?
a. Communicationmand munderstanding
b. Authoritymand mthemusemof mmedicalmterminology
c. Providingmassurancemand mgivingmadvice
d. Askingmleadingmquestionsmand manticipatingmpatient mresponsesmtomquestions
☺☺ANS:m A
mmmm
Communicationmand munderstandingmareUthe SbasiN
s mfoT
r m a m goodOpatient minterview.mAuthority, mthemuse mof
medicalmjargon,mprovidingmassurance,mgivingmadvice,maskingmleadingmquestions,mand manticipatingmarem
allmtypesmof mnonproductivemcommunicationmformsmand mcreatembarriersmtompatient mcommunication.
13. Themrespiratorymtherapist mismconductingmampatient minterview mand mrecordingmresponsesminmt
hempatient’smelectronicmhealthmrecord.mThemrespiratorymtherapist mshould mtakemwhichmof mthe
mfollowingmintomaccount mregardingmthemusemof mthemcomputermtomrecord mresponses?
a. Themtherapist’smattentionmmaymbemshifted mfrommthempatient mtomthemcomputer.
b. Thempatient mwillmfeelmmoremimportant mthanmif mtheminformationmismrecorded monmpaper.
c. Themtherapist mwillmbemlessmlikelymtommakemspellingmerrorsmif musingmamspell-
checkmprogram.
d. Themenvironment mwillmbemmoremprofessionalmand mthempatient mwillmbemmoremlikely
mtom
openmupmif mtheminterview mismconducted mwithmpaper.
mmmmmm☺☺ANS:m A
Themtherapist’smusemof mthemcomputermcanmbemthreateningmand mmay,minmsomemcases,mbemampotentialmhaz
ard mtomgood mpatient mcommunication.mThempatient mcanmbemintimidated mtomthempoint mof m“shuttingmdown
.”mInmaddition,mthemtherapist mwhomhasmtomshift mfocusmfrommthempatient mtomthemcomputermcanmmissmimp
ortant mverbalmand mnonverbalmmessages.
