Deck 26: Communicating

Question 1

The nurse observes during a dressing change that the client's wound has become infected.When asked by the client how the wound looks,the nurse says "it looks fine" but the nurse's facial expression doesn't support the response.Which aspect of communication should this nurse improve?

A)Adaptability
B)Credibility
C)Timing and relevance
D)Clarity and brevity

Answer 1

Adaptability

Question 2

A client has been sullen and withdrawn since receiving the news of her cancer diagnosis.As the nurse enters the room,the client asks for assistance with a shower.Which comment by the nurse is the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)"Taking a shower might wash away some of that gloom and doom."
C)"This is a positive sign.I'll be right back with your supplies."
D)"Your spouse will be glad to see that you're feeling better."

Answer 2

"This is a positive sign.I'll be right back with your supplies."

Question 3

A nurse needs to evaluate the effectiveness of a teaching session with a client.Which approach would provide the best feedback?

A)Client communication
B)Process recording
C)Therapeutic communication
D)Verbal communication

Answer 3

Process recording

Question 4

The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase?
Standard Text: Select all that apply.

A)Opening the relationship
B)Clarifying the problem
C)Structuring and formulating the contract
D)Planning before the interview
E)Understanding thoughts and feelings

Question 5

The nurse is communicating with an older client.Which actions demonstrate that the nurse understands the best approaches to communicate with this client?
Standard Text: Select all that apply.

A)Asking,"What can I do to make you feel safe?"
B)Observed intently listening to the client describe how being alone makes her feel
C)Offering to take the client "out for a walk"
D)Consistently arranging for the client to have her hair done
E)Managing to get a copy of the client's favorite magazine

Question 6

The nurse is conducting an admission interview.Which response 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 for this?"
C)"Uh-huh," while nodding the head
D)"I'm sorry,say that again?"

Question 7

During an interaction between a nurse and client,the nurse conveys respect and an attitude that shows the nurse takes the client's opinions seriously.In which stage of the working relationship are the nurse and client engaged?

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

Question 8

A nurse enters a client's room and asks about his level of pain.The client,grimacing,says "It's fine." Which communication factor is the client struggling with?

A)Territoriality
B)Environment
C)Congruence
D)Attitude

Question 9

The nurse is identifying communication strategies for a client unable to speak.What would be appropriate for the client in this situation?

A)Using a picture board to facilitate communication
B)Facing the client when speaking
C)Employing an interpreter
D)Making sure that the language spoken is the client's dominant language

Question 10

A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics should the nurse use?

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

Question 11

The nurse enters a client's room and finds that the telephone is lying in the client's lap,tissues are wadded up on the bed,and the client's eyes are red and watery.What is the best response by the nurse?

A)"Can I hang that phone up 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?"

Question 12

A nurse is working on a telemetry unit when one of the clients has a cardiac arrest.The client's spouse is in the room when the code team arrives.Which statement by the nurse to the spouse is the best in this situation?

A)"I know you're worried about your loved one.I'm sure this is a difficult situation for you.Do you have any questions right now?"
B)"Your spouse's heart stopped.All these people are here to help get it started."
C)"Your spouse's physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now."
D)"Is there someone you would like to call? I'm sure this is a scary situation and you may feel more comfortable if someone were with you during this time."

Question 13

A nurse is working with an elderly male client on a medical unit.Which statement demonstrates elderspeak by the nurse?

A)"It's time for us to go to physical therapy."
B)"I think it would be better if you were planning to go to a nursing home after discharge."
C)"Your children must really love their dad."
D)"Your wife must be having trouble adjusting to your illness."

Question 14

A nurse must perform a catheterization on a male client.Which zone of proximity should the nurse use for this intervention?

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

Question 15

A client has just lost her second baby to preterm complications.Which statement demonstrates the best therapeutic response for the nurse to make?

A)"Don't be so sad.You can always try again."
B)"Didn't your doctor advise you about genetic counseling?"
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 16

A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy.On what should the nurse focus to improve communication skills?

A)Pace
B)Intonation
C)Simplicity
D)Clarity

Question 17

During a health history,a client admits to taking nutritional supplements instead of prescribed medication.Which responses by the nurse indicate effective communication?
Standard Text: Select all that apply.

A)"What you did was wrong."
B)"Who do you think you are?"
C)"You shouldn't have done that."
D)"Tell me more about the supplements."
E)"Explain the reasoning behind your decision."

Question 18

Several nurses have been assigned to develop a rotation schedule that provides adequate staffing of all shifts.In which type of group are these nurses functioning?

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

Question 19

The nurse wants to gain information about a client's situation.Which should the nurse use to maximize communication with this patient?

A)"What brings you to the hospital?"
B)"Are you having pain?"
C)"Does your pain feel better or worse today?"
D)"Is there anything I can do for you?"

Question 20

A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child.Which approach should the nurse use?

A)Give the child's parent a full explanation,but make sure the child hears what is said.
B)Let the child handle the equipment first,then demonstrate on the child's doll.
C)Start the treatment,but make sure that the parent is there to comfort the child if she becomes afraid.
D)Make sure that the physician is available for questions.

Question 21

The nurse is beginning a helping relationship with a newly admitted client.Which behaviors should the nurse demonstrate that support this type of relationship?
Standard Text: Select all that apply.

A)Becoming familiar with the client's social history by reading the admission interview
B)Orienting the client to the physical layout of the facility as well as to the facility's policies
C)Gaining the client's trust by consistently keeping promises to return and "visit"
D)Respecting the client's wish to be alone after hearing about the loss of a family friend
E)Asking to remain with the client when he is experiencing symptoms of the flu

Question 22

The graduate nurse is thinking about leaving a new job because of actions demonstrated by the nurse manager.Which actions should the graduate nurse identify as bullying?
Standard Text: Select all that apply.

A)Pairing the graduate with a seasoned nurse to assist with learning new skills
B)Asking the graduate to participate in client rounds with the new interns on the care area
C)Confronting the graduate by stating that refusing an assignment is grounds for dismissal
D)Stating that requests for vacation time will be denied because the nurse asks too many questions
E)Assigning the graduate nurse a complicated client with needs that the graduate is not comfortable performing