TEST BANK: CLINICAL MANIFESTATIONS AND
b b b b
ASSESSMENT OF RESPIRATORY DISEASE, 9TH
b b b b b
EDITION BY DES JARDINS
b b b b
,Chapter 01: The Hospital client Interview
b b b b b
MULTIPLE SELECTION b
1. The respiratory care specialist is conducting a hospital client interview. The main purpose of
b b b b b b b b b b b b b
thisinterview is to:
b b b b
a. review data with the hospital client. b b b b b
b. gather subjective data from the hospital client. b b b b b b
c. gather objective data from the hospital client. b b b b b b
d. fill out the history form or checklist. b b b b b b
ACCURATE ANSWER:- B b b
Reasoning :->>>The interview is a meeting between the respiratory care specialist and the hospital
b b b b b b b b b b b b b
client. It allows thecollection of subjective data about the hospital client’s feelings regarding his/her
b b b b b b b b b b b b b b b
condition. The history should be done before the interview. Although data can be reviewed,
b b b b b b b b b b b b b
that is not the primary purpose of the interview.
b b b b b b b b b
2. For there to be a successful interview, the respiratory psychotherapist must:
b b b b b b b b b b
a. provide leading questions to guide the hospital client. b b b b b b b
b. reassure the hospital client. b b b
c. be an active listener. b b b
d. use medical terminology to show knowledge of the subject matter.
b b b b b b b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>The personal qualities that a respiratory psychotherapist must have to conduct a
b b b b b b b b b b b b
successful interview includebeing an active listener, having a genuine concern for the hospital client,
b b b b b b b b b b b b b b b
and having empathy. Leading questions must be avoided. Reassurance may provide a false sense of
b b b b b b b b b b b b b b b
comfort to the hospital client. Medicaljargon can sound exclusionary and paternalistic to a hospital
b b b b b b b b b b b b b b b
client.
b
3. Which of the following would be found on a history form?
b b b b b b b b b b
1. Age
2. Chief complaint b
3. Present health b
4. Family history b
5. Health insurance provider b b
a. 1, 4 b b b
b. 2, 3 b b
c. 3, 4, 5 b b b
d. 1, 2, 3, 4 b b b b
ACCURATE ANSWER:- D b b
Reasoning :->>>Age, chief complaint, present health, and family history are typically found on
b b b b b b b b b b b b
a health history form because each can impact the hospital client’s health. Health insurance
b b b b b b b b b b b b b b
provider information, while needed for billing purposes, would not be found on the history form.
b b b b b b b b b b b b b b b
4. External factors the respiratory care specialist should make efforts to provide during an
b b b b b b b b b b b b
interview include which of the following?
b b b b b b
1. Minimize or prevent interruptions. b b b
2. Ensure privacy during discussions. b b b
3. Interviewer is the same sex as the hospital client to prevent bias. b b b b b b b b b b b
, 4. Be comfortable for the hospital client and
b b b b b b
interviewer.a. 1, 4
b b b b
b. 2, 3 b b
c. 1, 2, 4 b b b
d. 2, 3, 4 b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>External factors, such as a good physical setting, enhance the interviewing process.
b b b b b b b b b b b b
Regardless of theinterview setting (the hospital client’s bedside, a crowded emergency room, an office
b b b b b b b b b b b b b b b
in the hospital or clinic,or the hospital client’s home), efforts should be made to (1) ensure privacy,
b b b b b b b b b b b b b b b b b b
(2) prevent interruptions, and (3)secure a comfortable physical environment (e.g., comfortable room
b b b b b b b b b b b b b
temperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts
b b b b b b b b b b b b b
professionally, should be able to interview a hospital client of either gender.
b b b b b b b b b b b b
5. The respiratory psychotherapist is conducting a hospital client interview. The
b b b b b b b b b
psychotherapist chooses to useopen-ended questions. Open-ended questions allow the
b b b b b b b b b b
psychotherapist to do which of the following?
b b b b b b b
1. Gather information when a hospital client introduces a new topic.
b b b b b b b b b
2. Introduce a new subject area. b b b b
3. Begin the interview process. b b b
4. Gather specific information. b b
a. 4 b
b. 1, 3 b b
c. 1, 2, 3 b b b
d. 2, 3, 4 b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>An open-ended question should be used to start the interview, introduce a new
b b b b b b b b b b b b b
section of questions,and gather more information from a hospital client’s topic. Closed or direct
b b b b b b b b b b b b b b b
questions are used to gather specific information.
b b b b b b b
6. The direct question interview format is used to:
b b b b b b b
1. speed up the interview. b b b
2. let the hospital client fully explain his/her situation.
b b b b b b b
3. help the respiratory psychotherapist show empathy.
b b b b b
4. gather specific information. b b
a. 1, 4
b b b
b. 2, 3 bbb b
c. 3, 4 b b
d. 1, 2, 3 bb b b
, ACCURATE ANSWER:- A b b
Reasoning :->>>Direct or closed questions are best to gather specific information and speed up the
b b b b b b b b b b b b b b
interview. Open- ended questions are best suited to let the hospital client fully explain his/her
b b b b b b b b b b b b b b b
situation and possibly help therespiratory psychotherapist show empathy.
b b b b b b b b b
7. During the interview the hospital client states, “Every time I climb the stairs I have to stop
b b b b b b b b b b b b b b b b
to catchmy breath.” Hearing this, the respiratory psychotherapist replies, “So, it sounds
b b b b b b b b b b b b b
like you get short of breath climbing stairs.” This interviewing technique is called:
b b b b b b b b b b b b b
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATE ANSWER:- D b b
Reasoning :->>>With reflection, part of the hospital client’s statement is repeated. This lets the hospital
b b b b b b b b b b b b b b
client know that whathe/she said was heard. It also encourages the hospital client to elaborate on the
b b b b b b b b b b b b b b b b b b
topic.
b
Clarification, modeling, and empathy are other communication techniques. b b b b b b b
8. The respiratory psychotherapist may choose to use the hospital client interview
b b b b b b b b b b
technique of silencein which of the following situations?
b b b b b b b b b
a. To prompt the hospital client to ask a question
b b b b b b b b
b. After a direct question b b b
c. After an open-ended question b b b
d. To allow the hospital client to review his/her history
b b b b b b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>After a hospital client has answered an open-ended question, the respiratory
b b b b b b b b b b b
psychotherapist should pause (use silence) before asking the next question. This pause allows the
b b b b b b b b b b b b b b
hospital client to add something else beforemoving on. The hospital client may also choose to ask a
b b b b b b b b b b b b b b b b b b
question.
b
9. To have the most productive interviewing session, which of the following types of responses
b
NR
to assist in the interview shou
b b
UldItSGheB.
rNespTiratory tOherapist avoid?
b
b b
b
b
b
b
b
b b
b
b b
b
b b
b
b b b
b
b b b
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATE ANSWER:- D b b
Reasoning :->>>With confrontation, the respiratory psychotherapist focuses the hospital client’s
b b b b b b b b b
attention on an action, feeling, orstatement made by the hospital client. This may prompt a further
b b b b b b b b b b b b b b b b b
discussion. Reflection helps the hospital client focus on specific areas and continues in his/her own
b b b b b b b b b b b b b b b
way. Facilitation encourages hospital clients to say more, to continue with the story. The respiratory
b b b b b b b b b b b b b b b
psychotherapist should avoid giving advice, using avoidance language, and using distancing
b b b b b b b b b b b
language.
b
10. When closing the interview, the respiratory psychotherapist should do which of the following?
b b b b b b b b b b b b
1. Recheck the hospital client’s vital signs. b b b b b
2. Thank the hospital client. b b b
3. Ask if the hospital client has any questions.
b b b b b b b
4. Close the door behind himself/herself for hospital client privacy.
b b b b b b b b
a. 2 b
b. 2, 3 b b
b b b b
ASSESSMENT OF RESPIRATORY DISEASE, 9TH
b b b b b
EDITION BY DES JARDINS
b b b b
,Chapter 01: The Hospital client Interview
b b b b b
MULTIPLE SELECTION b
1. The respiratory care specialist is conducting a hospital client interview. The main purpose of
b b b b b b b b b b b b b
thisinterview is to:
b b b b
a. review data with the hospital client. b b b b b
b. gather subjective data from the hospital client. b b b b b b
c. gather objective data from the hospital client. b b b b b b
d. fill out the history form or checklist. b b b b b b
ACCURATE ANSWER:- B b b
Reasoning :->>>The interview is a meeting between the respiratory care specialist and the hospital
b b b b b b b b b b b b b
client. It allows thecollection of subjective data about the hospital client’s feelings regarding his/her
b b b b b b b b b b b b b b b
condition. The history should be done before the interview. Although data can be reviewed,
b b b b b b b b b b b b b
that is not the primary purpose of the interview.
b b b b b b b b b
2. For there to be a successful interview, the respiratory psychotherapist must:
b b b b b b b b b b
a. provide leading questions to guide the hospital client. b b b b b b b
b. reassure the hospital client. b b b
c. be an active listener. b b b
d. use medical terminology to show knowledge of the subject matter.
b b b b b b b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>The personal qualities that a respiratory psychotherapist must have to conduct a
b b b b b b b b b b b b
successful interview includebeing an active listener, having a genuine concern for the hospital client,
b b b b b b b b b b b b b b b
and having empathy. Leading questions must be avoided. Reassurance may provide a false sense of
b b b b b b b b b b b b b b b
comfort to the hospital client. Medicaljargon can sound exclusionary and paternalistic to a hospital
b b b b b b b b b b b b b b b
client.
b
3. Which of the following would be found on a history form?
b b b b b b b b b b
1. Age
2. Chief complaint b
3. Present health b
4. Family history b
5. Health insurance provider b b
a. 1, 4 b b b
b. 2, 3 b b
c. 3, 4, 5 b b b
d. 1, 2, 3, 4 b b b b
ACCURATE ANSWER:- D b b
Reasoning :->>>Age, chief complaint, present health, and family history are typically found on
b b b b b b b b b b b b
a health history form because each can impact the hospital client’s health. Health insurance
b b b b b b b b b b b b b b
provider information, while needed for billing purposes, would not be found on the history form.
b b b b b b b b b b b b b b b
4. External factors the respiratory care specialist should make efforts to provide during an
b b b b b b b b b b b b
interview include which of the following?
b b b b b b
1. Minimize or prevent interruptions. b b b
2. Ensure privacy during discussions. b b b
3. Interviewer is the same sex as the hospital client to prevent bias. b b b b b b b b b b b
, 4. Be comfortable for the hospital client and
b b b b b b
interviewer.a. 1, 4
b b b b
b. 2, 3 b b
c. 1, 2, 4 b b b
d. 2, 3, 4 b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>External factors, such as a good physical setting, enhance the interviewing process.
b b b b b b b b b b b b
Regardless of theinterview setting (the hospital client’s bedside, a crowded emergency room, an office
b b b b b b b b b b b b b b b
in the hospital or clinic,or the hospital client’s home), efforts should be made to (1) ensure privacy,
b b b b b b b b b b b b b b b b b b
(2) prevent interruptions, and (3)secure a comfortable physical environment (e.g., comfortable room
b b b b b b b b b b b b b
temperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts
b b b b b b b b b b b b b
professionally, should be able to interview a hospital client of either gender.
b b b b b b b b b b b b
5. The respiratory psychotherapist is conducting a hospital client interview. The
b b b b b b b b b
psychotherapist chooses to useopen-ended questions. Open-ended questions allow the
b b b b b b b b b b
psychotherapist to do which of the following?
b b b b b b b
1. Gather information when a hospital client introduces a new topic.
b b b b b b b b b
2. Introduce a new subject area. b b b b
3. Begin the interview process. b b b
4. Gather specific information. b b
a. 4 b
b. 1, 3 b b
c. 1, 2, 3 b b b
d. 2, 3, 4 b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>An open-ended question should be used to start the interview, introduce a new
b b b b b b b b b b b b b
section of questions,and gather more information from a hospital client’s topic. Closed or direct
b b b b b b b b b b b b b b b
questions are used to gather specific information.
b b b b b b b
6. The direct question interview format is used to:
b b b b b b b
1. speed up the interview. b b b
2. let the hospital client fully explain his/her situation.
b b b b b b b
3. help the respiratory psychotherapist show empathy.
b b b b b
4. gather specific information. b b
a. 1, 4
b b b
b. 2, 3 bbb b
c. 3, 4 b b
d. 1, 2, 3 bb b b
, ACCURATE ANSWER:- A b b
Reasoning :->>>Direct or closed questions are best to gather specific information and speed up the
b b b b b b b b b b b b b b
interview. Open- ended questions are best suited to let the hospital client fully explain his/her
b b b b b b b b b b b b b b b
situation and possibly help therespiratory psychotherapist show empathy.
b b b b b b b b b
7. During the interview the hospital client states, “Every time I climb the stairs I have to stop
b b b b b b b b b b b b b b b b
to catchmy breath.” Hearing this, the respiratory psychotherapist replies, “So, it sounds
b b b b b b b b b b b b b
like you get short of breath climbing stairs.” This interviewing technique is called:
b b b b b b b b b b b b b
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ACCURATE ANSWER:- D b b
Reasoning :->>>With reflection, part of the hospital client’s statement is repeated. This lets the hospital
b b b b b b b b b b b b b b
client know that whathe/she said was heard. It also encourages the hospital client to elaborate on the
b b b b b b b b b b b b b b b b b b
topic.
b
Clarification, modeling, and empathy are other communication techniques. b b b b b b b
8. The respiratory psychotherapist may choose to use the hospital client interview
b b b b b b b b b b
technique of silencein which of the following situations?
b b b b b b b b b
a. To prompt the hospital client to ask a question
b b b b b b b b
b. After a direct question b b b
c. After an open-ended question b b b
d. To allow the hospital client to review his/her history
b b b b b b b b
ACCURATE ANSWER:- C b b
Reasoning :->>>After a hospital client has answered an open-ended question, the respiratory
b b b b b b b b b b b
psychotherapist should pause (use silence) before asking the next question. This pause allows the
b b b b b b b b b b b b b b
hospital client to add something else beforemoving on. The hospital client may also choose to ask a
b b b b b b b b b b b b b b b b b b
question.
b
9. To have the most productive interviewing session, which of the following types of responses
b
NR
to assist in the interview shou
b b
UldItSGheB.
rNespTiratory tOherapist avoid?
b
b b
b
b
b
b
b
b b
b
b b
b
b b
b
b b b
b
b b b
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ACCURATE ANSWER:- D b b
Reasoning :->>>With confrontation, the respiratory psychotherapist focuses the hospital client’s
b b b b b b b b b
attention on an action, feeling, orstatement made by the hospital client. This may prompt a further
b b b b b b b b b b b b b b b b b
discussion. Reflection helps the hospital client focus on specific areas and continues in his/her own
b b b b b b b b b b b b b b b
way. Facilitation encourages hospital clients to say more, to continue with the story. The respiratory
b b b b b b b b b b b b b b b
psychotherapist should avoid giving advice, using avoidance language, and using distancing
b b b b b b b b b b b
language.
b
10. When closing the interview, the respiratory psychotherapist should do which of the following?
b b b b b b b b b b b b
1. Recheck the hospital client’s vital signs. b b b b b
2. Thank the hospital client. b b b
3. Ask if the hospital client has any questions.
b b b b b b b
4. Close the door behind himself/herself for hospital client privacy.
b b b b b b b b
a. 2 b
b. 2, 3 b b