Knowledge Check 1

Which characteristic tends to make a nurse the best communicator with patients?

Developed critical thinking skills

The nurse tells the patient "Oh, it can't all be that bad." This is an example of

Dismissing concerns

The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis. The nurse caring for the patient underwent a similar procedure and stops to listen. Which response by the nurse is the most beneficial?

I had a similar procedure and I can tell you what I went through if you went

A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take first? a. Obtain certification for an emergency nurse. b. Pass the National Council Licensure Examination. c. Take a course on genomics to provide competent emergency care. d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems.

b. Pass the National Council Licensure Examination

Which concept means that the nurse is responsible, professionally and legally, for the type and quality of nursing care provided?

accountability

Nonverbal communication represents 80% to 90% of what is being communicated and includes all of the following except

Spoken language

Our ability to perceive others with accuracy is jeopardized when

we assume that others think and behave as we do

During the initial home visit, a home health nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient?

orientation

A nurse is using SURETY to facilitate active listening. What is the focus of the letter R?

Projection of a sense of relaxation

Of the following, which is the most encouraging invitation for a patient to ask questions?

All of this information can be overwhelming. Would it help to go over it again, or do you have questions?

A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy? a. "Tomorrow will be better." b. "This must be hard news to hear." c. "What's your biggest fear about this diagnosis?" d. "I believe you can overcome this because I've seen how strong you are."

B. This must be hard to hear

A nurse follows the "ethics of care" when working with patients. Which action will the nurse take?

Becomes the patient's advocate based on the patient's wishes.

A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using?

Code of ethics

The purpose of the therapeutic relationship between a nurse and a patient is to

Form an interpersonal alliance to achieve healthcare goals

A patient was admitted 2 days ago with pneumonia and a history of angina (chest pain). The patient is now having chest pain with a pulse rate of 108. Which piece of data will the nurse use for B in SBAR?

History of angina

A nurse is evaluating care based upon the nursing quality indicators. Which areas should the nurse evaluate?

Hospital readmission rates, nursing hours per patient day, patient falls/falls with injuries.

A nurse is preparing a session about current influences on nursing. Which examples should the nurse include?

Human rights, affordable care act, demographic changes, medically underserved

When the nurse first meets the patient, it is important to establish a dialogue if possible; patient-centered care stresses that it is important for the nurse to recognize that

It is important to identify patient expectations.

The nurse asks a patient where their pain is located, and the patient responds by pointing to the area of pain. Which form communication did the patient use?

Nonverbal

A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, "I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the patient to sign the consent and notifies the health care provider of the situation. Which role is the nurse displaying?

Patient advocate

A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include in the teaching session about nurse practice acts?

Protects the public

A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse's best response? a. "Technology use has to be combined with nursing judgment." b. "The focus of effective nursing care is technology." c. "If it's so easy, why don't you do it?" d. "That is true in the 20th century."

a. "Technology use has to be combined with nursing judgment."

A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive? a. Graduate education b. Inservice education c. Continuing education d. Registered nurse education

c. Continuing education

A nurse believes that the nurse-patient relationship is a partnership, and that both are equal participants. Which term should the nurse use to describe this belief? a. Critical thinking b. Authentic c. Mutuality d. Attend

c. Mutuality

An older adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?

to turn off the television