Test bank for
Clinical
Manifestation s
and Assessment
of Respiratory
Disease 8th E
,Chapter “01: “The “Patient “Interview
Des “Jardins: “Clinical “Manifestations “and “Assessment “of “Respiratory “Disease,
“8th“Edition
MULTIPLE “CHOICE
1. The ―respiratory ―care ―practitioner ―is ―conducting ―a ―patient ―interview. ―The ―main ―purpose ―of
―this―interview ―is ―to:
a. review ―data ―with ―the ―patient.
b. gather ―subjective ―data ―from ―the ―patient.
c. gather ―objective ―data ―from ―the ―patient.
d. fill ―out ―the ―history ―form ―or ―checklist.
ANS: ― B
The ―interview ―is ―a ―meeting ―between ―the ―respiratory ―care ―practitioner ―and ―the ―patient. ―It ―allows
―the―collection ―of ―subjective ―data ―about ―the ―patient’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.
2. For ―there ―to ―be ―a ―successful ―interview, ―the ―respiratory ―therapist ―must:
a. provide ―leading ―questions ―to ―guide ―the ―patient.
b. reassure ―the ―patient.
c. be ―an ―active ―listener.
d. use ―medical ―terminology ―to ―show ―knowledge ―of ―the ―subject ―matter.
ANS: ― ― C
N R I G B.C M
― ― ― ― ―
U ―therapist
The ―personal ―qualities ―that ―a ―respiratory ―S ―N ―T O
―must ―have ―to ―conduct ―a ―successful ―interview ―include
being ―an ―active ―listener, ―having ―a ―genuine ―concern ―for ―the ―patient, ―and ―having ―empathy. ―Leading
―questions ―must ―be ―avoided. ―Reassurance ―may ―provide ―a ―false ―sense ―of ―comfort ―to ―the ―patient.
―Medical―jargon ―can ―sound ―exclusionary ―and ―paternalistic ―to ―a ―patient.
3. Which ―of ―the ―following ―would ―be ―found ―on ―a ―history ―form?
1. Age
2. Chief ―complaint
3. Present ―health
4. Family ―history
5. Health ―insurance
―provider―a. ―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 ―patient’s ―health. ―Health ―insurance ―provider
―information, ―while―needed ―for ―billing ―purposes, ―would ―not ―be ―found ―on ―the ―history ―form.
NURSINGTB.COM
, 4. External ―factors ―the ―respiratory ―care ―practitioner ―should ―make ―efforts ―to ―provide ―during
―an―interview ―include ―which ―of ―the ―following?
1. Minimize ―or ―prevent ―interruptions.
2. Ensure ―privacy ―during ―discussions.
3. Interviewer ―is ―the ―same ―sex ―as ―the ―patient ―to ―prevent ―bias.
4. Be ―comfortable ―for ―the ―patient ―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
―the―interview ―setting ―(the ―patient’s ―bedside, ―a ―crowded ―emergency ―room, ―an ―office ―in ―the ―hospital ―or
―clinic,―or ―the ―patient’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 ―patient ―of ―either ―gender.
5. The ―respiratory ―therapist ―is ―conducting ―a ―patient ―interview. ―The ―therapist ―chooses ―to
―use―open-ended ―questions. ―Open-ended ―questions ―allow ―the ―therapist ―to ―do ―which ―of
―the ―following?
1. Gather ―information ―when ―a ―patient ―introduces ―a ―new ―topic.
2. Introduce ―a ―new ―subject ―area.
3. Begin ―the ―interview ―process.
4. Gather ―specific ―information.
a. ―4 NURSINGTB.COM
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 ―patient’s ―topic. ―Closed ―or ―direct ―questions ―are ―used
―to ―gather ―specific ―information.
6. The ―direct ―question ―interview ―format ―is ―used ―to:
1. speed ―up ―the ―interview.
2. let ―the ―patient ―fully ―explain ―his/her ―situation.
3. help ―the ―respiratory ―therapist ―show ―empathy.
4. 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 ―patient ―fully ―explain ―his/her ―situation ―and
―possibly ―help ―the―respiratory ―therapist ―show ―empathy.
, 7. During ―the ―interview ―the ―patient ―states, ――Every ―time ―I ―climb ―the ―stairs ―I ―have ―to ―stop ―to
―catch―m y ―breath.‖ ―Hearing ―this, ―the ―respiratory ―therapist ―replies, ――So, ―it ―sounds ―like ―you
―get ―short ―of ―breath ―climbing ―stairs.‖ ―This ―interviewing ―technique ―is ―called:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: ― D
With ―reflection, ―part ―of ―the ―patient’s ―statement ―is ―repeated. ―This ―lets ―the ―patient ―know ―that
―what―he/she ―said ―was ―heard. ―It ―also ―encourages ―the ―patient ―to ―elaborate ―on ―the ―topic.
Clarification, ―modeling, ―and ―empathy ―are ―other ―communication ―techniques.
8. The ―respiratory ―therapist ―may ―choose ―to ―use ―the ―patient ―interview ―technique ―of
―silence―in ―which ―of ―the ―following ―situations?
a. To ―prompt ―the ―patient ―to ―ask ―a ―question
b. After ―a ―direct ―question
c. After ―an ―open-ended ―question
d. To ―allow ―the ―patient ―to ―review ―his/her ―history
ANS: ― C
After ―a ―patient ―has ―answered ―an ―open-ended ―question, ―the ―respiratory ―therapist ―should ―pause
―(use ―silence) ―before ―asking ―the ―next ―question. ―This ―pause ―allows ―the ―patient ―to ―add ―something
―else ―before―moving ―on. ―The ―patient ―may ―also ―choose ―to ―ask ―a ―question.
9. To ―have ―the ―most ―productive ―interviewing ―session, ―which ―of ―the ―following ―types ―of
N ―R ―I ―G ―B.
―responses―to ―assist ―in ―the ―interview ―shouUld ―tShe ―rNespTiratory ―tOherapist ―avoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: ― D
With ―confrontation, ―the ―respiratory ―therapist ―focuses ―the ―patient’s ―attention ―on ―an ―action, ―feeling,
―or―statement ―made ―by ―the ―patient. ―This ―may ―prompt ―a ―further ―discussion. ―Reflection ―helps ―the
―patient ―focus ―on ―specific ―areas ―and ―continues ―in ―his/her ―own ―way. ―Facilitation ―encourages
―patients ―to ―say ―more, ―to ―continue ―with ―the ―story. ―The ―respiratory ―therapist ―should ―avoid ―giving
―advice, ―using ―avoidance ―language, ―and ―using ―distancing ―language.
10. When ―closing ―the ―interview, ―the ―respiratory ―therapist ―should ―do ―which ―of ―the ―following?
1. Recheck ―the ―patient’s ―vital ―signs.
2. Thank ―the ―patient.
3. Ask ―if ―the ―patient ―has ―any ―questions.
4. Close ―the ―door ―behind ―himself/herself ―for ―patient ―privacy.
a. ―2
b. ―2, ―3
c. ―1, ―3, ―4
d. ―1, ―2, ―4 ―ANS: ― B
