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Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins Test Bank
Clinical Manifestations and Assessment of Respiratory Disease 8th Edition Jardins Test Bank
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Clinical Manifestations and Assv v v
essment of Respiratory Disease 8
v v v v
th Edition Jardins Test Bank
v v v v
,Chapter 01: The Patient Interview
v v v v
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th Edition
v v v v v v v v v v
MULTIPLEvCHOICE
1. Thevrespiratoryvcarevpractitionervisvconductingvavpatientvinterview.vThevmainvpurposevofvthisvi
nterviewvisvto:
a. reviewvdatavwithvthevpatient.
b. gathervsubjectivevdatavfromvthevpatient.
c. gathervobjectivevdatavfromvthevpatient.
d. fillvoutvthevhistoryvformvorvchecklist.
ANS:v B
Thevinterviewvisvavmeetingvbetweenvthevrespiratoryvcarevpractitionervandvthevpatient.vItvallowsvthevcollect
ionvofvsubjectivevdatavaboutvthevpatient’svfeelingsvregardingvhis/her
condition.vThevhistoryvshouldvbevdonevbeforevthevinterview.vAlthoughvdatavcanvbevreviewed,vth
atvisvnotvthevprimaryvpurposevofvthevinterview.
2. Forvtherevtovbevavsuccessfulvinterview,vthevrespiratoryvtherapistvmust:
a. providevleadingvquestionsvtovguidevthevpatient.
b. reassurevthevpatient.
c. bevanvactivevlistener.
d. usevmedicalvterminologyvtovshowvknowledgevofvthevsubjectvmatter.
ANS:v C
N R I G B.C M
The personal qualities that a respiratoryU S N Tmust haveOto conduct a successful interview include
v v v v v
v v v
v v v therapist
v v v v v v v v v v v
beingvanvactivevlistener,vhavingvavgenuinevconcernvforvthevpatient,vandvhavingvempathy.vLeadingvquesti
onsvmustvbevavoided.vReassurancevmayvprovidevavfalsevsensevofvcomfortvtovthevpatient.vMedicalvjargonvc
anvsoundvexclusionaryvandvpaternalisticvtovavpatient.
3. Whichvofvthevfollowingvwouldvbevfoundvonvavhistoryvform?
1. Age
2. Chiefvcomplaint
3. Presentvhealth
4. Familyvhistory
5. Healthvinsurancevprovider
a. 1,v 4
b. 2,v3
c. 3,v4,v5
d. 1,v2,v3,v4
ANS:v D
Age,vchiefvcomplaint,vpresentvhealth,vandvfamilyvhistoryvarevtypicallyvfoundvonvavhealthvhistoryvfor
mvbecauseveachvcanvimpactvthevpatient’svhealth.vHealthvinsurancevprovidervinformation,vwhilevneed
edvforvbillingvpurposes,vwouldvnotvbevfoundvonvthevhistoryvform.
NURSINGTB.COM
, 4. Externalvfactorsvthevrespiratoryvcarevpractitionervshouldvmakeveffortsvtovprovidevduringvanvi
nterviewvincludevwhichvofvthevfollowing?
1. Minimizevorvpreventvinterruptions.
2. Ensurevprivacyvduringvdiscussions.
3. Interviewervisvthevsamevsexvasvthevpatientvtovpreventvbias.
4. Bevcomfortablevforvthevpatientvandvinterviewer.
a. 1,v 4
b. 2,v3
c. 1,v2,v 4
d. 2,v3,v4
ANS:v v C
Externalvfactors,vsuchvasvavgoodvphysicalvsetting,venhancevthevinterviewingvprocess.vRegardlessvofvthevi
nterviewvsettingv(thevpatient’svbedside,vavcrowdedvemergencyvroom,vanvofficevinvthevhospitalvorvclinic,vor
vthevpatient’svhome),veffortsvshouldvbevmadevtov(1)vensurevprivacy,v(2)vprevent vinterruptions,vandv(3)vsec
urevavcomfortablevphysicalvenvironmentv(e.g.,vcomfortablevroomvtemperature,vsufficientvlighting,vabsen
cevofvnoise).vAnvinterviewervofveithervgender,vwhovactsvprofessionally,vshouldvbevablevtovinterviewvavpat
ientvofveithervgender.
5. Thevrespiratoryvtherapistvisvconductingvavpatientvinterview.vThevtherapistvchoosesvtovusev
open-endedvquestions.vOpen-
endedvquestionsvallowvthevtherapistvtovdovwhichvofvthevfollowing?
1. Gathervinformationvwhenvavpatientvintroducesvavnewvtopic.
2. Introducevavnewvsubjectvarea.
3. Beginvthevinterviewvprocess.
4. Gathervspecificvinformation.
a. 4 NURSINGTB.COM
b. 1,v3
c. 1,v2,v 3
d. 2,v3,v4
ANS:v v C
Anvopen-
endedvquestionvshouldvbevusedvtovstartvthevinterview,vintroducevavnewvsectionvofvquestions,vandvgathervm
orevinformationvfromvavpatient’svtopic.vClosedvorvdirectvquestionsvarevusedvtovgathervspecificvinformatio
n.
6. Thevdirectvquestionvinterviewvformatvisvusedvto:
1. speedvupvthevinterview.
2. letvthevpatientvfullyvexplainvhis/hervsituation.
3. helpvthevrespiratoryvtherapistvshowvempathy.
4. gathervspecificvinformation.
a. 1,v 4
b. 2,v3
c. 3,v 4
d. 1,v2,v3
ANS:v v A
Directvorvclosedvquestionsvarevbestvtovgathervspecificvinformationvandvspeedvupvthevinterview.vOpen-
vendedvquestionsvarevbest vsuitedvtovletvthevpatient vfullyvexplainvhis/hervsituationvandvpossiblyvhelpvthevr
espiratoryvtherapistvshowvempathy.
, 7. Duringvthevinterviewvthevpatientvstates,v“EveryvtimevIvclimbvthevstairsvIvhavevtovstopvtovcatchv
myvbreath.”vHearingvthis,vthevrespiratoryvtherapistvreplies,v“So,vitvsoundsvlikevyouvgetvshortvo
fvbreathvclimbingvstairs.”vThisvinterviewingvtechniquevisvcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS:v D
Withvreflection,vpartvofvthevpatient’svstatementvisvrepeated.vThisvletsvthevpatientvknowvthatvwhatvhe/s
hevsaidvwasvheard.vItvalsovencouragesvthevpatientvtovelaboratevonvthevtopic.
Clarification,vmodeling,vandvempathyvarevothervcommunicationvtechniques.
8. Thevrespiratoryvtherapistvmayvchoosevtovusevthevpatientvinterviewvtechniquevofvsilencevi
nvwhichvofvthevfollowingvsituations?
a. Tovpromptvthevpatientvtovaskvavquestion
b. Aftervavdirectvquestion
c. Aftervanvopen-endedvquestion
d. Tovallowvthevpatientvtovreviewvhis/hervhistory
ANS:v C
Aftervavpatientvhasvansweredvanvopen-
endedvquestion,vthevrespiratoryvtherapistvshouldvpausev(usevsilence)vbeforevaskingvthevnextvquestion.vThi
svpausevallowsvthevpatientvtovaddvsomethingvelsevbeforevmovingvon.vThevpatientvmayvalsovchoosevtovaskv
avquestion.
9. Tovhavevthevmostvproductivevinterviewingvsession,vwhichvofvthevfollowingvtypesvofvresponsesvt
NU
ovassistvinvthevinterviewvshou vRvIvGvB.
ldvtShevrNespTiratoryvtOherapistvavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS:v D
Withvconfrontation,vthevrespiratoryvtherapistvfocusesvthevpatient’svattentionvonvanvaction,vfeeling,vorvstate
mentvmadevbyvthevpatient.vThisvmayvpromptvavfurthervdiscussion.vReflectionvhelpsvthevpatientvfocusvonvs
pecificvareasvandvcontinuesvinvhis/hervownvway.vFacilitationvencouragesvpatientsvtovsayvmore,vtovcontinu
evwithvthevstory.vThevrespiratoryvtherapistvshouldvavoidvgivingvadvice,vusingvavoidancevlanguage,vandvu
singvdistancingvlanguage.
10. Whenvclosingvthevinterview,vthevrespiratoryvtherapistvshouldvdovwhichvofvthevfollowing?
1. Recheckvthevpatient’svvitalvsigns.
2. Thankvthevpatient.
3. Askvifvthevpatientvhasvanyvquestions.
4. Closevthevdoorvbehindvhimself/herselfvforvpatientvprivacy.
a. 2
b. 2,v3
c. 1,v3,v4
d. 1,v2,v4vANS:v B
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