Test bank for
g g
Clinical
g
Manifestatio
g
n s and
g g
Assessment
g
of
g
Respiratory
g
Disease 8th
g g
Edition
g
Jardins
g
,Chapter 01: The Patient Interview
g g g g
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition
g g g g g g g g g g
MULTIPLE CHOICE g
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
g g g g g g g g g g g g g
interview is to:
g g g
a. review data with the patient. g g g g
b. gather subjective data from the patient. g g g g g
c. gather objective data from the patient. g g g g g
d. fill out the history form or checklist. g g g g g g
ANS: B g
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
g g g g g g g g g g g g g g g
collection of subjective data about the patient’s feelings regarding his/her
g g g g g g g g g g
condition. The history should be done before the interview. Although data can be reviewed,
g g g g g g g g g g g g g
that is not the primary purpose of the interview.
g g g g g g g g g
2. For there to be a successful interview, the respiratory therapist must:
g g g g g g g g g g
a. provide leading questions to guide the patient. g g g g g g
b. reassure the patient. g g
c. be an active listener. g g g
d. use medical terminology to show knowledge of the subject matter.
g g g g g g g g g
ANS: g C
N R I G B.C M
The personal qualities that a respiratoryUtherapist
S N Tmust haveOto conduct a successful interview include
g g g g g
g g g
g g g g g g g g g g g g g g
being an active listener, having a genuine concern for the patient, and having empathy. Leading
g g g g g g g g g g g g g g
questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
g g g g g g g g g g g g g g g g
jargon can sound exclusionary and paternalistic to a patient.
g g g g g g g g g
3. Which of the following would be found on a history form?
g g g g g g g g g g
1. Age
2. Chief complaint g
3. Present health g
4. Family history g
5. Health insurance provider g g
a. 1, 4 g
b. 2, 3 g
c. 3, 4, 5 g g
d. 1, 2, 3, 4 g g g
ANS: D g
Age, chief complaint, present health, and family history are typically found on a health history
g g g g g g g g g g g g g g
form because each can impact the patient’s health. Health insurance provider information, while
g g g g g g g g g g g g g
needed for billing purposes, would not be found on the history form.
g g g g g g g g g g g g
NURSINGTB.COM
, 4. External factors the respiratory care practitioner should make efforts to provide during an
g g g g g g g g g g g g
interview include which of the following?
g g g g g g
1. Minimize or prevent interruptions. g g g
2. Ensure privacy during discussions. g g g
3. Interviewer is the same sex as the patient to prevent bias. g g g g g g g g g g
4. Be comfortable for the patient and interviewer.
g g g g g g
a. 1, 4 g
b. 2, 3 g
c. 1, 2, 4 g g
d. 2, 3, 4 g g
ANS: C g g
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
g g g g g g g g g g g g g g
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
g g g g g g g g g g g g g g g g
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
g g g g g g g g g g g g g g g g g
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
g g g g g g g g g g g
absence of noise). An interviewer of either gender, who acts professionally, should be able to
g g g g g g g g g g g g g g g
interview a patient of either gender.
g g g g g g
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
g g g g g g g g g g g g
open-ended questions. Open-ended questions allow the therapist to do which of the
g g g g g g g g g g g g
following? g
1. Gather information when a patient introduces a new topic. g g g g g g g g
2. Introduce a new subject area. g g g g
3. Begin the interview process. g g g
4. Gather specific information. g g
a. 4 NURSINGTB.COM
b. 1, 3 g
c. 1, 2, 3 g g
d. 2, 3, 4 g g
ANS: C g g
An open-ended question should be used to start the interview, introduce a new section of questions,
g g g g g g g g g g g g g g g
and gather more information from a patient’s topic. Closed or direct questions are used to gather
g g g g g g g g g g g g g g g g
specific information.
g g
6. The direct question interview format is used to:
g g g g g g g
1. speed up the interview. g g g
2. let the patient fully explain his/her situation.
g g g g g g
3. help the respiratory therapist show empathy.
g g g g g
4. gather specific information. g g
a. 1, 4 g
b. 2, 3 g
c. 3, 4 g
d. 1, 2, 3 g g
ANS: A g g
Direct or closed questions are best to gather specific information and speed up the interview. Open-
g g g g g g g g g g g g g g g
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
g g g g g g g g g g g g g g g g g
respiratory therapist show empathy.
g g g g
, 7. During the interview the patient states, ―Every time I climb the stairs I have to stop to catch
g g g g g g g g g g g g g g g g g
my breath.‖ Hearing this, the respiratory therapist replies, ―So, it sounds like you get short
g g g g g g g g g g g g g g g
of breath climbing stairs.‖ This interviewing technique is called:
g g g g g g g g g
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D g
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
g g g g g g g g g g g g g g g
he/she said was heard. It also encourages the patient to elaborate on the topic.
g g g g g g g g g g g g g g
Clarification, modeling, and empathy are other communication techniques. g g g g g g g
8. The respiratory therapist may choose to use the patient interview technique of silence
g g g g g g g g g g g g
in which of the following situations?
g g g g g g
a. To prompt the patient to ask a question g g g g g g g
b. After a direct question g g g
c. After an open-ended question g g g
d. To allow the patient to review his/her historyg g g g g g g
ANS: C g
After a patient has answered an open-ended question, the respiratory therapist should pause (use
g g g g g g g g g g g g g
silence) before asking the next question. This pause allows the patient to add something else before
g g g g g g g g g g g g g g g g
moving on. The patient may also choose to ask a question.
g g g g g g g g g g g
9. To have the most productive interviewing session, which of the following types of responses
N RUldItS
g
to assist in the interview shou
g g
GheB.
rNespTiratory tOherapist avoid?
g
g g
g
g
g
g
g
g g
g
g g
g
g g
g
g g g
g
g g g
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D g
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or
g g g g g g g g g g g g g
statement made by the patient. This may prompt a further discussion. Reflection helps the patient
g g g g g g g g g g g g g g g
focus on specific areas and continues in his/her own way. Facilitation encourages patients to say
g g g g g g g g g g g g g g g
more, to continue with the story. The respiratory therapist should avoid giving advice, using
g g g g g g g g g g g g g g
avoidance language, and using distancing language.
g g g g g g
10. When closing the interview, the respiratory therapist should do which of the following?
g g g g g g g g g g g g
1. Recheck the patient’s vital signs. g g g g
2. Thank the patient. g g
3. Ask if the patient has any questions. g g g g g g
4. Close the door behind himself/herself for patient privacy. g g g g g g g
a. 2
b. 2, 3 g
c. 1, 3, 4 g g
d. 1, 2, 4 ANS: B
g g g g
g g
Clinical
g
Manifestatio
g
n s and
g g
Assessment
g
of
g
Respiratory
g
Disease 8th
g g
Edition
g
Jardins
g
,Chapter 01: The Patient Interview
g g g g
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition
g g g g g g g g g g
MULTIPLE CHOICE g
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
g g g g g g g g g g g g g
interview is to:
g g g
a. review data with the patient. g g g g
b. gather subjective data from the patient. g g g g g
c. gather objective data from the patient. g g g g g
d. fill out the history form or checklist. g g g g g g
ANS: B g
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
g g g g g g g g g g g g g g g
collection of subjective data about the patient’s feelings regarding his/her
g g g g g g g g g g
condition. The history should be done before the interview. Although data can be reviewed,
g g g g g g g g g g g g g
that is not the primary purpose of the interview.
g g g g g g g g g
2. For there to be a successful interview, the respiratory therapist must:
g g g g g g g g g g
a. provide leading questions to guide the patient. g g g g g g
b. reassure the patient. g g
c. be an active listener. g g g
d. use medical terminology to show knowledge of the subject matter.
g g g g g g g g g
ANS: g C
N R I G B.C M
The personal qualities that a respiratoryUtherapist
S N Tmust haveOto conduct a successful interview include
g g g g g
g g g
g g g g g g g g g g g g g g
being an active listener, having a genuine concern for the patient, and having empathy. Leading
g g g g g g g g g g g g g g
questions must be avoided. Reassurance may provide a false sense of comfort to the patient. Medical
g g g g g g g g g g g g g g g g
jargon can sound exclusionary and paternalistic to a patient.
g g g g g g g g g
3. Which of the following would be found on a history form?
g g g g g g g g g g
1. Age
2. Chief complaint g
3. Present health g
4. Family history g
5. Health insurance provider g g
a. 1, 4 g
b. 2, 3 g
c. 3, 4, 5 g g
d. 1, 2, 3, 4 g g g
ANS: D g
Age, chief complaint, present health, and family history are typically found on a health history
g g g g g g g g g g g g g g
form because each can impact the patient’s health. Health insurance provider information, while
g g g g g g g g g g g g g
needed for billing purposes, would not be found on the history form.
g g g g g g g g g g g g
NURSINGTB.COM
, 4. External factors the respiratory care practitioner should make efforts to provide during an
g g g g g g g g g g g g
interview include which of the following?
g g g g g g
1. Minimize or prevent interruptions. g g g
2. Ensure privacy during discussions. g g g
3. Interviewer is the same sex as the patient to prevent bias. g g g g g g g g g g
4. Be comfortable for the patient and interviewer.
g g g g g g
a. 1, 4 g
b. 2, 3 g
c. 1, 2, 4 g g
d. 2, 3, 4 g g
ANS: C g g
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the
g g g g g g g g g g g g g g
interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,
g g g g g g g g g g g g g g g g
or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent interruptions, and (3)
g g g g g g g g g g g g g g g g g
secure a comfortable physical environment (e.g., comfortable room temperature, sufficient lighting,
g g g g g g g g g g g
absence of noise). An interviewer of either gender, who acts professionally, should be able to
g g g g g g g g g g g g g g g
interview a patient of either gender.
g g g g g g
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
g g g g g g g g g g g g
open-ended questions. Open-ended questions allow the therapist to do which of the
g g g g g g g g g g g g
following? g
1. Gather information when a patient introduces a new topic. g g g g g g g g
2. Introduce a new subject area. g g g g
3. Begin the interview process. g g g
4. Gather specific information. g g
a. 4 NURSINGTB.COM
b. 1, 3 g
c. 1, 2, 3 g g
d. 2, 3, 4 g g
ANS: C g g
An open-ended question should be used to start the interview, introduce a new section of questions,
g g g g g g g g g g g g g g g
and gather more information from a patient’s topic. Closed or direct questions are used to gather
g g g g g g g g g g g g g g g g
specific information.
g g
6. The direct question interview format is used to:
g g g g g g g
1. speed up the interview. g g g
2. let the patient fully explain his/her situation.
g g g g g g
3. help the respiratory therapist show empathy.
g g g g g
4. gather specific information. g g
a. 1, 4 g
b. 2, 3 g
c. 3, 4 g
d. 1, 2, 3 g g
ANS: A g g
Direct or closed questions are best to gather specific information and speed up the interview. Open-
g g g g g g g g g g g g g g g
ended questions are best suited to let the patient fully explain his/her situation and possibly help the
g g g g g g g g g g g g g g g g g
respiratory therapist show empathy.
g g g g
, 7. During the interview the patient states, ―Every time I climb the stairs I have to stop to catch
g g g g g g g g g g g g g g g g g
my breath.‖ Hearing this, the respiratory therapist replies, ―So, it sounds like you get short
g g g g g g g g g g g g g g g
of breath climbing stairs.‖ This interviewing technique is called:
g g g g g g g g g
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D g
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
g g g g g g g g g g g g g g g
he/she said was heard. It also encourages the patient to elaborate on the topic.
g g g g g g g g g g g g g g
Clarification, modeling, and empathy are other communication techniques. g g g g g g g
8. The respiratory therapist may choose to use the patient interview technique of silence
g g g g g g g g g g g g
in which of the following situations?
g g g g g g
a. To prompt the patient to ask a question g g g g g g g
b. After a direct question g g g
c. After an open-ended question g g g
d. To allow the patient to review his/her historyg g g g g g g
ANS: C g
After a patient has answered an open-ended question, the respiratory therapist should pause (use
g g g g g g g g g g g g g
silence) before asking the next question. This pause allows the patient to add something else before
g g g g g g g g g g g g g g g g
moving on. The patient may also choose to ask a question.
g g g g g g g g g g g
9. To have the most productive interviewing session, which of the following types of responses
N RUldItS
g
to assist in the interview shou
g g
GheB.
rNespTiratory tOherapist avoid?
g
g g
g
g
g
g
g
g g
g
g g
g
g g
g
g g g
g
g g g
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D g
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or
g g g g g g g g g g g g g
statement made by the patient. This may prompt a further discussion. Reflection helps the patient
g g g g g g g g g g g g g g g
focus on specific areas and continues in his/her own way. Facilitation encourages patients to say
g g g g g g g g g g g g g g g
more, to continue with the story. The respiratory therapist should avoid giving advice, using
g g g g g g g g g g g g g g
avoidance language, and using distancing language.
g g g g g g
10. When closing the interview, the respiratory therapist should do which of the following?
g g g g g g g g g g g g
1. Recheck the patient’s vital signs. g g g g
2. Thank the patient. g g
3. Ask if the patient has any questions. g g g g g g
4. Close the door behind himself/herself for patient privacy. g g g g g g g
a. 2
b. 2, 3 g
c. 1, 3, 4 g g
d. 1, 2, 4 ANS: B
g g g g
