,Des Jardins: Clinical Manifestations and Assessment of Respiratory
nn nn nn nn nn nn nn
Disease, 8thEdition
nn nn n
Chapter 01: The Patient Interview
nn nn nn nn
MULTIPLE nnCHOICE
1. The nnrespiratory nncare nnpractitioner nnis nnconducting nna nnpatient nninterview. nnThe nnmain
nnpurpose nnof nnthisninterview nnis nnto:
a. review nndata nnwith nnthe nnpatient.
b. gather nnsubjective nndata nnfrom nnthe nnpatient.
c. gather nnobjective nndata nnfrom nnthe nnpatient.
d. fill nnout nnthe nnhistory nnform nnor nnchecklist.
ANS: n n B
The nninterview nnis nna nnmeeting nnbetween nnthe nnrespiratory nncare nnpractitioner nnand nnthe
nnpatient. nnIt nnallows nnthe nncollection nnof nnsubjective nndata nnabout nnthe nnpatient’s nnfeelings
nnregarding nnhis/her nncondition. nnThe nnhistory nnshould nnbe nndone nnbefore nnthe nninterview.
nnAlthough nndata nncan nnbe nnreviewed, nnthat nnisnot nnthe nnprimary nnpurpose nnof nnthe
nninterview.
2. For nnthere nnto nnbe nna nnsuccessful nninterview, nnthe nnrespiratory nntherapist nnmust:
a. provide nnleading nnquestions nnto nnguide nnthe nnpatient.
b. reassure nnthe nnpatient.
c. be nnan nnactive nnlistener.
d. use nnmedical nnterminology nnto nnshow nnknowledge nnof nnthe nnsubject nnmatter.
ANS: nn C
The nnpersonal nnqualities nnthat nna nnrespU
iratoSry nntN
heraTpist nnmuOst nnhave nnto nnconduct nna nnsuccessful
nninterview nninclude nnbeing n n an n n active n n listener, n n having n n a n n genuine n n concern n n for n n the
n n patient, n n and n n having n n empathy. n n Leading nnquestions nnmust nnbe nnavoided. nnReassurance nnmay
nnprovide nna nnfalse nnsense nnof nncomfort nnto n n the n n patient. nnMedical nnjargon nncan nnsound
nnexclusionary nnand nnpaternalistic nnto nna nnpatient.
3. Which nnof nnthe nnfollowing nnwould nnbe nnfound nnon nna nnhistory nnform?
1. Age
2. Chief nncomplaint
3. Present nnhealth
4. Family nnhistory
5. Health nninsurance nnprovidera.
nn1,n4
b. nn2, nn3
c. nn3, nn4, nn5
d. nn1, nn2, nn3, nn4
ANS: n n D
Age, nnchief nncomplaint, nnpresent nnhealth, nnand nnfamily nnhistory nnare nntypically nnfound nnon nna
form nnbecause nneach nncan nnimpact nnthe nnpatient’s nnhealth. nnHealth nninsurance
nnhealth nnhistory n
nnprovider nninformation, nnwhile nnneeded nnforbilling nnpurposes, nnwould nnnot nnbe nnfound nnon nnthe
nnhistory nnform.
, 4. External nnfactors nnthe nnrespiratory nncare nnpractitioner nnshould nnmake nnefforts nnto nnprovide
nnduring nnann interview nninclude nnwhich nn of nnthe nnfollowing?
1. Minimize nnor nnprevent nninterruptions.
2. Ensure nnprivacy nnduring nndiscussions.
3. Interviewer nnis nnthe nnsame nnsex nnas nnthe nnpatient nnto nnprevent nnbias.
4. Be nncomfortable nnfor nnthe nnpatient nnand
nninterviewer.n a. nn1, n n 4
b. nn2, nn3
c. n n 1, nn2, n n 4
d. nn nn nn2, nn3, nn4
ANS: n n C
External nnfactors, nnsuch nnas nna nngood nnphysical nnsetting, nnenhance nnthe nninterviewing nnprocess.
nnRegardless nnof nnthe nninterview nnsetting nn(the nnpatient’s nnbedside, nna nncrowded nnemergency nnroom, nnan
or nnthe nnpatient’s nnhome), nnefforts nnshould nnbe nnmade nnto nn(1)
nnoffice nnin nnthe nnhospital nnor nnclinic, n
nnensure nnprivacy, nn(2) nnprevent nninterruptions, nnand nn(3) nsecure nna nncomfortable nnphysical
nnenvironment nn(e.g., nncomfortable nnroom nntemperature, nnsufficient nnlighting, nnabsence nnof nnnoise).
nnAn nninterviewer nnof nneither nngender, nnwho nnacts nnprofessionally, nnshould nnbe nnable nnto nninterview nna
nnpatient nnof nneither nngender.
5. The nnrespiratory nntherapist nnis nnconducting nna nnpatient nninterview. nnThe nntherapist
nnchooses nnto nnuse n
open-ended nnquestions. nnOpen-ended nnquestions nnallow nnthe
nntherapist nnto nndo nnwhich nnof nnthe nnfollowing?
1. Gather nninformation nnwhen nna nnpatient nnintroduces nna nnnew nntopic.
2. Introduce nna nnnew nnsubject nnarea.
3. Begin nnthe nninterview nnprocess.
4. Gather nnspecific nninformation.
a. nn4 NURSINGTB.COM
b. nn1, nn3
c. n n 1,
nn2, n n 3
d. nn nn nn2,
nn3, nn4
ANS:
n n C
An nnopen-ended nnquestion nnshould nnbe nnused nnto nnstart nnthe nninterview, nnintroduce nna nnnew nnsection
nnof nnquestions, nnand nngather nnmore nninformation nnfrom nna nnpatient’s nntopic. nnClosed nnor nndirect
nnquestions nnare nnused nnto nngather nnspecific nninformation.
6. The nndirect nnquestion nninterview nnformat nnis nnused nnto:
1. speed nnup nnthe nninterview.
2. let nnthe nnpatient nnfully nnexplain nnhis/her nnsituation.
3. help nnthe nnrespiratory nntherapist nnshow nnempathy.
4. gather nnspecific
nninformation.n a. nn1, n n 4
b. nn nn nn2, nn3
c. n n 3, n n 4
d. nn nn nn1, nn2, nn3
ANS: n n A
Direct nnor nnclosed nnquestions nnare nnbest nnto nngather nnspecific nninformation nnand nnspeed nnup nnthe
nninterview. nnOpen- nended nnquestions nnare nnbest nnsuited nnto nnlet nnthe nnpatient nnfully nnexplain nnhis/her
nnsituation nnand nnpossibly nnhelp nnthen
respiratory nntherapist nnshow nnempathy.