ATI Nurse's Touch: Professional Communication

A nurse is caring for an older adult client who recently lost his spouse following lung cancer. The client states, "No one understands. She was my life." Which of the following responses is appropriate? A. This must be a difficult time for you B. Now she is no longer suffering C. I felt the exact same when my husband died

A

A nurse is evaluating a client's ability to self-administer insulin. Which of the following behaviors is reflective of the mechanism level of the psychomotor domain? A. the client demonstrates confidence in preforming an insulin injection B. the client demonstrates an insulin injection with the nurse's guidance C. the client demonstrates how to hold the syringe depending on the injection site

A

A nurse is implementing therapeutic communication techniques with a client in an outpatient mental health facility. Which actions allows the client an opportunity to organize thoughts, consider a topic, or think through a point? A. Use of silence B. Offering self C. Reflection of feelings

A

A nurse is involved in a working group among an interdisciplinary team. Which is an example of a maintenance role? A. gatekeeper B. recorder C. evaluator

A

A nurse is preparing a toddler for surgery, Which of the following is appropriate for the nurse to take into consideration when developing this teaching plan? A. toddlers depend on their sense to learn B. toddlers view their illnesses as punishment C. toddlers see themselves as individuals

A

A nurse is ridiculing another nurse concerning vacation time when the charge nurse approaches. Which of the following is an appropriate mediation response by the charge nurse? A. I want to hear each of your opinions to end the arguing B. I know you are right. No one should complain C. The issue was settled earlier. No more discussion

A

A nurse is using a health related internet blog. Which is an acceptable use of this form of communication? A. access info B. discuss client's diagnosis C. post a picture of client's incision

A

A nurse manager is discussing aggressive communication with a nurse who is having conflicts with peers due to her ineffective communication patterns. Which should the nurse manager identify as a characteristic of aggressive communication? A. infringes on the rights of others B. says no without guilt C. congruent facial expressions

A

Which of the following client info is an accurate and factual form of written communication? Select all that apply A. client states: I have throbbing pain on my left foot B. client states: I feel nervous about having my foot removed C. client seems angry with everyone D. client appears upset E. client is apparently avoiding the issue with his mother

A, B

A nurse is preparing to communicate with a client using telecommunication. Which are benefits of telecommunication when considering geographical distance? Select all that apply A. benefits treatment of the diagnosis B. provides immediate monitoring C. allows for therapeutic interventions D. teaches computer literacy E. incorporates limited internet access

A, B, C

A nurse manager is conducting an in-service on ineffective communication patterns. Which should she include when discussion components of passive communication? Select all that apply. A. puts other's needs and wants ahead of self B. avoids conflicts C. difficult time saying no D. uses "i" or "me" statements E. intimidating

A, B, C

Which hinder equitable care for a client of another culture? Select all that apply A. prejudice B. stereotyping C. partial understanding D. demographics E. opportunities

A, B, C

A charge nurse is preparing material for the nursing staff on cultural competence. Which should she include when discussing components of cultural congruent behavior? Select all that apply A. assess client's belief system B. determine client's familial involvement C. evaluate client's preferences D. understand the client's decision making role E. mediate client's health practices

A, B, C, D

A charge nurse is reviewing organizational structure with a group of newly licensed nurses. Which of the following should she include in her discussion? Select all that apply A. lines of authority B. organizational size C. formal structures D. informal structures E. interprofessional relationships

A, B, C, D

A nurse is preparing to teach a client how to ambulate with crutches and is determining their readiness to learn. Which factors should the nurse include in this assessment? Select all that apply A. client's cognitive ability B. client's current physical needs C. client's level of motivation D. client's developmental stage E. client's preferred learning style

A, B, C, D

Which is a component of nonverbal communication? Select all that apply A. vocal inflection B. volume C. posture D. gestures E. channels

A, B, C, D

Which of the following are examples of a nurse using nontherapeutic communication techniques? Select all that apply A. focusing on the nurse rather than the client B. changing the subject C. making value judgments D. Giving advice E. Seeking clarification

A, B, C, D

A nurse is using communication techniques to resolve a conflict. Which examples displays effective communication? Select all that apply A. actively listening B. embracing the concerns of others C. communicating openly D. practicing aggressiveness E. using a give and take approach

A, B, C, E

Which of the following should the nurse take into consideration when selecting an environment to provide education? Select all that apply A. noise level B. size of space C. lighting D. pain level E. temperature

A, B, C, E

Which should be included in an interprofessional or interdisciplinary team? Select all that apply A. respiratory therapist B. provider C. nurses D. family members E. dietitian

A, B, C, E

Electronic health records capture data for which of the following? Select all that apply A. continuous quality improvement B. utilization review C. human resources D. resource planning E. risk management

A, B, D, E

Which of the following is an example of close-ended questioning? Select all that apply A. Are you doing to group therapy tomorrow? B. How long have you been depressed? C. Tell me about your concerns D. Do you not want to take your medication? E. Do you have a family history of depression?

A, B, D, E

A client presents at a community shelter after surviving the destruction of her home by a fire. Which of the following questions should the nurse ask to determine the client's ability to cope? A. Have you considered rebuilding your home? B. Who do you talk to when you have the feeling of being overwhelmed? C. I am sure you will get through everything fine

B

A nurse asks a client how he learns best. The client states, "I think I learn the best when I can discuss the info with a group of people." This indicates that the client has a preference for which learning styles? A. kinesthetic B. auditory C. visual

B

A nurse has a client who has schizophrenia. The client says, "The FBI has bugged the phone and is monitoring my calls." Which response is appropriate? A. You are wrong and you are having delusional thoughts B. I understand that you believe this is true and it must be frightening C. I know it is difficult for you to talk to me while you are having paranoid ideas

B

A nurse is communicating with a pharmacist about receiving a stat med for a patient who is in a hypertensive crisis. Which demonstrates the most collaborative response by the pharmacist? A. I plan to verify the med now after I receive the fax order B. I plan to verify the order now and will personally bring it to you C. I will verify the order now, and the med will be ready at the pharmacy window

B

A nurse is preparing an adult client's teaching plan and gathering info about their culture. Which of the following client's statements helps the nurse understand the client's social organization? A. "I would feel more comfortable if I had an interpreter present during the teaching" B. "My mother needs to be present for any teaching" C. "It is hard for my family to understand the concept of long term goals"

B

A nurse is reviewing professional communication skills with a newly licensed nurse. Which is a form of effective communication? A. passive B. assertive C. passive-aggressive

B

A nurse is trying to negotiate an intradepartmental conflict for a win-win outcome. Which is an appropriate response by the nurse? A. I know how important this is to you. We can do it your way B. I can see we all have different opinions but agree on your way C. I can do whatever everyone wants. Any decision will be ok

B

The nursing staff continues to communicate about the correct policy for emailing and text messaging. Which of the following should the nurse consider as a barrier to communication? A. facing each other during conversation B. changing the subject of conversation C. maintaining eye contact between sender and receiver

B

When When Chandra warns Helen about her use of personal email at work, she realizes nonverbal communication will affect how her message is received. Which of the following uses of personal space zones will strengthen Chandra's communication? A. place self behind a counter to minimize contact B. position self within arm's distance C. distance self with minimal eye contact

B

Which of the following methods of communication would be appropriate when sharing client info with another nurse? A. call the nurse at the nursing desk to discuss the client B. locate the nurse manager and ask to speak to her in private C. send the nurse a message in her hospital email account

B

A nurse is preparing an education lecture for bariatric clients. Which should the nurse take into consideration when developing the lecture? Select all that apply A. the content should focus on a limited amount of info B. audiovisuals should be used during the lecture C. the content should apply to all lecture participants D. the nurse should focus on psychological effects of obesity E. lecture is effective because participants find it fun and interactive

B, C

A nurse is providing discharge teaching for an adolescent client. Which teaching strategies is appropriate for the nurse to use when teaching? Select all that apply A. focus teaching toward client's parents B. talk to client as if he is an adult C. provide time to teach privately D. use audiovisuals E. use reminiscence

B, C, D

Which are characteristics of effective written communication? Select all that apply A. subjective B. factual C. objective D. accurate E. concise

B, C, D, E

Which of the following should a nurse include in the verbal SBAR report to a provider? Select all that apply A. introduction B. background C. assessment D. situation E. recommendation

B, C, D, E

A charge nurse is discussing with a staff nurse the establishment of credibility when providing nursing care. Which of the following statements made by the staff nurse indicates a need for further teaching? A. being dependable will increase my credibility B. using consistency will help build credibility C. using sympathy will help build credibility

C

A nurse engages in verbal communication with a client. Which of the following is reflective of the nurse's word selection? A. gender B. familial history C. personal values

C

A nurse is caring for a client who has a new prescription for digoxin. Which of the following should the nurse first teach? A. "You should call your provider before taking this med if your pulse is below 60/min" B. "You may be experiencing toxicity to this med if you experience nausea or changes in your vision" C. "Your provider is prescribing this med to strengthen your heart's contractions"

C

A nurse is caring for a client who has depression. The client states, "Things are always going to be bad for me. I wish I could just go to sleep and forget about all my problems." Which is an appropriate response by the nurse? A. Tell me about the dynamics of your family. B. what do you feel this way C. It seems as though you're expressing feelings of hopelessness

C

A nurse is caring for a client who states, "I would like to go out on a date with you." Which of the following is an appropriate response by the nurse? A. Ignore the client's behavior B. Suggest the client that he spend time in his room C. Inform the client that this is an inappropriate statement

C

A nurse is considering cultural components in the plan of care of a client who is of Asian descent. Which should be considered? A. include the family member to interpret B. ignore nonverbal communication responses C. evaluate nontraditional healing methods

C

A nurse is reviewing info on Hispanic culture before caring for a spanish speaking client. Which should bridge the cultural gap? A. evaluating the physical status of the client B. monitoring the behavior of the client C. expanding knowledge of the client's values

C

A nurse is teaching a client who has a new diagnosis of Type 1 Diabetes. Which of the following questions addresses the client's affective domain? A. "Are you ready to learn how to give yourself insulin injections?" B. "What information do you already know about diabetes?" C. "How do you feel diabetes will affect your lifestyle?"

C

A nurse manager is discussing formal and informal structures or processes with a newly licensed nurse. Which statements made by the new nurse requires further teaching? A. formal structures are generally highly planned B. a written policy is a type of formal structure C. informal structures are visible

C

A nurse manager is discussing personal space as it relates to nonverbal behavior with a staff nurse. Which of the following statements made by the staff nurse indicates a need for further teaching? A. personal space provides you and your client a sense of control B. use of personal space varies based on culture C. use of personal space will increase the client's self-esteem

C

Helen discusses with Allison the advantages and risks of electronic communication sent to the client per institution policy. Which of the following types of information should the nurse avoid sending to the client? A. normal lab info B. nonurgent info C. confidential info

C

Which of the following should not be included when discussing components of the communication process? A. sender B. receiver C. tone of voice

C

Which of the following should not be included when discussing modes of computer mediated communication? A. electronic health records B. email C. voicemail

C

Which of the following statements is an example of a therapeutic communication technique? A. I would not be concerned about that B. Why did you not go to your scheduled group therapy C. Tell me about your relationship with your wife

C

Which of the following is an example of the nurse using clarification to facilitate communication? Select all that apply A. That sounds hard to believe B. You appear tense C. Tell me more about that D. What would you say is the main point of what you are saying? E. I am not sure I am following you

D, E