Test Bank for Wilkins' Clinical Assessment in Respiratory Care, 9th Edition 9e by Al Heuer. Full Chapters test bank are included - Chap 1 to 21 (Complete test bank)
1. Preparing for the Patient Encounter
2. The Medical History and the Interview
3. Cardiopulmonary Symptoms
4. Vital Signs
5. F...
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1.Which of the following is an example of how the respiratory therapist
(RT) helps promote high-quality care that is
patient-and-family-centered?
a. Deliver care given is consistent with each individual's values, needs,
and preferences.
b. Help the physician select pulmonary function tests.
c. Provide communication to the family only when the physician is
present.
d. Ensure patients can rest and are not required to participate in their
own care.
ANS: a
The core goal of patient-and family-centered care (PFCC) is to advance
the quality of interactions between patients and care providers while
promoting compassion, respect and dignity for all parties. Individualized
care requires empathetic, two-way communication, respect for each
patient's values and privacy along with sensitivity to cultural values.
PFCC is designed to ensure that the care given is consistent with each
individual's values, needs, and preferences, and patients become active
participants in their own care.
PTS: 1
OBJ: 1
2. What should be done before the patient's ID bracelet is checked?
a. Check the patient's SpO2.
b. Ask the patient for permission.
c. Check the chart for vital signs.
d. Listen to breath sounds.
ANS: b
It is considered polite to ask the patient for permission before touching
and reading his or her ID bracelet.
,PTS: 1
OBJ: 3
3. What is the goal of the introductory phase?
a. Assess the patient's apparent age.
b. Identify the patient's family history.
c. Determine the patient's diagnosis.
d. Establish a rapport with the patient.
ANS: d
The introductory phase is all about getting to know the patient and
establishing a rapport with him or her.
PTS: 1
OBJ: 3
4. You walk into a room to assess a patient prior to medication delivery.
You removed some belongings from the bedside table and placed them
on the chair and the patient immediately crosses his arms and refuses to
talk to you. What is the most likely issue?
a. The patient is hungry.
b. You entered the patient's territory.
c. The patient is upset about his diagnosis.
d. You did not establish a rapport with the patient.
ANS: b
Related to the concept of proximity is that of territoriality. Removing
items from the patient's "territory" should occur only after permission
has been obtained. For example, when borrowing a chair from the
bedside of a patient for use at the bedside of the patient you should for
permission, being sure to replace any items temporarily removed from
the patient's territory.
PTS: 1
OBJ: 5
5. What is the main purpose of the initial assessment stage?
,a. To identify any allergies to medications
b. To document the patient's smoking history
c. To personally get to know the patient better
d. To verify that the prescribed treatment is still needed and appropriate
ANS: d
When you first see the patient, you are encouraged to perform a brief
assessment to make sure the treatment order by the physician is still
appropriate. The patient's status may have changed abruptly recently.
PTS: 1
OBJ: 3
6. What is the appropriate distance for the social space from the patient?
a. 3 to 5 feet
b. 4 to 12 feet
c. 6 to 18 feet
d. 8 to 20 feet
ANS: b
The social space is 4 to 12 feet.
PTS: 1
OBJ: 5
7. What is the appropriate distance for the personal space?
a. 0 to 18 inches
b. 18 inches to 4 feet
c. 4 to 12 feet
d. 6 to 15 feet
ANS: b
The personal space is about 2 to 4 feet from the patient.
PTS: 1
OBJ: 5
8.Which of the following activities is best performed in the personal
space?
, a. The interview
b. The introduction
c. The physical examination
d. Listening for breath sounds
ANS: a
The interview is best performed with you sitting about 2 to 4 feet from
the patient. If you sit farther away, the patient will have to answer your
questions in a louder voice, and because some of the information may be
private, this would diminish communication.
PTS: 1
OBJ: 5
9.If you are in a patient's intimate space, which activity should you
avoid?
a. Eye contact
b. Pulse check
c. Auscultation
d. Simple commands
ANS: a
Eye contact is inappropriate in the intimate space and will make the
patient very uncomfortable.
PTS: 1
OBJ: 5
10. You are riding in an elevator at the hospital where you are employed
as an RT. The elevator is full, but standing next to you is Joe, the RT
who is scheduled to relieve you. He turns to you and asks, "How is Mr.
Copper doing?" Earlier in the day, Mr. Copper had a cardiac arrest, and
he is now being mechanically ventilated. How should you respond to
Joe?
a. "He took a turn for the worse."
b. "He is fine."
c. "Let's talk later in the report room."
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