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A male therapist is discussing a treatment plan with a female patient who is sitting up in bed, dressed in a hospital gown and wearing a full head covering with only her face showing.Her husband is in the room, and from previous encounters it is clear that she defers to him.The most effective way to present this treatment plan would be for the therapist to:


A) Present the patient with a written summary of the plan and ask her to look it over.
B) Ask the woman's husband to step out of the room while the plan is being discussed with the patient.
C) Explain the plan to the patient, maintaining eye contact with her at all times and encouraging her to ask any questions she might have.
D) Explain the plan to the patient and her husband, and encourage both to ask any questions they might have.

E) A) and D)
F) A) and C)

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The golden rule of bedside care can be summarized as:


A) Patients should be cared for primarily at the bedside.
B) All patient services (e.g., x-ray, nursing care, respiratory care) should be delivered to the patient at the bedside whenever possible.
C) As a caregiver, at all times treat a patient as you would hope to be treated if you were the patient.
D) Make sure that all safety equipment is in place at the bedside for maximum patient protection from hazards such as falls.

E) None of the above
F) C) and D)

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The main objective of the I Speak Up initiative from the National Institute of Health (NIH) is:


A) Be sure that all billing for patient medical expenses occurs correctly.
B) Let caregivers know that the family wants to be informed at all times.
C) Let the hospital know when ancillary services such as food quality and parking are inadequate.
D) Help ensure that a patient's care is as safe and effective as possible.

E) C) and D)
F) B) and C)

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What is the appropriate distance for the social space from the patient?


A) 3 to 5 feet
B) 4 to 12 feet
C) 6 to 18 feet
D) 8 to 20 feet

E) All of the above
F) A) and B)

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Which of the following activities is not part of the role of respiratory therapists (RTs) in patient assessment?


A) Assist the physician with diagnostic reasoning skills.
B) Help the physician select appropriate pulmonary function tests.
C) Interpret arterial blood gas values and suggest mechanical ventilation changes.
D) Document the patient diagnosis in the patient's chart.

E) A) and D)
F) A) and B)

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In determining the course of treatment for a 20-year-old patient hospitalized for exacerbation of cystic fibrosis, the most effective course of action would be:


A) Formulating a treatment plan based on the therapist's knowledge of the disease and its treatment and then presenting it to the patient.
B) Formulating a treatment plan with the physician and nurse and then presenting it to the patient.
C) Interviewing the patient and strictly following the patient's preferences with regard to treatment.
D) Interviewing the patient to determine his or her preferences for treatment, formulating a treatment plan in collaboration with the nurse and physician based on both patient preferences and the team's knowledge of the disease and its treatment, and presenting it to the patient.

E) B) and D)
F) All of the above

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All of the following represent good hygiene practices except:


A) Gloves should be worn when touching a patient only when a caregiver is likely to come into contact with secretions or infectious materials.
B) Hands should be washed when first encountering a patient, after leaving a patient, and before and after any sterile or clean procedure is performed on a patient.
C) All infectious waste should be disposed of in proper waste containers.
D) Place all needles and blades in "sharps" containers when you are finished with them.

E) A) and B)
F) B) and C)

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Which of the following techniques for expressing genuine concern is the most difficult to use appropriately?


A) Touch
B) Posture
C) Eye contact
D) Proper introductions

E) C) and D)
F) None of the above

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In which of the following stages of patient-clinician interaction is the review of physician orders carried out?


A) Treatment stage
B) Introductory stage
C) Preinteraction stage
D) Initial assessment stage

E) A) and B)
F) A) and C)

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In 1996, Congress passed the HIPAA.What does the letter "P" stand for?


A) Patient
B) Payment
C) Portability
D) Personal

E) B) and C)
F) All of the above

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According to the American Association for Respiratory Care (AARC) , patient discharge plans should include which of the following?


A) Transportation for the patient when the patient goes home
B) Ascertaining that once the patient has been discharged, the patient has adequate financial resources to pay rent and utilities
C) Notification of the patient's family and/or other caregivers of the patient's imminent discharge
D) Methods for the ongoing assessment of outcomes

E) C) and D)
F) B) and C)

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In interacting with patients, behaviors such as body movements, touch and eye movements, and facial expressions would be examples of:


A) Nonverbal communication.
B) Expressions of caregiver interest in patient welfare.
C) Mechanisms to put patients at ease.
D) None of the above.

E) B) and C)
F) All of the above

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What is the main purpose of the initial assessment stage?


A) To identify any allergies to medications
B) To document the patient's smoking history
C) To personally get to know the patient better
D) To verify that the prescribed treatment is still needed and appropriate

E) All of the above
F) B) and D)

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Which of the following behaviors is not consistent with resistive behavior of a patient?


A) Crossed arms
B) Minimal eye contact
C) Brief answers to questions
D) Asking the purpose of the treatment

E) All of the above
F) A) and B)

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In order to deliver effective patient education for use of a particular treatment, the first step should be to:


A) Describe to the patient the equipment that will be used for the treatments.
B) Describe to the patient the medications that will be used for the treatments.
C) Assess the patient's learning needs by identifying learning barriers, determining the way the patient best learns, and evaluating the patient's readiness to learn.
D) Describe to the patient the schedule for the treatments to be given.

E) All of the above
F) C) and D)

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