HIP Support Test Questions

A client who is depressed says he lost his job. Which response by the nurse is best? a. "It must have been very upsetting for you." b. "Would you please tell use more about your job?" c. "You will find another job when you feel better." d. "You were probably too depressed too work."

a. "It must have been very upsetting for you." - conveys empathy/invites client to talk more about feelings

A client who is depressed says he lost his job. Which response by the nurse is best? a."It must have been very upsetting for you." b."Would you please tell us more about your job?" c."You will find another job when you feel better." d."You were probably too depressed to work."

a."It must have been very upsetting for you." - empathy and allows client to express feelings

The health care provider recommends that client have partial bowel resection and an ileostomy. Later, the client says to the nurse," That doctor of mine surely likes to play big. I will bet the more he can cut, the better he likes it." Which reply by the nurse is most therapeutic? a. "I can tell you more about the surgery if you like." b. "What do you mean by that statement?" c. "Why don't you think about getting a second opinion?" d. "Does that remark have something to do with the operation he wants you to have?"

b. "What do you mean by that statement?"

A staff nurse in the intensive care unit, explains to the client's wife the types of monitoring devices they will be using for her husband, and then there is silence. The nurse uses silence as a communication to: a. Give both communicators time to relax b. Allow time for reorganization of thoughts c. Allow the client's wife to have time for herself d. Build up emotional tension

b. Allow time for reorganization of thoughts

Which of the following is the greatest barrier to effective communication? a. Giving an opinion when asked b. Being defensive c. Using assertiveness techniques - it can be used sometimes d. Using too much nonverbal language

b. Being defensive

The nurse and the client are engaged in a conversation. Client: "I just learned I might have cancer and I am having surgery tomorrow morning." Which statement by the nurse best encourages therapeutic communication? a. "I see. Why are you afraid? Do you think surgery will reveal that you have cancer?" b. "Are you afraid that it might be cancer?" c. "Having a possible diagnosis of cancer is fearful. Tell me more about how you are feeling about this." d. "This really hits close to you."

c. "Having a possible diagnosis of cancer is fearful. Tell me more about how you are feeling about this." - open ended question and allows for conversation to go on

The nurse is preparing written information for an older adult who is to manage intermittent self-catheterization. Which strategy will be most effective? a. Use charts to help convey information b. Prepare information at a tenth grade reading level c. Use short words. d. Print the material in a condensed font.

c. Use short words.

A client is admitted to the emergency room with a diagnosis of acute myocardial infarction. The client tells the nurse, "I'm scared. I think I'm going to die." Which of the following responses by the nurse would be most appropriate? a. "Everything is going to be fine. We'll take good care of you." b. "I know what you mean. I thought I was having a heart attack once." c. "I'll call your doctor so you can discuss it with him."

d. "It's normal to feel frightened. We're doing everything we can for you.

A client was experiencing marital discord with a spouse of 4 years. When the spouse walked out, the client became angry and began to throw things and break dishes. A friend talked the client into seeking help at the local health center. Which of these questions should the nurse ask initially to begin to assist this client's immediate problem? a. "Do you feel in control of yourself at this time?" b. "What did you do to cause your spouse to leave?" c. "In hindsight, how might you have managed this situation differently?" d. "What led you to come in for help today?"

d. "What led you to come in for help today?"

A nurse states to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique? a. The therapeutic technique of giving advice b. The therapeutic technique of defending c. The non therapeutic technique of "presenting reality" d. The non therapeutic technique of giving false reassurance

d. The non therapeutic technique of giving false reassurance

Which of the following statements by a nurse would indicate an understanding of intrapersonal communications? a. "Intrapersonal communication occurs within a person" b. "Intrapersonal communication occurs between two or more people." c. "Interpersonal communication is the same as intrapersonal communication" d. "Nurses should avoid intrapersonal communication"

a. "Intrapersonal communication occurs within a person"

The nurse is establishing a therapeutic nurse-client relationship. In what order will the nurse progress through initiating and ending the therapeutic relationship? 1. Termination phase 2. Working phase 3. Pre-interaction phase 4. Conclusion of relationship 5. Orientation phase

3 5 2 1 4

Which of the following statements by a nurse best conveys empathy? a. "I can appreciate your desire to not use any form of blood products." b. "Do you mean you would like to talk to the new family nurse practitioner?" c. "Good morning. How did you sleep last night?" d. "Can you describe what the pain in your abdomen feels like?"

a. "I can appreciate your desire to not use any form of blood products."

A client has been re-hospitalized with a severe exacerbation of lupus. Her husband approaches the nurse and says, "My wife is scaring me. She says she doesn't want to live with this illness anymore. Our kids are grown, and she feels useless as a mother and a wife." Which statement(s) are the most appropriate responses to the husband? Select all that apply. a. "I'll have a talk with your wife to see is she is suicidal." b. "You need to be strong and optimistic when you are with her." c. "I'm glad you shared this with me. I can imagine this is scary for you." d. "I'm sure she will feel differently when we get this episode under control." e. "We can talk about what you can say to her that may help."

a. "I'll have a talk with your wife to see is she is suicidal." c. "I'm glad you shared this with me. I can imagine this is scary for you." e. "We can talk about what you can say to her that may help."

A client with a diagnosis of depression who has attempted suicide says to the nurse, "I should have died, I've always been a failure. Nothing ever goes right for me." Which response by the nurse demonstrates therapeutic communication? a. "You've been feeling like a failure for a while?" b. "You have everything to live for." c. "Why do you see yourself as a failure?" d. "Feeling like this is all part of being depressed."

a. "You've been feeling like a failure for a while?"

The nurse admits a non-English speaking client who is accompanied by family members who speak English. The nurse needs to ask general admission questions. It is most appropriate for the nurse to take which action? a. Call the hospital's interpreters services to assist with asking the client questions b. Ask family members the questions and document their responses c. Ask family members to translate and ask the questions for the nurse d. Document "unable to obtain answers, patient does not speak English."

a. Call the hospital's interpreters services to assist with asking the client questions - only way to avoid bias and interjection from family

While collecting information from the 16-year-old who is in the first trimester of pregnancy, the nurse learns that the client drinks four to six alcoholic beverages three to four times a week. Based on the client's current developmental stage, what should be the nurse's initial focus of care? a. Establish a trusting relationship with the client b. Educate the client about the risk of developing fetal alcohol syndrome (FAS) c. Inform the client about the personal health risks of continuing with excessive drinking d. Seek clarification about her home life and the friends with whom she spends time

a. Establish a trusting relationship with the client -must first do this so that you can counsel about the effects of alcohol on a baby and the client's health.

A nurse counsels a client who is depressed. What nursing actions promote trust between the client and the nurse? Select all that apply. a. Indicate an understanding for the client's feelings as well as for their cause b. Listen and encourage the client to say more c. Acknowledge hearing what the client said d. Maintain eye contact with client at all times e. Stand very close to the client

a. Indicate an understanding for the client's feelings as well as for their cause b. Listen and encourage the client to say more c. Acknowledge hearing what the client said

The nurse in the palliative care unit plants to use which therapeutic communication technique(s) when communicating with a client? Select all that apply. a. Restating b. Active listening c. Asking the client "why?" d. Maintaining neutral responses e. Providing acknowledgement and feedback f. Giving advice and approval

a. Restating b. Active listening d. Maintaining neutral responses e. Providing acknowledgement and feedback

A client of Hispanic ethnicity has recently immigrated to this country and has been admitted for depression. The nurse documents that the client has poor eye contact during the medication teaching session. What is the most likely reason for the client's behavior? a. The client is demonstrating respect for the nurse. b. The client does not like heath care providers and is not comfortable. c. The client needs an assessment for suicide risk d. The client is experiencing psychosis with depression.

a. The client is demonstrating respect for the nurse.

After assertiveness training, a formerly passive client appropriately confronts a peer in group therapy. The group leader states, "I'm so proud of you for being assertive. You are so good!" Which communication technique has the leader employed? a. The nontherapeutic technique of giving approval b. The nontherapeutic technique of interpreting c. The therapeutic technique of presenting reality d. The therapeutic technique of making observations

a. The nontherapeutic

The nurse cares for a hospice client who lives at home with an attentive spouse. The client's spouse quit work to care for the client. During the nurse's visit the spouse expresses frustration and hostility toward the nurse. Which is an appropriate response by the nurse? Select all that apply a. The nurse should encourage the spouse to verbalize feelings b. The nurse should encourage the spouse to attend a caregiver support group c. The nurse should encourage the spouse to go back to work part-time d. The nurse should encourage the spouse not to verbalize feelings that may upset the client e. The nurse should ignore the spouse's hostile behavior

a. The nurse should encourage the spouse to verbalize feelings b. The nurse should encourage the spouse to attend a caregiver support group

A client scheduled to have surgery tells the nurse, "I'm very scared. I have never had surgery before and am afraid that I might not make it through." Which response by the nurse is best? a."Why do you feel this way?" b."Don't worry. Everything will be fine." c."Why don't we take some time to fully explore why you feel this way?" d."It's normal to be scared. You will be taken care of. Tell me how you are feeling."

d."It's normal to be scared. You will be taken care of. Tell me how you are feeling." - this response normalizes client's experience, provides reassurance and allows client to verbalize feelings

A client diagnosed with post-traumatic stress disorder is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique used by the nurse is an example of a broad opening? a. "What occurred prior to the rape, and when did you got to the emergency department?" b. "What would you like to talk about?" c. "I notice you seem uncomfortable discussing this." d. "How can we help feel safe here?

b. "What would you like to talk about?"

A mother rescues two of her four children from a house fire. In the emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response? a. "The smoke was too thick. You couldn't have gone back in." b. "You're feeling guilty because you weren't able to save your children." c. "Focus on the fact that you could have lost all four of your children." d. "It's best if you try not to think about what happened. Try to move on."

b. "You're feeling guilty because you weren't able to save your children." - identifying a client's emotional response and validating these feelings

An adult daughter is sitting at the bedside of her mother a devout Baptist, who developed a serious postoperative infection. Which statement by the nurse to the daughter demonstrates empathy? a. "I know how you feel. We also prayed at my grandmother's bedside when she was sick." b. "You've been here a long time and look exhausted. Tell me how things are going for you." c. "You might as well go home because your mother is sleepy. Maybe tomorrow will be better." d. "The new antibiotic was started this morning. We will pray that your mother gets well."

b. "You've been here a long time and look exhausted. Tell me how things are going for you." - focus on client's feelings

The clinic nurse is caring for four clients. Which interaction demonstrates the use of the communication technique of reflection? a. Child: "Don't turn out the light. I don't like the dark." Nurse: "I will have you mommy hold you while I turn out the light to check your eye." b. Adolescent: "My mom won't let me pierce my tongue." Nurse: "What would it be like to have a pierced tongue?" c. Adult: "My blood sugar was really out of control yesterday." Nurse: "Was your blood sugar high or low yesterday?" d. Older adult: "My life means nothing anymore." Nurse: "Socializing more allows you to reflect back on good times and will help you feel better about your life."

b. Adolescent: "My mom won't let me pierce my tongue." Nurse: "What would it be like to have a pierced tongue?" - reflections to strengthens client confidence

A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic? a."Have you shared your feelings with your family?" b."You're feeling angry that your family continues to hope for you to be cured?" c."I think we should talk more about your anger with your family." d. "You're probably feeling very depressed which is understandable with your diagnosis."

b."You're feeling angry that your family continues to hope for you to be cured?" -reflecting

When the nurse is completing the history of the 16-year-old client at a clinic, the client says, "I think that I might be pregnant." What is the nurse's best response? a."How long have you been sexually active?" b."Why do you think you are pregnant?" c."Who have you spoken to about this?" d."When was your last menstrual cycle?"

d."When was your last menstrual cycle?" -directly related to pregnancy issue

The nurse is caring for the client with Alzheimer's disease who is yelling obscenities at the staff. The client's spouse tearfully states to the nurse, "Never would you have heard those things before the Alzheimer's. I wish that you would have known my spouse before the sickness." Which is the best response by the nurse? a. "Why do you think that your spouse is acting like this?" b. "How long has your spouse had Alzheimer's disease?" c. "I can see that it is difficult for you to see your spouse like this." d. "Tell me about the things your spouse did before the Alzheimer's was diagnosed?"

c. "I can see that it is difficult for you to see your spouse like this." - sharing observation and validates feelings and allows client to elaborate on feelings [wife is the patient]

Nurse Patrick is interviewing a newly admitted psychiatric client. Which nursing statement is an example of offering a "general lead"? a. "Do you know why you are here?" b. "Are you feeling depressed or anxious?" c. "Yes, I see. Go on." d. "Can you chronologically order the events that led to your admission?"

c. "Yes, I see. Go on." - general lead encourages the client to continue sharing information.

The 94-year-old client, who has been on chronic hemodialysis for 8 years, stets to the dialysis nurse upon arrival. "I no longer want to continue dialysis. I have had a good life, and now I am ready to let go." Which intervention by the nurse is best? a. Dialysis should be started as scheduled b. Obtain a psychiatric consult regarding suicidal ideations c. "You no longer want to continue dialysis?" d. "Why do you want to stop dialysis?"

c. "You no longer want to continue dialysis?" - RESTATING relays concern and allows to facilitate further communication

A mother is to undergo a breast biopsy. She tells the nurse, "If lose my breast, I know my husband will no longer find me attractive." Which of the following responses by the nurse would be MOST appropriate? a."You don't know if you are going to lose your breast. They are just doing the biopsy now." b."You should focus on your children. They are young and they need you." c. "You seem to be concerned that your relationship with your husband might change." d. "Why don't you wait and see what your husband's reaction is before you get upset."

c. "You seem to be concerned that your relationship with your husband might change." - This response reflects the fears of the client. The response is open-ended and allows the client to express what she is feeling. Keep it in for consideration.

The nurse visits a client at home. The client states, "I haven't slept at all the last couple of nights." Which response by the nurse demonstrates therapeutic communication? a. "I see." b. "Really?" c. "You're having difficulty sleeping?" d. "Sometimes I have trouble sleeping too."

c. "You're having difficulty sleeping?"

A client on an inpatient psychiatric unit tells the nurse, "I should have died because I am totally worthless." In order to encourage the client to continue talking about feelings, which should be the nurse's initial response? a. "How would your family feel if you died?" b. 'You feel worthless now, but that can change with time." c. "You've been feeling sad and alone for some time now?" d. "It is great that you have come in for help."

c. "You've been feeling sad and alone for some time now?" -reflection. When reflection is used, questions and feelings are referred back to the client so that they may be recognized and accepted.

What action should the nurse consider when counseling a client of the Amish tradition? a. Speak only to the husband b. Use complex medical terminology c. Avoid using scientific jargon d. Stand close to client and speak clear and loudly.

c. Avoid using scientific jargon

The nurse notes that the client seems anxious. Which strategy should the nurse use to enhance communication? a. Ask about the source of the anxiety. b. Maintain a distance of 6 to 12 inches. c. Sit down to talk with the client. d. Maintain a neutral facial expression.

c. Sit down to talk with the client. - shows willingness to spend time

When interviewing a client, which nonverbal behavior should a nurse employ? a. Maintaining indirect eye contact with the client b. Providing space by leaning back away from the client c. Sitting squarely facing the client d. Maintained open posture with arms and legs crossed

c. Sitting squarely facing the client

A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst? a. "Why do you continue to alienate your peers by your angry outbursts?" b. "You accomplish nothing when you lose your temper like that." c. "Showing your anger in that manner is very childish and insensitive." d. "During group you raised your voice, yelled at a peer, left, and slammed the door."

d. "During group you raised your voice, yelled at a peer, left, and slammed the door."

A 68-year-old client is admitted to the addiction unit after treatment in the emergency department for an overdose of oxycodone. Her son calls the unit and expresses intense anger that his mother is being treated as a "common street addict". He says she has severe back pain and was given that prescription by her health care provider. "She just accidently took a few too many pills last night." Which reply the nurse is the most therapeutic? a. "I understand that your mother may not have intentionally taken too many pills. This medication can cause one to forget how many have been taken." b. "It may be appropriate for you mother to be referred to a pain management program." c. "It is fairly common for clients with pain to their use of pain pills over time, unfortunately." d. "I can hear how upset you are. You sound very concerned about your mother."

d. "I can hear how upset you are. You sound very concerned about your mother."

On the night before a 58-year-old wife and mother is to have a lobectomy for lung cancer, she remarks to the nurse, "I'm so scared of this cancer. I should've quit smoking years ago. Now I've brought all this fear and sadness on myself and my family." How should the nurse respond to the client? a. "It's normal to be scared. I would be too." b. "Do you feel guilty because you smoked?" c. "Don't be so hard on yourself. You don't know if your smoking caused the cancer." d. "It's ok to be scared. What is it about the cancer that you are afraid of?"

d. "It's ok to be scared. What is it about the cancer that you are afraid of?"

A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. The patient states, "Well, I haven't seen you before. Who are you?" What is the nurse's best response? a. "I'm just the IV therapist checking your IV" b. "I've been transferred to this division and will be caring for you." c. "I'm sorry, my name is John Smith and I am your nurse." d. "My name is John Smith. I am you nurse and I'll be caring for you until 11 p.m."

d. "My name is John Smith. I am you nurse and I'll be caring for you until 11 p.m." - most complete answer

Dr. Jones asks you to give a medication to one of his clients and you know the client is allergic to it. When you point this out, Dr. Jones says, "Give the medication or Ill report this to your supervisor." What is the best assertive response? a. "Ok, I will give the medication right now." b. "I will not give the medication no matter what and you can go talk to my supervisor." c. Just walk away and ignore the physician for fear of responding aggressively. d. "Perhaps you and I could talk this over with my supervisor together."

d. "Perhaps you and I could talk this over with my supervisor together."

The nurse observes that the client with multiple sclerosis looks untidy and sad. The client suddenly says, "I can't even find the strength to comb my hair," and then bursts into tears. Which response by the nurse is best? a. "It must be frustrating not to be able to care for yourself." b. "How many days have you been unable to comb your air?" c. "Why hasn't your husband been helping you?" d. "Tell me more about how you're feeling."

d. "Tell me more about how you're feeling."

The nurse cares for a client admitted to the emergency department after being found lying on the bathroom floor with several empty pill bottles around her. While waiting for a psychiatric consult, the nurse discovers that the client's boyfriend has recently broken up with her. Which response is most likely to build and maintain a therapeutic nurse-patient relationship which the emergency department? a. "You will have other boyfriends." b. "I understand that this hurts." c. "Why did you try to kill yourself?" d. "What can I do to help while you are here?"

d. "What can I do to help while you are here?"

The nurse is setting up supplies to complete a dressing changed at 2000 on the client's stump following a right leg BKA. The client looks away and angrily says, "I don't want to look at that thing. Can't you come back later?" Which is the nurse's best action? a. Put the supplies away and reattempt the dressing change in 1 hour b. Complete the dressing change because it is prescribed for 2000 c. "Tell me why you don't want your dressing changed now?

d. "You don't want to look at your leg?" -restating

A client tells the nurse, "I feel bad because my mother does not want me to return home after I leave the hospital." Which nursing response is therapeutic? a. "It's quite common for client's to feel that way after a lengthy hospitalization." b. "Why don't you talk to your mother? You may find out she doesn't feel that way." c. "Your mother seems like an understanding person. I'll help you approach her." d. "You feel that your mother does not want you to come back home?"

d. "You feel that your mother does not want you to come back home?"

The nurse is completing the final visit with the client being discharged from home care services. Each time the nurse attempts to leave, the client offers a new subject and attempts to delay the nurse's departure. Which is the best action by the nurse? a. Abruptly tell the client that the session has ended, and that nurse must leave. b. Set up another appointment for an additional home care visit c. Plan to meet the client for coffee at time that client would like d. Be firm and clear about the relationship terminating and seek feedback from the client

d. Be firm and clear about the relationship terminating and seek feedback from the client - will not leave negative impact on client, will not prolonging termination phase, and is unprofessional

A nurse enters the room of a patient with cancer. The patient is crying and states, "I feel so alone." Which statement is the most therapeutic? a. The nurse stands at the patient's bedside and states, "I understand how you feel. My mother said the same thing when she was ill." b. The nurse places a hand on the patient's arm and states, "You feel so alone." c. The nurse stands in the patient's room and asks, "Why do you feel so alone? Your wife has been here every day." d. The nurse holds the patient's hands and asks, "What makes you feel so alone?"

d. The nurse holds the patient's hands and asks, "What makes you feel so alone?" - get more info about how patient is feeling

A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parents? a. the use of silence b. the use of closed questions c. the use of assertive questions d. the use of clarifying questions

d. the use of clarifying questions - making sure the symptoms are correct/ getting a better picture of it