Class Three Chapter 8 ACTUAL Prep U

The child of a client who just died in a hospice unit arrives and asks, "May I please stay and sit at the bedside? I really wanted to be here so my dad would not die alone." Which statement made by the nurse best demonstrates the use of empathy? - "I tried to contact you earlier, but you did not answer your phone." - "You are too late for that, but you may stay for a while if you would like." - "I understand. I lost my dad last year, and he died alone." - "I will close the door so you can spend some quiet time at the bedside."

"I will close the door so you can spend some quiet time at the bedside."

A nurse enters the client's room and begins the process of establishing a nurse-client relationship. The nurse introduces oneself and informs the client how long the nurse will be caring for the client. What additional statement does the nurse need to communicate with the client? - "Let me know if you have concerns regarding your care." - "I am here to meet both of our needs." - "I have been a nurse for 5 years on this unit." - "I know that you will feel better in a short time here."

"Let me know if you have concerns regarding your care."

The nurse is talking with a client who is thinking about obtaining a second opinion regarding the surgeon's recommendation for surgery. Which response by the nurse is considered an advocacy response? - "Your surgeon has always given you the best care and is genuinely concerned with your health." - "Let us know if we can answer any further questions after you obtain your second opinion." - "You have one of the best surgeons in the area. I think it would be a waste of time to seek another opinion." - "You can do what you want, but I would get the surgery done as soon as possible."

"Let us know if we can answer any further questions after you obtain your second opinion."

The nurse must use appropriate interviewing techniques to elicit accurate and complete health information. Which statement is an example of an open-ended question or comment? - "I'll be back in 30 minutes to check on your pain relief." - "You seem upset today. Are you?" - "What brought you to the hospital this morning?" - "Are you having pain right now?"

"What brought you to the hospital this morning?"

A client scheduled to have hip replacement surgery states, "I am so scared of the surgery and of the anesthetic." What is the best response by the nurse? - "Your wife will be in the surgery waiting room the entire time." - "What will happen if you don't have surgery?" - "What questions do you have about the surgery?" - "You really don't have anything to worry about."

"What questions do you have about the surgery?"

The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that apply. - "What sorts of things do you do for fun?" - "Is there any chance you might be pregnant?" - "Do you smoke cigarettes?" - "Are you ready to get out of bed?" - "What plans do you have after you are discharged?"

- "Are you ready to get out of bed?" - "Do you smoke cigarettes?" - "Is there any chance you might be pregnant?"

Which statements describe the qualities of a helping relationship? Select all that apply. The helping relationship is characterized by an equal sharing of information. The helping relationship is built on the client's needs, not on those of the helping person. - A helping relationship is dynamic. - A helping relationship is purposeful and time limited. - A friendship must develop from an effective helping relationship. - The helping relationship occurs spontaneously.

- The helping relationship is built on the client's needs, not on those of the helping person. - A helping relationship is dynamic. - A helping relationship is purposeful and time limited.

In which situation would the SBAR technique of communication be most appropriate? - A nurse is facilitating a family meeting to coordinate a client's discharge planning. - A nurse is explaining the process of bone marrow biopsy to a client who is scheduled for the procedure. - A nurse is calling a physician to report a client's new onset of chest pain. - A nurse is teaching a client about the benefits of smoking cessation and the risks of continuing to smoke.

A nurse is calling a physician to report a client's new onset of chest pain

The nurse has engaged the services of an interpreter when interviewing a client who speaks a language that the nurse does not understand. The interpreter is functioning in which role during the communication process? - Encoder - Sender - Receiver - Communication channel

Communication channel

Which is a skill appropriate to use in therapeutic communication? - Control the tone of the voice to avoid hidden messages. - Avoid the use of periods of silence. - Use cliches to enhance a client's understanding of information. - Be precise and inflexible regarding the intent of the conversation.

Control the tone of the voice to avoid hidden messages

When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive? - Facial expressions - Posture - Hand gestures - Eye contact

Facial expressions

The nurse and the physical therapist discuss the therapy schedule and goals for a client on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist? - Intrapersonal - Interpersonal - Organizational - Small-group

Interpersonal

A nurse touches a client's hand to indicate caring and support. What channel of communication is the nurse using? - Auditory - Visual - Olfactory - Kinesthetic

Kinesthetic

During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. What type of communication is the manager exhibiting? - Clarifying - Verbal - Consistent - Nonverbal

Nonverbal

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? - Situation - Background - Assessment - Recommendation

Recommendation

A group of nurses is working together on a hospital task force focused on preventing infection. One nurse in the group continually argues with other members and attempts to block each step of the process. The nurse's behavior is causing frustration for the others and slowing their progress. Which attribute best describes this nurse's behavior in relation to group dynamics? - Task-oriented - Self-serving - Maintenance - Group-building

Self-serving

Which action by the nurse demonstrates respect for the client as an individual? - The nurse is giving report to another nurse about "the gallbladder client." - The nurse is administering medication to a client she addressed as "Mrs. Taylor." - The nurse asks the aide to provide a bath for "the motor vehicle accident (MVA) client." - The nurse is providing care to an older adult client and calls her "Mom."

The nurse is administering medication to a client she addressed as "Mrs. Taylor."

Which technique would a nurse employ when using listening skills appropriately when interviewing a client? -The nurse would try to avoid body gestures when listening to the client. - The nurse would not allow conversation to lapse into periods of silence. - The nurse would stand close to the client and maintain eye contact. - The nurse would listen to the themes in the client's comments.

The nurse would listen to the themes in the client's comments.

The nurse is providing education to a client who sometimes has difficulty remembering information. Which form of communication will be most helpful for this client? - Written communication - Nonverbal communication - Verbal communication - Metacommunication

Written communication

An evening shift nurse is caring for a client scheduled for a colon resection in the morning. The client tells the nurse that the client is nervous about the surgery. The best response by the nurse is to: - look directly at the client and state, "You are nervous about the surgery." - ask the client "Can you tell me more about what is worrying you?" - state "Everyone is nervous before surgery." - ask the surgeon to come to the bedside to reassure the client.

ask the client "Can you tell me more about what is worrying you?"