Chapter g01: gThe gPatient gInterview
Des gJardins: gClinical gManifestations gand gAssessment gof gRespiratory
gDisease, g8thgEdition
MULTIPLE gCHOICE
1. The grespiratory gcare gpractitioner gis gconducting ga gpatient ginterview. gThe gmain
gpurpose gof gthisginterview gis gto:
a. review gdata gwith gthe gpatient.
b. gather gsubjective gdata gfrom gthe gpatient.
c. gather gobjective gdata gfrom gthe gpatient.
d. fill gout gthe ghistory gform gor gchecklist.
ANS: g B
The ginterview gis ga gmeeting gbetween gthe grespiratory gcare gpractitioner gand gthe
gpatient. gIt gallows gthegcollection gof gsubjective gdata gabout gthe gpatient’s gfeelings
gregarding ghis/her
condition. gThe ghistory gshould gbe gdone gbefore gthe ginterview. gAlthough gdata gcan
gbe greviewed,gthat gis gnot gthe gprimary gpurpose gof gthe ginterview.
2. For gthere gto gbe ga gsuccessful ginterview, gthe grespiratory gtherapist gmust:
a. provide gleading gquestions gto gguide gthe gpatient.
b. reassure gthe gpatient.
c. be gan gactive glistener.
d. use gmedical gterminology gto gshow gknowledge gof gthe gsubject gmatter.
ANS: g g C
N gR gI gG gB.C gM
U gS gN
The gpersonal gqualities gthat ga grespiratory O ghave gto gconduct ga gsuccessful
gT gmust
gtherapist
ginterview ginclude
being gan gactive glistener, ghaving ga ggenuine gconcern gfor gthe gpatient, gand ghaving
gempathy. gLeading gquestions gmust gbe gavoided. gReassurance gmay gprovide ga gfalse gsense
gof gcomfort gto gthe gpatient. gMedicalgjargon gcan gsound gexclusionary gand gpaternalistic gto
ga gpatient.
, 3. Which gof gthe gfollowing gwould gbe gfound gon ga ghistory gform?
1. Age
2. Chief gcomplaint
3. Present ghealth
4. Family ghistory
5. Health ginsurance
gproviderga. g1, g4
b. g2, g3
c. g3, g4, g5
d. g1, g2, g3, g4
ANS: g D
Age, gchief gcomplaint, gpresent ghealth, gand gfamily ghistory gare gtypically gfound gon ga
ghealth ghistory gform gbecause geach gcan gimpact gthe gpatient’s ghealth. gHealth
ginsurance gprovider ginformation, gwhilegneeded gfor gbilling gpurposes, gwould gnot gbe
gfound gon gthe ghistory gform.
DAWIT
, 4. External gfactors gthe grespiratory gcare gpractitioner gshould gmake gefforts gto
gprovide gduring gan ginterview ginclude gwhich gof gthe gfollowing?
1. Minimize gor gprevent ginterruptions.
2. Ensure gprivacy gduring gdiscussions.
3. Interviewer gis gthe gsame gsex gas gthe gpatient gto gprevent gbias.
4. Be gcomfortable gfor gthe gpatient gand
ginterviewer.ga. g1, g4
b. g2, g3
c. g 1, g2, g4
d. g g g2, g3, g4
ANS: g C
External gfactors, gsuch gas ga ggood gphysical gsetting, genhance gthe ginterviewing gprocess.
gRegardless gof gtheginterview gsetting g(the gpatient’s gbedside, ga gcrowded gemergency groom,
gan goffice gin gthe ghospital gor gclinic,gor gthe gpatient’s ghome), gefforts gshould gbe gmade gto
g(1) gensure gprivacy, g(2) gprevent ginterruptions, gand g(3)gsecure ga gcomfortable gphysical
genvironment g(e.g., gcomfortable groom gtemperature, gsufficient glighting, gabsence gof gnoise).
gAn ginterviewer gof geither ggender, gwho gacts gprofessionally, gshould gbe gable gto ginterview
ga gpatient gof geither ggender.
5. The grespiratory gtherapist gis gconducting ga gpatient ginterview. gThe gtherapist
gchooses gto gusegopen-ended gquestions. gOpen-ended gquestions gallow gthe
gtherapist gto gdo gwhich gof gthe gfollowing?
1. Gather ginformation gwhen ga gpatient gintroduces ga gnew gtopic.
2. Introduce ga gnew gsubject garea.
3. Begin gthe ginterview gprocess.
4. Gather gspecific ginformation.
a. g4 DAWIT
b. g1, g3
c. g 1,
g2, g3
d. g g g2,
g3, g4
ANS:
g C
An gopen-ended gquestion gshould gbe gused gto gstart gthe ginterview, gintroduce ga gnew
gsection gof gquestions,gand ggather gmore ginformation gfrom ga gpatient’s gtopic. gClosed gor
gdirect gquestions gare gused gto ggather gspecific ginformation.
6. The gdirect gquestion ginterview gformat gis gused gto:
1. speed gup gthe ginterview.
2. let gthe gpatient gfully gexplain ghis/her gsituation.
3. help gthe grespiratory gtherapist gshow gempathy.
4. gather gspecific
ginformation.ga. g1, g4
b. g g g2, g3
c. g 3, g4
d. g g g1, g2, g3
ANS: g A
Direct gor gclosed gquestions gare gbest gto ggather gspecific ginformation gand gspeed gup gthe
ginterview. gOpen- gended gquestions gare gbest gsuited gto glet gthe gpatient gfully gexplain
ghis/her gsituation gand gpossibly ghelp gthegrespiratory gtherapist gshow gempathy.
, 7. During gthe ginterview gthe gpatient gstates, g“Every gtime gI gclimb gthe gstairs gI ghave
gto gstop gto gcatch gmy gbreath.” gHearing gthis, gthe grespiratory gtherapist greplies,
g“So, git gsounds glike gyou gget gshort gof gbreath gclimbing gstairs.” gThis
ginterviewing gtechnique gis gcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: g D
With greflection, gpart gof gthe gpatient’s gstatement gis grepeated. gThis glets gthe gpatient
gknow gthat gwhatghe/she gsaid gwas gheard. gIt galso gencourages gthe gpatient gto
gelaborate gon gthe gtopic.
Clarification, gmodeling, gand gempathy gare gother gcommunication gtechniques.
8. The grespiratory gtherapist gmay gchoose gto guse gthe gpatient ginterview
gtechnique gof gsilencegin gwhich gof gthe gfollowing gsituations?
a. To gprompt gthe gpatient gto gask ga gquestion
b. After ga gdirect gquestion
c. After gan gopen-ended gquestion
d. To gallow gthe gpatient gto greview ghis/her ghistory
ANS: g C
After ga gpatient ghas ganswered gan gopen-ended gquestion, gthe grespiratory gtherapist gshould
gpause g(use gsilence) gbefore gasking gthe gnext gquestion. gThis gpause gallows gthe gpatient
gto gadd gsomething gelse gbeforegmoving gon. gThe gpatient gmay galso gchoose gto gask ga
gquestion.
9. To ghave gthe gmost gproductive ginterviewing gsession, gwhich gof gthe gfollowing
N gRgingIgthe
gtypes gof gresponsesgto gassist gGginterview gshouUld gtShe grNespTiratory
gtOherapist gavoid? gB.
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: g D
With gconfrontation, gthe grespiratory gtherapist gfocuses gthe gpatient’s gattention gon gan
gaction, gfeeling, gorgstatement gmade gby gthe gpatient. gThis gmay gprompt ga gfurther
gdiscussion. gReflection ghelps gthe gpatient gfocus gon gspecific gareas gand gcontinues gin
ghis/her gown gway. gFacilitation gencourages gpatients gto gsay gmore, gto gcontinue gwith
gthe gstory. gThe grespiratory gtherapist gshould gavoid ggiving gadvice, gusing gavoidance
glanguage, gand gusing gdistancing glanguage.
10. When gclosing gthe ginterview, gthe grespiratory gtherapist gshould gdo gwhich gof gthe
gfollowing?
1. Recheck gthe gpatient’s gvital gsigns.
2. Thank gthe gpatient.
3. Ask gif gthe gpatient ghas gany gquestions.
4. Close gthe gdoor gbehind ghimself/herself gfor gpatient gprivacy.
a. g2
b. g2, g3
c. g1, g3, g4
