Test Bank for Clinical Manifestations and Assessment of Respirat
a a a a a a a a
ory Disease 9th Edition by Des Jardins, All Chapters Covered, A+
a a a a a a a a a a a
guide.
,Chaptera01:aTheaPatientaInterview
DesaJardins:aClinicalaManifestationsaandaAssessmentaofaRespiratoryaDisease,a9thaEditio
n
MULTIPLEaCHOICE
1. Thearespiratoryacareapractitioneraisaconductingaaapatientainterview.aTheamainapurposeaofathisai
nterviewaisato:
a. reviewadataawithatheapatient.
b. gatherasubjectiveadataafromatheapatient.
c. gatheraobjectiveadataafromatheapatient.
d. fillaoutatheahistoryaformaorachecklist.
ANS:a B
Theainterviewaisaaameetingabetweenathearespiratoryacareapractitioneraandatheapatient.aItaallowsatheacollectio
naofasubjectiveadataaaboutatheapatient’safeelingsaregardingahis/her
condition.aTheahistoryashouldabeadoneabeforeatheainterview.aAlthoughadataacanabeareviewed,at
hataisanotatheaprimaryapurposeaofatheainterview.
2. Forathereatoabeaaasuccessfulainterview,athearespiratoryatherapistamust:
a. providealeadingaquestionsatoaguideatheapatient.
b. reassureatheapatient.
c. beaanaactivealistener.
d. useamedicalaterminologyatoashowaknowledgeaofatheasubjectamatter.
ANS:a C
N R I G B.C M
The personal qualities that a respiratoryUtherapist
S N Tmust haveOto conduct a successful interview include
a a a a a
a a a
a a a a a a a a a a a a a a
beingaanaactivealistener,ahavingaaagenuineaconcernaforatheapatient,aandahavingaempathy.aLeadingaquesti
onsamustabeaavoided.aReassuranceamayaprovideaaafalseasenseaofacomfortatoatheapatient.aMedicalajargona
canasoundaexclusionaryaandapaternalisticatoaaapatient.
3. Whichaofatheafollowingawouldabeafoundaonaaahistoryaform?
1. Age
2. Chiefacomplaint
3. Presentahealth
4. Familyahistory
5. Healthainsuranceaprovider
a. 1,a 4
b. 2,a3
c. 3,a4,a5
d. 1,a2,a3,a4
ANS:a D
Age,achiefacomplaint,apresentahealth,aandafamilyahistoryaareatypicallyafoundaonaaahealthahistoryafor
mabecauseaeachacanaimpactatheapatient’sahealth.aHealthainsuranceaproviderainformation,awhileaneed
edaforabillingapurposes,awouldanotabeafoundaonatheahistoryaform.
NURSINGTB.COM
, 4. Externalafactorsathearespiratoryacareapractitionerashouldamakeaeffortsatoaprovideaduringaanai
nterviewaincludeawhichaofatheafollowing?
1. Minimizeaorapreventainterruptions.
2. Ensureaprivacyaduringadiscussions.
3. Intervieweraisatheasameasexaasatheapatientatoapreventabias.
4. Beacomfortableaforatheapatientaandainterviewer.
a. 1,a 4
b. 2,a3
c. 1,a2,a 4
d. 2,a3,a4
ANS:a a C
Externalafactors,asuchaasaaagoodaphysicalasetting,aenhanceatheainterviewingaprocess.aRegardlessaofatheai
nterviewasettinga(theapatient’sabedside,aaacrowdedaemergencyaroom,aanaofficeainatheahospitalaoraclinic,ao
ratheapatient’sahome),aeffortsashouldabeamadeatoa(1)aensureaprivacy,a(2)apreventainterruptions,aanda(3)ase
cureaaacomfortableaphysicalaenvironmenta(e.g.,acomfortablearoomatemperature,asufficientalighting,aabse
nceaofanoise).aAnaintervieweraofaeitheragender,awhoaactsaprofessionally,ashouldabeaableatoainterviewaaap
atientaofaeitheragender.
5. Thearespiratoryatherapistaisaconductingaaapatientainterview.aTheatherapistachoosesatoausea
open-endedaquestions.aOpen-
endedaquestionsaallowatheatherapistatoadoawhichaofatheafollowing?
1. Gatherainformationawhenaaapatientaintroducesaaanewatopic.
2. Introduceaaanewasubjectaarea.
3. Beginatheainterviewaprocess.
4. Gatheraspecificainformation.
a. 4 NURSINGTB.COM
b. 1,a3
c. 1,a2,a 3
d. 2,a3,a4
ANS:a a C
Anaopen-
endedaquestionashouldabeausedatoastartatheainterview,aintroduceaaanewasectionaofaquestions,aandagatheram
oreainformationafromaaapatient’satopic.aClosedaoradirectaquestionsaareausedatoagatheraspecificainformatio
n.
6. Theadirectaquestionainterviewaformataisausedato:
1. speedaupatheainterview.
2. letatheapatientafullyaexplainahis/herasituation.
3. helpathearespiratoryatherapistashowaempathy.
4. gatheraspecificainformation.
a. 1,a 4
b. 2,a3
c. 3,a 4
d. 1,a2,a3
ANS:a a A
Directaoraclosedaquestionsaareabestatoagatheraspecificainformationaandaspeedaupatheainterview.aOpen-
aendedaquestionsaareabestasuitedatoaletatheapatientafullyaexplainahis/herasituationaandapossiblyahelpathea
respiratoryatherapistashowaempathy.
, 7. Duringatheainterviewatheapatientastates,a“EveryatimeaIaclimbatheastairsaIahaveatoastopatoacatcha
myabreath.”aHearingathis,athearespiratoryatherapistareplies,a“So,aitasoundsalikeayouagetashortao
fabreathaclimbingastairs.”aThisainterviewingatechniqueaisacalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:a D
Withareflection,apartaofatheapatient’sastatementaisarepeated.aThisaletsatheapatientaknowathatawhatahe/s
heasaidawasaheard.aItaalsoaencouragesatheapatientatoaelaborateaonatheatopic.
Clarification,amodeling,aandaempathyaareaotheracommunicationatechniques.
8. Thearespiratoryatherapistamayachooseatoauseatheapatientainterviewatechniqueaofasilenceai
nawhichaofatheafollowingasituations?
a. Toapromptatheapatientatoaaskaaaquestion
b. Afteraaadirectaquestion
c. Afteraanaopen-endedaquestion
d. Toaallowatheapatientatoareviewahis/herahistory
ANS:a C
Afteraaapatientahasaansweredaanaopen-
endedaquestion,athearespiratoryatherapistashouldapausea(useasilence)abeforeaaskingatheanextaquestion.aT
hisapauseaallowsatheapatientatoaaddasomethingaelseabeforeamovingaon.aTheapatientamayaalsoachooseatoaa
skaaaquestion.
9. Toahaveatheamostaproductiveainterviewingasession,awhichaofatheafollowingatypesaofaresponsesat
NU
oaassistainatheainterviewashou aRaIS
ldat aGheaB.
arNespTiratoryatOherapistaavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:a D
Withaconfrontation,athearespiratoryatherapistafocusesatheapatient’saattentionaonaanaaction,afeeling,aorastat
ementamadeabyatheapatient.aThisamayapromptaaafurtheradiscussion.aReflectionahelpsatheapatientafocusao
naspecificaareasaandacontinuesainahis/heraownaway.aFacilitationaencouragesapatientsatoasayamore,atoacon
tinueawithatheastory.aThearespiratoryatherapistashouldaavoidagivingaadvice,ausingaavoidancealanguage,aa
ndausingadistancingalanguage.
10. Whenaclosingatheainterview,athearespiratoryatherapistashouldadoawhichaofatheafollowing?
1. Recheckatheapatient’savitalasigns.
2. Thankatheapatient.
3. Askaifatheapatientahasaanyaquestions.
4. Closeatheadoorabehindahimself/herselfaforapatientaprivacy.
a. 2
b. 2,a3
c. 1,a3,a4
d. 1,a2,a4aANS:a B
