Deck 17: Communication

Question 1

Which of the following statements by the nurse includes the elements identified for use during self-introduction?

A) "I'm Sally. I will be taking care of you for today."
B) "Hello, Mr. MacInnis. I'm your nurse today."
C) "Good morning, Mr. MacInnis. I am a student nurse; my name is Sally."
D) "Hi, dear. My name is Sally. I will be your registered nurse for the next 2 days."

Answer 1

C

Question 2

Which patient zone of touch would be demonstrated when the nurse is administering eye drops to a patient?

A) Social
B) Consent
C) Intimate
D) Vulnerable

Answer 2

D

Question 3

In working with a patient who is newly diagnosed with diabetes mellitus,the nurse provides feedback to the patient on her progress in learning the treatment regimen.Which statement by the nurse demonstrates the use of therapeutic communication?

A) "I believe that you have come a long way in learning how to manage your care."
B) "It didn't look as if you were ever going to be able to get the injection technique right."
C) "You really need to be checking your blood sugar more often unless you want to come back here to the hospital."
D) "You don't appear to have any interest in your dietary intake."

Answer 3

A

Question 4

The nurse tells an advanced nurse practitioner that the patient is "slipping a little" in reference to hemodynamic pressures.Which communication technique is the nurse using?

A) Brevity
B) Relevance
C) Pacing and control
D) Connotative meaning

Question 5

Which of the following refers to all factors that influence how a message is perceived by other people?

A) Symbolic communication
B) Metacommunication
C) Active expression
D) Contextual action

Question 6

The patient draws back when the nurse reaches over the side rails to take his blood pressure.What should the nurse do first to promote effective communication?

A) Tell the patient that the blood pressure can be taken at a later time.
B) Rotate the nurses who are assigned to take the patient's blood pressure.
C) Continue to perform the procedure quickly and quietly.
D) Apologize for startling the patient and explain the need for contact.

Question 7

A faculty member is reviewing a process recording with the student nurse.The student has been working with a patient who has had an amputation of the lower left leg and is emotionally fragile.Which of the following responses made by the student to the patient receives positive feedback from the faculty member?

A) "Why are you so upset today?"
B) "I'm sure that everything will be all right."
C) "You shouldn't cry. The wound will heal soon."
D) "It must be very difficult to have this happen to you."

Question 8

During the assessment phase of the nursing process,the nurse may uncover data that help to identify communication problems.Which of the following is an example of this type of information?

A) Extreme dyspnea or shortness of breath
B) Urinary frequency and pain
C) Chronic stomach pain
D) Lack of appetite

Question 9

The nurse is aware of the patient's zones of personal space when planning interactions.Which of the following zones of personal space and touch is the one that extends the greatest amount of distance from an individual?

A) Personal zone
B) Social zone
C) Consent zone
D) Vulnerable zone

Question 10

The nurse has provided the patient with information regarding the treatment plan for the diagnosis.The patient tells the nurse that he understands most of the information but still has questions concerning the medication.This response is an example of what?

A) A referent
B) A receiver
C) A channel
D) Feedback

Question 11

In which of the following communication techniques is the nurse making an error when he or she discusses the patient's follow-up dietary needs immediately after the surgery when the patient is experiencing discomfort?

A) Pacing
B) Intonation
C) Timing and relevance
D) Denotative meaning

Question 12

During which phase of the helping relationship does the nurse assess a patient's health status?

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

Question 13

Which of the following would be an appropriate method of communicating with an older adult who has a communication barrier?

A) Shout.
B) Use elderspeak.
C) Speak at a very slow rate.
D) Allow time for the patient to respond.

Question 14

The nurse is in the process of conducting an admission interview with the patient.At one point in the discussion,the patient has provided information that the nurse would like to clarify.Which of the following responses indicate that the nurse is using the technique of clarification?

A) "I'm not sure that I understand what you mean by that statement."
B) "The electrocardiogram records information about your heart's electrical activity."
C) "Let's look at the problem you have had with your medication at home."
D) "What's your biggest concern at the moment?"

Question 15

A parent tells the pediatric nurse practitioner,"I've never told anyone this information about my son." This statement is an example of what?

A) Identifying problems and goals
B) Building trust
C) Clarifying roles
D) Revealing

Question 16

Active listening and body language work together.Which of the following actions does the nurse take in addition to actively listening to the patient?

A) Sits facing the patient
B) Keeps arms and legs crossed
C) Leans back in the chair away from the patient
D) Avoids eye contact as much as possible

Question 17

A patient is admitted for a computed tomography scan of the cranium.As the nurse explains this diagnostic test,the patient moves away from the nurse.This is an example of what influencing factor in communication?

A) Space
B) Gender
C) Environment
D) Sociocultural background

Question 18

The nurse will often display empathy in communication with patients.Which of the following responses by the nurse best conveys empathy?

A) "Good morning. How did you sleep last night?"
B) "I can understand your concern about learning to inject yourself."
C) "Do you mean you would like to talk to the new family nurse practitioner?"
D) "Can you describe what the pain in your abdomen feels like?"

Question 19

A number of variables may influence the patient's communication with the health care team.Which of the following is an example of an interpersonal variable?

A) Postoperative discomfort
B) An extremely warm room
C) A talkative roommate
D) A loud television