ch 14 communication prepu questions

The nurse enters a client's room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first ask the client in this interaction? A directing question A reflective question A yes or no question An open-ended question

A yes or no question Sometimes a yes or no question is appropriate. In this case, the nurse may want to ask, "Do you feel short of breath?" or something similar.

A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse should: involve the child's stuffed animal in the educational session. show the child the intravenous catheter and explain how it works. ask the child's parents to leave the room while the nurse and child talk. provide both verbal and written information to the child.

involve the child's stuffed animal in the educational session.

A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques? closed question open-ended question validating question reflective question

open-ended question

A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques? validating question closed question reflective question open-ended question

open-ended question

Paramedics arrive in the emergency department with a client who was in a motor vehicle collision. The paramedic reports that the driver was restrained, the car was traveling about 30 miles per hour (48 km/hr), and the air bags were not deployed. The paramedic continues to report that the car was struck from behind and that all individuals in the car were able to self-extricate. Which statement made by the nurse is verifying the report from the paramedic? "All of the people got themselves out of the car?" "Was there any cracking of the windshield?" "Were there any fatalities in the other vehicle?" "Did a police officer take a report at the accident scene?"

"All of the people got themselves out of the car?"

A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy? "I see you are upset. Would you like to talk?" "I am sorry to hear you have cancer. I would be upset too, is there anything I can do?" "Don't worry, I have seen lots of people with cancer do fine." "I see you have been crying. Do you want me to call someone for you?"

"I see you are upset. Would you like to talk?"

A nurse is caring for a client with a diagnosis of metastatic lung cancer. The nurse finds the client sitting in a chair while staring out the window. What statement by the nurse communicates concern and caring about the client? "Don't worry. There are all kinds of cancer treatments available. You will be just fine." "I think you should talk to your friends and family, getting their help and support will make you feel better." "I can imagine you have many concerns about your health. Tell me what is on your mind." "You are going to be okay. Your doctor is one of the best cancer specialists and knows the best way to treat your cancer."

"I can imagine you have many concerns about your health. Tell me what is on your mind."

A nurse finds that a client has infiltration around the IV line that needs to be removed. What explanation should the nurse give to reduce the client's anxiety? "It will be a painless procedure and there is nothing to worry about; many clients experience this." "Just be very still; the procedure is very minimal and will be over soon." "I know that you are anxious, but the IV location needs to be changed." "This must have been caused from you moving your arm around."

"I know that you are anxious, but the IV location needs to be changed."

A nurse is caring for a client who is in delirium. The client tells the nurse that there are spiders on the wall and all over the room. What is the most appropriate response by the nurse to the client? "You are having a hallucination; there are no spiders on the wall." "Do you want me to kill the spiders that are crawling on the wall?" "I can see the spiders, but they are not going to harm you." "I know that you are frightened, but there are no spiders on the wall."

"I know that you are frightened, but there are no spiders on the wall."

A client comes into the urgent care center to have sutures removed on an arm. The nurse finds significant crusting along the suture line. The client states not having time to get the sutures removed a week prior, as directed. The nurse soaks the crust and attempts to remove the sutures. As the nurse attempts the suture removal, the client frequently pulls the arm away and tells the nurse, "You are taking too long and it is hurting a little bit. Just pull them out and get it over with." Which statement is an example of appropriate therapeutic response? "It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them." "I am sorry it is taking so long. Tell me how you hurt your arm?" "It will not hurt if you relax and stop pulling your arm away." "I am sorry it is taking so long and I am hurting you; next time do not wait too long to get sutures removed or the same thing will happen"

"It is taking longer for me to remove the sutures because the delay allowed the crust to form and adhere to the sutures, making it harder and sometimes painful to remove them."

The nurse is caring for a client at the end stage of life. The client is crying and states to the nurse, "I just cannot believe I am going to be leaving my children without a parent. I am not ready to go." What response by the nurse demonstrates the expression of empathy to the client? "I am so sorry that I am crying with you when you need my support the most." "This is so sad and I feel so bad that you are in this situation." "It sounds as though you are most concerned about how your children will feel." "This just is not fair at all and I do not understand why this is happening to you."

"It sounds as though you are most concerned about how your children will feel."

A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, "My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?" What is the nurse's best response? "It is a minimally invasive surgery with rapid recovery time, so you will do fine." "Share with me the advantages and disadvantages of your options as you see them." "When you see the health care provider this morning, request more information about the surgery." "You should follow your health care provider's recommendation and have the surgery."

"Share with me the advantages and disadvantages of your options as you see them."

A nurse pays a house visit to a client who is on parenteral nutrition. The client reports missing enjoying food with the client's family. What is the most appropriate response by the nurse? "You can sit with your family at meal times, even though you don't eat." "In a few weeks you may be allowed to eat a little; you may enjoy it then." "I know that you must be missing your favorite foods." "Tell me more about how it feels to eat with your family."

"Tell me more about how it feels to eat with your family."

A nurse has developed strong rapport with the wife of a client who has been receiving rehabilitation following a debilitating stroke. The wife has just been informed that her husband will be unlikely to return home and will require care that can only be provided in a facility with constant nursing care. The client's wife tells the nurse, "I can't believe it's come to this." How should the nurse best respond? "This must be very difficult for you to hear. How do you feel right now?" "Why do you think that the care team has made this recommendation?" "What would help you accept that this is best for both of you?" "Do you understand that everyone here has your husband's best interests at heart?"

"This must be very difficult for you to hear. How do you feel right now?"

A client comes to the clinic reporting abdominal pain. Which question would be most appropriate for the nurse to ask to facilitate the assessment? "Do you have sharp, stabbing pain?" "Is the pain associated with meals?" "What activities exaggerate the pain?" "Does the pain increase on palpation?"

"What activities exaggerate the pain?" "What activities exaggerate the pain?" is an open-ended question, because it gives the client an opportunity to express feelings and describe the pain. "Do you have sharp, stabbing pain?"; "Is the pain associated with meals?"; and "Does the pain increase on palpation?" are questions that can be answered with "Yes" or "No." These questions would be helpful later in the assessment to help focus on the client's statements.

During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is: "Do you have an advanced directive or a living will?" "Are you allergic to any medications?" "What did your health care provider tell you about your need to be admitted?" "Can you tell me the medications you take on a daily basis?"

"What did your health care provider tell you about your need to be admitted?"

A client with chronic hyperparathyroidism expresses that she is fed up with her diet and can no longer continue with it. What should the nurse's appropriate response to the client be? "I think it is not so difficult to follow the suggested dietary restrictions." "You may be having a difficult time staying on that diet; let's discuss it." "It's important to stay on the diet to prevent formation of kidney stones." "What is the reason that you cannot adhere to the prescribed diet plan?"

"You may be having a difficult time staying on that diet; let's discuss it."

A nurse is completing a health history with a client being admitted for a mastectomy. During the interview the client states, "I do not know what to do. I am not sure if I really need this surgery." Which response by the nurse demonstrates active listening? "I understand your confused, what do you think you should do?" "I understand you are not sure about having the surgery. Why do you think you really do not need the surgery?" "You seem unsure, please let me know if you decide to postpone the surgery until you are no longer unsure." "You seem unsure. Tell me your concerns about your surgery."

"You seem unsure. Tell me your concerns about your surgery."

The nurse is communicating with a client who has been newly diagnosed with cancer. Which statement(s) by the nurse is nontherapeutic? Select all that apply. "Keep your chin up. People survive this type of cancer all the time." "Why did you not seek help when you first noticed a problem?" "This is upsetting news for you. Let's talk about it." "What are your thoughts about what your health care provider has recommended?" "You will be OK. Your health care provider is an excellent surgeon."

"You will be OK. Your health care provider is an excellent surgeon." "Keep your chin up. People survive this type of cancer all the time." "Why did you not seek help when you first noticed a problem?"

What nursing care behavior by the nurse engenders a client's trust in the nurse? A nurse tells the client, "Do not worry about the test, I have never cared for anyone that had problems with it." A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client. A nurse tells the client, "My shift will be over in 45 minutes, I will let the oncoming nurse know you have questions about tomorrow's test." A nurse answers the client's questions about an upcoming test while completing documentation in the EHR.

A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client.

A nurse is caring for an older adult client. Which strategy should the nurse utilize to confirm the client's understanding of instructions? Use active listening during communication. Provide written instructions. Ask open-ended questions. Ask the client to repeat the instructions.

Ask the client to repeat the instructions.

A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? Use facial and hand gestures Contact a person skilled in sign language Provide paper and pencil for written communication Assess how the client would like to communicate

Assess how the client would like to communicate

Which is a skill appropriate to use in therapeutic communication? Use cliches to enhance a client's understanding of information. Avoid the use of periods of silence. Control the tone of the voice to avoid hidden messages. Be precise and inflexible regarding the intent of the conversation.

Control the tone of the voice to avoid hidden messages.

A client, who was recently diagnosed with diabetes, has been coming to the emergency room every day for hyperglycemia. The client reports not being able to self-administer insulin injections. What strategy would best educate the client and improve the client's ability to self-administer insulin? Explain the importance of being able to control blood glucose levels with the injections. Refer to client to a diabetes educator and nutritionist. Demonstrate the proper method and have the client mimic the demonstration. Offer encouragement to boost the client's self-confidence.

Demonstrate the proper method and have the client mimic the demonstration.

Which term describes a nurse who is sensitive to the client's feelings, but remains objective enough to help the client achieve positive outcomes? Caring Empathic Competent Honest

Empathic

A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting? Empathy Sympathy Humility Curiosity

Empathy

A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation? Indifference Empathy Pity Sympathy

Empathy

Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached? Empathy Sympathy Kindness Commiseration

Empathy

The nurse is providing care to an older adult client who has visual and hearing deficits. What action by the nurse is appropriate to help with communication? Remove the COVID protection face mask while speaking with the client. Identify oneself by name and title with each entry into the client's room. Speak in a loud voice over the volume of the television set. Obtain the client's attention by calling out the client's first name.

Identify oneself by name and title with each entry into the client's room.

The nurse is providing care to an older adult client who has visual and hearing deficits. What action by the nurse is appropriate to help with communication? Remove the COVID protection face mask while speaking with the client. Obtain the client's attention by calling out the client's first name. Speak in a loud voice over the volume of the television set. Identify oneself by name and title with each entry into the client's room.

Identify oneself by name and title with each entry into the client's room.

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? Orientation phase Termination phase Evaluation phase Working phase

Orientation phase During the orientation phase, the nurse discusses with the client when visits will occur and how long they will last. The working phase is usually the longest phase of the nurse-client relationship. During this phase, the nurse works together with the client to meet the client's physical and psychosocial needs. Interaction is the essence of the working phase. The termination phase occurs when the nurse and client acknowledge that the agreement on which the relationship is based is concluding. There is no evaluation phase of the nurse-client relationship (evaluation is the final step in the nursing process).

Which activities take place during the working phase of the nurse-client relationship? Select all that apply. The client describes the role that the nurse plays in the relationship. The client and nurse identify goals of the relationship. The client genuinely expresses concerns to the nurse. The client identifies the goals accomplished in the relationship. The client participates actively in the relationship.

The client participates actively in the relationship. The client genuinely expresses concerns to the nurse.

A nurse is educating a home care client on how to administer a topical medication. The client is watching television while the nurse is talking. What might be the result of this interaction? The stimulus for communication is unclear. The communication will be reciprocal. The receiver will accurately interpret the message. The message will likely be misunderstood.

The message will likely be misunderstood.

The nurse is using nonverbal communication when caring for a group of clients. Which situation(s) reflects nonverbal communication? Select all that apply. The nurse has a smile when being thanked for caring for a family member. The nurse documents on the SBAR form and sends it to the transferring unit. The nurse is maintaining eye contact when changing a client's dressing. The nurse assess a client is in pain from a grimace. The nurse gives a brochure to a client upon discharge.

The nurse is maintaining eye contact when changing a client's dressing. The nurse has a smile when being thanked for caring for a family member. The nurse assess a client is in pain from a grimace.

A nurse is communicating the plan of care to a client who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply. The nurse maintains eye contact with the client. The nurse communicates in a busy environment to hold the client's attention. The nurse keeps communication simple and concrete. If there is no response, the nurse does not repeat what is said and takes a break. The nurse shows patience with the client and gives the client time to respond. The nurse gives lengthy explanations of the care that will be given.

The nurse maintains eye contact with the client. The nurse shows patience with the client and gives the client time to respond. The nurse keeps communication simple and concrete.

The nurse cares for a client who is sharing a personal health story. Which behavior(s) demonstrates active listening? Select all that apply. The nurse offers multiple solutions while the client is sharing a personal story. The nurse makes eye contact while the client is sharing a personal story. The nurse paraphrases what the client has stated before generating a response. The nurse observes the nonverbal behavior of the client as the client speaks. The nurse shares a personal story about experiences with hospitalization.

The nurse makes eye contact while the client is sharing a personal story. The nurse observes the nonverbal behavior of the client as the client speaks. The nurse paraphrases what the client has stated before generating a response.

The nurse enters a client's room after receiving a morning report. The nurse rapidly assesses the client's airway, breathing, and circulation and greets the client by saying "Good morning." The client makes no reciprocal response to the nurse. How should the nurse best respond to the client's silence? The nurse should apologize for bothering the client, perform necessary assessments efficiently, and leave the room. The nurse should ask the client whether the client feels afraid or angry. The nurse should ask appropriate questions to understand the reasons for the client's silence. The nurse should document the client's withdrawal and diminished mood in the nurse's notes.

The nurse should ask appropriate questions to understand the reasons for the client's silence.

An experienced nurse is orienting a new nurse to the unit. Which activity demonstrates the nurse is an effective caregiver? The nurse calls the hospital chaplain to talk with the client. The nurse documents the client was crying at the end of the shift. The nurse uses open-ended questions when working with a crying client. The nurse leaves the room when a client is crying to provide privacy.

The nurse uses open-ended questions when working with a crying client.

A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario? The termination phase The introduction phase The orientation phase The working phase

The working phase

What is the goal of the nurse in a helping relationship with a client? To ensure safety while caring for the client To facilitate the client's interactions with others To provide hands-on physical care To assist the client to identify and achieve goals

To assist the client to identify and achieve goals

A nurse is performing an admission assessment with a client who does not speak the dominant language. Which action(s) can the nurse take to enhance communication? Select all that apply. Use an electronic translator. Ask the client's adolescent daughter to interpret. Speak loudly and slowly. Request assistance from an agency interpreter. Contact a telephone-based medical interpreter.

Use an electronic translator. Contact a telephone-based medical interpreter. Request assistance from an agency interpreter.

A nurse is attempting to complete an admission database. While taking the history, the nurse notices the client appears uncomfortable and slightly tachypneic. The nurse should: tell the client to rest and allow a family member to answer. allow the client to set the pace. ask questions as quickly as possible. use only open-ended questions.

allow the client to set the pace. It would be ineffective to rush through a list of questions when obtaining a nursing history; it is more effective to let the client set the pace. Let the client know at the beginning of the interaction if time is limited so that the client does not feel that you are rushing because of a lack of concern or personal interest.

Which of the following are examples of nonprofessional involvement? Select all that apply. asking a patient if they would like to go out for dinner after they are discharged asking a patient in hospice care to describe their relationship with various family members discussing your recent breakup with your boyfriend with a patient who is also going through a difficult breakup discussing today's weather forecast

discussing your recent breakup with your boyfriend with a patient who is also going through a difficult breakup asking a patient if they would like to go out for dinner after they are discharged

A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis? slow heart rate and prolonged capillary refill. cold intolerance and brittle nails. easy wrinkling of the skin and sunken eyes. pallor and diaphoresis.

easy wrinkling of the skin and sunken eyes.

A nurse is preparing to provide discharge instructions to a postpartum client regarding infant care. Before beginning the education session, the nurse should: eliminate as many distractions as possible. ask the client's partner to leave the room to allow the client to focus. ask the client if she is able to read. ask all visitors to leave the room.

eliminate as many distractions as possible.

A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because the nurse has not often performed wound care on a complex wound. Using effective intrapersonal communication, this nurse should: tell oneself to "remain calm" and remember that the nurse was trained to perform this skill. inform the client that several nurses will be needed to care for this wound. ask the charge nurse to change the assignment. tell the unlicensed assistive personnel (UAP) to gather supplies and to prepare to cleanse and dress the wound.

tell oneself to "remain calm" and remember that the nurse was trained to perform this skill.