Deck 24: Communication

Question 1

A patient has been admitted to the hospital numerous times.The nurse asks the patient to share a personal story about the care that has been received.Which interaction is the nurse using?

A) Narrative
B) Socializing
C) Nonjudgmental
D) SBAR

Answer 1

Narrative

Question 2

Which situation will cause the nurse to intervene and follow up on the nurse aide's behavior?

A) The nurse aide is calling the older adult patient "honey."
B) The nurse aide is facing the older adult patient when talking.
C) The nurse aide cleans the older adult patient's glasses.
D) The nurse aide allows time for the older adult patient to respond.

Answer 2

The nurse aide is calling the older adult patient "honey."

Question 3

A nurse is sitting at the patient's bedside taking a nursing history.Which zone of personal space is the nurse using?

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

Answer 3

Personal

Question 4

The nurse asks a patient where the pain is,and the patient responds by pointing to the area of pain.Which form of communication did the patient use?

A) Verbal
B) Nonverbal
C) Intonation
D) Vocabulary

Question 5

A nurse and patient take action to meet health-related goals.The nurse is in which phase of the helping relationship?

A) Pre-interaction
B) Orientation
C) Working
D) Termination

Question 6

During the initial home visit,a home health nurse lets the patient know that the visits are expected to end in about a month.The nurse is in which phase of the helping relationship?

A) Pre-interaction
B) Orientation
C) Working
D) Termination

Question 7

A nurse is standing beside the patient's bed.
Nurse: How are you doing?
Patient: I don't feel good.
In this situation,which element is the feedback?

A) Nurse
B) Patient
C) How are you doing?
D) I don't feel good.

Question 8

Nurses who make the best communicators

A) Develop critical thinking skills.
B) Like different kinds of people.
C) Learn effective psychomotor skills.
D) Maintain perceptual biases.

Question 9

A patient has trouble speaking words,and the patient's speech is garbled.Which nursing diagnosis is most appropriate for this patient?

A) Hopelessness
B) Impaired verbal communication
C) Hearing loss
D) Self-care deficit

Question 10

Which person is the best referral for a patient who speaks a foreign language?

A) A family member
B) A speech therapist
C) An interpreter
D) A mental health nurse specialist

Question 11

Before meeting the patient,a nurse talks to other caregivers about the patient.The nurse is in which phase of the helping relationship?

A) Pre-interaction
B) Orientation
C) Working
D) Termination

Question 12

A nurse is using SOLER to facilitate active listening.Which technique should the nurse use for R?

A) Relax
B) Respect
C) Reminisce
D) Reassure

Question 13

A smiling patient angrily states,"I will not cough and deep breathe." How will the nurse interpret this finding?

A) The patient's personal space was violated.
B) The patient's affect is inappropriate.
C) The patient's vocabulary is poor.
D) The patient's denotative meaning is wrong.

Question 14

A nurse uses SBAR during hand-offs.The purpose of SBAR is to

A) Use common courtesy.
B) Establish trustworthiness.
C) Promote autonomy.
D) Standardize communication.

Question 15

Which technique will be most successful in ensuring effective communication? The nurse uses

A) Interpersonal communication to change negative self-talk to positive self-talk.
B) Small group communication to present information to an audience.
C) Intrapersonal communication to build strong teams.
D) Transpersonal communication to enhance meditation.

Question 16

When making rounds,the nurse finds a patient who is not able to sleep because of surgery in the morning.Which therapeutic response is most appropriate?

A) "It will be okay. Your surgeon will talk to you in the morning."
B) "Why can't you sleep? You have the best surgeon in the hospital."
C) "Don't worry. The surgeon ordered a sleeping pill to help you sleep."
D) "It must be difficult not to know what the surgeon will find. What can I do to help?"

Question 17

A nurse believes that the nurse-patient relationship is a partnership,and that both are equal participants.Which term should the nurse use to describe this belief?

A) Critical thinking
B) Authentic
C) Mutuality
D) Attend

Question 18

A nurse wants to present information about flu immunizations to the elderly in the community.Which type of communication should the nurse use?

A) Interpersonal
B) Public
C) Transpersonal
D) Small group

Question 19

An elderly patient is wearing a hearing aid.Which technique should the nurse use to facilitate communication?

A) Speak clearly and loudly.
B) Turn off the television.
C) Chew gum.
D) Use at least 14-point print.

Question 20

A patient was admitted 2 days ago with pneumonia and a history of angina.The patient is now having chest pain with a pulse rate of 108.Using the SBAR,which piece of data will the nurse use for B?

A) Having chest pain
B) Pulse rate of 108
C) History of angina
D) Oxygen is needed.

Question 21

Which critical thinking standards should the nurse use to ensure sound effective communication with patients?

A) Faith
B) Supportiveness
C) Self-confidence
D) Humility
E) Independent attitude
F) Spiritual expression

Question 22

Which types of patients can cause challenging communication situations?

A) A male patient who is cooperative with treatments
B) A female patient who is outgoing and flirty
C) An older adult patient who is demanding
D) An elderly patient who can clearly see small print
E) A teenager frightened by the prospect of impending surgery
F) A child who is developmentally delayed

Question 23

A confused older adult patient is wearing thick glasses and a hearing aid.Which intervention is priority to facilitate communication?

A) Focus on tasks to be completed.
B) Allow time for the patient to respond.
C) Limit conversations with the patient.
D) Use gestures and other nonverbal cues.

Question 24

The patient that will cause the greatest communication concerns for a nurse is the patient who is

A) Alert, has strong self-esteem, and is hungry.
B) Oriented, pain free, and blind.
C) Cooperative, depressed, and hard of hearing.
D) Dyspneic, has a tracheostomy, and is anxious.

Question 25

A patient is aphasic,and the nurse notices that the patient's hands shake intermittently.Which nursing action is most appropriate to facilitate communication?

A) Use a picture board.
B) Use pen and paper.
C) Use an interpreter.
D) Use a hearing aid.

Question 26

A patient says,"You are the worst nurse I have ever had." Which response by the nurse is the most assertive?

A) "If I were you, I'd feel grateful for a nurse like me."
B) "I feel uncomfortable hearing that statement."
C) "How can you say that when I have been checking on you regularly?"
D) "You shouldn't say things like that, it is not right."

Question 27

The nurse using critical thinking to enhance communication with patients is one who

A) Shows sympathy appropriately.
B) Uses automatic responses fluently.
C) Self-examines personal communication skills.
D) Demonstrates passive remarks accurately.

Question 28

The staff is having a hard time getting an older adult patient to communicate.Which technique should the nurse suggest the staff use?

A) Allow the patient to reminisce.
B) Try changing topics often.
C) Involve only the patient in conversations.
D) Ask the patient for explanations.