NUR 310 Module 1

A client has just been given a diagnosis of cirrhosis of the liver. Which statements by the nurse should be avoided because they could impede communication? Select all that apply. - "cheer up. tomorrow is another day" - "that's a lot of information to take in. Would you like to talk about it" - "you doctor knows best" - "everything will be alright." - "Don't worry. You will be just fine in another day or two."

- "cheer up. tomorrow is another day" - "you doctor knows best" - "everything will be alright." - "Don't worry. You will be just fine in another day or two."

When collecting data on a client, the nurse implements which nonverbal communication form as one of the most effective to express feelings? A. body posture B. touch C. eye contact D. gait

B. touch

Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship? A. evaluation phase B. termination phase C. orientation phase D. working phase

D. working phase

TRUE OR FALSE: An example of an open-ended question is: "What medicines have you been taking at home?"

FALSE

TRUE OR FALSE: Communication is influenced by the way people value themselves, one another, and the purpose of any human interaction.

TRUE

Define horizontal violence

anger and aggressive begavior between nurses or nurse-to-nurse hostility

In order for a communication process to occur, three components are needed: a source or sender, the message, and the __________, the medium the sender selects to send the message.

channel

The therapeutic communication technique known as ___________ is the skill of identifying with the way another person feels.

empathy

Define verbal communication

exchange of information using words

Factors that distort the quality of the message, known as __________, can interfere with communication at any point in the process.

noise

Define body language

nonverbal communication

During the ____________ phase of the helping relationship, the tone and guidelines for the relationship are established.

orientation

Define langage

prescribed way of using words to express thoughts and feelings

Define feedback

verbal and nonverbal evidence that the message is received and understood

The nurse has arranged to start an IV line for a client with pancreatitis. The nurse notes that the client appears anxious about the procedure. What is the most appropriate response by the nurse to decrease the client's anxiety? A. "I will start an IV that will add fluids directly to the blood stream" B. "I will start an IV, which should not cause you too much pain" C. "I will start an IV, which shoud not take much time" D. "I will start an IV with the number 18 catheters"

A. "I will start an IV that will add fluids directly to the blood stream"

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? A. "you seem unsure, tell me your concerns about your surgery" B. i understand your confused; what do you think you should do" C. "you seem unsure, please let me know if you decided to postpone the surgery until you are no longer unsure" D. I understand you are not sure about having the surgery. why do you think you really do not need the surgery"

A. "you seem unsure, tell me your concerns about your surgery"

The nurse is caring for a client who is a victim of sexual assault. Which action would the nurse take to develop a trusting rapport with the client? A. approach the client with empathy and understanding and allow the client to share feelings without being judged B. exhibit a professional demeanor while examining the client and obtaining specimens, asking questions that are not intrusive C. practice active listening by allowing the client to express fears and concerns then restating the nurse's own words to demonstrate understanding D. use strategic pauses to allow the client to provide information that will be used to help officials in their investigation.

A. approach the client with empathy and understanding and allow the client to share feelings without being judged

Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached? A. empathy B. Commiseration C. kindess D. sympathy

A. empathy

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? A. "when you see the physician this morning, request more infor about the surgery" B. "share with me the advantages and disadvantages of your options as you see them" C. It is a minimally invasive surgery with rapid recovery time, so you will do fine" D. "You should follow your physician's recommendation and have the surgery"

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

A nurse states the following to another nurse who is constantly forgetting to wash hands between clients: "It looks like you keep forgetting to wash your hands between clients. It's really not safe for your clients. 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. nonassertive B. assertive C. agressive D. therapeutic

B. assertive

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? A. humility B. empathy C. curiosity D. sympathy

B. empathy

The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurological checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed? A. situation B. recommendation C. assessment D. background

B. recommendation

The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry. What response by the nurse demonstrates the most empathy? A. it is difficult when family members are ill. it helps if you take some time for yourself B. its okay to cry. Sometimes that helps us to feel better C. Just take your time. i am listening D. i know how you feel. I was the primary caregiver for my father when he was dying.

C. Just take your time. i am listening

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? A. the client is sitting in a chair and states, "i feel a lot better than I did yesterday." B. The client smiles at the nurse and states "I cannot wait to go home" C. The client stares at the floor and states :I feel fine" D. The client looks at the nurse and states "I am still not feeling me best"

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

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? A. it will not hurt if you relax so stop pulling your arm away B. 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 C. 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 D. i am sorry it is taking so long. Tell me how you hurt your arm

C. 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

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? A. working phase B. termination phase C. orientation phase D. evaluation phase

C. orientation phase

A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out during this phase of the relationship? A. attending to physical health care needs B. establishing trust and rapport C. reviewing health changes D. developing solutions that will be enacted

C. reviewing health changes

To provide effective nursing care, the nurse should engage in what type of communication with the client and significant others? A. metacommunication B.purposive communication C. therapeutic communication D. intrapersonal communication

C. therapeutic communication

The nurse is communicating with a client following a routine physical examination. Which statement best demonstrates summarization of the appointment? A. will we see you in 6 months to see how your diet has progressed? B. do you have any questions about all that we discussed during the exam? C. we reviewed your plans for your new diet and medications. do you have any other questions D. i think that went well with your physical, dont you?

C. we reviewed your plans for your new diet and medications. do you have any other questions

A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. Which statement conveys empathy by the nurse? A. "i am so sorry that you are going through this. can we talk" B. "sitting in the dark is not going to cure your cancer. let's open the curtains" C. "can you please tell me why you are crying" D. "I know this is hard for you. Is there any way I can help."

D. "I know this is hard for you. Is there any way I can help."

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

D. "what did your health care provider tell you about your need to be admitted"

TRUE OR FALSE: Interpersonal communication, or self-talk, is the communication that happens within the individual.

FALSE

TRUE OR FALSE: Incivility is rude, disruptive, intimidating, and undesirable behavior directed at another person.

TRUE

TRUE OR FALSE: Rapport refers to a feeling of mutual trust experienced by people in a satisfactory relationship.

TRUE

Define intrapersonal communication

communication techniques or self-talk to enhances positive interaction with the patient and family

Define SBAR (communication tool)

consistent, clear, structured, and easy-to-use method of communication between health care personnel

An intimate communication zone occurs during interaction between parents and children, whereas a ___________ zone occurs when people interact with close friends.

personal

Define communication

process of sharing information; process of generating and transmitting meanings

Define empathy

putting oneself in another person's circumstances and imagining what it would be like to share that person's feelings

Define incivility

rude, intimidating, and undesirable behavior directed at another person