Test Bank for Clinical Manifestations and Assessment of Respiratory Disea
l l l l l l l l ll
se 8th Edition Jardins l l l
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition
l l l l l l l l l l
Chapter 01: The Patient Interview
l l l l
MULTIPLElCHOICE
1. Thelrespiratorylcarelpractitionerlislconductinglalpatientlinterview.lThelmainlpurposeloflthislinte
rviewlislto:
a. reviewldatalwithlthelpatient.
b. gatherlsubjectiveldatalfromlthelpatient.
c. gatherlobjectiveldatalfromlthelpatient.
d. fillloutlthelhistorylformlorlchecklist.
ANS:l B
Thelinterviewlislalmeetinglbetweenlthelrespiratorylcarelpractitionerlandlthelpatient.lItlallowslthelcollectionl
oflsubjectiveldatalaboutlthelpatient’slfeelingslregardinglhis/her
condition.lThelhistorylshouldlbeldonelbeforelthelinterview.lAlthoughldatalcanlbelreviewed,thatlislnotlt
helprimarylpurposeloflthelinterview.
2. Forlthereltolbelalsuccessfullinterview,lthelrespiratoryltherapistlmust:
a. providelleadinglquestionsltolguidelthelpatient.
b. reassurelthelpatient.
c. belanlactivellistener.
d. uselmedicallterminologyltolshowlknowledgeloflthelsubjectlmatter.
ANS:l C
N R I G B.C M l l l l l
U S N Tmust have toOconduct a successful interview include
The personal qualities that a respiratory therapist
l l l l l l
l l l
l l l l l l l l
beinglanlactivellistener,lhavinglalgenuinelconcernlforlthelpatient,landlhavinglempathy.lLeadinglquestionslmustlb
elavoided.lReassurancelmaylprovidelalfalselsenseloflcomfortltolthelpatient.lMedicaljargonlcanlsoundlexclusion
arylandlpaternalisticltolalpatient.
3. Whichloflthelfollowinglwouldlbelfoundlonlalhistorylform?
1. Age
2. Chieflcomplaint
3. Presentlhealth
4. Familylhistory
5. Healthlinsurancelprovidera.l1,
4
b. 2,l3
c. 3,l4,l5
d. 1,l2,l3,l4
ANS:l D
Age,lchieflcomplaint,lpresentlhealth,landlfamilylhistorylareltypicallylfoundlonlalhealthlhistorylformlbecau
seleachlcanlimpactlthelpatient’slhealth.lHealthlinsurancelproviderlinformation,lwhileneededlforlbillinglpur
poses,lwouldlnotlbelfoundlonlthelhistorylform.
, 4. Externallfactorslthelrespiratorylcarelpractitionerlshouldlmakeleffortsltolprovidelduringlanlinte
rviewlincludelwhichloflthelfollowing?
1. Minimizelorlpreventlinterruptions.
2. Ensurelprivacylduringldiscussions.
3. Interviewerlislthelsamelsexlaslthelpatientltolpreventlbias.
4. Belcomfortablelforlthelpatientlandlinterviewer.
a. 1,l 4
b. 2,l3
c. 1,l2,l 4
d. 2,l3,l4
ANS:l l C
Externallfactors,lsuchlaslalgoodlphysicallsetting,lenhancelthelinterviewinglprocess.lRegardlessloflthelinter
viewlsettingl(thelpatient’slbedside,lalcrowdedlemergencylroom,lanlofficelinlthelhospitallorlclinic,lorlthelpati
ent’slhome),leffortslshouldlbelmadeltol(1)lensurelprivacy,l(2)lpreventlinterruptions,landl(3)lsecurelalcomfo
rtablelphysicallenvironmentl(e.g.,lcomfortablelroomltemperature,lsufficientllighting,labsenceloflnoise).lA
nlinterviewerlofleitherlgender,lwholactslprofessionally,lshouldlbelableltolinterviewlalpatientlofleitherlgend
er.
5. Thelrespiratoryltherapistlislconductinglalpatientlinterview.lTheltherapistlchoosesltoluselope
n-endedlquestions.lOpen-endedlquestionslallowltheltherapistltoldolwhichloflthelfollowing?
1. Gatherlinformationlwhenlalpatientlintroduceslalnewltopic.
2. Introducelalnewlsubjectlarea.
3. Beginlthelinterviewlprocess.
4. Gatherlspecificlinformation.
a. 4 NURSINGTB.COM
b. 1,l3
c. 1,l2,l 3
d. 2,l3,l4
ANS:l l C
Anlopen-
endedlquestionlshouldlbelusedltolstartlthelinterview,lintroducelalnewlsectionloflquestions,landlgatherlmoreli
nformationlfromlalpatient’sltopic.lClosedlorldirectlquestionslarelusedltolgatherlspecificlinformation.
6. Theldirectlquestionlinterviewlformatlislusedlto:
1. speedluplthelinterview.
2. letlthelpatientlfullylexplainlhis/herlsituation.
3. helplthelrespiratoryltherapistlshowlempathy.
4. gatherlspecificlinformation.
a. 1,l 4
b. 2,l3
c. 3,l 4
d. 1,l2,l3
ANS:l l A
Directlorlclosedlquestionslarelbestltolgatherlspecificlinformationlandlspeedluplthelinterview.lOpen-
lendedlquestionslarelbestlsuitedltolletlthelpatientlfullylexplainlhis/herlsituationlandlpossiblylhelplthelrespi
ratoryltherapistlshowlempathy.
, 7. Duringlthelinterviewlthelpatientlstates,l“EveryltimelIlclimblthelstairslIlhaveltolstopltolcatchlmylbr
eath.”lHearinglthis,lthelrespiratoryltherapistlreplies,l“So,litlsoundsllikelyoulgetlshortloflbreathlcl
imbinglstairs.”lThislinterviewingltechniquelislcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:l D
Withlreflection,lpartloflthelpatient’slstatementlislrepeated.lThislletslthelpatientlknowlthatlwhatlhe/shels
aidlwaslheard.lItlalsolencourageslthelpatientltolelaboratelonltheltopic.
Clarification,lmodeling,landlempathylarelotherlcommunicationltechniques.
8. Thelrespiratoryltherapistlmaylchooseltoluselthelpatientlinterviewltechniqueloflsilencelinlw
hichloflthelfollowinglsituations?
a. Tolpromptlthelpatientltolasklalquestion
b. Afterlaldirectlquestion
c. Afterlanlopen-endedlquestion
d. Tolallowlthelpatientltolreviewlhis/herlhistory
ANS:l C
Afterlalpatientlhaslansweredlanlopen-
endedlquestion,lthelrespiratoryltherapistlshouldlpausel(uselsilence)lbeforelaskinglthelnextlquestion.lThislp
auselallowslthelpatientltoladdlsomethinglelselbeforelmovinglon.lThelpatientlmaylalsolchooseltolasklalquesti
on.
9. Tolhavelthelmostlproductivelinterviewinglsession,lwhichloflthelfollowingltypesloflresponsesltolas
sistlinlthelinterviewlshouUldNltS
lRlIlN
helr Gesp
lB. TiratoryltOherapistlavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:l D
Withlconfrontation,lthelrespiratoryltherapistlfocuseslthelpatient’slattentionlonlanlaction,lfeeling,lorlstateme
ntlmadelbylthelpatient.lThislmaylpromptlalfurtherldiscussion.lReflectionlhelpslthelpatientlfocuslonlspecificl
areaslandlcontinueslinlhis/herlownlway.lFacilitationlencourageslpatientsltolsaylmore,ltolcontinuelwithlthels
tory.lThelrespiratoryltherapistlshouldlavoidlgivingladvice,lusinglavoidancellanguage,landlusingldistancin
gllanguage.
10. Whenlclosinglthelinterview,lthelrespiratoryltherapistlshouldldolwhichloflthelfollowing?
1. Rechecklthelpatient’slvitallsigns.
2. Thanklthelpatient.
3. Askliflthelpatientlhaslanylquestions.
4. Closeltheldoorlbehindlhimself/herselflforlpatientlprivacy.
a. 2
b. 2,l3
c. 1,l3,l4
d. 1,l2,l4lANS:l B
, Tolendlthelinterviewlonlalpositivelnote,lthelrespiratoryltherapistlshouldlthanklthelpatientlandlaskliflthelpati
entlhaslanylquestions.lIfltherelislnolneedlforlthelvitallsignsltolbelchecked,ltheylshouldlnotlbe.lTheldoorlmaylb
elleftlopenlorlclosed,ldependinglonlthelsituation.
11. Thelrespiratoryltherapistlshouldlbelawareloflalpatient’slculturelandlreligiouslbeliefslforlwhi
chloflthelfollowinglreasons?
a. Tolbelableltolengagelinlalmeaningfullconversation
b. Tolchangelanylmisguidedlnotionslthelpatientlhaslthatlmaylimpactlhis/herlhealth
c. Tolexplainltolthelpatientlhowltheselbeliefslwilllleadltoldiscriminationlandlster
eotyping
d. Tolbetterlunderstandlhowlthelpatient’slbeliefslmaylimpactlhowlthelpatientlthinkslandl
behaves
ANS:l D
Culturelandlreligiouslbeliefslmaylhavelalprofoundleffectlonlhowlpatientslthinklandlbehave,landlthislmayli
mpactltheirlhealthlorlhealthlcareldecisions.lThelroleloflthelrespiratory
therapistlislnotltolchangelthelpatient’slbeliefs,lengagelinlsensitivelconversations,lorldiscussldiscriminatio
n.lRather,lthelrespiratoryltherapistlneedsltolunderstandlhowltheselbeliefslmaylimpactlthelpatient’slhealthl
careldecisions.
12. Whichloflthelfollowinglarelthelmostlimportantlcomponentsloflalsuccessfullinterview?
a. Communicationlandlunderstanding
b. Authoritylandltheluseloflmedicallterminology
c. Providinglassurancelandlgivingladvice
d. Askinglleadinglquestionslandlanticipatinglpatientlresponsesltolquestions
ANS:l A
N R I G B.C Ml l
Communication and understanding are Ut h e S
b as iN
s f oT
r a goodOpatient interview.Authority, the use of
l l l
l l l l l l l l l l l
medicalljargon,lprovidinglassurance,lgivingladvice,laskinglleadinglquestions,landlanticipatinglarelallltyp
esloflnonproductivelcommunicationlformslandlcreatelbarriersltolpatientlcommunication.
13. Thelrespiratoryltherapistlislconductinglalpatientlinterviewlandlrecordinglresponseslinlthelpati
ent’slelectroniclhealthlrecord.lThelrespiratoryltherapistlshouldltakelwhichloflthelfollowingli
ntolaccountlregardingltheluseloflthelcomputerltolrecordlresponses?
a. Theltherapist’slattentionlmaylbelshiftedlfromlthelpatientltolthelcomputer.
b. Thelpatientlwilllfeellmorelimportantlthanliflthelinformationlislrecordedlonlpaper.
c. Theltherapistlwilllbellessllikelyltolmakelspellinglerrorsliflusinglalspell-
checklprogram.
d. Thelenvironmentlwilllbelmorelprofessionallandlthelpatientlwilllbelmorellikelyltolope
nlupliflthelinterviewlislconductedlwithlpaper.
ANS:l A
Theltherapist’sluseloflthelcomputerlcanlbelthreateninglandlmay,linlsomelcases,lbelalpotentiallhazardltolgoo
dlpatientlcommunication.lThelpatientlcanlbelintimidatedltolthelpointlofl“shuttingldown.”lInladdition,lthelt
herapistlwholhasltolshiftlfocuslfromlthelpatientltolthelcomputerlcanlmisslimportantlverballandlnonverball
messages.
l l l l l l l l ll
se 8th Edition Jardins l l l
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition
l l l l l l l l l l
Chapter 01: The Patient Interview
l l l l
MULTIPLElCHOICE
1. Thelrespiratorylcarelpractitionerlislconductinglalpatientlinterview.lThelmainlpurposeloflthislinte
rviewlislto:
a. reviewldatalwithlthelpatient.
b. gatherlsubjectiveldatalfromlthelpatient.
c. gatherlobjectiveldatalfromlthelpatient.
d. fillloutlthelhistorylformlorlchecklist.
ANS:l B
Thelinterviewlislalmeetinglbetweenlthelrespiratorylcarelpractitionerlandlthelpatient.lItlallowslthelcollectionl
oflsubjectiveldatalaboutlthelpatient’slfeelingslregardinglhis/her
condition.lThelhistorylshouldlbeldonelbeforelthelinterview.lAlthoughldatalcanlbelreviewed,thatlislnotlt
helprimarylpurposeloflthelinterview.
2. Forlthereltolbelalsuccessfullinterview,lthelrespiratoryltherapistlmust:
a. providelleadinglquestionsltolguidelthelpatient.
b. reassurelthelpatient.
c. belanlactivellistener.
d. uselmedicallterminologyltolshowlknowledgeloflthelsubjectlmatter.
ANS:l C
N R I G B.C M l l l l l
U S N Tmust have toOconduct a successful interview include
The personal qualities that a respiratory therapist
l l l l l l
l l l
l l l l l l l l
beinglanlactivellistener,lhavinglalgenuinelconcernlforlthelpatient,landlhavinglempathy.lLeadinglquestionslmustlb
elavoided.lReassurancelmaylprovidelalfalselsenseloflcomfortltolthelpatient.lMedicaljargonlcanlsoundlexclusion
arylandlpaternalisticltolalpatient.
3. Whichloflthelfollowinglwouldlbelfoundlonlalhistorylform?
1. Age
2. Chieflcomplaint
3. Presentlhealth
4. Familylhistory
5. Healthlinsurancelprovidera.l1,
4
b. 2,l3
c. 3,l4,l5
d. 1,l2,l3,l4
ANS:l D
Age,lchieflcomplaint,lpresentlhealth,landlfamilylhistorylareltypicallylfoundlonlalhealthlhistorylformlbecau
seleachlcanlimpactlthelpatient’slhealth.lHealthlinsurancelproviderlinformation,lwhileneededlforlbillinglpur
poses,lwouldlnotlbelfoundlonlthelhistorylform.
, 4. Externallfactorslthelrespiratorylcarelpractitionerlshouldlmakeleffortsltolprovidelduringlanlinte
rviewlincludelwhichloflthelfollowing?
1. Minimizelorlpreventlinterruptions.
2. Ensurelprivacylduringldiscussions.
3. Interviewerlislthelsamelsexlaslthelpatientltolpreventlbias.
4. Belcomfortablelforlthelpatientlandlinterviewer.
a. 1,l 4
b. 2,l3
c. 1,l2,l 4
d. 2,l3,l4
ANS:l l C
Externallfactors,lsuchlaslalgoodlphysicallsetting,lenhancelthelinterviewinglprocess.lRegardlessloflthelinter
viewlsettingl(thelpatient’slbedside,lalcrowdedlemergencylroom,lanlofficelinlthelhospitallorlclinic,lorlthelpati
ent’slhome),leffortslshouldlbelmadeltol(1)lensurelprivacy,l(2)lpreventlinterruptions,landl(3)lsecurelalcomfo
rtablelphysicallenvironmentl(e.g.,lcomfortablelroomltemperature,lsufficientllighting,labsenceloflnoise).lA
nlinterviewerlofleitherlgender,lwholactslprofessionally,lshouldlbelableltolinterviewlalpatientlofleitherlgend
er.
5. Thelrespiratoryltherapistlislconductinglalpatientlinterview.lTheltherapistlchoosesltoluselope
n-endedlquestions.lOpen-endedlquestionslallowltheltherapistltoldolwhichloflthelfollowing?
1. Gatherlinformationlwhenlalpatientlintroduceslalnewltopic.
2. Introducelalnewlsubjectlarea.
3. Beginlthelinterviewlprocess.
4. Gatherlspecificlinformation.
a. 4 NURSINGTB.COM
b. 1,l3
c. 1,l2,l 3
d. 2,l3,l4
ANS:l l C
Anlopen-
endedlquestionlshouldlbelusedltolstartlthelinterview,lintroducelalnewlsectionloflquestions,landlgatherlmoreli
nformationlfromlalpatient’sltopic.lClosedlorldirectlquestionslarelusedltolgatherlspecificlinformation.
6. Theldirectlquestionlinterviewlformatlislusedlto:
1. speedluplthelinterview.
2. letlthelpatientlfullylexplainlhis/herlsituation.
3. helplthelrespiratoryltherapistlshowlempathy.
4. gatherlspecificlinformation.
a. 1,l 4
b. 2,l3
c. 3,l 4
d. 1,l2,l3
ANS:l l A
Directlorlclosedlquestionslarelbestltolgatherlspecificlinformationlandlspeedluplthelinterview.lOpen-
lendedlquestionslarelbestlsuitedltolletlthelpatientlfullylexplainlhis/herlsituationlandlpossiblylhelplthelrespi
ratoryltherapistlshowlempathy.
, 7. Duringlthelinterviewlthelpatientlstates,l“EveryltimelIlclimblthelstairslIlhaveltolstopltolcatchlmylbr
eath.”lHearinglthis,lthelrespiratoryltherapistlreplies,l“So,litlsoundsllikelyoulgetlshortloflbreathlcl
imbinglstairs.”lThislinterviewingltechniquelislcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:l D
Withlreflection,lpartloflthelpatient’slstatementlislrepeated.lThislletslthelpatientlknowlthatlwhatlhe/shels
aidlwaslheard.lItlalsolencourageslthelpatientltolelaboratelonltheltopic.
Clarification,lmodeling,landlempathylarelotherlcommunicationltechniques.
8. Thelrespiratoryltherapistlmaylchooseltoluselthelpatientlinterviewltechniqueloflsilencelinlw
hichloflthelfollowinglsituations?
a. Tolpromptlthelpatientltolasklalquestion
b. Afterlaldirectlquestion
c. Afterlanlopen-endedlquestion
d. Tolallowlthelpatientltolreviewlhis/herlhistory
ANS:l C
Afterlalpatientlhaslansweredlanlopen-
endedlquestion,lthelrespiratoryltherapistlshouldlpausel(uselsilence)lbeforelaskinglthelnextlquestion.lThislp
auselallowslthelpatientltoladdlsomethinglelselbeforelmovinglon.lThelpatientlmaylalsolchooseltolasklalquesti
on.
9. Tolhavelthelmostlproductivelinterviewinglsession,lwhichloflthelfollowingltypesloflresponsesltolas
sistlinlthelinterviewlshouUldNltS
lRlIlN
helr Gesp
lB. TiratoryltOherapistlavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:l D
Withlconfrontation,lthelrespiratoryltherapistlfocuseslthelpatient’slattentionlonlanlaction,lfeeling,lorlstateme
ntlmadelbylthelpatient.lThislmaylpromptlalfurtherldiscussion.lReflectionlhelpslthelpatientlfocuslonlspecificl
areaslandlcontinueslinlhis/herlownlway.lFacilitationlencourageslpatientsltolsaylmore,ltolcontinuelwithlthels
tory.lThelrespiratoryltherapistlshouldlavoidlgivingladvice,lusinglavoidancellanguage,landlusingldistancin
gllanguage.
10. Whenlclosinglthelinterview,lthelrespiratoryltherapistlshouldldolwhichloflthelfollowing?
1. Rechecklthelpatient’slvitallsigns.
2. Thanklthelpatient.
3. Askliflthelpatientlhaslanylquestions.
4. Closeltheldoorlbehindlhimself/herselflforlpatientlprivacy.
a. 2
b. 2,l3
c. 1,l3,l4
d. 1,l2,l4lANS:l B
, Tolendlthelinterviewlonlalpositivelnote,lthelrespiratoryltherapistlshouldlthanklthelpatientlandlaskliflthelpati
entlhaslanylquestions.lIfltherelislnolneedlforlthelvitallsignsltolbelchecked,ltheylshouldlnotlbe.lTheldoorlmaylb
elleftlopenlorlclosed,ldependinglonlthelsituation.
11. Thelrespiratoryltherapistlshouldlbelawareloflalpatient’slculturelandlreligiouslbeliefslforlwhi
chloflthelfollowinglreasons?
a. Tolbelableltolengagelinlalmeaningfullconversation
b. Tolchangelanylmisguidedlnotionslthelpatientlhaslthatlmaylimpactlhis/herlhealth
c. Tolexplainltolthelpatientlhowltheselbeliefslwilllleadltoldiscriminationlandlster
eotyping
d. Tolbetterlunderstandlhowlthelpatient’slbeliefslmaylimpactlhowlthelpatientlthinkslandl
behaves
ANS:l D
Culturelandlreligiouslbeliefslmaylhavelalprofoundleffectlonlhowlpatientslthinklandlbehave,landlthislmayli
mpactltheirlhealthlorlhealthlcareldecisions.lThelroleloflthelrespiratory
therapistlislnotltolchangelthelpatient’slbeliefs,lengagelinlsensitivelconversations,lorldiscussldiscriminatio
n.lRather,lthelrespiratoryltherapistlneedsltolunderstandlhowltheselbeliefslmaylimpactlthelpatient’slhealthl
careldecisions.
12. Whichloflthelfollowinglarelthelmostlimportantlcomponentsloflalsuccessfullinterview?
a. Communicationlandlunderstanding
b. Authoritylandltheluseloflmedicallterminology
c. Providinglassurancelandlgivingladvice
d. Askinglleadinglquestionslandlanticipatinglpatientlresponsesltolquestions
ANS:l A
N R I G B.C Ml l
Communication and understanding are Ut h e S
b as iN
s f oT
r a goodOpatient interview.Authority, the use of
l l l
l l l l l l l l l l l
medicalljargon,lprovidinglassurance,lgivingladvice,laskinglleadinglquestions,landlanticipatinglarelallltyp
esloflnonproductivelcommunicationlformslandlcreatelbarriersltolpatientlcommunication.
13. Thelrespiratoryltherapistlislconductinglalpatientlinterviewlandlrecordinglresponseslinlthelpati
ent’slelectroniclhealthlrecord.lThelrespiratoryltherapistlshouldltakelwhichloflthelfollowingli
ntolaccountlregardingltheluseloflthelcomputerltolrecordlresponses?
a. Theltherapist’slattentionlmaylbelshiftedlfromlthelpatientltolthelcomputer.
b. Thelpatientlwilllfeellmorelimportantlthanliflthelinformationlislrecordedlonlpaper.
c. Theltherapistlwilllbellessllikelyltolmakelspellinglerrorsliflusinglalspell-
checklprogram.
d. Thelenvironmentlwilllbelmorelprofessionallandlthelpatientlwilllbelmorellikelyltolope
nlupliflthelinterviewlislconductedlwithlpaper.
ANS:l A
Theltherapist’sluseloflthelcomputerlcanlbelthreateninglandlmay,linlsomelcases,lbelalpotentiallhazardltolgoo
dlpatientlcommunication.lThelpatientlcanlbelintimidatedltolthelpointlofl“shuttingldown.”lInladdition,lthelt
herapistlwholhasltolshiftlfocuslfromlthelpatientltolthelcomputerlcanlmisslimportantlverballandlnonverball
messages.
