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NURS 201 - Chapter 8
Communication
| Question | Answer |
|---|---|
| The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? | -"Are you ready to get out of bed?" -"Do you smoke cigarettes?" -"Is there any chance you might be pregnant?" -"Does it hurt when I touch you here?" ** These are yes or no questions ** |
| Which nurse would most likely be the best communicator? | A nurse who easily develops a rapport with clients ** Rapport = close and good relationship ** |
| Client is in a medically induced coma and on mechanical ventilation. Client's parent is at the bedside in tears & states, "I just want my child to know I am here.” What would be the nurse’s most appropriate response? | Place a chair next to the bed and encourage the parent to hold the client’s hand. |
| A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out during this phase of the relationship? | Reviewing health changes |
| 3-year-old child admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse should: | Involve the child's stuffed animal in the educational session. |
| A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique? | Giving false reassurance |
| An infection control task force was developed in an attempt to reduce catheter-acquired infections. During the past three meetings, one person dominated the meeting and did not allow others to speak. The best way to address the team dysfunction is to: | Have group members confront the dominant member to promote the needed team work. |
| The nurse makes a contract with the client during which phase of the nurse–client relationship? | Orientation phase |
| Pregnant client states, “I know labor will be so painful, it sounds awful. I am sure I will not be able to stand the pain; I really dread going into labor.” What is the best response from the nurse? | “You're worried about how you will tolerate the pain associated with labor.” |
| A nurse suspects that a client may have a hearing problem. The nurse should attempt to consult: | An audiologist |
| Client w/ cardiac arrythmia was prescribed metoprolol and is at a follow-up appointment at the cardiologist's office & says "I feel depressed, tired, and I have no desire to exercise." To determine a cause-and-effect relationship, the nurse should ask: | "Were you tired and depressed before starting the new medication?" |
| Carl Rogers (1961) studied the process of therapeutic communication. Through his research, the elements of a “helpful” person were described. They include all of the following except which choice? | Analysis |
| A nurse is at the end of a busy shift on a medical-surgical unit. The nurse enters a room to empty the client's urinary catheter and the client says, "I feel like you ignored me today." In response to the statement, the nurse should: | Sit at the bedside and allow the client to explain the statement |
| A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse–client relationship is this type of agreement established? | Orientation phase |
| A nurse is attempting to calm an infant in the nursery. The nurse responds to the highest developed sense by: | Swaddling the child and gently stroking its head |
| A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy? | “I see you are upset. Would you like to talk?” |
| What nursing care behavior by the nurse engenders/causes a client's trust in the nurse? | A nurse answers the client’s questions about an upcoming test in a calm gentle voice while making eye contact with the client |
| A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? | Assess how the client would like to communicate |
| A nurse is attempting to complete an admission database. While taking the history, the nurse notices the client appears uncomfortable and slightly tachypneic. The nurse should: | Allow the client to set the pace |
| A client is diagnosed with diabetes. The client’s adult child offers to serve as an interpreter, because the client does not speak the dominant language. Which is the best action for the nurse to take? | Contact a professional interpreter. |
| The hospice client is explaining difficulties with a home infusion pump. By making statements such as “I see” and “go on” during the conversation, the nurse is using which therapeutic nurse–client communication technique? | Encouraging elaboration -used to help the client describe more fully the concerns or problems being discussed |
| A nurse is discussing cataract treatment with a client. Which statement by the nurse would be most therapeutic? | "Have you ever thought of laser surgery?" |
| The nursing supervisor is giving a performance evaluation to an employee. Which communication technique by the nursing supervisor sends the message of disinterest in the employee? | Avoiding eye contact |
| Nurse notices that preceptor gives all subcutaneous injections on 45-degree angle. When new nurse asks the preceptor the rationale, the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be: | aggressive |
| Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse? | A nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer’s |
| Clarification | involves asking a follow-up question about a statement made by the client to clear up some point that the nurse is not sure about or to elicit more specific details |
| Reflection and restatement | involve the nurse repeating back to the client a comment made by the client to ensure that the nurse has correctly heard or understood the client |
| Orientation phase | the nurse discusses with the client when visits will occur and how long they will last |
| Working phase | the nurse works together with the client to meet the client’s physical and psychosocial needs (the nurse works together with the client to meet the client’s physical and psychosocial needs) |
| Termination phase | the nurse and client acknowledge that the agreement on which the relationship is based is concluding |
| Aggressive behavior | involves asserting one’s rights in a negative manner that violates the rights of others |
| Assertive behavior | the ability to stand up for oneself and others using open, honest, and direct communication |
| A hospital client tells the nurse that they cannot sleep because they keep hearing another client, who is delirious, calling out. How should the nurse best apply the technique of restatement? | “The noise made by another patient is keeping you awake.” |
| A client is scheduled for thoracentesis. The nurse assesses that the client appears anxious about the procedure and needs honest support and reassurance. What is the most appropriate response by the nurse to this client? | “The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position.” |
| Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached? | Empathy |
| A 70-year-old client had a cholecystectomy 4 days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask to assess the client's orientation? | "What is your name?" -represents an open-ended question and allows the nurse to assess the client's level of consciousness without ambiguity |
| Nurse plans care for adult client with severe hearing impairment who uses sign language and lip reading for communication and who has a new diagnosis of cancer. Which nursing action is most appropriate when establishing the plan of care for this client? | Arrange for a sign language interpreter when discussing treatment. |
| When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive? | Facial expressions |
| The nurse is caring for a client who is a victim of sexual assault. Which action would the nurse take to develop a trusting rapport with the client? | Approach the client with empathy and understanding and allow the client to share feelings without being judged |
| A nurse is preparing to provide discharge instructions to a postpartum client regarding infant care. Before beginning the education session, the nurse should: | eliminate as many distractions as possible. |
| A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question? | "I understand you have four kids; how many times have you actually been pregnant?" |
| Rapport | a feeling of mutual trust between nurse and client |
| During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is: | "What did your health care provider tell you about your need to be admitted?" |
| A nurse is attempting to communicate with a client who speaks a different language and is not fluent in the nurse's language. Which nursing action would best facilitate the communication process? | Speak slowly and distinctly, but not loudly. |
Created by:
kmeans34
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