TEST BANK FOR CLINICAL MANIFESTATIONS AND ASSESSMENT OF RESPIRATORY
DISEASE 8TH EDITION BY DES JARDINS | ALL CJAPTERS | QUESTIONS AND ANSWERS |
2024
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
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 patient, and having empathy. Leading questions
must be avoided. Reassurance may provide a false sense of comfort to the patient. Medicaljargon 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 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 patient’s health. Health insurance provider information, whileneeded 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 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
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 Bthe Binterview Bthe Bpatient Bstates, B―Every Btime BI Bclimb Bthe Bstairs BI Bhave Bto Bstop Bto
BcatchBmy Bbreath.‖ BHearing Bthis, Bthe Brespiratory Btherapist Breplies, B―So, Bit Bsounds Blike Byou
Bget Bshort Bof Bbreath Bclimbing Bstairs.‖ BThis Binterviewing Btechnique Bis Bcalled:
a. clarification.
b. modeling.
c. empathy.
d. reflection.
ANS: B D
With Breflection, Bpart Bof Bthe Bpatient’s Bstatement Bis Brepeated. BThis Blets Bthe Bpatient Bknow Bthat
BwhatBhe/she Bsaid Bwas Bheard. BIt Balso Bencourages Bthe Bpatient Bto Belaborate Bon Bthe Btopic.
Clarification, Bmodeling, Band Bempathy Bare Bother Bcommunication Btechniques.
8. The Brespiratory Btherapist Bmay Bchoose Bto Buse Bthe Bpatient Binterview Btechnique Bof
BsilenceB
in Bwhich Bof Bthe Bfollowing Bsituations?
a. To Bprompt Bthe Bpatient Bto Bask Ba Bquestion
b. After Ba Bdirect Bquestion
c. After Ban Bopen-ended Bquestion
d. To Ballow Bthe Bpatient Bto Breview Bhis/her Bhistory
ANS: B C
After Ba Bpatient Bhas Banswered Ban Bopen-ended Bquestion, Bthe Brespiratory Btherapist Bshould Bpause
B(use Bsilence) Bbefore Basking Bthe Bnext Bquestion. BThis Bpause Ballows Bthe Bpatient Bto Badd Bsomething
Belse BbeforeBmoving Bon. BThe Bpatient Bmay Balso Bchoose Bto Bask Ba Bquestion.
9. To Bhave Bthe Bmost Bproductive Binterviewing Bssion, Bwhich Bof Bthe Bfollowing Btypes Bof
BresponsesB
N BR BI BBGshou
to Bassist Bin Bthe Binterview BB.Uld BtShe BrNepiratory Btherapist Bavoid?
a. Confrontation
b. Reflection
c. Facilitation
d. Distancing
ANS: B D
With Bconfrontation, Bthe Brespiratory Btherapist Bfocuses Bthe Bpatient’s Battention Bon Ban Baction,
Bfeeling, BorB
statement Bmade Bby Bthe Bpatient. BThis Bmay Bprompt Ba Bfurther Bdiscussion. BReflection
Bhelps Bthe Bpatient Bfocus Bon Bspecific Bareas Band Bcontinues Bin Bhis/her Bown Bway. BFacilitation
Bencourages Bpatients Bto Bsay Bmore, Bto Bcontinue Bwith Bthe Bstory. BThe Brespiratory Btherapist Bshould
Bavoid Bgiving Badvice, Busing Bavoidance Blanguage, Band Busing Bdistancing Blanguage.
10. When Bclosing Bthe Binterview, Bthe Brespiratory Btherapist Bshould Bdo Bwhich Bof Bthe Bfollowing?
1. Recheck Bthe Bpatient’s Bvital Bsigns.
2. Thank Bthe Bpatient.
3. Ask Bif Bthe Bpatient Bhas Bany Bquestions.
4. Close Bthe Bdoor Bbehind Bhimself/herself Bfor Bpatient Bprivacy.
a. B2
b. B2, B3
c. B1, B3, B4
d. B1, B2, B4 BANS: B B
, To Bend Bthe Binterview Bon Ba Bpositive Bnote, Bthe Brespiratory Btherapist Bshould Bthank Bthe Bpatient Band
Bask Bif Bthe Bpatient Bhas Bany Bquestions. BIf Bthere Bis Bno Bneed Bfor Bthe Bvital Bsigns Bto Bbe Bchecked, Bthey
Bshould Bnot Bbe.B The Bdoor Bmay Bbe Bleft Bopen Bor Bclosed, Bdepending Bon Bthe Bsituation.
11. The Brespiratory Btherapist Bshould Bbe Baware Bof Ba Bpatient’s Bculture Band Breligious Bbeliefs
BforB
which Bof Bthe Bfollowing Breasons?
a. To Bbe Bable Bto Bengage Bin Ba Bmeaningful Bconversation
b. To Bchange Bany Bmisguided Bnotions Bthe Bpatient Bhas Bthat Bmay Bimpact Bhis/her Bhealth
c. To Bexplain Bto Bthe Bpatient Bhow Bthese Bbeliefs Bwill Blead Bto Bdiscrimination
BandBstereotyping
d. To Bbetter Bunderstand Bhow Bthe Bpatient’s Bbeliefs Bmay Bimpact Bhow Bthe Bpatient
BthinksBand Bbehaves
ANS: B D
Culture Band Breligious Bbeliefs Bmay Bhave Ba Bprofound Beffect Bon Bhow Bpatients Bthink Band Bbehave, Band
Bthis Bmay Bimpact Btheir Bhealth Bor Bhealth Bcare Bdecisions. BThe Brole Bof Bthe Brespiratory
therapist Bis Bnot Bto Bchange Bthe Bpatient’s Bbeliefs, Bengage Bin Bsensitive Bconversations, Bor Bdiscuss
Bdiscrimination. BRather, Bthe Brespiratory Btherapist Bneeds Bto Bunderstand Bhow Bthese Bbeliefs Bmay
Bimpact Bthe Bpatient’s Bhealth Bcare Bdecisions.
12. Which Bof Bthe Bfollowing Bare Bthe Bmost Bimportant Bcomponents Bof Ba Bsuccessful Binterview?
a. Communication Band Bunderstanding
b. Authority Band Bthe Buse Bof Bmedical Bterminology
c. Providing Bassurance Band Bgiving Badvice
d. Asking Bleading Bquestions Band Banticipating Bpatient Bresponses Bto Bquestions
R IS GN B.C M
ANS: B A
NU B B
Communication and understanding are the basis foT
r a goodOpatient interview. Authority, the use of
B B B
B B B B B B B B B B B
medical Bjargon, Bproviding Bassurance, Bgiving Badvice, Basking Bleading Bquestions, Band Banticipating Bare
BallB
types Bof Bnonproductive Bcommunication Bforms Band Bcreate Bbarriers Bto Bpatient Bcommunication.
13. The Brespiratory Btherapist Bis Bconducting Ba Bpatient Binterview Band Brecording Bresponses Bin
patient’s Belectronic Bhealth Brecord. BThe Brespiratory Btherapist Bshould Btake Bwhich Bof
BtheB
Bthe Bfollowing Binto Baccount Bregarding Bthe Buse Bof Bthe Bcomputer Bto Brecord Bresponses?
a. The Btherapist’s Battention Bmay Bbe Bshifted Bfrom Bthe Bpatient Bto Bthe Bcomputer.
b. The Bpatient Bwill Bfeel Bmore Bimportant Bthan Bif Bthe Binformation Bis Brecorded Bon Bpaper.
c. The Btherapist Bwill Bbe Bless Blikely Bto Bmake Bspelling Berrors Bif Busing Ba Bspell-
checkBprogram.
d. The Benvironment Bwill Bbe Bmore Bprofessional Band Bthe Bpatient Bwill Bbe Bmore
Blikely BtoB
open Bup Bif Bthe Binterview Bis Bconducted Bwith Bpaper.
ANS: B A
The Btherapist’s Buse Bof Bthe Bcomputer Bcan Bbe Bthreatening Band Bmay, Bin Bsome Bcases, Bbe Ba Bpotential
BhazardBto Bgood Bpatient Bcommunication. BThe Bpatient Bcan Bbe Bintimidated Bto Bthe Bpoint Bof B―shutting
Bdown.‖ BIn Baddition, Bthe Btherapist Bwho Bhas Bto Bshift Bfocus Bfrom Bthe Bpatient Bto Bthe Bcomputer Bcan
Bmiss Bimportant Bverbal Band Bnonverbal Bmessages.
