Communication and Teamwork Units 1-4
Chapter 20: When educating a student nurse about the definition of a crisis state, the nurse recognizes that additional instruction is needed when the student nurse states...
"A crisis state is an acute normal human response."
Chapter 1: Which of the following statements best represents therapeutic communication when a student discovers a client crying in bed?
"Can we talk about what seems to be bothering you?"
Chapter 21: An 89-year-old client recently lost his wife of 69 years of cancer. He reports "I had the strangest thing happen to me last night. I woke up and saw my wife sitting in her chair." The nurse's best response would be...
"Hearing or seeing things that are not real can be a normal response to extreme stress."
Chapter 21: A 21-year-old client informs the nurse that he is not sleeping. The nurse learns that the client's girlfriend was killed in a car accident 1 month ago. Which statement would be of most concern to the nurse?
"I am moving on and plan to start dating again."
Chapter 2: The nurse collects both objective and subjective data. An example of subjective data is...
"I have a headache."
Chapter 6: Which of the following messages would validate the worth of the individual?
"I would like to meet your family and we could talk to them about your aftercare."
Chapter 11: The nurse demonstrates an understanding of mutuality when stating to the client...
"Mr. Jones, I thought we agreed that you would return to bed at this time."
Chapter 7: The nurse is performing an admission assessment on an Asian client. The intake includes a cultural assessment. The nurse should ask the client...
"What language do you prefer to speak?"
Chapter 21: The nurse is caring for a 15-year-old client who is dying. The client tells the nurse, "I know I am not going home again. I think it is harder for my parents than me. Will you talk to them for me?" Which of the following is the best response by the nurse?
"Yes, I will talk to your parents, but you need to talk to them also. I will help you with that."
Chapter 2: The nurse observes a client pacing the floor. The nurse validates an inference when speaking to the client by stating...
"You seem anxious. Will you tell me what is going on?"
Chapter 21: Which of the following individuals is most likely experiencing delayed grief reaction?
A 54-year-old man suffering from alcoholism who just completed a 28-day inpatient rehabilitation talking about the death of his wife 3 years ago.
Chapter 6: A description of denotation is...
A generalized meaning assigned to a word
Chapter 20: A client is admitted to a psychiatric until for crisis intervention. When caring for this client, the nurse recognizes that crisis intervention is...
A method of intervention with a goal of retuning the client to a level of functioning higher than their precrisis level.
Chapter 2: A preoperative assessment shows that a client's hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered. The nurse administers the first unit before discovering that the client is a Jehovah's Witness, as documented in the record. This is an example of...
A negligent act
Chapter 6: The nurse puts his arm around an older adult client when assisting her to transfer to a chair. The client could interpret the nurse's touch as...
A positive gesture only
Chapter 2: The client has a living will in which he states he does not want to be kept alive by artificial means. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to...
Allow the family to verbalize their feelings and concerns, while maintaining the role of client advocate.
Chapter 1: The nurse recognizes that feedback loops...
Allow the human system to correct its original information.
Chapter 2: A client who is schedules for a bilateral inguinal hernia repair the next day is observed pacing that unit. After validating that the client is anxious about his upcoming surgery because he is afraid of pain, a relevant nursing diagnosis would be...
Anxiety related to fear of postoperative pain as evidenced by pacing.
Chapter 7: When practicing cultural awareness, the nurse recognizes that cultural patterns...
Are important determinants of health-related beliefs
Chapter 6: The nurse is assessing a newly admitted Native American client. When assessing the client's perception of touch, the nurse should...
Ask the client for permission to touch
Chapter 18: In mastering QSEN competency of patient-centered care, effective tools need to be...
Attitudinal, cognitive, and developmentally appropriate
Chapter 20: The nurse is caring for a client who is experiencing a crisis situation. The nurse recognizes that after feeling a sense of shock, the client will go through a period of recoil in which the client...
Behaviors can appear normal to outsiders
Chapter 9: The nurse is caring for an adolescent who has had an amputation of his right leg. The client states, "I'm really worried my girlfriend might not want to be with me anymore. I don't look the same." Which of the following concepts is represented in this situation?
Body image
Chapter 11: Stereotypes are learned during...
Childhood and reinforced by life experiences.
Chapter 2: Which of the following is a violation of client confidentiality? Reporting...
Client data to a colleague in a nonprofessional setting.
Chapter 2: Which of the following is an outcome for a client with a broken leg?
Client will develop an ambulation program within 1 month.
Chapter 17: When communicating with a client diagnosed with a serious mental disorder, it is important for the nurse to recognize which of the following?
Clients with mental disorders may suffer from social isolation and impaired coping.
Chapter 17: Which of the following is true in relation to communication deficits?
Communication deficits can arise from sensory deprivation.
Chapter 6: When communicating about a client with a health care provider from another culture, the nurse states, "The client stopped taking his medications last week when he fell off the wagon." The health care provider looks at the nurse blankly. This is an example of...
Connotation
Chapter 2: In regard to informed consent, which of the following statements is true?
Consent must be voluntary
Chapter 11: In order to reduce clinical bias in nursing practice, the nurse should...
Develop a nonjudgmental, neutral attitude.
Chapter 19: A client has an order for a new medication. When preparing to administer the medication to the client for the first time, the nurse gets ready to educate the client and the client's daughter about the medication. When educating the client and the daughter, the nurse should do all of the following except...
Direct instructions to the client's daughter.
Chapter 11: Which of the following is a violation of client confidentiality?
Discussing private information about the client casually with others.
Chapter 19: An older adult tells the nurse, "My life has been a waste." The nurse recognizes this statement as demonstrating which aspect of psychosocial development?
Ego despair
Chapter 1: The nurse performs a dressing change using sterile technique. This is an example of which pattern of knowledge?
Empirical
Chapter 7: Which of the following best describes cultural diversity?
Encompasses variations between cultural groups
Chapter 18: When communicating with a preschooler who is admitted to the hospital for a fractured arm, which the best method for the nurse to describe the preschooler's impending surgery?
Encourage the preschooler to put a bandage on a teddy bear's arm.
Chapter 1: When admitting a client to the medical-surgical unit, the nurse asks the client about cultural issues. The nurse is demonstrating use of the concept?
Environment
Chapter 20: A model of psychosocial development in which each stage is associated with a psychosocial crisis to be resolved was developed by which theorist?
Erikson
Chapter 6: A communication style the nurse can use to ensure that the message sent is the same as the one received is to...
Establish a common vocabulary
Chapter 1: The nurse-client relationship as described by Hildegard Peplau.
Facilitates the identification and accomplishment of therapeutic goals.
Chapter 1: The nursing profession's first nurse researcher, who served as an early advocate for high-quality care and used statistical data to document the need for handwashing in preventing infection, was...
Florence Nightingale
Chapter 1: The identification phase of the nurse-client relationship.
Focuses on therapeutic goals to enhance client and family well-being.
Chapter 19: The nurse is caring for an older client. The nurse recognizes that the factor most closely associated with the older adult's inability to live independently is...
Functional status
Chapter 19: When communicating with older adult clients, the nurse recognizes that...
Hearing problems can diminish an older person's ability to interact with others.
Chapter 6: When communicating with a client, which of the following best demonstrates the use of nonverbal communication?
Holding the client's hand
Chapter 6: When the nurse asks a client, "How are you" the client states, "I am fine." As the client turns away, she is crying. This is an example of...
Incongruence
Chapter 9: An older adult client is admitted to the hospital with terminal cancer. The client expresses acceptance of impending death and states, "I am very satisfied with the life I had." The nurse recognizes the client is in Erikson's stage of psychological development known as which of the following?
Integrity vs Despair
Chapter 6: Message competency refers to which phase of the nursing process?
Intervention
Chapter 11: Which of the following is a barrier to communication?
Intrusion into personal space.
Chapter 21: Which of the following is a dimension of palliative care?
It intends neither to hasten nor postpone death.
Chapter 11: Which of the following describes caring?
It is an ethical responsibility.
Chapter 6: Which of the following is true in relation to the context of the message? (Select all that apply.)
It is shaped by the situation in which the interaction occurs. Taking time to evaluate the time and space in which the contact takes place allows for flexibility in choosing the appropriate context. Communication is shaped by the environment in which it takes place. Evaluating the physical setting in which the contact takes place allows for flexibility in choosing the appropriate context.
Chapter 6: A client states he is feeling fine, but the nurse observes that he has a tense body posture and a frown on his face. The nurse suspects that he is experiencing pain based on knowledge of....
Kinesics
Chapter 19: The nurse is caring for an older adult who has recently experienced losses associated with death of important people in her life. The nurse recognizes that this type of problem challenges which of Maslow's hierarchy of needs?
Love and belonging
Chapter 2: The nurse demonstrates effective communication by ensuring all of the following except...
Making sure that unilateral information is exchanged between clients and nurses.
Chapter 6: In relation to gender differences in communication, which of the following is true?
Men use more verbal communication in interpersonal relationships
Chapter 11: Which of the following describes mutual goals?
Mutuality is based on client goals.
Chapter 17: The nurse is caring for a client who has experienced a stroke. The client has aphasia. The nurse recognizes that aphasia is a...
Neurological linguistic deficit
Chapter 6: The majority of person-to-person communication is...
Nonverbal
Chapter 6: Which of the following is a description of metacommunication?
Nonverbal and verbal communication
Chapter 1: Abraham Maslow's needs theory is a framework that...
Nurses use to prioritize client needs and develop relevant nursing approaches.
Chapter 1: When describing nursing to a group of nursing students, the nursing instructor lists all of the following characteristics of nursing except...
Nursing has always been identifiable as a distinct occupation
Chapter 1: The central constructs of person, environment, health, and nursing are found in all nursing theories and models and are referred to as
Nursing's metaparadigm,
Chapter 6: An Adult client responds to questions inappropriately. The nurse should do which of the following?
Observe the client's nonverbal behavior
Chapter 18: When assessing a child's reaction to illness, it is important for the nurse to...
Observe the interaction between parent and child.
Chapter 21: Which of the following is an inappropriate intervention for communicating with terminally ill clients?
Offering automatic responses and trite reassurances.
Chapter 21: The nurse is caring for a client who has just experienced the death of her mother. The nurse best demonstrates support for the client by...
Offering spiritual support for the client and family.
Chapter 1: Which of the following statements about communication theory is true?
Perceptions are clarified through feedback.
Chapter 1: A young mother tells the nurse, "I'm worried because my son needs a blood transfusion. I don't know what to do, because blood transfusions cause AIDS." Which central nursing construct is represented in this situation?
Person
Chapter 1: Nursing's metaparadigm, or worldview, distinguishes the nursing profession from other disciplines and emphasizes its unique functional characteristics. The four key concepts that form the foundation for all nursing theories are...
Person, environment, health, and nursing.
Chapter 9: Which of following statements about perception is true?
Personal identity is constructed through cognitive processes of perception.
Chapter 2: When setting goals with a client, the nurse demonstrates which step of the nursing process?
Planning
Chapter 18: When caring for a preschooler, the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification, leading to a misunderstanding of messages. The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development?
Preoperational
Chapter 1: The discipline of nursing has a "a unique perspective, a distinctive way of viewing all phenomena, which ultimately defines and limits the nature of its inquiry," related to... (Select all that apply)
Principles and laws that govern the life processes, well-being, and optimum functioning of human beings, sick or well. Patterning of human behavior in interaction with the environment in critical life situations. Processes by which positive changes in health status are affected.
Chapter 7: When communicating with a client from Thailand who speaks limited English, the nurse should...
Provide advice in a matter-of-fact, concise matter.
Chapter 21: A client's adult children call the nurse hourly with concerns about their mother's death and end-of-life care. The nurse's best response to...
Provide frequent updates.
Chapter 1: In the circular transactional model of communication...
Questions are framed in order to recognize the context of the message.
Chapter 18: The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development. When the child has toileting accidents, the nurse should...
Reassure the child's parents that this common
Chapter 2: The nurse is teaching a client who is alert and oriented about the drub warfarin. When teaching the client about this drug, the nurse emphasizes the need to be consistent with Vitamin K intake, which is found primarily in green leafy vegetables. When the client's spouse comes to visit, the client states, "I can no longer consume green leafy vegetables." This is an example of what type of failure caused by a communication problem?
Reception failure
Chapter 7: Cultural competence...
Requires self-awareness of one's own cultural values
Chapter 11: The nurse knocks on the client's door and waits for the client to answer before entering the room. The nurse is demonstrating...
Respect for the client's personal space.
Chapter 11: Which of the following demonstrates the use of the caring process?
Respecting the uniqueness of every client.
Chapter 9: Identify the type of perceptual alteration represented in the following example: Jim, a 12-year-old, states, "I am different from others in my physical education class because I am the class dunce."
Self-fulfilling prophecy
Chapter 11: When entering a client's room, the nurse notices the client standing while wringing her hands and wearing street clothes over pajamas. On further examination, it is noted that the client is hyperventilating with elevated vital signs. Which level of anxiety is the client experiencing?
Severe
Chapter 11: Which of the following situations is an example of the nurse using empathy?
Sitting quietly and holding a client's hand while she cries following the news that she has inoperable cancer.
Chapter 20: A client an unusually stressful life event that exceeds their resources and coping skills. The nurse recognizes the client is experiencing which type of crisis?
Situational
Chapter 11: Which of the following describes proxemics?
Study of an individual's use of space.
Chapter 2: A 16-year-old trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery. The nurse knows that...
Surgery can be performed without consent
Chapter 6: Social cognitive competency refers to...
The ability to interpret message content within interaction from the point of view each participant
Chapter 17: The nurse is caring for an older adult client who has recently withdrawn from relationships, appears depressed, and appears reluctant to seek information from the nurse. The nurse suspects the client is experiencing hearing loss. The nurse recognizes that...
The client may try to hide deficits and withdraw from relationships.
Chapter 11: Which of the following is true regarding personal space?
The elderly need more control over their personal space.
Chapter 11: Which of the following is true about trust?
The trusting client feels comfortable revealing needs.
Chapter 9: Which of the following represents the role of the nurse in helping a client reframe a potentially incapacitating sense of self into one with more hope and broader options when faced with a health-related difficulty?
They can reframe the client's sense of self.
Chapter 6: The nurse is assigned to care for a client who has been diagnosed with multiple sclerosis. Which communication behavior will have the most impact on the client?
Tone of voice
Chapter 11: Which of the following should be achieved first in establishing the nurse-client relationship?
Trust
Chapter 1: Today, professional nursing education begins at the...
Undergraduate level
Chapter 17: When caring for a hearing-impaired client, the nurse should...
Use gestures that reinforces verbal content.
Chapter 11: Which of the following nursing behaviors are included in the levels of nursing actions within level 1? (Select all that apply)
Uses client's correct name Maintains eye contact Adopts open posture Responds to cues
Chapter 6: Communication is a combination of...
Verbal and nonverbal behaviors
