Exam 38: Communication

Use of flow sheets would be most appropriate during which phase of the nursing process?

The nurse is conducting a health history on a client who is being admitted to a medical-surgical unit for the treatment of chronic pain.The client is concerned about privacy and asks why it is necessary for the nurse to ask for private information and then document it in the medical record.Which response by the nurse is most appropriate?

Which of the following terms encompasses the way a group functions,communicates,sets goals,and achieves objectives?

The nurse is admitting a client to an inpatient psychiatric unit.The client is speaking wildly and is obviously very agitated.Which action by the nurse would be appropriate to calm the client?

The nurse is starting preoperative teaching when the client receives a phone call.When the call ends and the nurse resumes teaching,the client is visibly upset and begins to cry.Which therapeutic initial response by the nurse is appropriate?

A nurse case manager spends the morning in a peer discussion and the afternoon in an ad hoc quality management committee meeting that is led by the hospital administrator.Which two types of groups has the nurse case manager participated in?

A nurse manager is educating staff nurses about the types and frequency of documentation required for clients being cared for in long-term care facilities.These requirements originate from which of the following laws and regulatory bodies? Select all that apply.

The nurse is caring for a client who is reporting a pain level of 8 on a 0-to-10 numeric pain scale.The nurse administers the prescribed pain medication.When the nurse re-evaluates the client 1 hour later,the client is still reporting a pain level of 8.Which action by the nurse is appropriate at this time?

Which of the following situations is an example of countertransference in the group setting?

A home health nurse is precepting a new nurse during a routine wound care visit.The new nurse is assessing the client's wound and notes that it is showing signs and symptoms of infection.The client's spouse asks the new nurse how the wound looks.The new nurse responds by stating,"It looks fine," but the new nurse's face indicates a different story.When evaluating the new nurse,the preceptor should note a need to work on which aspect of communication?

Traditional client records employ which of the following documentation systems?

The nurse is assigned to provide care to a client with chronic obstructive pulmonary disease (COPD).Overnight,the client's oxygen saturation levels decreased and the client has been placed on oxygen by the respiratory therapist.To review specific information about the care received from the respiratory therapist,which portion of the medical record should the nurse review?

The nurse is caring for an older adult client in a long-term care facility.Which behavior by the nurse conveys physical attending when communicating with this client?

The nurse is caring for a client who received analgesic medication via central line to treat pain associated with cancer.After reassessing the client's response,which section of the PIE record will the nurse use when documenting the client's care?

A nurse educator in a medical-surgical unit is demonstrating the use of new equipment to the rest of the nurses on the unit.After initial efforts at having the class gather closely around the models were met with discomfort and inattention,the nurse educator sets up the models in the front of the classroom.Which level of proxemics would be ideal for this situation?

The healthcare provider prescribes digoxin for a client who will be discharged in the morning.When documenting the order in the medical record,which action by the nurse is most appropriate?

The nurse is caring for a client who was admitted to the emergency department with abdominal pain.The client speaks very little English and requires an emergency appendectomy.The nurse has enlisted the hospital interpreter to explain the procedure and help with informed consent.When the interpreter arrives,which action by the nurse is appropriate?

What are the four steps of the SBAR communication technique?

The nurse is sitting in on a meeting for clients on a behavioral health unit.Which of the following characteristics of the group indicate that the group is functioning effectively? Select all that apply.

The nurse is documenting care in a client's medical record.The nurse provides narrative documentation only for abnormal assessment findings.Based on this information,which type of charting is the nurse using?