exam 3 topic 9 communication/ teaching and learning

A 70-year-old client had a cholecystectomy 4 days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask to assess the client's orientation? "Is your name Evelyn?" "Are you in a hospital?" "Is today the first day of the month?" "What is your name?"

"What is your name?"

A nurse touches the client's hand while discussing the client's diagnosis. This action is: a dynamic process. a translation. a communication channel. an auditory channel.

a communication channel.

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: inform the client that several nurses will be needed to care for this wound. tell oneself to "remain calm" and remember that the nurse was trained to perform this skill. tell the unlicensed assistive personnel (UAP) to gather supplies and to prepare to cleanse and dress the wound. ask the charge nurse to change the assignment.

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

A nurse has developed strong rapport with the spouse of a client who has been receiving rehabilitation following a debilitating stroke. The spouse has just been informed that the client is unlikely to return home and requires care that can only be provided in a facility with constant nursing care. The client's spouse 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?" "Do you understand that everyone here has your spouse's best interest at heart?" "What would help you accept that this is best for both of you?"

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

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

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

The nurse is visiting a hospice client in the client's home. The client is explaining difficulties with a home infusion pump. By making statements such as "I see" and "go on" during the conversation, the nurse is using which therapeutic nurse-client communication technique? Restating Clarification Reflection Encouraging elaboration

Encouraging elaboration

The client is an 18-month-old in the pediatric intensive care unit. The client is scheduled to have a subgaleal shunt placed tomorrow, and the client's mother is quite nervous about the procedure. The nurse tells the client's mother, "The surgeon has done this a million times. Your son will be fine." This is an example of what type of nontherapeutic communication? Rescue feelings False reassurance Giving advice Being moralistic

False reassurance

When caring for a psychiatric client, a nurse would make a formal contract with the client during which phase of the nurse-client relationship? Intimate phase Orientation phase Working phase Termination phase

Orientation phase

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: ask questions as quickly as possible. use only open-ended questions. tell the client to rest and allow a family member to answer. allow the client to set the pace.

allow the client to set the pace.

A nurse has been working on a telemetry unit for 6 months. The nurse arrives at work in the morning and overhears a night shift nurse talking about the new nurse. The night shift nurse is heard saying, "That new nurse is only here to meet a doctor and get married." The best response by the new nurse would be to: ask to speak to the night shift nurse in private and explain how the comment made the new nurse feel. approach and tell the night shift nurse that the night shift nurse is "out of line." ignore the comment and begin the shift. call hospital security and ask them to take a report.

ask to speak to the night shift nurse in private and explain how the comment made the new nurse feel.

The nurse is caring for a postoperative client who refuses a blood transfusion due to religious beliefs. The nurse is demonstrating trustworthiness when taking which action in response to the client's treatment wishes? contacting the interprofessional care team to discuss alternative treatment options explaining the health consequences of refusing to undergo the prescribed treatment asking the client's family to discuss the importance of the prescribed treatment with the client recommending assessment of the client's cognitive capacity to make health care decisions

contacting the interprofessional care team to discuss alternative treatment options

he nurse is caring for a postoperative client who refuses a blood transfusion due to religious beliefs. The nurse is demonstrating trustworthiness when taking which action in response to the client's treatment wishes? contacting the interprofessional care team to discuss alternative treatment options explaining the health consequences of refusing to undergo the prescribed treatment asking the client's family to discuss the importance of the prescribed treatment with the client recommending assessment of the client's cognitive capacity to make health care decisions

contacting the interprofessional care team to discuss alternative treatment options

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 am sorry to hear you have cancer. I would be upset too, is there anything I can do?" "I see you are upset. Would you like to talk?" "I see you have been crying. Do you want me to call someone for you?" "Don't worry, I have seen lots of people with cancer do fine."

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

A client is scheduled for thoracentesis. The nurse assesses that the client appears anxious about the procedure and needs honest support and reassurance. What is the most appropriate response by the nurse to this client? "I will be by your side throughout the procedure; the procedure will be painless if you don't move." "The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position." "The procedure may take only 2 minutes, so you might get through it by mentally counting up to 120." "You may feel very uncomfortable when the needle goes in, but you should breathe rhythmically."

"The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position."

A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique? Giving false reassurance Seeking clarification Giving information Encouraging elaboration

Giving false reassurance

The nurse makes a contract with the client during which phase of the nurse-client relationship? Intimate phase Orientation phase Working phase Termination phase

Orientation phase

A nurse has been caring for a client who had a myocardial infarction 2 days ago. During the morning assessment, the nurse asks the client how the client feels. Which scenario warrants further investigation? The client is sitting in a chair and states, "I feel a lot better than I did yesterday. The client stares at the floor and states, "I feel fine." The client smiles at the nurse and states, "I cannot wait to go home." The client looks at the nurse and states, "I am still not feeling my best."

The client stares at the floor and states, "I feel fine."

The nurse is performing an admission interview with a new client diagnosed with acute coronary syndrome. For the nurse to obtain information and allow the client free verbalization, which question would elicit the most information? "Have you ever had chest pain prior to this admission?" "Could you tell me more about how you are feeling right now?" "I have had chest pain before, and it is really scary!" "Did you take any medication when you had the pain?"

"Could you tell me more about how you are feeling right now?"

A pregnant client presents to the emergency department with vaginal bleeding. A transvaginal ultrasound is performed, and the health care provider informs the client that there are normal fetal heart tones noted. The client begins to tear-up and has a worried appearance. To facilitate therapeutic communication, what statement would the nurse make after observing the client's nonverbal communication? "Close your eyes and take a deep breath. I know you were frightened, but the baby is healthy and everything is going to be okay." "This is great news. You don't have anything to worry about and the baby is doing well." "I can help you, please talk to me so that I know how I can help you." "Take your time and tell me how you are feeling. I have plenty of time to answer your questions and discuss any thoughts or feelings with you."

"Take your time and tell me how you are feeling. I have plenty of time to answer your questions and discuss any thoughts or feelings with you."

A client is diagnosed with diabetes. The client's adult child offers to serve as an interpreter, because the client does not speak the dominant language. Which is the best action for the nurse to take? Allow the client's child to interpret. Involve a friend who speaks both the dominant and the client's languages. Contact a professional interpreter. Ask a fellow nurse who knows some words in the client's language to help.

Contact a professional interpreter.

The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has assessed the client's communication abilities? The nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe. The nurse continues with the instructions and makes a mental note to repeat the initial instructions at the end of the training. The nurse stops the instruction and tells the client that a call will be placed to the health care provider to get an order to have a home health nurse administer the medication. The nurse asks the client if he or she is worried about giving oneself an injection.

The nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe.