Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
Test Bank
Clinical Manifestations
and Assessment
of Respiratory Disease
8th Edition
TERRY DES JARDINS
GEORGE G. BURTON
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
Table of Contents
PART 1: Assessment of Cardiopulmonary Disease
SECTION I: Bedside Diagnosis
1. The Patient Interview
2. The Physical Examination
3. The Pathophysiologic Basis for Common Clinical Manifestations
SECTION II: CLINICAL DATA OBTAINED FROM LABORATORY TESTS AND SPECIAL PROCEDURES—
Objective Findings
4. Pulmonary Function Testing
5. Blood Gas Assessment
6. Assessment of Oxygenation
7. Assessment of the Cardiovascular System
8. Radiologic Examination of the Chest
9. Other Important Tests and Procedures
SECTION III: THE THERAPIST-DRIVEN PROTOCOL PROGRAM—THE ESSENTIALS
10. The Therapist-Driven Protocol Program
11. Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols
12. Recording Skills and Intra-Professional Communication
PART II: Obstructive Lung Disease
13. Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema
14. Asthma
15. Cystic Fibrosis
16. Bronchiectasis
PART III: Loss of Alveolar Volume
17. Atelectasis
PART IV: Infectious Pulmonary Disease
18. Pneumonia, Lung Abscess Formation and Important Fungal Diseases
19. Tuberculosis
PART V: Pulmonary Vascular Disease
20. Pulmonary Edema
21. Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension
PART VI: Chest and Pleural Trauma
22. Flail Chest
23. Pneumothorax
PART VII: Disorders of the Pleura and of the Chest Wall
24. Pleural Effusion and Empyema
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
25. Kyphoscoliosis
PART VIII: Lung Cancer
26. Cancer of the Lung: Prevention and Palliation
PART IX: Environmental Lung Diseases
27. Interstitial Lung Diseases
PART X: Diffuse Alveolar Disease
28. Acute Respiratory Distress Syndrome
PART XI: Neuro-Respiratory Disorders
29. Guillain-Barre Syndrome
30. Myasthenia Gravis
31. Respiratory Insufficiency in the Patient with Neuro-Respiratory Disease
PART XII: Sleep-Related Breathing Disorders
32. Sleep Apnea
PART XIII: Newborn and Early Childhood Cardiopulmonary Disorders
33. The Newborn Disorders
34. Pediatric Assessment, Protocols, and PALS Management
35. Meconium Aspiration Syndrome
36. Transient Tachypnea of the Newborn
37. Respiratory Distress Syndrome
38. Pulmonary Air Leak Syndrome
39. Respiratory Syncytial Virus Infection (Bronchiolitis)
40. Chronic Lung Disease of Infancy
41. Congenital Diaphragmatic Hernia
42. Congenital Heart Disease
43. Croup and Croup-like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis and Acute
Epiglottitis
PART XIV: Other Important Topics
44. Near Drowning/Wet Drowning
45. Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
Chapter 01: The Patient Interview
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
Edition
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It
allows the collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed,
that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful
interview include being an active listener, having a genuine concern for the patient, and
having empathy. Leading questions must be avoided. Reassurance may provide a false sense
of comfort to the patient. Medical jargon can sound exclusionary and paternalistic to a
patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health
history form because each can impact the patient’s health. Health insurance provider
information, while needed for billing purposes, would not be found on the history form.
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
Regardless of the interview setting (the patient’s bedside, a crowded emergency room, an
office in the hospital or clinic, or the patient’s home), efforts should be made to (1) ensure
privacy, (2) prevent interruptions, and (3) secure a comfortable physical environment (e.g.,
comfortable room temperature, sufficient lighting, absence of noise). An interviewer of
either gender, who acts professionally, should be able to interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
open-ended questions. Open-ended questions allow the therapist to do which of the
following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section of
questions, and gather more information from a patient’s topic. Closed or direct questions are
used to gather specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
Direct or closed questions are best to gather specific information and speed up the interview.
Open-ended questions are best suited to let the patient fully explain his/her situation and
possibly help the respiratory therapist show empathy.
7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
of breath climbing stairs.” This interviewing technique is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know that
what he/she said was heard. It also encourages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.
8. The respiratory therapist may choose to use the patient interview technique of silence in
which of the following situations?
a. To prompt the patient to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the patient to review his/her history
ANS: C
After a patient has answered an open-ended question, the respiratory therapist should pause
(use silence) before asking the next question. This pause allows the patient to add something
else before moving on. The patient may also choose to ask a question.
9. To have the most productive interviewing session, which of the following types of responses
to assist in the interview should the respiratory therapist avoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an action,
feeling, or statement made by the patient. This may prompt a further discussion. Reflection
helps the patient focus on specific areas and continues in his/her own way. Facilitation
encourages patients to say more, to continue with the story. The respiratory therapist should
avoid giving advice, using avoidance language, and using distancing language.
10. When closing the interview, the respiratory therapist should do which of the following?
1. Recheck the patient’s vital signs.
2. Thank the patient.
3. Ask if the patient has any questions.
4. Close the door behind himself/herself for patient privacy.
a. 2
Test Bank
Clinical Manifestations
and Assessment
of Respiratory Disease
8th Edition
TERRY DES JARDINS
GEORGE G. BURTON
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
Table of Contents
PART 1: Assessment of Cardiopulmonary Disease
SECTION I: Bedside Diagnosis
1. The Patient Interview
2. The Physical Examination
3. The Pathophysiologic Basis for Common Clinical Manifestations
SECTION II: CLINICAL DATA OBTAINED FROM LABORATORY TESTS AND SPECIAL PROCEDURES—
Objective Findings
4. Pulmonary Function Testing
5. Blood Gas Assessment
6. Assessment of Oxygenation
7. Assessment of the Cardiovascular System
8. Radiologic Examination of the Chest
9. Other Important Tests and Procedures
SECTION III: THE THERAPIST-DRIVEN PROTOCOL PROGRAM—THE ESSENTIALS
10. The Therapist-Driven Protocol Program
11. Respiratory Insufficiency, Respiratory Failure and Ventilatory Management Protocols
12. Recording Skills and Intra-Professional Communication
PART II: Obstructive Lung Disease
13. Chronic Obstructive Pulmonary Disease, Chronic Bronchitis and Emphysema
14. Asthma
15. Cystic Fibrosis
16. Bronchiectasis
PART III: Loss of Alveolar Volume
17. Atelectasis
PART IV: Infectious Pulmonary Disease
18. Pneumonia, Lung Abscess Formation and Important Fungal Diseases
19. Tuberculosis
PART V: Pulmonary Vascular Disease
20. Pulmonary Edema
21. Pulmonary Vascular Disease: Pulmonary Embolism and Pulmonary Hypertension
PART VI: Chest and Pleural Trauma
22. Flail Chest
23. Pneumothorax
PART VII: Disorders of the Pleura and of the Chest Wall
24. Pleural Effusion and Empyema
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
25. Kyphoscoliosis
PART VIII: Lung Cancer
26. Cancer of the Lung: Prevention and Palliation
PART IX: Environmental Lung Diseases
27. Interstitial Lung Diseases
PART X: Diffuse Alveolar Disease
28. Acute Respiratory Distress Syndrome
PART XI: Neuro-Respiratory Disorders
29. Guillain-Barre Syndrome
30. Myasthenia Gravis
31. Respiratory Insufficiency in the Patient with Neuro-Respiratory Disease
PART XII: Sleep-Related Breathing Disorders
32. Sleep Apnea
PART XIII: Newborn and Early Childhood Cardiopulmonary Disorders
33. The Newborn Disorders
34. Pediatric Assessment, Protocols, and PALS Management
35. Meconium Aspiration Syndrome
36. Transient Tachypnea of the Newborn
37. Respiratory Distress Syndrome
38. Pulmonary Air Leak Syndrome
39. Respiratory Syncytial Virus Infection (Bronchiolitis)
40. Chronic Lung Disease of Infancy
41. Congenital Diaphragmatic Hernia
42. Congenital Heart Disease
43. Croup and Croup-like Syndromes: Laryngotracheobronchitis, Bacterial Tracheitis and Acute
Epiglottitis
PART XIV: Other Important Topics
44. Near Drowning/Wet Drowning
45. Smoke Inhalation, Thermal Injuries, and Carbon Monoxide Intoxication
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
Chapter 01: The Patient Interview
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
Edition
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a patient interview. The main purpose of this
interview is to:
a. review data with the patient.
b. gather subjective data from the patient.
c. gather objective data from the patient.
d. fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the patient. It
allows the collection of subjective data about the patient’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be reviewed,
that is not the primary purpose of the interview.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the patient.
b. reassure the patient.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
ANS: C
The personal qualities that a respiratory therapist must have to conduct a successful
interview include being an active listener, having a genuine concern for the patient, and
having empathy. Leading questions must be avoided. Reassurance may provide a false sense
of comfort to the patient. Medical jargon can sound exclusionary and paternalistic to a
patient.
3. Which of the following would be found on a history form?
1. Age
2. Chief complaint
3. Present health
4. Family history
5. Health insurance provider
a. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health
history form because each can impact the patient’s health. Health insurance provider
information, while needed for billing purposes, would not be found on the history form.
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
4. External factors the respiratory care practitioner should make efforts to provide during an
interview include which of the following?
1. Minimize or prevent interruptions.
2. Ensure privacy during discussions.
3. Interviewer is the same sex as the patient to prevent bias.
4. Be comfortable for the patient and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
Regardless of the interview setting (the patient’s bedside, a crowded emergency room, an
office in the hospital or clinic, or the patient’s home), efforts should be made to (1) ensure
privacy, (2) prevent interruptions, and (3) secure a comfortable physical environment (e.g.,
comfortable room temperature, sufficient lighting, absence of noise). An interviewer of
either gender, who acts professionally, should be able to interview a patient of either gender.
5. The respiratory therapist is conducting a patient interview. The therapist chooses to use
open-ended questions. Open-ended questions allow the therapist to do which of the
following?
1. Gather information when a patient introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section of
questions, and gather more information from a patient’s topic. Closed or direct questions are
used to gather specific information.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the patient fully explain his/her situation.
3. help the respiratory therapist show empathy.
4. gather specific information.
a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
, Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins TEST BANK
Direct or closed questions are best to gather specific information and speed up the interview.
Open-ended questions are best suited to let the patient fully explain his/her situation and
possibly help the respiratory therapist show empathy.
7. During the interview the patient states, “Every time I climb the stairs I have to stop to catch
my breath.” Hearing this, the respiratory therapist replies, “So, it sounds like you get short
of breath climbing stairs.” This interviewing technique is called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D
With reflection, part of the patient’s statement is repeated. This lets the patient know that
what he/she said was heard. It also encourages the patient to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.
8. The respiratory therapist may choose to use the patient interview technique of silence in
which of the following situations?
a. To prompt the patient to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the patient to review his/her history
ANS: C
After a patient has answered an open-ended question, the respiratory therapist should pause
(use silence) before asking the next question. This pause allows the patient to add something
else before moving on. The patient may also choose to ask a question.
9. To have the most productive interviewing session, which of the following types of responses
to assist in the interview should the respiratory therapist avoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D
With confrontation, the respiratory therapist focuses the patient’s attention on an action,
feeling, or statement made by the patient. This may prompt a further discussion. Reflection
helps the patient focus on specific areas and continues in his/her own way. Facilitation
encourages patients to say more, to continue with the story. The respiratory therapist should
avoid giving advice, using avoidance language, and using distancing language.
10. When closing the interview, the respiratory therapist should do which of the following?
1. Recheck the patient’s vital signs.
2. Thank the patient.
3. Ask if the patient has any questions.
4. Close the door behind himself/herself for patient privacy.
a. 2
