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