Ch. 8 NCLEX Questions

Verbal Communication includes: A. Body language B. Spoken words C. Intonation D. Gesture

B. Spoken words

Which technique is uses when a nurse asked a patient, "tell me how your night was?" A. Clarifying B. Offering of self C. Summarizing D. General lead

D. General lead

Which element characterizes a therapeutic relationship? A. Focus is on the patient's needs, and there are specific goals B. The patient and the nurse get satisfaction from the relationship C. The patient and the nurse equally exchange information D. The relationship is terminated if needs are not being satisfied

A. Focus is on the patient's needs, and there are specific goals

The nurses is using therapeutic communication to establish rapport. The nurse says, "How are you feeling this morning?" Which nonverbal behavior is congruent with the nurse's verbal question? A. Looks at the patient; stands with a relaxed body positions B. Nods head up and down; arms folded across chest C. Smiles at patient and makes the bed while patient answers D. Adjusts the IV and evaluated equpiment and environment

A. Looks at the patient; stands with a relaxed body positions

When communicating with a hearing-impaired patient, a nurse should: A. Stand or sit 3 feet from the patient B. Shout at the patient C. Speak directly into the patient's ear D. Speak in a low pitch

A. Stand or sit 3 feet from the patient

What is a correct beginning for an ISBAR-R communication with a physician? A. "Your patient, Mr. Leo, is agitated and combative" B. "Dr. Williams, this is Patricia, the nurse caring for your patient, Mr. Leo." C. "Mr. Leo has demonstrated escalating inappropriate behavior ever since his dose of Lithium was reduced." D. "I need you to come and evaluate your patient, Mr. Leo."

B. "Dr. Williams, this is Patricia, the nurse caring for your patient, Mr. Leo."

A patient says, "I don't know what to do about the problem." The most therapeutic response would be: A. "You should define the problem and make a plan." B. "What options are you considering?" C. "That's not a big problem, you can handle that." D. "What does your doctor say you should do?"

B. "What options are you considering?"

The patient is about to undergo surgery. Which statement is an example of false reassurance? A. "Your surgery will take about 5 1/2 hours." B. "You'll come through this procedure just fine." C. " Your family will be allowed to see you as soon as you are awake." D. "This surgeon has done many of these operation."

B. "You'll come through this procedure just fine."

A nurse is communicating with an aphasic patient. The nurse should: A. Use open-ended questions B. Ask one question at a time C. Speak to the patient as if the patient has no new learning ability D. Not assume the patient can understand what is heard.

B. Ask one question at a time

The patient is aphasic. Which communication strategy would be appropriated in working with this patient? A. Lean forward and say "Go on....." B. Face the patient, establish eye contact, and speak slowly C. Use gestures to enhance the words D. Give the person time to respond to questions E. Explain procedures to the family member instead of the patient F. Give directions with short phrases and simple terms

B. Face the patient, establish eye contact, and speak slowly C. Use gestures to enhance the words D. Give the person time to respond to questions F. Give directions with short phrases and s

Which statement is true regarding the use of silence in communication? A. The nurse passively waits for the patient to speak B. Silence is a difficult technique to develop C. Silence causes uneasiness in the patient D. Silence is not a therapeutic communication technique

B. Silence is a difficult technique to develop

A way to promote trust with a patient is to: A. Allow family members to visit whenever they want B. Assure the patient that her physician is excellent C. Follow through when you say you will do something D. Talk with her at length, about her life, likes and dislikes

C. Follow through when you say you will do something

A nurse tells a patient "Don't worry, everything will be fine." This is an example of what type of blocked communication? A. Inattentive Listening B. Changing the subject C. Offering false reassurance D. Giving Information

C. Offering false reassurance

A nurse is assigning a task to the nursing assistant. Which is the best example of how to communicate the task of the assistant? A. "Please do all the vital signs for my patients, and pay special attention to Mrs. Hondo and Mr. Takeda." B. "Please report any abnormal vital signs throughout the day, and keep an eye on Mrs. Hondo and Mr. Takeda." C. "Please check Mrs. Hondo's and Mr. Takeda's blood pressure and pulse as ordered by the physician. Call me if you have problems." D. "Please do vital signs at 8am on Mrs. Honda and Mr. Takeda, and if the pulse is more than 85 per minutes, let me know."

D. "Please do vital signs at 8am on Mrs. Honda and Mr. Takeda, and if the pulse is more than 85 per minutes, let me know."

Active listening includes: A. Three senses, which are sight, hearing, and touch B. Closed body posture C. Only verbal messages D. Focused energy

D. Focused energy

A nurse uses the ISBARR format for an end-of-shift report. ISBARR is an abbreviation for: A. Introduction, situation, backgrounds, analysis recommendation, and readback B. Introduction, situation, backgrounds, assessment, review and readback C. Introduction, situation, backgrounds, analysis, report, and readback D. Introduction, situation, backgrounds, assessment, recommendation, and readback

D. Introduction, situation, backgrounds, assessment, recommendation, and readback

Which is a true cultural statement? A. Touch is common in Japanese culture B. Jamaicans expect direct eye contact with any interaction C. African Americans believe maintaining silence in a conversation means "no" D. Native Americans may use long pauses in conversation

D. Native Americans may use long pauses in conversation

A patient expresses serious concerns about the outcomes of a schedule surgical procedure. Which response indicated that the nurse is using active listening while the patient is speaking? A. Nurse tells the patient not to worry about the surgery B. Nurse asks the patient to take her medication before continuing C. Nurse asks the patient why she is afraid of the surgery D. Nurse nods his head

D. Nurse nods his head

Which observation might indicate that staff could benefit from an inservice on the topic of patient-centered care KSAs? A. Nurses are seen consistently demonstrating principles of effective communication B. Nurses are allowing family members to bring in home remedies "from the old country" after obtaining permission from the physician C. The unit implements a 24 hours visitation policy D. The staff complain about admitting patients from a certain geographic region of the world because "they are always so loud."

D. The staff complain about admitting patients from a certain geographic region of the world because "they are always so loud."

________________ is the recognition and interpretation of sensory stimuli.

Preception