PCC1 Exam 1 Review Questions

Which of the following statements represent a nontherapeutic communication technique? Select all that apply. a. "Why didn't you attend group this morning?" b. "From what you have said, you have great difficulty sleeping at night." c. "What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?" d. "If I were you, I would quit the stressful job and find something else." e. "I'm really proud of you for the way you stood up to your brother when he visited today." f. "You mentioned that you have never had friends. Tell me more about that." g. "It sounds like you have been having a very hard time at home lately."

a. "Why didn't you attend group this morning?" c. "What did your boyfriend do that made you leave? Are you angry at him? Did he abuse you in some way?" d. "If I were you, I would quit the stressful job and find something else." e. "I'm really proud of you for the way you stood up to your brother when he visited today."

Formal patient education courses or classes would be the most appropriate strategy in which situation? a. Address needs common to a group. b. Explain self-directed learning. c. Describe nursing interventions. d. Respond to questions of a patient's family.

a. Address needs common to a group.

Interrelated concepts regarding patient attributes and preferences that a nurse would consider when addressing patient education include which concept? a. Adherence b. Health promotion c. Quality d. Technology

a. Adherence

"Nurses advancing our profession to improve health for all" is the mission statement of which professional group? a. American Nurses Association b. Institutes of Medicine c. Joint Commission d. Robert Wood Johnson Foundation

a. American Nurses Association

When planning the evaluation of a teaching activity that has the goal of educating a patient and family about the long-term effects of diabetes, it would be most appropriate for the nurse to include which opportunity for the patient? a. Ask questions. b. Inject insulin. c. Meet exercise goals. d. Prepare a menu.

a. Ask questions.

The nurse is finding it difficult to provide structure and set limits for a client. The nurse should self-evaluate for which characteristic of a dysfunctional nurse-patient relationship? a. Boundary blurring b. Value dissonance c. Covert anger d. Empathy

a. Boundary blurring

When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? Select all that apply. a. Check for needed adaptive equipment. b. Exaggerate lip movements to help the patient lip read. c. Give the patient time to respond to questions. d. Keep communication short and to the point. e. Communicate only through written information.

a. Check for needed adaptive equipment. c. Give the patient time to respond to questions. d. Keep communication short and to the point.

Interrelated concepts regarding patient attributes that a nurse manager would consider when addressing concerns about the quality of health promotion include which type of attribute? a. Culture b. Evidence c. Health policy d. Nutrition

a. Culture

A male patient has been laid off from his construction job and has many unpaid bills. He is going through a divorce from his marriage of 15 years and has been seeing his pastor to help him through this difficult time. He does not have a primary health care provider because he has never really been sick and his parents never took him to a physician when he was a child. Which external variables influence the patient's health practices? Select all that apply. a. Difficulty paying his bills b. Seeing his pastor as a means of support c. Age of patient (46 years) d. Stress from the divorce and the loss of a job e. Family practice of not routinely seeing a health care provider

a. Difficulty paying his bills e. Family practice of not routinely seeing a health care provider

Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals in helping the patient make behavior changes. What are other benefits of using MI techniques? Select all that apply. a. Gaining an understanding of patient's motivations b. Focusing on opportunities to avoid poor health choices c. Recognizing patient's strengths and supporting their efforts d. Providing assessment data that can be shared with families to promote change e. Identifying differences in patient's health goals and current behaviors

a. Gaining an understanding of patient's motivations c. Recognizing patient's strengths and supporting their effortse. e. Identifying differences in patient's health goals and current behaviors

The nurse would address which of the following goals in attempting to establish a therapeutic nurse-client relationship? Select all that apply. a. Helping patients examine self-defeating behaviors and test alternatives b. Promoting self-care and independence c. Providing the client with opportunities to socialize d. Assisting patients with problem solving to help facilitate activities of daily living e. Facilitating communication of distressing thoughts and feelings

a. Helping patients examine self-defeating behaviors and test alternatives b. Promoting self-care and independence d. Assisting patients with problem solving to help facilitate activities of daily living e. Facilitating communication of distressing thoughts and feelings

When taking care of patients, a nurse routinely asks if they take any vitamins or herbal medications, encourages family members to bring in music that the patient likes to help the patient relax, and frequently prays with her patients if that is important to them. The nurse is practicing which model? a. Holistic b. Health belief c. Transtheoretical d. Health promotion

a. Holistic

Which of the following statements are true regarding the differences between a social relationship and a therapeutic relationship? Select all that apply. a. In a social relationship, both parties' needs are met; in a therapeutic relationship, only the patient's needs are to be considered. b. A social relationship is instituted for the main purpose of exploring one member's feelings and issues; a therapeutic relationship is instituted for the purpose of friendship. c. Giving advice is done in social relationships; in therapeutic relationships giving advice is not usually therapeutic. d. In a social relationship, both parties come up with solutions to problems and solutions may be implemented by both (a friend may lend the other money, etc.); in a therapeutic relationship, solutions are discussed but are only implemented by the patient. e. In a social relationship, communication is usually deep and evaluated; in a therapeutic relationship, communication remains on a more superficial level, allowing patients to feel comfortable.

a. In a social relationship, both parties' needs are met; in a therapeutic relationship, only the patient's needs are to be considered. c. Giving advice is done in social relationships; in therapeutic relationships giving advice is not usually therapeutic. d. In a social relationship, both parties come up with solutions to problems and solutions may be implemented by both (a friend may lend the other money, etc.); in a therapeutic relationship, solutions are discussed but are only implemented by the patient.

A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the following is the best strategy to help the nurse find more time for this communication? a. Include communication while performing tasks such as changing dressings and checking vital signs. b. Ask the patient if you can talk during the last few minutes of visiting hours. c. Ask Pastoral care to come back a little later in the day. d. Remind the nurse to complete all her tasks and then set up remaining time for communication.

a. Include communication while performing tasks such as changing dressings and checking vital signs

Professionalism exemplars related to leadership include which attribute? a. Influential b. Licensed c. Respectful d. Therapeutic

a. Influential

A nurse is conducting a home visit with an older-adult couple. While in the home the nurse weighs each individual and reviews the 3-day food diary with them. She also checks their blood pressure and encourages them to increase their fluids and activity levels to help with their voiced concern about constipation. The nurse is addressing which level of need according to Maslow? a. Physiological b. Safety and security c. Love and belonging d. Self-actualization

a. Physiological

A nurse is presenting a program to workers in a factory covering safety topics, including the wearing of hearing protectors when workers are in the factory. Which level of prevention is the nurse practicing? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

a. Primary prevention

The school nurse incorporates seatbelt and helmet use in a high school class on health promotion as examples of which strategies? a. Primary prevention b. Rehabilitation c. Secondary prevention d. Tertiary prevention

a. Primary prevention

The nurse is having a therapeutic conversation with a patient who is newly diagnosed with hypertension. Which communication techniques will most likely prove effective for this newly diagnosed patient? a. The nurse presents a laminated poster to the patient that depicts pictures of foods that would be on the low sodium diet. b. The nurse and patient engage in a humorous conversation about the top ten "what not to eat when you are being treated for hypertension." c. The nurse gives the patient a sheet full of information and asks the patient to read the information and let the nurse know if they have any questions. d. The nurse states the risk factors and statistics of patients who do not take their medications as prescribed. e. The nurse helps the patient identify weight loss goals that are reasonable. f. The nurse waits until the patient has been awake for a few hours before beginning the teaching plan.

a. The nurse presents a laminated poster to the patient that depicts pictures of foods that would be on the low sodium diet. b. The nurse and patient engage in a humorous conversation about the top ten "what not to eat when you are being treated for hypertension." e. The nurse helps the patient identify weight loss goals that are reasonable. f. The nurse waits until the patient has been awake for a few hours before beginning the teaching plan.

When preparing to hold an admission interview with a client, the nurse pulls up a chair and sits facing the client with his or her knees almost touching. When the nurse leans in close to speak, the client becomes visibly flustered and gets up and leaves the room. What is the most likely explanation for client's behavior? a. The nurse violated the client's personal space by physically being too close. b. The client has issues with sharing personal information. c. The nurse failed to explain the purpose of the admission interview. d. The client is responding to the voices by ending the conversation.

a. The nurse violated the client's personal space by physically being too close.

What is the focus during clinical supervision? a. The nurse's behavior in the nurse-client relationship b. Analysis of the client's motivation for transferences c. Devising alternative strategies for client growth d. Assisting the client to develop increased independence

a. The nurse's behavior in the nurse-client relationship

What group is primarily protected under the laws that regulate nursing practice? a. The public b. Practicing nurses c. The employing agency d. People with health problems

a. The public

The nurse should identify which potential health disparities when conducting an admission assessment on a hospitalized patient? Select all that apply. a. Unsatisfying, low-paying job b. Frequent smoker c. Comprehensive health insurance d. Recently divorced e. African-American male

a. Unsatisfying, low-paying job b. Frequent smoker d. Recently divorced e. African-American male

Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility? a. collaboration between staff members from sending and receiving departments b. requiring that the patient visit the facility before a transfer is arranged c. using a standardized transfer policy and transfer tool d. arranging all patient transfers during the same time each day e. relying on family members to share information with the new facility

a. collaboration between staff members from sending and receiving departments c. using a standardized transfer policy and transfer tool

A patient does not make eye contact with the nurse and is folding his arms at his chest. Which aspect of communication has the nurse assessed? a. nonverbal communication b. a mesage ​filter c. a cultural barrier d. social skills

a. nonverbal communication

A client states "That nurse never seems comfortable being with me." The nurse can be described as a. not seeming genuine to the client. b. transmitting fear of clients. c. unfriendly and aloof. d. controlling.

a. not seeming genuine to the client.

a nurse is communicating with a client who was just admitted for treatment of a substance use disorder. which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? a. offering advice b. reflecting c. listening attentively d. giving information

a. offering advice

which of the following actions should the nurse take when using the communication technique of active listening? (select all that apply) a. use an open posture b. write down what the client says to avoid forgetting details c. establish and maintain eye contact d. nod in agreement with the client throughout the conversation e. respond positively when giving feedback

a. use an open posture c. establish and maintain eye contact e. respond positively when giving feedback

A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship? a. working phase b. pre interaction phase c. termination phase d. orientation phase

a. working phase

Which statement made by a nurse shows that the nurse is engaging in an activity to help cope with secondary traumatic stress and burnout? a. "I don't need time for lunch since I am not very hungry." b. "I am enjoying my quilting group that meets each week at my church." c. "I am going to drop my gym membership because I don't have time to go." d. "I don't know any of the other nurses who met today to discuss hospital-wide problems with nurse satisfaction."

b. "I am enjoying my quilting group that meets each week at my church."

A nurse on the psychiatric unit has a past history of alcoholism and has regular meetings with a mentor. Which statement made to the nurse's mentor would indicate the presence of countertransference? a. "My patient is being discharged tomorrow. I provided discharge teaching and stressed the importance of calling the help line number should she become suicidal again." b. "My patient has been abusing alcohol. I told her that the only way to recover was to go 'cold turkey' and to get away from her dysfunctional family and to do it now!" c. "My patient started drinking after 14 years of sobriety. We are focusing on his treatment plan of attending AA (Alcoholics Anonymous) meetings five times a week after discharge." d. "My patient, is an elderly woman with depression. She calls me by her daughter's name because she says I remind her of her daughter."

b. "My patient has been abusing alcohol. I told her that the only way to recover was to go 'cold turkey' and to get away from her dysfunctional family and to do it now!"

After a class on Pender's health promotion model, students make the following statements. Which statement does the faculty member need to clarify? a. "The desired outcome of the model is health-promoting behavior." b. "Perceived self-efficacy is not related to the model." c. "The individual has unique characteristics and experiences that affect his or her actions." d. "Patients need to commit to a plan of action before they adopt a health-promoting behavior."

b. "Perceived self-efficacy is not related to the model."

What is the most helpful nursing response to a client who reports thinking of dropping out of college because it is too stressful? a. "Don't let them beat you! Fight back!" b. "School is stressful. What do you find most stressful?" c. "I know just what you are going through. The stress is terrible." d. "You have only two more semesters. You will be glad if you stick it out."

b. "School is stressful. What do you find most stressful?"

As part of a faith community nursing program in her church, a nurse is developing a health promotion program on breast self-examination for the women's group. Which statement made by one of the participants is related to the individual's perception of susceptibility to an illness? a. "I have a door hanging tag in my bathroom to remind me to do my breast self-examination monthly." b. "Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer." c. "Since I am only 25 years of age, the risk of breast cancer for me is very low." d. "I participate every year in our local walk/run to raise money for breast cancer research."

b. "Since my mother had breast cancer, I know that I am at increased risk for developing breast cancer."

A patient comes to the local health clinic and states: "I've noticed how many people are out walking in my neighborhood. Is walking good for you?" What is the best response to help the patient through the stages of change for exercise? a. "Walking is OK. I really think running is better." b. "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?" c. "Yes, I want you to begin walking. Walk for 30 minutes every day and start to eat more fruits and vegetables." d. "They probably aren't walking fast enough or far enough. You need to spend at least 45 minutes if you are going to do any good."

b. "Yes, walking is great exercise. Do you think you could go for a 5-minute walk next week?"

A nurse prepares to contact a patient's physician about a change in the patient's condition. Using SBAR (Situation, Background, Assessment, and Recommendation) communication, which of the following is the correct order? 1."She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 pm yesterday. She complains of a poor appetite." 2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." 3. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" 4. "The patient started complaining of nausea yesterday evening and has vomited several times during the night." a. 1, 3, 4, 2 b. 4, 1, 2, 3 c. 2, 1, 3, 4 d. 4, 2, 1, 3

b. 4, 1, 2, 3

A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? a. Simulation b. Demonstration c. Group instruction d. One-on-one discussion

b. Demonstration

Which tertiary prevention measure is included in the plan of care for a patient newly diagnosed with asthma? a. Cholesterol screening b. Eliminating allergens c. Glaucoma screening d. Safe sex practices

b. Eliminating allergens

What is the process of enabling people to increase control over and improve their health? a. Community care b. Health promotion c. High-level wellness d. Primary prevention

b. Health promotion

Which of the following are symptoms of secondary traumatic stress and burnout that commonly affect nurses? Select all that apply. a. Regular participation in a book club b. Lack of interest in exercise c. Difficulty falling asleep d. Lack of desire to go to work e. Anxiety while working

b. Lack of interest in exercise c. Difficulty falling asleep d. Lack of desire to go to work e. Anxiety while working

The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient. Which factors are classified as genetic and physiological? Select all that apply. a. Sedentary lifestyle b. Mother died from CAD at age 48 c. History of hypertension d. Eats diet high in sodium e. Elevated cholesterol level

b. Mother died from CAD at age 48 c. History of hypertension e. Elevated cholesterol level

A nurse is talking with a young-adult patient about the purpose of a new medication. The nurse says, "I want to be clear. Can you tell me in your words the purpose of this medicine?" This exchange is an example of which element of the transactional communication process? a. Message b. Obtaining feedback c. Channel d. Referent

b. Obtaining feedback

During what stage of the therapeutic nurse-client relationship is a formal or informal contract between the nurse and client established? a. Preorientation b. Orientation c. Working d. Termination

b. Orientation

What is the goal of the professional nurse in the team leader role? a. Compliance with physicians b. Positive outcomes and patient satisfaction c. Satisfied physical therapists and occupational therapists d. Social service referrals for home care

b. Positive outcomes and patient satisfaction

The nurse uses silence as a therapeutic communication technique. What is the purpose of the nurse's silence? Select all that apply. a. Prevent the nurse from saying the wrong thing b. Prompt the patient to talk when he or she is ready c. Allow the patient time to think and gain insight d. Allow time for the patient to drift off to sleep e. Determine if the patient would prefer to talk with another staff member

b. Prompt the patient to talk when he or she is ready c. Allow the patient time to think and gain insight

The nurse conducting research on health disparities applies the idea that the reality of life is based on a mental representation developed from socially shared understandings within a society. Which theoretical framework model is the nurse using? a. Cultural competence b. Structural-constructivist c. Cultural awareness d. Cultural proficiency

b. Structural-constructivist

The preferred seating arrangement for a nurse-client interview should incorporate which positioning? a. The nurse behind a desk and the client in a chair in front of the desk. b. The nurse and client sitting at a 90-degree angle to each other. c. The client sitting in a chair and the nurse standing a few feet away. d. The nurse and client sitting facing each other.

b. The nurse and client sitting at a 90-degree angle to each other.

A 55-year-old patient recently came to the United States from England on a work visa. The patient was admitted for severe depression following the death of a life partner weeks ago. While discussing the death and its effects the patient shows little emotion. Which of the following explanations is most plausible for this lack of emotion? a. The patient in denial. b. The response may reflect cultural norms. c. The response may reflect personal guilt. d. The patient may have an antisocial personality.

b. The response may reflect cultural norms.

When a nurse and client meet informally or have an otherwise limited but helpful relationship, what term is used to identify this relationship? a. Crisis intervention b. Therapeutic encounter c. Autonomous interaction d. Preorientation phenomenon

b. Therapeutic encounter

What therapeutic communication technique is the nurse using by asking a newly admitted patient, "Please tell me what was happening that led to your hospitalization here?" a. Using a minimal encourager b. Using an open-ended question c. Paraphrasing d. Reflecting

b. Using an open-ended question

which of the following strategies should a nurse use to establish a helping relationship with a client? a. make sure the communication is equally reciprocal between the nurse and the client b. encourage the client to communicate his thoughts and feelings c. give the nurse-client communication no time limits d. allow communication to occur spontaneously throughout the nurse-client relationship

b. encourage the client to communicate his thoughts and feelings

Which of the following communication terms can be applied to this statement: How messages are received and interpreted would include personal states such as mood disturbance, environmental stimuli related to the setting of the communication, and contextual variables? a. therapeutic communication b. metacommunication c. vigor communication d. internal noise

b. metacommunication

A patient states that everything has been going great; however, the nurse observes the patient biting his nails and fidgeting. What type of communication does the nurse recognize from the patient's actions and statements? a. linguistic b. paralinguistic c. explicit d. inadequate

b. paralinguistic

Nurses must communicate effectively with the health care team for which of the following reasons? a. improve the nurse's status with the health team members b. reduce the risk of errors to the patient c. provide optimum level of patient care d. improve patient outcomes e. prevent issues that need to be reported to outside agencies

b. reduce the risk of errors to the patient c. provide optimum level of patient care d. improve patient outcomes

a nurse is caring for a client who states, "I have to check with my wife and see if she thinks I am ready to go home" The nurse replies "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client? a. pacing b. reflecting c. paraphrasing d. restating

b. reflecting

a nurse is caring for a school-age child who is sitting in a chair. to facilitate effective communication, which of the following actions should the nurse take? a. touch the child's arm b. sit at eye level with the child c. stand facing the child d. stand with a relaxed posture

b. sit at eye level with the child

Based on the transtheoretical model of change, what is the most appropriate response to a patient who states: "Me, stop smoking? I've been smoking since I was 16!" a. "That's fine. Some people who smoke live a long life." b. "OK. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see you in 1 month." c. "I understand. Can you think of the greatest reason why stopping smoking would be challenging for you?" d. "I'd like you to attend a smoking cessation class this week and use nicotine replacement patches as directed."

c. "I understand. Can you think of the greatest reason why stopping smoking would be challenging for you?"

A patient who recently loss a parent begins crying during a one-to-one session with the nurse. Which of the following responses by the nurse illustrates empathy? a. "I'm so sorry. My father died 2 years ago, so I know how you are feeling." b. "You need to focus on yourself right now. You deserve to take time just for you." c. "That must have been such a hard situation for you to deal with." d. "I know that you will get over this. It just takes time."

c. "That must have been such a hard situation for you to deal with."

A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While assessing the patient, which statement would be the most therapeutic? a. "why did you drive after you had been drinking?" b. "we have multiple patients to see tonight as a result of this accident" c. "tell me what happened before, during, and after the automobile accident tonight" d. "it will be okay. no one was seriously hurt in the accident'

c. "tell me what happened before, during, and after the automobile accident tonight"

a nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. which of the following statements should the nurse make? (select all that apply) a. "you will do great! You just have to get used to it" b. "why are you worried about going home?" c. "your daily routines will be different when you get home" d. "tell me about your support system you'll have after you leave the hospital" e. "let me tell you about a friend of mine with a colostomy who also enjoys swimming"

c. "your daily routines will be different when you get home" d. "tell me about your support system you'll have after you leave the hospital" e. "let me tell you about a friend of mine with a colostomy who also enjoys swimming"

With which client should the nurse make the assessment that not using touch would probably be in the client's best interests? a. A recent immigrant from Russia b. A deeply depressed client c. A Chinese American client d. A tearful client reporting pain

c. A Chinese American client

Of the following environments, which would be most conducive to a therapeutic session? a. The nurses' station b. A table in the coffee shop c. A quiet section of the day room d. The utility room

c. A quiet section of the day room

Which activity shows a nurse engaged in primary prevention? a. A home health care nurse visits a patient's home to change a wound dressing. b. A nurse is assessing risk factors of a patient in the emergency department admitted with chest pain. c. A school health nurse provides a program to the first-year students on healthy eating. d. A nurse schedules a patient who had a myocardial infarction for cardiac rehabilitation sessions weekly.

c. A school health nurse provides a program to the first-year students on healthy eating.

A term is a synonym for the characteristic of genuineness? a. Respect b. Empathy c. Authentic d. Positive regard

c. Authentic

When utilizing the social-ecological model, the nurse classifies physiological effects of aging within which system? a. Microsystem b. Mesosystem c. Chronosystem d. Exosystem

c. Chronosystem

A student nurse demonstrates effective understanding of health disparities when stating that which disparity is the most significant contributing factor to poor quality of care? a. Language barrier b. Lack of transportation c. Lack of health insurance d. Provider-patient communication

c. Lack of health insurance

A patient is sitting with arms crossed over his or her chest, his or her left leg is rapidly moving up and down, and there is an angry expression on his or her face. When approached by the nurse, the patient states harshly, "I'm fine! Everything's great." Which statement related to communication should the nurse focus on when working with this patient? a. Verbal communication is always more accurate than nonverbal communication. b. Verbal communication is more straightforward, whereas nonverbal communication does not portray what a person is thinking. c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message. d. Nonverbal communication is about 10% of all communication, and verbal communication is about 90%.

c. Nonverbal and verbal communication may be different; nurses must pay attention to the nonverbal communication being presented to get an accurate message.

A patient registered at the local fitness center and purchased a pair of exercise shoes. The patient is in what stage of behavioral change? a. Precontemplation b. Contemplation c. Preparation d. Action

c. Preparation

A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? a. Teach the patient's spouse b. Focus on knowledge the patient will need in a few weeks c. Provide only the information that the patient needs to go home d. Convince the patient that learning about her health is necessary

c. Provide only the information that the patient needs to go home

A primary health care provider has recommended a mammogram and a Papanicolaou (pap) smear for a 50-year-old female patient. In response to questions, the nurse teaches the patient about health promotion activities, describing the mammogram and pap smear as which forms of prevention? a. Illness prevention b. Primary prevention c. Secondary prevention d. Tertiary prevention

c. Secondary prevention

A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this problem? a. Challenge the nurses in a public forum to embarrass them and change their behavior b. Talk with the department secretary and ask if this has been a problem for other nurses c. Talk with the preceptor or manager and ask for assistance in handling this issue d. Say nothing and hope things get better

c. Talk with the preceptor or manager and ask for assistance in handling this issue

A patient had surgery for a total knee replacement a week ago and is currently participating in daily physical rehabilitation sessions at the surgeon's office. In what level of prevention is the patient participating? a. Primary prevention b. Secondary prevention c. Tertiary prevention d. Quaternary prevention

c. Tertiary prevention

The nurse is admitting a new patient to the psychiatric unit. Which factors will most likely contribute to a positive outcome of the interaction? a. The patient is in a bad mood. b. The patient states that he or she is in pain. c. The unit is quiet. d. The patient has been admitted to the facility in the past. e. The patient is awake, alert, and oriented to person, place, and time. f. There are various interactive sessions going on in the unit today.

c. The unit is quiet. d. The patient has been admitted to the facility in the past. e. The patient is awake, alert, and oriented to person, place, and time.

The client makes the decision to sit about 5 feet away from the nurse during the assessment interview. The nurse can accurately make what assumption about the client's perception of the nurse? a. The nurse is a safe person to interact with. b. The nurse is a new friend. c. They view the nurse as a stranger. d. They view the nurse as a peer.

c. They view the nurse as a stranger.

What is the primary difference between a social and a therapeutic relationship? a. Type of information exchanged b. Amount of satisfaction felt c. Type of responsibility involved d. Amount of emotion invested

c. Type of responsibility involved

A patient who is Spanish-speaking does not appear to understand the nurse's information on wound care. Which action should the nurse take? a. Arrange for a Spanish-speaking social worker to explain the procedure b. Ask a fellow Spanish-speaking patient to help explain the procedure c. Use a professional interpreter to provide wound care education in Spanish d. Ask the patient to write down questions that he or she has for the nurse

c. Use a professional interpreter to provide wound care education in Spanish

To enter the nursing profession, an individual must successfully complete which criterion? a. Clinical checklist b. A graduate degree c. licensure examination d. Ongoing education

c. licensure examination

a nurse caring for a client who has anorexia nervosa. which of the following examples demonstrates the nurse's use of interpersonal communication a. the nurse discusses the client's weight loss during a health care team meeting b. the nurse examines her own personal feelings about clients who has anorexia nervosa c. the nurse asks the client about her body image perception d. the nurse presents an education session about anorexia nervosa to a large group of adolescents

c. the nurse asks the client about her body image perception

a nurse is caring for the parents of a child who has deomstrated recent changes in behavior and mood. when the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? a. "i think you son is getting better. What have you noticed?" b. "I'm sure everything will be okay. its out takes time to heal" c. "im not sure what's wrong. have you asked the doctor about your concerns?" d. "I understand you're concerned. lets discuss what concerns you specifically"

d. "I understand you're concerned. lets discuss what concerns you specifically"

A patient is presenting with behaviors that indicate anger. When approached, the patient states harshly, "I'm fine! Everything's great." Which response should the nurse provide to the patient? a. "Okay, but we are all here to help you, so come get one of the staff if you need to talk." b. "I'm glad everything is good. I am going to give you your schedule for the day and we can discuss how the groups are going." c. "I don't believe you. You are not being truthful with me." d. "It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?"

d. "It looks as though you are saying one thing but feeling another. Can you tell me what may be upsetting you?"

Consider the nurse-patient relationship on an inpatient psychiatric unit. Which of the following statements made by the nurse reflects an accurate understanding of when the issue of termination should first be discussed? a. "You are being discharged today, so I'd like to bring up the subject of termination—discussing your time here and summarizing what coping skills you have attained." b. "I haven't met my new patient yet, but I am working through my feelings of anxiety in dealing with a patient who wanted to kill herself." c. "Now that we are working on your problem-solving skills and behaviors you'd like to change, I'd like to bring up the issue of termination." d. "Now that we've discussed your reasons for being here and how often we will meet, I'd like to talk about what we will do at the time of your discharge."

d. "Now that we've discussed your reasons for being here and how often we will meet, I'd like to talk about what we will do at the time of your discharge."

A client has been admitted to your inpatient psychiatric unit with suicidal ideation. In a one-to-one session with the nurse, he shares the terrible guilt he feels over sexually abusing his stepdaughter and wanting to die because of it. Which of the following responses you could make reflects a helpful trait in a therapeutic relationship? a. "It's good that you feel guilty. That means you still have a chance of being helped." b. "Of course you feel guilty. You did a horrendous thing. You shouldn't even forget what you did." c. "The biggest question is, will you do it again? You will end up having even worse guilt feelings because you hurt someone again." d. "You are suffering with guilt over what you did. Let's talk about some goals we could work on that may make you want to keep living."

d. "You are suffering with guilt over what you did. Let's talk about some goals we could work on that may make you want to keep living."

Using the Transtheoretical Model of Change, what is the correct order for the steps that a patient goes through to make a lifestyle change related to physical activity? 1.The individual recognizes that he is out of shape when his daughter asks him to walk with her after school. 2.Eight months after beginning walking, the individual participates with his wife in a local 5K race. 3.The individual becomes angry when the physician tells him that he needs to increase his activity to lose 30 lbs. 4.The individual walks 2 to 3 miles, 5 nights a week, with his wife. 5.The individual visits the local running store to purchase walking shoes and obtain advice on a walking plan. a. 3, 1, 4, 5, 2 b. 3, 1, 4, 2, 5 c. 1, 3, 5, 2, 4 d. 3, 1, 5, 4, 2

d. 3, 1, 5, 4, 2

The nurse is caring for a Hispanic older adult in the emergency department who is intoxicated and was found unconscious on the ground outside of a local restaurant. The patient has a medical alert bracelet listing diabetes, hypertension, and epilepsy. Which health disparities in this patient does the nurse identify as unavoidable and acceptable? a. Alcohol use and ethnicity b. Diabetes and age c. Hypertension and gender d. Age and gender

d. Age and gender

During a clinical interview the client falls silent after disclosing that she was sexually abused as a child. The nurse should engage in which intervention in response to the client's silence? a. Quickly break the silence and encourage the client to continue. b. Reassure the client that the abuse was not her fault. c. Reach out and gently touch the client's arm. d. Allow the client to break the silence.

d. Allow the client to break the silence.

Which communication techniques should the nurse use with a client who has been identified as having difficulty expressing thoughts and feelings? a. Using emotionally charged words and gestures b. Offering opinions and avoiding periods of silence c. Asking closed-ended questions requiring "yes" or "no" answers d. Asking open-ended questions and seeking clarification

d. Asking open-ended questions and seeking clarification

When discussing her husband, a client shares that "I would be better off alone. At least I would be able to come and go as I please and not have to be interrogated all the time." What therapeutic communication technique is the nurse using when responding, "Are you saying that things would be better if you left your husband?" a. Focusing b. Restating c. Reflection d. Clarification

d. Clarification

After a client discusses his/her relationship with his/her father, the nurse asks, "Tell me if I'm correct that you feel dominated and controlled by him?" What is the purpose of the nurse's question? a. Eliciting more information b. Encouraging evaluation c. Verbalizing the implied d. Clarifying the message

d. Clarifying the message

During a therapeutic encounter, the nurse makes an effort to ensure the use of two congruent levels of communication. What is the rationale for this? a. The mental image of a word may not be the same for both nurse and client. b. One statement may simultaneously convey conflicting messages. c. Many of the client's remarks are no more than social phrases. d. Content of messages may be contradicted by process.

d. Content of messages may be contradicted by process.

The outcome of the nurse's expressions of sympathy instead of empathy toward the client often leads to which outcome? a. Enhanced client coping b. Lessening of client emotional pain c. Increased hope for client improvement d. Decreased client communication

d. Decreased client communication

A nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to "tell his story." This is an example of which step of the nursing process? a. Planning b. Assessment c. Intervention d. Evaluation

d. Evaluation

A recent immigrant to the United States from which country would find direct eye contact a positive therapeutic technique? a. Korea b. Mexico c. Japan d. Germany

d. Germany

A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your culture and want to learn how to better meet your health care needs." Which therapeutic communication technique did the nurse use in this situation? a. Validation b. Empathy c. Sarcasm d. Humility

d. Humility

A client tells the nurse "I really feel close to you. You are like the friend I never had." The nurse can assess this statement as indicating the client may be experiencing which unconscious emotion? a. Congruence b. Empathetic feelings c. Countertransference d. Positive transference

d. Positive transference

During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your voice when you spoke of your father. Tell me about that." What communication techniques is the nurse using? a. Giving information and encouraging evaluation b. Presenting reality and encouraging planning c. Clarifying and suggesting collaboration d. Reflecting and exploring

d. Reflecting and exploring

To address administrative concerns about the effectiveness of staff nurses related to patient education, what is the nurse manager's first action? a. Assign one nurse to teach patients. b. Organize patient teaching resources. c. Post a teaching outline in the lounge. d. Survey nurses about patient teaching.

d. Survey nurses about patient teaching.

When a patient tells the nurse about plans to do research about the patient's diagnosis and potential treatment on the Internet, what is the nurse's most appropriate initial response? a. Discount the reliability of the Internet. b. Evaluate the patient's computer competency. c. Provide a list of recommended sources. d. Teach about evaluation of Internet resources.

d. Teach about evaluation of Internet resources.

Which phase of the nurse-client relationship may cause client anxieties to reappear and past losses to be reviewed? a. Preorientation phase b. Orientation phase c. Working phase d. Termination phase

d. Termination phase

a charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? a. personal space b. posture c. eye contact d. intonation

d. intonation

a nurse in an acute mental health facility is communicating with a client. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? a. offering general leads b. summarizing c. focusing d. restating

d. restating