Advanced Patient Assessment Practice Exam

If a patient is unable to provide an accurate history, what should the respiratory therapist do?

1. Proceed to treat the patient's symptoms

2. Refuse to treat the patient

3. Ask a family member or friend

4. Ask shorter, direct questions

The correct answer is: Ask a family member or friend

When a patient is unable to provide an accurate history, seeking information from a family member or friend is a crucial step in ensuring appropriate care. This approach allows the healthcare provider to gather relevant details about the patient's medical history, current condition, and any previously diagnosed respiratory issues or chronic illnesses that may not be readily communicated by the patient. Family members or friends often have insights into the patient's health that can significantly influence treatment decisions and overall management. Gathering collateral history from someone familiar with the patient's condition aligns with best practices in patient-centered care. It enhances the accuracy of the information used to guide treatment decisions, ultimately leading to better patient outcomes. This is especially important in cases where patients may be in distress, disoriented, or unable to express themselves clearly due to medical conditions or treatments. Asking shorter, direct questions or proceeding to treat symptoms could lead to incomplete or inappropriate treatment due to insufficient information about the patient's situation. Refusing treatment is not an ethical or effective approach, as it can exacerbate the patient's condition and undermine the healthcare provider's responsibility to deliver care.