,Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8t
Y Y Y Y Y Y Y Y Y
h Edition
Y
Chapter 01: The Patient Interview
Y Y Y Y
MULTIPLEYCHOICE
1. TheYrespiratoryYcareYpractitionerYisYconductingYaYpatientYinterview.YTheYmainYpurposeYofYth
isYinterviewYisYto:
a. reviewYdataYwithYtheYpatient.
b. gatherYsubjectiveYdataYfromYtheYpatient.
c. gatherYobjectiveYdataYfromYtheYpatient.
d. fillYoutYtheYhistoryYformYorYchecklist.
ANS:Y B
TheYinterviewYisYaYmeetingYbetweenYtheYrespiratoryYcareYpractitionerYandYtheYpatient.YItYal
lowsYtheYcollectionYofYsubjectiveYdataYaboutYtheYpatient’sYfeelingsYregardingYhis/herYcondi
tion.YTheYhistoryYshouldYbeYdoneYbeforeYtheYinterview.YAlthoughYdataYcanYbeYreviewed,Yt
hatYisnotYtheYprimaryYpurposeYofYtheYinterview.
2. ForYthereYtoYbeYaYsuccessfulYinterview,YtheYrespiratoryYtherapistYmust:
a. provideYleadingYquestionsYtoYguideYtheYpatient.
b. reassureYtheYpatient.
c. beYanYactiveYlistener.
d. useYmedicalYterminologyYtoYshowYknowledgeYofYtheYsubjectYmatter.
ANS:Y C
TheYpersonalYqualitiesYthatYaYrespU iratoSryYtN
heraTpistYmuO
stYhaveYtoYconductYaYsuccessfulYinterviewYincludeYb
eingY anY activeY listener,Y havingY aY genuineY concernY forY theY patient,Y andY havingY empathy.Y LeadingYque
stionsYmustYbeYavoided.YReassuranceYmayYprovideYaYfalseYsenseYofYcomfortYtoY theY patient.
MedicalYjargonYcanYsoundYexclusionaryYandYpaternalisticYtoYaYpatient.
3. WhichYofYtheYfollowingYwouldYbeYfoundYonYaYhistoryYform?
1. Age
2. ChiefYcomplaint
3. PresentYhealth
4. FamilyYhistory
5. HealthYinsuranceYprovidera.Y1
,Y4
b.Y2,Y3
c.Y3,Y4,Y5
d.Y1,Y2,Y3,Y4
ANS:Y D
Age,YchiefYcomplaint,YpresentYhealth,YandYfamilyYhistoryYareYtypicallyYfoundYonYaYhealthYhisto
ryYformYbecauseYeachYcanYimpactYtheYpatient’sYhealth.YHealthYinsuranceYproviderYinformation,Y
whileYneededYforbillingYpurposes,YwouldYnotYbeYfoundYonYtheYhistoryYform.
, 4. ExternalYfactorsYtheYrespiratoryYcareYpractitionerYshouldYmakeYeffortsYtoYprovideYduringY
anYinterviewYincludeYwhichYofYtheYfollowing?
1. MinimizeYorYpreventYinterruptions.
2. EnsureYprivacyYduringYdiscussions.
3. InterviewerYisYtheYsameYsexYasYtheYpatientYtoYpreventYbias.
4. BeYcomfortableYforYtheYpatientYandYinterviewer
.Ya.Y1,Y 4
b.Y2,Y3
c.Y 1,Y2,Y 4
d.YYY2,Y3,Y4
ANS:Y C
ExternalYfactors,YsuchYasYaYgoodYphysicalYsetting,YenhanceYtheYinterviewingYprocess.YRegardlessYofYth
eYinterviewYsettingY(theYpatient’sYbedside,YaYcrowdedYemergencyYroom,YanYofficeYinYtheYhospitalYorYcli
nic,YorYtheYpatient’sYhome),YeffortsYshouldYbeYmadeYtoY(1)YensureYprivacy,Y(2)YpreventYinterruptions,Ya
ndY(3)YsecureYaYcomfortableYphysicalYenvironmentY(e.g.,YcomfortableYroomYtemperature,YsufficientYlig
hting,YabsenceYofYnoise).YAnYinterviewerYofYeitherYgender,YwhoYactsYprofessionally,YshouldYbeYableYto
YinterviewYaYpatientYofY eitherYgender.
5. TheYrespiratoryYtherapistYisYconductingYaYpatientYinterview.YTheYtherapistYchoosesYtoYu
seYopen-endedYquestions.YOpen-
endedYquestionsYallowYtheYtherapistYtoYdoYwhichYofYtheYfollowing?
1. GatherYinformationYwhenYaYpatientYintroducesYaYnewYtopic.
2. IntroduceYaYnewYsubjectYarea.
3. BeginYtheYinterviewYprocess.
4. GatherYspecificYinformation.
a.Y4 NURSINGTB.COM
b.Y1,Y3
c.Y 1,Y2,Y 3
d.YYY2,Y3,Y
4
ANS:Y C
AnYopen-
endedYquestionYshouldYbeYusedYtoYstartYtheYinterview,YintroduceYaYnewYsectionYofYquestions,YandYgat
herYmoreYinformationYfromYaYpatient’sYtopic.YClosedYorYdirectYquestionsYareYusedYtoYgatherYspecificYi
nformation.
6. TheYdirectYquestionYinterviewYformatYisYusedYto:
1. speedYupYtheYinterview.
2. letYtheYpatientYfullyYexplainYhis/herYsituation.
3. helpYtheYrespiratoryYtherapistYshowYempathy.
4. gatherYspecificYinformation
.Ya.Y1,Y 4
b.YYY2,Y3
c.Y 3,Y 4
d.YYY1,Y2,Y3
ANS:Y A
DirectYorYclosedYquestionsYareYbestYtoYgatherYspecificYinformationYandYspeedYupYtheYinterview.YOpe
n-
endedYquestionsYareYbestYsuitedYtoYletYtheYpatientYfullyYexplainYhis/herYsituationYandYpossiblyYhelpYt
Y
heYrespiratoryYtherapistYshowYempathy.