Chapter 1: Preparing for the Patient Encounter
d
A good patient action plan should include which of the following elements? 1. Actions needed to achieve the goal 2. Barriers to goal achievement 3. A specific, measurable goal 4. A follow-up mechanism a. 3 and 4 b. 1 and 2 c. 1, 2, and 3 d. 1, 2, 3, and 4
b
A patient responds poorly to a treatment you have given. After assuring that the patient is stable, you should: a. Carefully note the patient's response to treatment in the patient's chart b. Speak with the patient's nurse, chart the response and whom you notified c. Orally notify the patient's nurse of his poor response to treatment d. Request that the patient's physician discontinue the therapy
b
Active listening is most essential during what stage of the clinical encounter? a. Introductory stage b. Initial assessment stage c. Treatment and monitoring stage d. Follow-up stage
c
After a postoperative patient you are interviewing grimaces while holding her abdomen, you note some confusion about her responses. Which of the following factors likely is affecting communication? a. Self-concept b. Listening habits c. Pain and anxiety d. Hearing impairment
a
After several attempts to instruct a patient with COPD on the proper use of a metered-dose inhaler, the patient complains of the inability to master the correct technique. Applying patient-centered principles, you should: a. Request permission from the patient's doctor to find a more acceptable delivery system b. Cease trying to train the patient and recommend discontinuing the therapy c. Push the patient to keep practicing until a return demonstration indicates competency d. Chart the treatment as not given and return for another try on second rounds
c
All of the following are appropriate roles for a respiratory therapist serving on a team managing a patient with COPD, except: a. Helping the patient develop good action plans b. Training the patient in self-care techniques c. Recommending changes in diet and nutrition d. Providing patient education about the disease
a
During an initial patient encounter, you note that her acute anxiety appears to be affecting your ability to help her learn more about her disease process. To overcome this problem, you would consider all of the following, except: a. Recommending that the doctor prescribe an analgesic b. Enlisting family assistance to calm the patient down c. Recommending that the doctor prescribe an anxiolytic d. Postponing further efforts until anxiety management is effective
b
For a clinical encounter with a patient on airborne precautions, you should: a. Wear goggles or an eye shield b. Wear a properly fitting N95 respirator c. Perform a surgical hand scrub d. Don sterile gloves
b
For most respiratory care to succeed, patients need to: a. Have at least a high-school education b. Actively participate in the treatment regimen c. Demonstrate good hand-eye coordination d. Be at least somewhat fluent in English
c
In setting up a postural drainage treatment schedule for a postoperative patient, which of the following information would you try to obtain from the patient's nurse? 1. Patient's medication schedule 2. Patient's ideal body weight 3. Patient's meal schedule a. 1 only b. 1, 2, and 3 c. 1 and 3 d. 2 and 3
a
In which of the following spaces is patient rapport best established? a. Social b. Personal c. Intimate d. Territorial
b
Which of the following are key elements in the provision of patient-centered care? 1. Patient involvement 2. Individualized care 3. Legal representation 4. Provider collaboration a. 1 and 2 b. 1, 2, and 4 c. 3 and 4 d. 1, 2, 3, and 4
d
Which of the following cultural beliefs should be explored with your patients during the initial assessment stage of the clinical encounter? 1. Concepts of health and disease 2. Responses to authority 3. Gender and family roles 4. Religious values a. 1 and 2 b. 3 and 4 c. 1, 2, and 3 d. 1, 2, 3, and 4
d
Which of the following violates HIPAA-related privacy and security rules? a. Providing the minimal needed patient information on request b. Keeping patient information on a whiteboard in the staff room c. Discussing a patient's health status with the nurse at the bedside d. Leaving a computer unattended without logging off
c
While supervising a respiratory therapy student, you observe that an anxious patient asks her if the aerosol bronchodilator she is about to deliver has any bad effects. The student replies "none to worry about." After the treatment session is over, you should explain to the student that: a. Only the patient's doctor should be discussing medication effects with the patient b. Her reply was consistent with what the patient needs to know c. Patients should be encouraged to ask questions about their medications d. Her reply was good—no need to further worry an anxious patient