Deck 22: Caring and Communicating

Question 1

A nurse finds Latisha,18,in her hospital room,eyes watery and red,tissues on the bed,and the phone lying in her lap.What should the nurse say?

A)"Can I hang up that phone for you?"
B)"Well,it's a beautiful day outside.Let's open the blinds."
C)"Has your doctor been in to talk to you yet?"
D)"You look upset.Is there anything you'd like to talk about?"

Answer 1

"You look upset.Is there anything you'd like to talk about?"

Question 2

Which one of the following is an example of an open-ended question?

A)"What brings you to the hospital?"
B)"Tell me about you and your brother."
C)"Does your pain feel better or worse today?"
D)"Is there anything I can do for you?"

Answer 2

"What brings you to the hospital?"

Question 3

The nurse is conducting an admission interview.Which of the following indicates that the nurse is attentively listening to the client's explanations?

A)"Can you explain what your symptoms are like?"
B)"When was the last time you saw a doctor?"
C)"Uh-huh," while nodding the head.
D)"I'm sorry,say that again."

Answer 3

"Uh-huh," while nodding the head.

Question 4

When the nurse asks,"Did you sleep well last night?" the client answers,"No,I was not very sleepy." What component of the communication process does the client's response represent?

A)Sender
B)Message
C)Feedback
D)Receiver

Question 5

What term is used to describe rude,discourteous,or disrespectful behaviour that reflects a lack of regard for others?

A)Incivility
B)Disruptive behaviours
C)Bullying
D)Lateral violence

Question 6

What should a nurse do in order to listen attentively to a client?

A)Maintain good eye contact
B)Lean back comfortably in the chair
C)Sit with legs loosely crossed
D)Respond quickly to client's statements

Question 7

A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics would be appropriate for this situation?

A)Intimate
B)Personal
C)Social
D)Public

Question 8

Some health care facilities provide information to their clients on how they can reach,via e-mail,specified staff members.What is an advantage of using e-mail as a form of communication in health care?

A)It is highly confidential.
B)It is useful in urgent situations.
C)Any lab results can be read by the client.
D)It helps communication and continuity of care.

Question 9

During an interaction between a nurse and client,the nurse conveys respect and an attitude which shows the nurse takes the client's opinions seriously.This would happen during which stage of the working phase?

A)Exploring and understanding
B)Facilitating and taking action
C)Confrontation
D)Concreteness

Question 10

Mrs.Jimenez,42,has been sullen and withdrawn since receiving a cancer diagnosis.As the nurse enters the room,Mrs.Jimenez asks for assistance with a shower.Which comment by the nurse is the most appropriate?

A)"If you look better,you might feel better."
B)"Your husband will be glad to see that you're feeling better."
C)"This is a positive sign.I'll be right back with your supplies."
D)"Taking a shower might wash away some of that gloom and doom."

Question 11

A client has just lost her second baby to preterm complications.What is the most therapeutic response by the nurse?

A)"Don't be so sad.You can always try again."
B)"Didn't your doctor advise you about genetic counselling?"
C)"I know how you feel.I have children of my own."
D)"I am so sad for you.I'll stay with you for a while if you need to talk."

Question 12

During which phase of the relationship process does clarification of the problem occur?

A)Preinteraction phase
B)Introductory phase
C)Working phase
D)Termination phase

Question 13

What term is used to describe the ability to form work relationships,display maturity,manage emotions,and resolve conflicts with colleagues?

A)Congruent communication
B)Emotional intelligence
C)Aesthetic knowing
D)Empirical knowing

Question 14

A nurse says to her client,"Your M.D.is still in ICU,but he has ordered an ABG to be drawn prior to your pre-op." The nurse is risking which threat to effective communication?

A)Cultural differences
B)Space constraints
C)Decoding misinterpretations
D)Language barriers

Question 15

Mr.Umlah,67,is dying and his nurse sees his life partner crying.Which one of the following comments would be best for the nurse to make to facilitate discussion of Mr.Umlah's partner's feelings?

A)"How are you feeling today?"
B)"You seem upset.Is your friend worse today?"
C)"Crying is good for you.Things will look brighter tomorrow."
D)"Have you been crying? Would you like to talk about it?"

Question 16

The wife of a dying client states she is overwhelmed by her husband's illness and does not think she can go on much longer.The nurse responds by saying,"It must be difficult having a loved one in such critical condition.Would it help to talk about it?" Which communication technique does this response describe?

A)Focusing
B)Clarifying
C)Summarizing
D)Providing general leads

Question 17

During which phase of the relationship process does the nurse assist the client to explore thoughts,feelings,and actions?

A)Preinteraction phase
B)Introductory phase
C)Working phase
D)Termination phase

Question 18

Which one of the following would be an example of assertive communication when a nurse is addressing a physician?

A)"You need to check the laboratory results of the client in room 423."
B)"You should visit with the client's family about the upcoming procedure."
C)"I think that you need to be more aware of the situation between the client and his family."
D)"I am concerned that the client does not have adequate pain management."

Question 19

Which of the following statements describes the Maintaining Belief process of Swanson's Theory of Caring (1991)?

A)Preserving client dignity while helping them cope is part of therapeutic caring.
B)Nurses regard their clients in high esteem and offer them realistic optimism.
C)Listening and attending to clients' needs is part of therapeutic caring.
D)Nurses facilitate their clients to move through life transitions and unfamiliar events.

Question 20

Several nurses have been asked to put together a proposal to help implement self-scheduling.They are to develop a schedule that provides adequate staffing of all shifts.This is an example of which type of group?

A)Self-help group
B)Task group
C)Teaching group
D)Therapy group

Question 21

What is one feature of an effective group?

A)Disagreements are not tolerated.
B)The leader dominates the group.
C)All decision making is done by the group.
D)Personal feelings are not part of group discussions.

Question 22

Which one of the following nursing actions violates a client's intimate space?

A)Sitting at the client's bedside
B)Entering the client's hospital room
C)Removing the client's abdominal sutures
D)Adjusting the client's IV flow rate

Question 23

The client tells the nurse,"The physical therapy makes my leg hurt more and the pills and heating pad do not help either." Which of the following responses would enhance clarification?

A)"Are you saying that none of the therapies relieve your pain?"
B)"Perhaps the medication has not had time to work."
C)"You're saying the heating pad is not working?"
D)"Perhaps your position in the bed has to change."

Question 24

What is meant by comportment,an attribute in Roach's Six Cs of Caring framework?

A)Choosing to act in accordance to one's desires and obligations
B)Fostering trusting relationships and finding comfort
C)Participating in the experience of another
D)Presenting oneself as someone who respects others and demands respect

Question 25

A few hours after the birth of her daughter,a new mother is crying and says to the nurse,"My husband is disappointed in me because he did not want another girl." What would be the nurse's most therapeutic reply at this moment?

A)"It is the father who determines a baby's sex,so you should tell him that."
B)"It certainly is not your fault,and you should not feel badly."
C)"You seem very upset.Would it help to talk to me about it?"
D)"Please do not cry.Your baby is healthy.You can have a boy next time."

Question 26

How should a nurse recognize that a client who has constant pain from severe burns to both hands has reached Kolcaba's state of transcendence?

A)The client verbalizes reduced pain following a pain medication.
B)Hand exercises are completed slowly,in the same amount of time as usual.
C)The client performs hand exercises slowly,but with ease.
D)The exercises are completed in half the time that they took previously.

Question 27

A mental health nurse is caring for a client with schizophrenia,and says,"Your magazine is here in the drawer.It has not been stolen." Which communication technique is the nurse using?

A)Focusing
B)Acknowledging
C)Presenting reality
D)Checking perception

Question 28

What is the purpose of using a process recording?

A)Chronologically recording a clinical event
B)Capturing data with a recording device
C)Allowing analysis of an interaction
D)Filing charts for medical records departments