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TEST BANK FOR CLINICAL MANIFESTATIONS AND ASSESSMENT OF RESPIRATORY DISEASE 8TH EDITION JARDINS
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TEST BANK FORCLINICAL
MANIFESTATIONS AND
ASSESSMENT OF
RESPIRATORY DISEASE
8TH EDITION JARDINS
Chapter 01: The patient Interview
Des Jardins: Clinical Manifestations and Assessment of Respiratory
Disease, 8thEdition
MULTIPLE CHOICE
• The respiratory care practitioner is conducting a client interview. The main
purpose of thisinterview is to:
• review data with the client.
• gather subjective data from the client.
• gather objective data from the client.
• fill out the history form or checklist.
ANS: B
The interview is a meeting between the respiratory care practitioner and the client. It
allows thecollection of subjective data about the client’s feelings regarding his/her
condition. The history should be done before the interview. Although data can be
reviewed,that is not the primary purpose of the interview.
• For there to be a successful interview, the respiratory therapist must:
• provide leading questions to guide the client.
• reassure the client.
• be an active listener.
• use medical terminology to show knowledge of the subject matter.
ANS: C
,The personal qualities that a respiratory therapist must have to conduct a successful interview
include
being an active listener, having a genuine concern for the client, and having empathy.
Leading questions must be avoided. Reassurance may provide a false sense of comfort to
the client. Medicaljargon can sound exclusionary and paternalistic to a client.
• Which of the following would be found on a history form?
• Age
• Chief complaint
• Present health
• Family history
• Health insurance
providera. 1, 4
b. 2, 3
c. 3, 4, 5
d. 1, 2, 3, 4
ANS: D
Age, chief complaint, present health, and family history are typically found on a health
history form because each can impact the client’s health. Health insurance provider
information, whileneeded for billing purposes, would not be found on the history form.
• External factors the respiratory care practitioner should make efforts to provide
during aninterview include which of the following?
• Minimize or prevent interruptions.
• Ensure privacy during discussions.
• Interviewer is the same sex as the client to prevent bias.
• Be comfortable for the client and
interviewer.a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
ANS: C
External factors, such as a good physical setting, enhance the interviewing process.
Regardless of theinterview setting (the client’s bedside, a crowded emergency room, an
office in the hospital or clinic,or the client’s home), efforts should be made to (1) ensure
privacy, (2) prevent interruptions, and (3)secure a comfortable physical environment (e.g.,
,comfortable room temperature, sufficient lighting, absence of noise). An interviewer of
either gender, who acts professionally, should be able to interview a client of either gender.
• The respiratory therapist is conducting a client interview. The therapist
chooses to useopen-ended questions. Open-ended questions allow the
therapist to do which of the following?
• Gather information when a client introduces a new topic.
• Introduce a new subject area.
• Begin the interview process.
• Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
ANS: C
An open-ended question should be used to start the interview, introduce a new section of
questions,and gather more information from a client’s topic. Closed or direct questions are
used to gather specific information.
• The direct question interview format is used to:
• speed up the interview.
• let the client fully explain his/her situation.
• help the respiratory therapist show empathy.
• gather specific
information.a. 1, 4
b. 2, 3
c. 3, 4
d. 1, 2, 3
ANS: A
Direct or closed questions are best to gather specific information and speed up the
interview. Open- ended questions are best suited to let the client fully explain his/her
situation and possibly help therespiratory therapist show empathy.
• During the interview the client states, “Every time I climb the stairs I have to stop
to catchmy breath.” Hearing this, the respiratory therapist replies, “So, it sounds
like you get short of breath climbing stairs.” This interviewing technique is called:
• clarification.
• modeling.
• empathy.
, • reflection.
ANS: D
With reflection, part of the client’s statement is repeated. This lets the client know
that whathe/she said was heard. It also encourages the client to elaborate on the
topic.
Clarification, modeling, and empathy are other communication techniques.
• The respiratory therapist may choose to use the client interview technique of
silencein which of the following situations?
• To prompt the client to ask a question
• After a direct question
• After an open-ended question
• To allow the client to review his/her history
ANS: C
After a client has answered an open-ended question, the respiratory therapist should pause
(use silence) before asking the next question. This pause allows the client to add
something else beforemoving on. The client may also choose to ask a question.
• N R I G B.
• To have the most productive interviewing session, which of the following types of
responsesto assist in the interview shouUld tShe rNespTiratory tOherapist avoid?
• Confrontation
• Reflection
• Facilitation
• Distancing
ANS: D
With confrontation, the respiratory therapist focuses the client’s attention on an action,
feeling, orstatement made by the client. This may prompt a further discussion. Reflection
helps the client focus on specific areas and continues in his/her own way. Facilitation
encourages clients to say more, to continue with the story. The respiratory therapist
should avoid giving advice, using avoidance language, and using distancing language.
• When closing the interview, the respiratory therapist should do which of the
following?
• Recheck the client’s vital signs.
• Thank the client.
• Ask if the client has any questions.
• Close the door behind himself/herself for client privacy.
a. 2
b. 2, 3
c. 1, 3, 4
d. 1, 2, 4 ANS: B
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