Chapter 8 CM 1

A nurse is using SBAR technique for hand-off communication when transferring a patient. What are examples of the use of this process? (SATA) A. S: The nurse handling the transfer describes the client situation to the new nurse. B. S: The nurse discusses the patient's symptoms with the new nurse in charge C. B: The nurse gives the background of the client by explaining the client history. D. A: The nurse presents an assessment of the client to the new nurse. E. The nurse explains the rules of the new facility to the patient F. R: The nurse gives recommendations for future care to the new nurse in charge.

A C D F

Home care nurse discusses with a patient when visits will occur and how long they will last. In what phase of the helping relationship is this type of agreement established? A. Orientation phase B. Working phase C. Termination phase D. All of the above

A. Orientation phase

A nurse is attempting to communicate with a patient who speaks a different language and does not understand what is being communicated. Which nursing action would best facilitate the communication process? A.Speaking slowly and distinctly, but not loudly B. Repeating the message in the same manner many times until understood C. Using medical terms and abbreviations more frequently D. Avoiding using a dictionary to help maintain focus on the patient

A. Speak slowly and distinctly but not loudly

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

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

Nurses on a hospital burn unit meet as a group to discuss procedures. Which statements accurately describe the functions of group dynamics? Select all that apply A. Ideally, the group will select a leader who alone uses her talents and interpersonal strengths to assist the group to accomplish goals B. Effective groups possess members who elicit mutually respectful relationships. C. The group's ability to function at a high level depends on only the group leader's sensitivity to the needs of the group and its individual members D. If a group member dominates or thwarts the group process, the leader or other group members must confront her to promote the needed collegial relationship E. In an effective group, power is used to "fix" immediate problems without considering the needs of the powerless F. In an effective group, members support, praise, and critique one another

B D F

A female nurse states the following to another nurse who is constantly forgetting to wash her hands between patients: "It looks like you keep forgetting to wash your hands between patients. It's really not safe for your patients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech? A. Aggressive B. Assertive C. Nonassertive D. Therapeutic

B. Assertive

A nurse is communicating the care plan for a patient who is unconscious. Which nursing actions best facilitate this process? (SATA) A. The nurse speaks to the patient in a louder-than-normal voice B. The nurse is careful about what is said in the patient's presence since hearing is the last sense to go C. The nurse assumes the patient can hear and discusses things that would ordinarily be discussed D. The nurse raises environmental noises to help stimulate the patient. E. The nurse does not use touch to communicate with the patient F. The nurse speaks with the patient before touching

B. The nurse is careful about what is said in the patient's presence since hearing is the last sense to go C. The nurse assumes the patient can hear and discusses things that would ordinarily be discussed F. The nurse speaks with the patient before touching

A 36 year old patient who underwent a hysterectomy 4 days ago says to the nurse, "I wonder if I'll still feel like a woman." Which response would most likely encourage the patient to expand on this and express her concerns in more specific terms? A. "When did you begin to wonder about this?" B. "Do you want more children? C. "Feel like a woman..." D. Remain silent

C. "Feel like a woman..."

In a helping relationship, the nurse would most likely perform what action? A. Encourage the patient to independently explore goals that allow his or her human needs to be satisfied B. Set up reciprocal relationship in which patient and nurse are both helper and person being helped C. Establish communication that is continuous and reciprocal D. Establish goals for the patient that are not set in a specific time frame

C. Establish communication that is continuous and reciprocal

When attending a staff meeting, a nurse is participating in what type of communication? A. Intrapersonal communication B. Interpersonal communication C. Small-group communication D. Organized communication

C. Small-group communication

Nurses develop helping relationships with patients when caring for them. Which statements describe qualities of a helping relationship? (SATA) A. The helping relationship occurs spontaneously B. The helping relationship is characterized by the equal sharing of information C. The helping relationship is built on the patient's needs, not on those of the helping person D. A friendship must develop from an effective helping relationship E. A helping relationship is dynamic F. A helping relationship is purposeful and time limited

C. The helping relationship is built on the patient's needs, not on those of the helping person E. A helping relationship is dynamic F. A helping relationship is purposeful and time limited

Which technique would a nurse employ when using listening skills appropriately? A. The nurse would try to avoid body gestures when listening to the patient B. The nurse would not allow conversation to lapse periods of silence C. The nurse would listen to the themes in the patient's comments D. The nurse would stand close to the patient and maintain eye contact

C. The nurse would listen to the themes in the patient's comments

Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. What is an example of the proper use of social media by a nurse? A. Nurse describes a patient on Twitter by giving the room number rather than the name of the patient. B. A nurse posts pictures of a patient who accomplished a goal of losing 100lbs and later deletes the photo. C. A nurse describes a patient on Twitter by giving the patients diagnosis rather than the patient's name D. A nurse uses a disclaimer to verify that any views expressed on Facebook are his or hers alone and not the employer's

D. A nurse uses a disclaimer to verify that any views expressed on Facebook are his or hers alone and not the employer's. Explanation:A proper use of social media by a nurse would be the use of a disclaimer to verify that any views expressed on Facebook are the nurse as an individual and not the employer's ...

A nurse who is caring for newborn infants delivers care by using the sense that is most highly developed at birth. Which example of nursing care achieves this goal? A. The nurse speaks to the infant in a loud voice to get attention B. The nurse plays "peek-a-boo"with the infant C. The nurse wears colorful clothing to stimulate the infant D. The nurse gently strokes the baby's cheek to facilitate breastfeeding

D. The nurse gently strokes the baby's cheek to facilitate breastfeeding

A nurse who "unblocks" or "clears" congested areas of energy in a patients body to promote comfort is applying the phenomenon known as: A. "Unruffling" touch B. Interpersonal touch C. Tactile manipulation D. Therapeutic touch

D. Therapeutic touch