Unit 2(modules 1-4) communication

Which statement made by a client who was recently admitted to the medical unit with a diagnosis of pneumonia indicates a physical inability to learn?

"I am having difficulty breathing."

During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is:

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

A physician has asked a nurse to use written forms of communication to share the client's health status with other medical personnel. Which is an example of a written form of communication?

checklist

What ensures continuity of care?

communication

Which is a client responsibility in the nurse-client relationship?

comply with the therapeutic regimen

Which step of the nursing process determines if the client understands the health teaching that is provided?

evaluation

Which of the four proxemic zones involves a distance of 6 inches to 4 feet between people who are communicating?

personal zone

The nurse is on a committee at an agency that has the task of identifying a need related to a new electronic health record (EHR) and providing supporting baseline data. In the System Development Lifecycle, what is this phase called?

Analyze and Plan

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?

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

A client complains to the nurse-in-charge about another nurse on night shift. The client says that he kept calling the nurse but she never responded. Furthermore, when he questioned the nurse, she said that she had other clients to take care of. The nurse-in-charge is aware that the client can be very demanding. What is an appropriate response for the nurse?

It's hard to be in bed and ask for help. You ring for a nurse who never seems to help."

Which type of client education requires a structured plan?

formal

A client is newly diagnosed with hypertension. While providing education on hypertension which behavior should the nurse employ to reinforce the desired outcomes?

having the client teach back what has been learned

Which method of documentation is organized around client diagnoses rather than around client information?

problem-oriented medical record (POMR) problem-oriented record (records organized according to the client's health problems) source-oriented record (records organized according to the source of documented information).

A student nurse asks the instructor why so much emphasis is being placed on the importance of client teaching. What benefits would the instructor identify? Select all that apply.

reduced lengths of stay better allocation of resources increased client satisfaction

Which learning domain is the focus for instruction when the nurse educates a new mother about the breast and its role in milk production for feeding the newborn

Cognitive

A nurse is in the introductory phase of the nurse-client relationship with a client and should know that what is the nurse's goal for this phase?

Determine what the client needs to know and understand about the condition.

A nurse is teaching a 5-year-old boy who was recently diagnosed with type 1 diabetes. The client's mother, who is the primary caregiver, informs the nurse of having a fear of needles. What acttions are appropriate for the nurse to take to ensure a successful education session? Select all that apply.

Ensuring 20 minutes of uninterrupted teaching time Using a doll to demonstrate giving an insulin injection Providing the client's mother with an informational pamphlet about insulin injection

It is important for the nurse to empathize with the client to develop a positive, therapeutic relationship. What is a characteristic of empathy?

Identifying with the client's feelings

Which nursing measure(s) optimizes a teaching session for a client with visual impairment? Select all that apply

Speak in a normal tone of voice. Avoid standing in front of a window through which bright sunlight is shining. Provide a magnifying glass for reading. Avoid using materials printed on glossy paper.

Which guideline should a nurse use when choosing a position (location) in relation to a client during a verbal interaction?

Take note of the client's cues when choosing a position and act on these cues.

A client is reluctant to learn to do finger sticks for home international normalized ratio (INR) monitoring. What is the best statement by the nurse?

Tell me what you know about these tests.

Which best describes an element of the nurse-client relationship?

The nurse self-discloses only what is necessary for the client's benefit.

A nurse finds that a client has infiltration around the IV line that needs to be removed. What explanation should the nurse give to reduce the client's anxiety?

"I know that you are anxious, but removal will be painless and the IV location needs to be changed."

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. Which of the following is the most appropriate response by the nurse to decrease the client's anxiety?

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

The nurse is caring for a client with different cultural practices and beliefs regarding health care. In which manner can the nurse ensure health disparities are reduced and the client receives equitable care?

Adapt care to encourage a collaborative, client-centered relationship that ensures safe practice.

The nurse observes that a client responds better to health teaching when the nurse motivates him and assures him about the benefits of the teaching. In which of the following learning domains does the client's learning style fall?

Affective domain "assures"

The LPN/LVN is caring for an older adult who had surgery for a hip replacement and is eager to be discharged and return to work. What is the BEST way for the nurse to present information the client needs for discharge?

Attempt to break the instructions into a number of sessions instead of one and link the information to any previous encounters with surgery.

A client with a new diagnosis of type 2 diabetes mellitus is being discharged after being admitted for acute hyperglycemia. The nurse prepares a discharge teaching plan for the client. In order to enhance the nurse-client partnership, what should the nurse include as a priority?

Provide meaningful options for the client.

A client has been newly diagnosed with Type II diabetes mellitus. Which of the following does the nurse recognize as the client's learning needs?

Skills, which should be acquired to promote health

The nurse is explaining charting by exception (CBE) to a client who is curious about documentation. Which statement by the nurse is most accurate?

The benefit of CBE is less time needed on computer charting."

The nurse is providing in-home care for a client recently prescribed antihypertensive medication. Upon evaluation the nurse obtains a blood pressure reading of 92/58 mm Hg and alerts the provider. In which manner will the nurse execute verbal orders from provider?

The nurse can accept verbal orders to provide immediate care and record once the client is stable.

Which statement accurately describes the concept of feedback as it pertains to the process of communication?

The sender and the receiver use one another's reactions to produce further messages.

The client reports to the clinic as ordered by the primary care provider for counseling on weight loss to improve overall health. The client received printed information in the mail to review before the session, and reports having read through it before the appointment. Which client statement alerts the nurse to a need for clarification and further education?

"I will be doing well if I lose between 5 and 10 lb (2.3 and 4.5 kg) per week."

During the introductory phase of the nurse-client relationship with an older adult, which question or statement by the nurse would be MOST appropriate?

"Is there someone you would like to have with you during our sessions?"

The nursing student is discussing the need for a care plan with the instructor. What is the mostappropriate explanation by the instructor for nursing care plan development?

"The care plan is required for every client by The Joint Commission."

A nurse is preparing a teaching session about heart failure for a group of older adults. When planning this session, which action would be important for the nurse to integrate into the session? Select all that apply.

Keep outside distractions to a minimum. Allow for extra time to answer questions. Plan sessions that are short in duration. Tie in new information with things the group is familiar with.

The nurse is planning to teach a 75-year-old client about administering medication. How can the nurse enhance the client's ability to learn?

Make the information relevant to the client's condition.

A client, eager to go home from an acute care facility, calls out to have discharge education completed. The nurse is not able to get to the client's room until an hour later, and finds the client asleep. The client's significant other states, "She will be out for a couple hours after that pain medication." Which of the following best describes what must happen with the education session?

The client is not demonstrating readiness to learn due to the effects of medication.

The health records department of a hospital has received a request from an insurance provider for a client's health records. The request has been authorized by the client and bears the client's signature. What principle should guide the hospital's release of the client's records?

The hospital should release the minimum amount of data that is necessary for the purposes of the request.

For which purposes would observing silence be appropriate? Select all that apply.

To allow the client time to reflect on the client's thoughts To allow the client time to reflect on communication that has occurred To allow the client time to formulate an answer after asking the client a question To allow the client time to compose oneself when the client is upset

Which is not a purpose of the client care record?

To serve as a contract with the client

Which terms refers to a person's intellectual ability to remember and apply new information?

learning capacity

In care team meeting, the client, the client's spouse and family, the physical therapy assistant, and the social director are present. Many decisions are made during the meeting. Confirmation that the decisions made are understood is determined by verbal feedback from

the client and the client's spouse indicating comprehension.

Which statement describes the person who is likely the most motivated to learn?

A 70-year-old female who is the client's spouse and is learning the care so the client can come home

Which actions should the nurse take before making an entry in a client's record? Select all that apply.

Reviewing the agency's list of approved abbreviations Locating clients' files within an electronic health record system Identifying the form appropriate to be used for documenting

A nurse conducts a session on health teaching for diabetes management to a group of clients. What should be the nurse's first step?

assessing the functional abilities of the clients who are supposed to attend the session

The nurse is providing education to parents at a preschool regarding child safety and primary prevention. Which topic(s) would the nurse choose to discuss with the parents to represent primary prevention? Select all that apply.

bicycle helmets immunizations carseats

A client is admitted to an acute care unit with signs and symptoms warranting further inpatient testing. During professional interactions with the client, the nurse's empathy when performing nursing care:

helps the nurse to be effective while remaining detached.

Using silence is a therapeutic communication technique. Which of the following describes its therapeutic value?

slow pace of interaction

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?

"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."

Which pieces of information should the nurse treat as confidential and not disclose? Select all that apply.

A client's Social Security number Information about a client's past health conditions A client's address

When caring for an elderly client, the nurse observes that the client is quiet and does not have any visitors. Which action helps develop therapeutic communication between the nurse and the client?

Helping the client to resolve feelings and speak up

The nurse is providing care to a hospitalized client who is not sure what the health problem is or what will be done. The nurse teaches the client the"Ask Me 3" questions and tells the client to ask these questions when the primary care provider visits. What are the "Ask Me 3" questions? Select all that apply.

What is my main problem? Why is it important for me to do this? What do I need to do?

The nurse completes the admission process of a client to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing?

You are hoping to figure out the cause of your extreme fatigue during this hospital stay."

A client recovering from shoulder surgery has been given instructions for exercises that will help regain strength and range of movement. When the nurse sees the client several weeks after surgery, it is evident that the client hasn't attempted any of the exercises. Which factor related to client teaching must be the nurse's main consideration in encouraging the client to start these exercises?

client motivation

The nurse is discharging several clients from an acute surgical unit on the same day. The nurse will prioritize teaching based on how much time is required for each client. Place the clients in the order, from first to last, in which the nurse will carry out discharge teaching. Use all options.

client who is learning to draw up and inject insulin for the first time client who indicates the live-in partner is a registered nurse client who is being discharged to a long-term care facility client who is being transferred to another unit in the hospital

A client has just learned that she has Stage 2 breast cancer. She appears distant and withdrawn. Her shoulders are slumped. She explains "I just never thought this could happen to me." Which answer best describes the client's response?

congruent communication words, body language, and tone align

A client has just been diagnosed with cancer. As part of the plan of care, the nurse attempts to explore the client's feelings about the diagnosis to foster looking at alternatives. The nurse implements this action based on the understanding that looking at alternatives promotes:

exploration of options for the client's consideration.

A nurse is preparing to document information about a client using the FOCUS system. Which information would the nurse record in the action section?

interventions

A cerebrovascular accident has left a client with left-sided hemiparesis. The nurse uses the nursing process to address treatment needs and expected outcomes. Which phase of the nurse-client relationship does this demonstrate? Select all that apply. You Selected:

introductory working terminating

A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques?

open-ended question

During hospitalization, the client has developed shortness of breath with edema. What action should the nurse take?

revise the care plan

The nurse educator is providing a demonstration of the electronic medication administration cart to the student nurses on the clinical unit. Which level of human proxemics would be appropriate for the nurse educator at this time?

social

A nurse is standing 6 feet (2 meters) away from another nurse. In what zone are the nurses?

social space