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chapter 8
| Question | Answer |
|---|---|
| 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 |
| vital signs on a pregnant client during a routine prenatal visit. The 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 | “You're worried about how you will tolerate the pain associated with labor.” |
| The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that appl | "Are you ready to get out of bed?"Do you smoke cigarettes?""Is there any chance you might be pregnantDoes it hurt when I touch you here?" |
| The closed-ended question provides | the receiver with limited choices of possible responses and might often be answered by one or two words: “yes” or “no |
| A nurse is planning care for an adult client with severe hearing impairment who uses sign language and lip reading for communication and who has a new diagnosis of cancer. Whichaction is most appropriate when establishing the plan of care for this client | Arrange for a sign language interpreter when discussing treatment. |
| caring for a client who sustained head trauma. The client is in a medically induced coma mechanical ventilation. parent bedside in tears The parent states, "I just want my child needs of the parent and the client, what would be the nurse’s response? | Place a chair next to the bed and encourage the parent to hold the client’s hand. |
| A nurse is asking a colleague about a situation. Which response best demonstrates assertive communication? | "I think there is a better way to handle this." |
| is caring for a client at the end stage of life. The client is crying and states to the nurse, "I just cannot believe I am going to be leaving my children without a parent. I am not ready to go demonstrates the expression of empathy to the client | "It sounds as though you are most concerned about how your children will feel." |
| The nurse is demonstrating empathy when reiterating what the client is saying. | This helps the nurse become effective at providing for the client's emotional needs while maintaining detachment |
| 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?" |
| 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.” |
| A nurse suspects that a client may have a hearing problem. The nurse should attempt to consult | an audiologist. |
| 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 |
| 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 |
| A nurse is providing care to a 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 | • involve the child's stuffed animal in the educational session |
| Each facilitates a therapeutic nurse–client relationship except: | closed-ended questions |
| A nurse is communicating the plan of care for a client who is unconscious. Which nursing actions best facilitate this process? Select all that apply. | careful what is said in the client’s presence The nurse would assume the client can hear and discuss things that would ordinarily be discussed. The nurse would speak with the client before touching the 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?" |
| The nurse is caring for a postoperative client who refuses a blood transfusion due to religious beliefs. The nurse is demonstrating trustworthiness when taking which action in response to the client's treatment wishes | contacting the interprofessional care team to discuss alternative treatment options |
| A nurse is caring for a client who sustained a spinal cord injury and has paraplegia. The client is frustrated, crying, and tells the nurse, "I just want to die.” What is the nurse’s best response to the client? | The nurse says, "I can only imagine how hard this is on you. How can I help you?" |
| A nurse is communicating the plan of care to a client who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply. | The nurse would maintain eye contact with the client. The nurse shows patience and gives the client time to respond. The nurse keeps communication simple and concrete. |
| The community health nurse is preparing a campaign to educate the public about heart health. Which form(s) of verbal communication would be effective to use in this campaign? Select all that apply. | television, radio, and a public speech |
| types of nonverbal communication | . Eye contact and color-coded signs |
| 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 |
| Which technique would a nurse employ when using listening skills appropriately when interviewing a client? | The nurse would listen to the themes in the client’s comments. |
| The nurse is providing care to an older adult client who has visual and hearing deficits. What action by the nurse is appropriate to help with communication | Identify oneself by name and title with each entry into the client's room |
| Paramedics arrive in the emergency department with a client who was in a motor vehicle collision. The paramedic reports that the driver was restrained, the car was traveling about 30 miles per hour (48 km/hr), and the air bags were not deployed | • "All of the people got themselves out of the car?" |
| A nurse is caring for a client who presents with a skin infection. While obtaining the client's medical history, it is determined that the client is an intravenous drug user. To foster effective communication, the nurse should | remain honest, open, and frank |
| The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has | The nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe |
| When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive? | Facial expressions |
| A nurse and an older adult client with chronic back pain are beginning to communicate. What activity should the nurse focus on at this point? | • Being sensitive to the client's emotional barriers |
| The nurse is visiting a hospice client in the client's home. The 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 | Encouraging elaboration |
| Encouraging elaboration involves | making simple statements that indicate active listening and comprehension on the part of the nurse and that prompt the client to continue talking. This technique helps the client to describe more fully the concerns or problems under discussion |
| The nurse communicates with a newly admitted client. Which nonverbal behavior will the nurse note? | The client's gestures |
| Nonverbal communication refers | to the use of body language, such as gestures, facial expressions, posture, space, appearance, body movement, and touch |
| In which situation would the SBAR technique of communication be most appropriate? | A nurse is calling a health care provider to report a client's new onset of chest pain |
| The SBAR technique of communication | including nurse–health care provider communication surrounding acute client developments |
| The nurse will be caring a client who will soon be admitted to the medical unit. The nurse should establish a working relationship and discuss how communication will take place during what phase of the nurse–client relationship | Orientation phase |
| The orientation phase of the relationship | the first phase of therapeutic work and involves establishing roles and expectations for communication |
| The working phase consists | of the nurse and client then working together to achieve the client goals established in the orientation phase |
| 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 interviewing a client for the establishment of long-term care insurance. During the interview, the nurse asks questions regarding the client's past medical history. In this case, the nurse plays the role in the process of communication of the | • sender. |
| The nurse is playing the role of the sender | which is a person or group who has a purpose for the communication and initiates and conveys the message |
| The receiver, or decoder | , is the person or group who receive and interpret, or decode, the message. |
| A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, “If my doctor did a good job, I would not be here right now!” What is the nurse’s best response? | Be silent and allow the client to continue speaking when ready |
| When clients are angry or crying, the best nursing response | is to remain nonjudgmental, allow them to express their emotions, and return later with a follow-up regarding their legitimate complaints |
| 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?" |
| When obtaining a nursing history, use the open-ended question technique | to allow the client a wide range of possible responses |
| A nurse is completing a health history with a client being admitted for a mastectomy. During the interview the client states, “I do not know what to do. I am not sure if I really need this surgery.” response by the nurse demonstrates active listening? | “You seem unsure. Tell me your concerns about your surgery.” |
| 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?" |
| A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation? | • Empathy |
| The nurse should empathize with the family for their loss | Empathy helps the nurse to provide effective care and support without being emotionally distraught by the family's condition |
| Which is a skill appropriate to use in therapeutic communication? | Control the tone of the voice to avoid hidden messages |
| 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 |
| The working phase is usually the | the longest phase of the nurse–client relationship |
| The nurse will be caring a client who will soon be admitted to the medical unit. The nurse should establish a working relationship and discuss how communication will take place during what phase of the nurse–client relationship? | Orientation phase |
| The orientation phase of the relationship | represents the first phase of therapeutic work and involves establishing roles and expectations for communication |
| The client does not speak the dominant language. The nurse plans on providing preoperative teaching and uses an interpreter to communicate with the client. What intervention(s) will the nurse employ to aid in interpretation? Select all that apply. | Position the interpreter to sit between the nurse and the client. Look at the client while speaking.Speak slowly, using nontechnical terms.Look at the client while speaking |
| A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the acces | • The working phase |
| A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it. | aggressive |
| A unit-based infection control task force was developed in an attempt to reduce catheter-acquired infections. The group consists of 10 team members. During the past three meetings, one person dominated the meeting and did not allow other members | • have group members confront the dominant member to promote the needed team work |
| Effective groups have | who are mutually respectful. If a group member dominates or thwarts the group process, then the leader or other group members must confront the member to promote the needed collegial relationship |
Created by:
jordan314