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Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 8th Edition by Des Jardins
Test Bank for Clinical Manifestations and Assessment of Respiratory Disease 8th Edition by Des Jardins
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Test Bank for Clinical Manifestations and Assessment of Respiratoryzz zz zz zz zz zz zz zz zz
Disease 8th Edition Jardins zz zz zz zz
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 8th
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Edition
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Chapter 01: The Patient Interview
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MULTIPLE CHOICE zz
1. The respiratory care practitioner is conducting a patient interview. The main purpose of
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this interview is to:
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a. review data with the patient. zz zz zz zz
b. gather subjective data from the patient. zz zz zz zz zz
c. gather objective data from the patient. zz zz zz zz zz
d. fill out the history form or checklist.
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ANS: B z z
The interview is a meeting between the respiratory care practitioner and the patient. It allows the
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collection of subjective data about the patient’s feelings regarding his/her
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condition. The history should be done before the interview. Although data can be reviewed,that
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is not the primary purpose of the interview.
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2. For there to be a successful interview, the respiratory therapist must:
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a. provide leading questions to guide the patient. zz zz zz zz zz zz
b. reassure the patient. zz zz
c. be an active listener. zz zz zz
d. use medical terminology to show knowledge of the subject matter.
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ANS: z z C
N R I G B.C M
U therapist
S N Tmust have O to conduct a successful interview include
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The personal qualities that a respiratory
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being an active listener, having a genuine concern for the patient, and having empathy. Leading
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questions must be avoided. Reassurance may provide a false sense of comfort to the patient.
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Medicaljargon can sound exclusionary and paternalistic to a patient.
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3. Which of the following would be found on a history form?
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1. Age
2. Chief complaint zz
3. Present health zz
4. Family history zz
5. Health insurance providera. 1, zz zz zz
4
b. 2, 3 zz
c. 3, 4, 5 zz zz
d. 1, 2, 3, 4 zz zz zz
ANS: D z z
Age, chief complaint, present health, and family history are typically found on a health history
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form because each can impact the patient’s health. Health insurance provider information,
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whileneeded for billing purposes, would not be found on the history form.
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, 4. External factors the respiratory care practitioner should make efforts to provide during
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an interview include which of the following?
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1. Minimize or prevent interruptions. zz zz zz
2. Ensure privacy during discussions. zz zz zz
3. Interviewer is the same sex as the patient to prevent bias. zz zz zz zz zz zz zz zz zz zz
4. Be comfortable for the patient and interviewer.
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a. 1, 4 zz
b. 2, 3 zz
c. 1, 2, 4 zz zz
d. 2, 3, 4 zz zz
ANS: C z z
External factors, such as a good physical setting, enhance the interviewing process. Regardless of
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the interview setting (the patient’s bedside, a crowded emergency room, an office in the hospital
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or clinic, or the patient’s home), efforts should be made to (1) ensure privacy, (2) prevent
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interruptions, and (3) secure a comfortable physical environment (e.g., comfortable room
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temperature, sufficient lighting, absence of noise). An interviewer of either gender, who acts
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professionally, should be able to interview a patient of either gender.
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5. The respiratory therapist is conducting a patient interview. The therapist chooses to
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use open-ended questions. Open-ended questions allow the therapist to do which
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of the following?
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1. Gather information when a patient introduces a new topic. zz zz zz zz zz zz zz zz
2. Introduce a new subject area. zz zz zz zz
3. Begin the interview process. zz zz zz
4. Gather specific information. zz zz
a. 4 NURSINGTB.COM
b. 1, 3 zz
c. 1, 2, zz
3 zz
d. 2, 3, zz
4 zz
ANS:
C z z
An open-ended question should be used to start the interview, introduce a new section of questions,
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and gather more information from a patient’s topic. Closed or direct questions are used to
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gather specific information.
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6. The direct question interview format is used to:
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1. speed up the interview. zz zz zz
2. let the patient fully explain his/her situation.
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3. help the respiratory therapist show empathy. zz zz zz zz zz
4. gather specific information. zz zz
a. 1, 4 zz
b. 2, 3 zz
c. 3, 4 zz
d. 1, 2, 3 zz zz
ANS: A z z
Direct or closed questions are best to gather specific information and speed up the interview.
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Open- ended questions are best suited to let the patient fully explain his/her situation and
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possibly help the respiratory therapist show empathy.
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, 7. During the interview the patient states, ―Every time I climb the stairs I have to stop to
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catch my breath.‖ Hearing this, the respiratory therapist replies, ―So, it sounds like
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you get short of breath climbing stairs.‖ This interviewing technique is called:
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a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: D z z
With reflection, part of the patient’s statement is repeated. This lets the patient know that what
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he/she said was heard. It also encourages the patient to elaborate on the topic.
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Clarification, modeling, and empathy are other communication techniques. zz zz zz zz zz zz zz
8. The respiratory therapist may choose to use the patient interview technique of
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silence in which of the following situations?
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a. To prompt the patient to ask a question zz zz zz zz zz zz zz
b. After a direct question zz zz zz
c. After an open-ended question zz zz zz
d. To allow the patient to review his/her history
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ANS: C z z
After a patient has answered an open-ended question, the respiratory therapist should pause (use
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silence) before asking the next question. This pause allows the patient to add something else
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before moving on. The patient may also choose to ask a question.
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9. To have the most productive interviewing session, which of the following types of
responses to assist in the N R I Gshou
B. Uld tShe rNespTiratory tOherapist avoid?
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zz interview zz zz zz zz zz
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zz
zz
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a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: D z z
With confrontation, the respiratory therapist focuses the patient’s attention on an action, feeling, or
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statement made by the patient. This may prompt a further discussion. Reflection helps the
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patient focus on specific areas and continues in his/her own way. Facilitation encourages
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patients to say more, to continue with the story. The respiratory therapist should avoid giving
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advice, using avoidance language, and using distancing language.
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10. When closing the interview, the respiratory therapist should do which of the following?
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1. Recheck the patient’s vital signs. zz zz zz zz
2. Thank the patient. zz zz
3. Ask if the patient has any questions. zz zz zz zz zz zz
4. Close the door behind himself/herself for patient privacy.
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a. 2
b. 2, 3 zz
c. 1, 3, 4 zz zz
d. 1, 2, 4 ANS: B
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, To end the interview on a positive note, the respiratory therapist should thank the patient and
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ask if the patient has any questions. If there is no need for the vital signs to be checked, they
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should not be. The door may be left open or closed, depending on the situation.
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11. The respiratory therapist should be aware of a patient’s culture and religious beliefs
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for which of the following reasons?
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a. To be able to engage in a meaningful conversation
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b. To change any misguided notions the patient has that may impact his/her health
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c. To explain to the patient how these beliefs will lead to discrimination
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and stereotyping zz zz
d. To better understand how the patient’s beliefs may impact how the patient
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thinks and behaves zz zz zz
ANS: D z z
Culture and religious beliefs may have a profound effect on how patients think and behave, and
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this may impact their health or health care decisions. The role of the respiratory
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therapist is not to change the patient’s beliefs, engage in sensitive conversations, or discuss
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discrimination. Rather, the respiratory therapist needs to understand how these beliefs may
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impact the patient’s health care decisions.
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12. Which of the following are the most important components of a successful interview?
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a. Communication and understanding zz zz
b. Authority and the use of medical terminology zz zz zz zz zz zz
c. Providing assurance and giving advice zz zz zz zz
d. Asking leading questions and anticipating patient responses to questions
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NU R SI GN B.C M
ANS: A z z zz zz
Communication and understanding are t h e b as i s f o T
r a goodOpatient interview. Authority, the use of
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medical jargon, providing assurance, giving advice, asking leading questions, and anticipating are
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all types of nonproductive communication forms and create barriers to patient communication.
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13. The respiratory therapist is conducting a patient interview and recording responses in
zz zz zz zz zz zz zz zz zz zz zz
the patient’s electronic health record. The respiratory therapist should take which of
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the following into account regarding the use of the computer to record responses?
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a. The therapist’s attention may be shifted from the patient to the computer.
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b. The patient will feel more important than if the information is recorded on paper.
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c. The therapist will be less likely to make spelling errors if using a spell-
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check program. zz
d. The environment will be more professional and the patient will be more likely
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to open up if the interview is conducted with paper.
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ANS: A z z
The therapist’s use of the computer can be threatening and may, in some cases, be a potential
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hazard to good patient communication. The patient can be intimidated to the point of ―shutting
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down.‖ In addition, the therapist who has to shift focus from the patient to the computer can
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miss important verbal and nonverbal messages.
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