,Des Jardins: Clinical Manifestations and Assessment
v v v v v
of Respiratory Disease, 8thEdition
v v v v v
Chapter 01: ThePatientInterview
v v v v
MULTIPLECHOICE v
1. The respiratory care practitioner is conducting a patient interview. The main purpose of thisinterview is to:
v v v v v v v v v v v v v v v
a. reviewdatawiththepatient. v v v v
b. gathersubjectivedata fromthe patient. v v v v v
c. gatherobjectivedatafrom thepatient. v v v v v
d. filloutthehistoryformorchecklist. v v v v v v
ANS: B v
The interview is a meeting between the respiratory care practitioner and the patient. It allows thecollection of
v v v v v v v v v v v v v v v v
subjectivedataaboutthepatient’sfeelingsregardinghis/her
v v v v v v v v
condition. The history should be done before the interview.Although data can be reviewed,that is not the v v v v v v v v v v v v v v v v
primary purpose of the interview.
v v v v v
2. Forthereto beasuccessfulinterview,therespiratorytherapistmust:
v v v v v v v v v v
a. provideleading questions toguide thepatient. v v v v v v
b. reassurethepatient. v v
c. beanactivelistener. v v v
d. usemedicalterminology toshowknowledgeofthesubject matter. v v v v v v v v v
ANS: C v
The personal qualities that a respiratory therapist must have to conduct a successful interview include being an
v v v v v v v v v v v v v v v v
active listener, having a genuine concern for the patient, and having empathy. Leading questions
v v v v v v v v v v v v v v
must be avoided. Reassurance may provide a false sense of comfort to the patient. Medicaljargon can sound exclusionary and
v v v v v v v v v v v v v v v v v v
paternalistic to a patient.
v v v v
3. Whichofthefollowingwould befoundonahistoryform? v v v v v v v v v v
1. Age
2. Chiefcomplaint v
3. Present health v
4. Family history v
5. Healthinsurance providera. v v
1, 4 v v
b. 2,3 v
c. 3,4,5 v v
d. 1,2,3,4 v v v
ANS: D v
,Age, chief complaint, present health, and family history are typically found on a health history form because
v v v v v v v v v v v v v v v v
each can impact the patient’s health. Health insurance provider information, whileneeded for billing
v v v v v v v v v v v v v
purposes,wouldnotbe foundonthehistoryform.
v v v v v v v v v
, 4. External factors the respiratory care practitioner should make efforts to provide during aninterview include
v v v v v v v v v v v v v
which of the following?
v v v v
1. Minimizeorprevent interruptions. v v v
2. Ensureprivacyduringdiscussions. v v v
3. Intervieweristhesame sexasthepatienttopreventbias. v v v v v v v v v v
4. Be comfortable for the patient and interviewer.a. 1, 4 v v v v v v v v
b. 2,3 v
c. 1,2,4 v v
d. 2,3,4 v v
ANS: C v
External factors, such as a good physical setting, enhance the interviewing process. Regardless of the interview setting
v v v v v v v v v v v v v v v v
(the patient’s bedside, a crowded emergency room, an office in the hospital or clinic,or the patient’s home), efforts should
v v v v v v v v v v v v v v v v v v v
be made to (1) ensure privacy, (2) prevent interruptions, and (3)secure a comfortable physical environment (e.g.,
v v v v v v v v v v v v v v v v
comfortable room temperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts
v v v v v v v v v v v v v v v
professionally, should be able to interview a patient of either gender.
v v v v v v v v v v v
5. The respiratory therapist is conducting a patient interview. The therapist chooses to useopen- ended
v v v v v v v v v v v v v
questions. Open-ended questions allow the therapist to do which of the following?
v v v v v v v v v v v v
1. Gatherinformation whenapatient introduces anewtopic. v v v v v v v v
2. Introduce anewsubjectarea. v v v v
3. Begintheinterviewprocess. v v v
4. Gatherspecificinformation. v v
a. 4
b. 1,3 v
c. 1,2,3 v v
d. 2,3,4 v v
ANS: C v
An open-ended question should be used to start the interview, introduce a new section of questions,and gather more
v v v v v v v v v v v v v v v v v
information from a patient’s topic. Closed or direct questions are used to gather specific information.
v v v v v v v v v v v v v v v
6. Thedirectquestion interviewformatis usedto:
v v v v v v v
1. speeduptheinterview. v v v
2. letthepatientfullyexplainhis/hersituation. v v v v v v
3. helptherespiratorytherapistshowempathy. v v v v v
4. gatherspecific information.a. v v
1, 4 v v
b. 2,3 v
c. 3,4 v
d. 1,2,3 v v
ANS: A v
Direct or closed questions are best to gather specific information and speed up the interview. Open- ended
v v v v v v v v v v v v v v v v
questions are best suited to let the patient fully explain his/her situation and possibly help the respiratory
v v v v v v v v v v v v v v v v v
therapistshowempathy.
v v v
