Communication PrepU (w/o explanations)
A nurse is completing a health history with a client being admitted for a mastectomy. During the interview, the client states, "I don't know what to do. I am not sure if I really need this surgery." Which response by the nurse demonstrates active listening? A. "You seem unsure. Tell me your concerns about your surgery." B. "Don't worry. I am sure your physician is competent to perform the surgery." C. "I agree. If I were you, I would get a second opinion before the surgery." D. "I can see this interview is making you uncomfortable. We can continue later."
A
Which factor is most important in the development of rapport between nurse and client? A. Trust B. Kindness C. Happiness D. Skill
A
A client reports to a primary care physician with aggravated chest pain. The physician orders a stress test. The client tells the nurse that the client does not want to take the test and would prefer instead to continue taking medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse? A. "Emergency equipment is always kept ready during stress tests." B. "Tell me more about how you are feeling." C. "Don't you want to improve your health?" D. "Most people tolerate the procedure quite well."
B
A client who was recently diagnosed with diabetes has been coming to the emergency room every day for a high blood glucose level. The client apologizes to the nurses for bothering the staff every day, but reports not being able to self-administer insulin injections. What should the nurse respond? A. "I myself cannot take insulin injections." B. "Has someone taught you how to take them?" C. "You should learn to take injections yourself." D. "Ask the health care provider to change the medications."
B
A nurse is caring for a client who sustained a spinal cord injury and has paraplegia. The client is frustrated, crying, and tells the nurse, "I just want to die." The nurse best displays empathy when the nurse: A. leaves the room quietly and silently. B. says, "I can only imagine how hard this is on you. How can I help you?" C. places a warm blanket over the client's legs. D. says, "I am so sorry this happened to you."
B
A nurse is sitting near a client while conducting a health history. The client keeps edging away from the nurse. What does this most likely mean in terms of personal space? A. The nurse is outside the client's personal space. B. The nurse is in the client's personal space. C. The client does not like the nurse. D. The client has concerns about the questions.
B
Several nurses on the same hospital unit communicate on the same social networking site. A nurse posts the following statement to the social networking page, "The lady in room 34 with heart failure was a train wreck!" This statement: A. is acceptable because the client's name was not used. B. is unacceptable and breaches the client's confidentiality rights. C. is acceptable because the hospital's name was not mentioned. D. is unacceptable because the diagnosis of heart failure was listed.
B
Which is an open-ended question? A. "Do you take this medication daily?" B. "Why did the health care provider prescribe this medication for you?" C. "When was the last time you had your prescription refilled?" D. "How many tablets do you take at one time?"
B
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? A. "Your wife will be in the surgery waiting room the entire time." B. "What will happen if you don't have surgery?" C. "What questions do you have about the surgery?" D. "You really don't have anything to worry about."
C
What is the primary focus of communication during the nurse-client relationship? A. The time available to the nurse. B. The nursing activity to be performed. C. The client and the client's needs. D. The environment of the client.
C
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 claims to have not had 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 do not know what you are doing." In response, the nurse should answer: A. "I am sorry this is hurting but you are hurting my feelings." B. "You are the cause of the problem here. I do not have to tolerate this behavior, and you are free to leave." C. "How would you know if I know what I am doing or not?" D. "Sir, I understand this is uncomfortable, but I assure you I am experienced with this task and would like to continue."
D
A nurse is caring for a client with a diagnosis of metastatic lung cancer. The nurse finds the client sitting in a chair while staring out the window. The nurse conveys caring by saying: A. "Don't worry. You will be just fine in another day or two." B. "Cheer up. Tomorrow is another day." C. "Your doctor knows best." D. "Tell me what is on your mind."
D
A nurse touches a client's hand to indicate caring and support. What channel of communication is the nurse using? A. Auditory B. Visual C. Olfactory D. Kinesthetic
D
When communicating with clients, nurses need to be very careful in their approach. This is particularly true when communicating using: A. written material. B. audio-visual material. C. demonstration. D. medical terminology.
D
