CLINICAL MANIFESTATIONS AND ASSESSMENT OF
RESPIRATORY DISEASE 9TH EDITION by JARDINS
&BURTON/COMPLETE GUIDE 2024
,Chapter 01: The Client Interview
Des Jardins: Clinical Manifestations and Assessment of Respiratory Disease, 9th
Edition
MULTIPLE CHOICE
1. The respiratory care practitioner is conducting a client interview. The main purpose of this
interview is to:
a. review data with the client.
b. gather subjective data from the client.
c. gather objective data from the client.
d. fill out the history form or checklist.
CORRECT FEEDBACK: B
Rationale :->>>The interview is a meeting between the respiratory care practitioner and the client. It
allows the collection 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.
2. For there to be a successful interview, the respiratory therapist must:
a. provide leading questions to guide the client.
b. reassure the client.
c. be an active listener.
d. use medical terminology to show knowledge of the subject matter.
CORRECT FEEDBACK: C
Rationale :->>>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. Medical
jargon can sound exclusionary and paternalistic to a client.
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
CORRECT FEEDBACK: D
,Rationale :->>>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, while needed for billing purposes, would not be found on the history form.
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 client to prevent bias.
4. Be comfortable for the client and interviewer.
a. 1, 4
b. 2, 3
c. 1, 2, 4
d. 2, 3, 4
CORRECT FEEDBACK: C
Rationale :->>>External factors, such as a good physical setting, enhance the interviewing process.
Regardless of the interview 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.
5. The respiratory therapist is conducting a client 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 client introduces a new topic.
2. Introduce a new subject area.
3. Begin the interview process.
4. Gather specific information.
a. 4
b. 1, 3
c. 1, 2, 3
d. 2, 3, 4
CORREC
T
FEEDBA
CK: C
, Rationale :->>>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.
6. The direct question interview format is used to:
1. speed up the interview.
2. let the client 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
CORRECT FEEDBACK: A
Rationale :->>>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 the respiratory therapist show empathy.
7. During the interview the client states, “Every time I climb the stairs I have to stop to catch
my 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.
CORRECT FEEDBACK: D
Rationale :->>>With reflection, part of the client’s statement is repeated. This lets the client
know that what he/she said was heard. It also encourages the client to elaborate on the topic.
Clarification, modeling, and empathy are other communication techniques.
8. The respiratory therapist may choose to use the client interview technique of silence
in which of the following situations?
a. To prompt the client to ask a question
b. After a direct question
c. After an open-ended question
d. To allow the client to review his/her history
CORRECT FEEDBACK: C
Rationale :->>>After a client has correct feedbackwered 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 before moving on. The client may also choose to ask a question.
9. To have the most productive interviewing session, which of the following types of responses
N URld tI
to assist in the interview shou SheGrNB.C
espTiratory tOherapist avoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
CORRECT FEEDBACK: D
Rationale :->>>With confrontation, the respiratory therapist focuses the client’s attention on an
action, feeling, or statement made by the client. This may prompt a further discussion. Reflection
Rationale :->>>helps the client focus on specific areas and continues in his/her own way.
