ATI Nurse's Touch: Professional Communication Practice Assessment Test

A nurse is reviewing newly transcribed medication prescriptions. Which of the following prescriptions is written correctly?

-Diazepam 10mg PO q8h

A staff nurse on a burn unit informs the nurse manager that another nurse on the unit falsified information on a client medication administration record. Which of the following actions by the nurse manger is appropriate?

-Discuss the incident in private with the nurse who falsified the records nurse manager should meet in private w/ the nurse and give her the opportunity to explain the situation. nurse manager should provide negative feedback in private.

A nurse is using SBAR communication tool to report the condition of a client to a provider. The nurse should include the clients most recent vital signs in which component of the communication?

Assessment

A nurse manger is observing a newly licensed nurse interact with several older adult clients. Which of the following actions by the newly licensed nurse requires intervention by the nurse manager?

Exaggerating lip movements

A nurse manager is attempting to resolve a conflict between two nurses that is affecting delivery of client care.

Meet with each nurse individually to gather information -collecting more data about the conflict aid in facilitating a resolution to the conflict and is an appropriate action.

After a client shares feelings about the death of her grandmother the nurse says "everyone's grandparents die sometime."

Minimizing feelings

A nurse is preparing to educate a client on self-administration of subcutaneous medication. In which of the following environments should the nurse provide the education?

Private Room -private room is best for client education bc confidentiality can be maintained

A client who speaks English as a second language tells the home health nurse "I do not want to go to the big Clinic. They wont be able to understand me." Which of the following actions by the nurse is appropriate to ensure a smooth transition for the client?

Speak with a nurse at the clinic ahead of time regarding the clients concerns. -demonstrates respect for clients individuality

A nurse expressing concern to the nurse manager about a coworker who uses passive aggressive communication.

The coworker voices her concerns to anyone who will listen - passive aggressive communication avoids honest, direct communication and expresses her concerns to others in an attempt to make other people look bad

A nurse is a team leader of a group. Which of the following is a disruptive role of a member of the group?

The member who asks for recognition from the team for personal accomplishments

A nurse is implementing education on ROM exercises for a client who had a total hip arthroplasty. The client performs a return demonstration. Which of the following defines the cognitive domain?

Thinking Ability necessary to perform the skill -intellectual thinking abilities are cognitive

A 16 yr old client is recovering from a motor vehicle crash involving alcohol. Which of the following statements by the nurse displays and effective therapeutic relationship with the client?

What can i do to help you at this time?

A client tells a nurse that she is upset because she is not going to be discharged from the hospital today. Which of the responses by the nurse demonstrates therapeutic communication?

You are frustrated because you want to go home? -paraphrasing to give the client opportunity to evaluate if communication is mutually understood

A nurse is providing discharge teaching for a client who speaks English as a second language.

provide written information in both of the clients languages.

A nurse manager is reviewing communication styles with the nurse on the unit. The nurse manager explains that which of the following are characteristics of passive communication?

Avoids confrontation displays dishonesty

A nurse if meeting with several coworkers and the units nurse manager to attempt to resolve a staff conflict about the unit's float policy. Which strategies should the nurse use to help promote a positive outcome for the group?

Demonstrate self-confidence -during conflict negotiation the parties involved should portray self confidence, listen attentively, and stay assertive honest and flexible

A nurse is educating group members at a conference. Which educational strategies addresses only one domain of learning?

Presenting the information to an audience

A nurse is explaining to a client who has a new prescription for an antihypertensive that the meds. can have serious adverse effects and that coughing is a warning sign of this effect. Which statements demonstrates verbal communication attributes of brevity and clarity?

Call us immediately if you start coughing -brevity means brief, clarity is a clear message

A staff nurse is unable to resolve a concern reported by a client regarding his room assignment. Which of the following individuals is next in the chain of command?

Charge nurse

A nurse is caring for a client who lives in rural area and has a prescription for telemonitioring. Which of the following is an appropriate action for the nurse to take?

Determine avail. of Internet capabilities

A nurse manager is planning to involve a mediator to assist with conflict resolution efforts between the units charge nurses.

Gathers facts about the conflict from the involved parties

A nurse is preparing to demonstrate how to change an ostomy bag to a client who has a new ostomy. Readiness to learn?

I will need information written down

A nurse is educating a client who is preparing for open heart surgery. The client continuously talks about a friend's recent open heart surgery. Which of the following nursing statement is therapeutic?

Lets go back to discussing your concerns about having surgery.

A nurse is monitoring a client who lives in rural area via telecommunication. The nurse should understand that this method of communication has which of the following advantages?

Promotes clients self reporting

A nurse working with a child who has been verbally abused. The nurse should make which of the following comments to seek clarification from the client?

Give me an example of a time you felt afraid -asking for an example is a way of seeking clarification

A nurse is resolving conflict about the client care during a meeting with members from different departments. Which of the following types of conflict is displayed?

Intergroup conflict -conflict between members from different departments

A nurse manager creates mutual trust and respect when planning care for a client. The nurse manager says, "Thank you for gathering today. I see we have members from respiratory therapy, dietary and nursing."

Interprofessional relationship

A staff nurse tells the nurse manager that one of her coworkers does not work as many holidays as the other nurses. The nurse manager acknowledges the problem thanks the nurse and tells her that he appreciates her dependability. Which of the following conflict resolution strategies is the nurse manager demonstrating?

Avoiding

A nurse is caring for a client who is deaf. Which of the following is a barrier to communication?

Avoiding facial expressions

A nurse is caring for a client who is from Native American cultural background. Which of the following should the nurse consider when communicating which clients of this cultural background?

Client may prefer less talk and is comfortable with silence

A nurse is preparing a prenatal education program for the clients who are first time parents. Once the clients have basic knowledge of the subject the nurse should be aware that the levels of cognitive behavior occur in what order?

Comprehensive Application Analysis Synthesis Evaluation

A nurse is preparing discharge instructions for a client who speaks minimal English. His adult daughter is in the room and she is bilingual and speaks fluent English. Which of the following is the most appropriate action for the nurse to take?

Contact a medical interpreter to translate the discharge instructions. -client may not want daughter to know medical info

The postanesthesia care unit (PACU) unit manager tells the PACU nursing staff "Next week our goal is to transfer each surgical client to the medical units within one hr." Patterns displayed by the PACU unit manager?

Downward Communication -relaying vital information and activities to subordinates in the hierarchy of nursing

A nurse manager is reviewing the advantages of electronic medical records with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further review?

Electronic medical records inhibit continuity of care

A nurse is caring for a 17 yr old client newly diagnosed with a heart murmur. To facilitate communication the nurse should recognize which of the following as a developmental milestone for the client?

Embraces independence -this is an adolescent characteristic

A nurse is presenting preoperative cardiac surgery education to a small group of clients. Which of the strategies is effective with a group?

Encouraging participants to share information about the topic is an effective strategy used to focus a group

A nurse in an acute care facility is providing care to a group of clients. Which action by the nurse is the best defense against malpractice?

Ensuring documentation is complete and accurate

A nurse is planning care for a client who has expressive aphasia by assessing the clients cognitive abilities.

Face the client directly when asking a question

A nurse working as a member of an interprofessional team and suggests each member have a turn to speak when a conflict arises. Which of the following maintenance roles did the nurse display?

Gatekeeper -one who encourages all members to have a voice in the discussion

A nurse is providing care for a client who is sharing her feelings about a recent unpleasant interaction with her sibling. Which is a barrier to effective communication between nurse and client?

Giving advice -pt may take that as the nurse doesnt think they are capable of making decisions.

A nurse uses self disclosure to respond to a client who states that she is afraid to have a scheduled surgical procedure. Which statement by the nurse is appropriate?

I hear your concerns. I felt the same way before having the same surgery myself

A director of nursing encourages nurse manager to serve as mentors to staff nurse who show potential for progressing within the organization.

Influential -influential power comes from the ability of those with formal power to influence and encourage others

A nurse is providing teaching about the prevention of pneumonia to a client who is postoperative and is being discharged home. Best method of conveying information to the client?

Lets talk about pneumonia and what you can do to prevent it

A nurse is communicating with a client who has a hearing impairment. Which technique should the nurse use?

Maintain voice in a low pitch -clients with a hearing impairment have difficulty when a high pitch is used

A nurse is collecting info concerning a clients response to incisional pain. Which of the following actions should assist the nurse in gathering information?

Make direct eye contact with the client

A nurse is providing infor. on a new procedure to the nursing staff and has discovered that several of the staff members have a kinesthetic learning preference

Practice the new procedure and have the staff member perform a return demo

A nurse includes foot care education when developing a plan of care for an older adult client who has diabetes mellitus. Strategies the nurse should use when implementing the teaching?

Present large-Print educational materials

A nurse providing care for a client refuses the clients request for hugs when leaving the room.

Setting clear professional boundaries

A nurse is reinforcing the information a provider shared with the client who had surgery for colon cancer. Which of the following is the appropriate nursing statement for reinforcing the information?

The surgeon removed the part of your colon connected to your rectum -nurse should use simple and appropriate terms when reinforcing information from the provider

A client who received pain meds. 1 hr ago reports a pain level of 8 on scale of 0-10. The nurse responds "your pain should be getting better soon. Don't worry." Which of the following non therapeutic communication responses did the nurse display?

Using automatic response -automatic response shows the nurse isnt taking the clients concerns seriously