Practice questions ch 8 & 10 dewit and ch 8 & 9 knecht

The instructor tells a nursing student to hurry with the assignment in order to help a classmate who is behind with work. The student has promised a patient she'd return in 15 minutes to polish the patient's nails. Which response would be considered assertive?

"I've promised one of my patients that I'll come back to polish her nails. I'd like to be able to keep that promise. Can you possibly ask someone else?"

A 36-year-old woman is admitted to the hospital after an auto accident and is in traction for a fractured femur. The nurse enters the room and finds the patient crying quietly. The nurse can best address this situation by saying:

"You are upset. Can you tell me what's wrong?"

Which statement about manipulation would be useful to the nurse who interacts with both patients and peers? (Select all that apply)

-manipulation usually disregards the feeling and needs of others. -manipulation exploits the weaknesses of others. -manipulation often results in individuals being treated as objects. -a divide-and-conquer strategy is often used by those who manipulate.

Which tasks can you delegate to a UAP who has the appropriate training? (Select all that apply.) 1. Administering an enema 2. Applying a condom catheter 3. Giving vitamins with breakfast 4. Assisting with the first ambulation after surgery 5. Obtaining a fingerstick for blood glucose monitoring

1. Administering an enema 2. Applying a condom catheter 5. Obtaining a fingerstick for blood glucose monitoring

You have received report on a group of patients under your care for the coming shift. Working with you is Jun, a new UAP, who also happens to be a nursing student. Jun was recently hired onto your unit. Although they are a recent hire, they have previous experience from a different facility. Delegation of a specific task to Jun requires: (Select all that apply.) 1. Knowledge of Jun's competencies. 2. Understanding of the nurse practice act. 3. Direct supervision of Jun performing the task. 4. Documentation that the task was delegated to Jun. 5. Follow-through by verification that Jun completed the task. 6. Less observation since they are a nursing student. 7. That the task has a predictable outcome.

1. Knowledge of Jun's competencies. 2. Understanding of the nurse practice act. 5. Follow-through by verification that Jun completed the task.

The nurse 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? 1. Looks at patient and stands with a relaxed body position 2. Nods head up and down with arms folded across chest 3. Smiles at patient and makes the bed while patient answers 4. Adjusts IV and evaluates equipment and environment

1. Looks at patient and stands with a relaxed body position

Which is an example of democratic leadership? 1. The manager explains new rules for staff scheduling, and then asks for a vote on how to implement them. 2. Will, the charge nurse, directs others during an emergency situation without asking for input or feedback. 3. The nurse manager asks advice from their staff nurse friends as they determine the unit holiday schedule. 4. The charge nurse does not address staff nurses' failure to follow unit policies and procedures.

1. The manager explains new rules for staff scheduling, and then asks for a vote on how to implement them.

According to The Joint Commission, there are safety concerns about: (Select all that apply.) 1. Use of abbreviations. 2. Computerized medical records. 3. Handoff communication. 4. Delegating tasks to UAPs. 5. Use of verbal orders.

1. Use of abbreviations. 3. Handoff communication. 5. Use of verbal orders.

The nurse enters the patient room to perform patient education. Which nonverbal communication by the patient is an indication that the education time should be rescheduled? (Select all that apply.) 1. Wringing hands while the nurse is talking 2. Maintaining eye contact with the nurse 3. Looking down with shoulders slumped 4. Arms crossed in front of the chest 5. Patient seated facing the nurse

1. Wringing hands while the nurse is talking 3. Looking down with shoulders slumped 4. Arms crossed in front of the chest

What is a correct beginning for an ISBAR-R communication with a physician? 1. "Your patient, Mr. Leo, is agitated and combative." 2. "Dr. Thomas, this is Patricia, the nurse caring for your patient, Mr. Leo." 3. "Mr. Leo has demonstrated escalating inappropriate behavior ever since the dose of lithium was reduced." 4. "I need you to come and evaluate your patient, Mr. Leo."

2. "Dr. Thomas, this is Patricia, the nurse caring for your patient, Mr. Leo."

The nurse manager is selecting the next nurse they want to promote to the charge nurse position. Which candidate would be the best choice? 1. A young new graduate with a bubbly personality who gets along with everyone 2. A recent graduate, out of school for 9 months, who is articulate and highly organized and once held leadership positions in another field 3. An experienced nurse of 20 years with a sarcastic disposition who knows the unit better than anyone 4. A traveling nurse who often ignores provider orders that are different from what they think is best for the patient

2. A recent graduate, out of school for 9 months, who is articulate and highly organized and once held leadership positions in another field

The patient is aphasic. Which communication strategy would be appropriate in working with this patient? (Select all that apply.) 1. Lean forward and say, "Go on...." 2. Face the patient, establish eye contact, and speak slowly. 3. Use gestures to enhance the words. 4. Help the patient by finishing their sentences. 5. Explain procedures to the family member instead of the patient. 6. Give directions with short phrases and simple terms.

2. Face the patient, establish eye contact, and speak slowly. 3. Use gestures to enhance the words. 6. Give directions with short phrases and simple terms.

A way to promote trust with a patient is to: 1. Allow family members to visit whenever they want. 2. Assure the patient that their physician is excellent. 3. Follow through when you say you will do something. 4. Talk with the patient at length about their life, likes, and dislikes.

3. Follow through when you say you will do something.

One risk management technique that is known to often be effective is to: 1. Call family members by their given names. 2. Assign the same nurse to care for the patient all week. 3. Listen empathetically to complaints or concerns. 4. Tell the patient the physician knows best.

3. Listen empathetically to complaints or concerns.

When managing your time during your shift, what should you do first? 1. Make patient rounds. 2. Delegate tasks. 3. Set priorities. 4. Create a time schedule.

3. Set priorities.

A nurse is assigning a task to the nursing assistant. Which is the best example of how to communicate the task to the assistant? 1. "Please do all the vital signs for my patients and pay special attention to Mrs. Hondo and Mr. Takeda." 2. "Please report any abnormal vital signs throughout the day and keep an eye on Mrs. Hondo and Mr. Takeda." 3. "Please check Mrs. Hondo's and Mr. Takeda's blood pressure and pulse as ordered by the primary care provider. Call me if you have problems." 4. "Please do vital signs at 8 a.m. on Mrs. Hondo and Mr. Takeda, and if the pulse is more than 85 beats per minute, let me know."

4. "Please do vital signs at 8 a.m. on Mrs. Hondo and Mr. Takeda, and if the pulse is more than 85 beats per minute, let me know."

A patient expresses serious concerns about the outcomes of a scheduled surgical procedure. Which response indicates that the nurse is using active listening while the patient is speaking? 1. Nurse tells the patient not to worry about the surgery. 2. Nurse asks the patient to take their medication before continuing. 3. Nurse asks the patient why they are afraid of the surgery. 4. Nurse nods head.

4. Nurse nods head.

A good way to handle conflict is to: (Select all that apply.) 1. Speak sternly to those involved. 2. Tell those involved to solve the problem. 3. Quickly impose a resolution to the problem. 4. Remain calm and open and listen to all sides. 5. Focus on the issues, not the personalities involved.

4. Remain calm and open and listen to all sides. 5. Focus on the issues, not the personalities involved.

Which observation might indicate that the staff could benefit from an in-service training on the topic of patient-centered care KSAs? 1. Nurses are seen consistently demonstrating principles of effective communication. 2. Nurses are allowing family members to bring in home remedies "from the old country" after obtaining permission from the primary care provider. 3. The unit implements a 24-hour visitation policy. 4. The staff complains about admitting patients from a certain geographic region of the world because "they are always so loud."

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

Which statement best defines leadership?

A comprehensive process that guides staff to use resources to meet patient's needs.

A patient tells the nurse, "I don't know what to expect in the hospital. Everybody speaks medical-talk. Nobody tells me if I'm getting better or worse. Doctors march in and poke and prod me without asking my permission. And another thing, I can't stay here forever-I have to look after my elderly mother." From these data the nurse can correctly determine that the patient is A) experiencing a difficult transition to the patient role. B) unnecessarily sensitive to loss of independence. C) excessively fearful of unknown aspects of hospitalization. D) suffering from sensory overload

A) experiencing a difficult transition to the patient role.

Sexual harassment is about _________ .

Abuse of power

The characteristics of a nurse that best facilitate the nurse-patient relationship are

Acceptance and non-judgmental attitude

_________ refers to mood or emotion.

Affect

The most accurate definition of a laissez-faire leader is a leader who

Allows team members to function independently

A nurse tells a patient, "there you are with varicose veins, sitting with your legs crossed at the knee. How often have we told you not to do that?" This communication demonstrates

Chiding

Which nonverbal behavior is most congruent with a nurse's assertive verbal statement?

Firm voice, back stiff, eyes glaring

Which of the following examples best illustrates effective communication?

Giving specific information in a tactful, friendly manner.

Characteristics of one-way communication include all except

It is frequently used in patient care.

Which of the following is the best to evaluate a nursing assistant's ability to perform a skill or task?

Observing the nursing assistant in performing the skill or task

A nurse demonstrates nonassertive behavior by doing which of the following?

When a patient asks about the nurse's personal life, the nurse responds to the patient's questions due to fear of not being liked by the patient.

A nurse demonstrates assertive behavior by doing which of the following

When unexpected visitors arrive to visit the patient during breakfast, the nurse asks if the patient would prefer to eat now or visit.

A nurse demonstrates assertive behavior by doing which of the following?

When working with a patient who is critical of the nurse, the nurse sits down with the patient and listens attentively to the patient's concerns.

Which of the following is included in the situation step in SBAR? a) "Hello, my name is Mrs. Smith; I'm the charge nurse on 5N." b) "Mr. Jones has been admitted with left-sided chest pain." c) "Jacob is on 4 L of oxygen by mask." d) "Mrs. Jones is deteriorating rapidly and needs transfer."

a) "Hello, my name is Mrs. Smith; I'm the charge nurse on 5N."

Which of the following demonstrates rude, aggressive behavior? a) A nurse pushes in front of others in the cafeteria line. b) A nurse tells a student nurse that the student does not know what she's doing. c) A nurse curls her lips slightly upward during a conversation with the nurse manager. d) A nurse tells a patient not to use his call light except if he is having a heart attack or she will take it away.

a) A nurse pushes in front of others in the cafeteria line.

A nurse asks a patient when her pain started. This is an example of what type of question? a) Closed ended b) Affective c) Open ended d) Focused

a) Closed ended

Which of the following statements is not true regarding communication with older adults? a) Detailed information is best given early in the day. b) Visual information is more permanent than auditory information. c) Most older adults hear lower pitched sounds more clearly. d) Communication is more difficult with older adults.

a) Communication is more difficult with older adults.

Using the problem-solving process, a leader will: Select all that apply. a) Define the problem. b) Estimate outcomes of the alternatives. c) Implement the solution to the problem. d) Respect the process if the chosen alternative does not work. e) Delegate the problem to a nurse assistant.

a) Define the problem. b) Estimate outcomes of the alternatives. c) Implement the solution to the problem. d) Respect the process if the chosen alternative does not work.

A nurse recognizes that her alcohol dependence is a way to find the courage to tell others what she needs and wants. She recognizes that her dependence, however, is affecting safe patient care. The nurse is in which stage of the problem-solving process? a) Defining the problem b) Choosing alternatives c) Evaluation d) Goal-setting

a) Defining the problem

Which statement is true regarding delegation? a) All LPNs/LVNs may delegate. b) Delegation occurs when LPNs/LVNs transfer the authority to perform a selected nursing duty to unlicensed assisted personnel (UAP). c) Unlicensed personnel are solely accountable for the outcome of the delegated task. d) Delegation is a method of distributing the workload of the unit.

a) Delegation occurs when LPNs/LVNs transfer the authority to perform a selected nursing duty to unlicensed assisted personnel (UAP).

A nurse uses the ISBAR R format for an end-of-shift report. ISBAR-R is an abbreviation for: a) Introduction, situation, background, analysis recommendation, and readback. b) Introduction, situation, background, assessment, review, and readback. c) Introduction, situation, background, analysis, report, and readback. d) Introduction, situation, background, assessment, recommendation, and readback.

a) Introduction, situation, background, assessment, recommendation, and readback.

What type of leader assumes that the members of the team are competent and self directed and will do what needs to be done correctly and efficiently? a) Democratic b) Autocratic c) Laissez-faire d) Republican

a) Laissez-faire

A student nurse comes to clinical with his uniform slightly dirty and unshaven. His patient asks him if he is wide enough awake to provide safe care. Clothing and physical appearance are part of which communication method? a) Two way b) Nonverbal c) Affective d) One way

a) Nonverbal

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

a) Offering false reassurance

Which of the following is a true statement? a) Gossip is not associated with a coping mechanism. b) The cycle of worry, fear, anger, and rage remains the same without resolution of the problem. c) Rage is always turned against others. d) Prolonged, unresolved negative emotions may result in physical illness.

a) Prolonged, unresolved negative emotions may result in physical illness.

Which of the following coping mechanisms involves a logical but untrue reason offered as an excuse for the behavior? a) Rationalization b) Projection c) Manipulation d) Problem solving

a) Rationalization

Which of the following are important in resolving conflict situations? Select all that apply. a) Avoid conflict at any cost. b) See conflict as an opportunity to learn. c) Ensure that the other parties know what they did wrong. d) Use "I" statements. e) Think before reacting.

a) See conflict as an opportunity to learn. a) Use "I" statements. b) Think before reacting.

Which of the following is a true statement about communication? a) Verbal, nonverbal, and affective communication must be congruent for the communication to be honest. b) Common expressions are not appropriate for patients. c) Medical jargon is usually helpful when communicating with patients. d) Cultural characteristics do not influence communication.

a) Verbal, nonverbal, and affective communication must be congruent for the communication to be honest.

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.

a) ask one question at a time.

Risk management practices are necessary because of the increasing occurrence of lawsuits against health care facilities, providers, and staff. The focus of risk management is to: a) decrease risk of harm to patients. b) decrease risk of injury to staff. c) increase cost-effective care. d) increase patient satisfaction.

a) decrease risk of harm to patients.

Active listening includes: a) three senses, which are sight, hearing, and touch. b) closed body posture. c) only verbal messages. d) focused energy.

a) focused energy.

Time management strategies include: a) arriving at work 1 hour early. b) formulating general goals for the work day. c) working through lunch and breaks. d) completing paperwork after-hours.

a) formulating general goals for the work day.

A leader with good communication skills will: a) focus on feelings during a conflict. b) avoid complaints. c) mediate differences with open communication. d) disengage self from staff's attitudes and problems.

a) mediate differences with open communication.

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.

As a charge nurse, it is recommended that an LPN/LVN have: a) the ability to recognize significant changes in a client's condition. b) a minimum of 6 months of staff nurse experience. c) a specific certification to be a charge nurse. d) no authority but maintain responsibility for total nursing care.

a) the ability to recognize significant changes in a client's condition.

Preoperative and postoperative orders are acceptable if: a) "Resume previous orders" is written for the postoperative patient. b) all preoperative orders are continued during surgery. c) the patient refuses a procedure. d) the preoperative orders include the exact procedure to be performed.

a) the preoperative orders include the exact procedure to be performed.

A health care provider has reprimanded you at the client's bedside. You feel an instant flash of anger, but you say nothing. When the health care provider leaves the room, you follow quickly to catch up before they move on to another room. Which of the following is an appropriate response? (Select all that apply.) a. "Dr. Jones, I wish to speak with you privately." b. "How dare you shame me in front of a client?" c. "Please explain what you wanted me to know." d. "In the future, please ask to talk to me privately, not at the bedside." e. "I am going to report you to my nursing supervisor."

a. "Dr. Jones, I wish to speak with you privately." c. "Please explain what you wanted me to know." d. "In the future, please ask to talk to me privately, not at the bedside."

A staff nurse enters the room in which you're giving care to a patient in traction. She calls you aside and states, "I've watched you all morning. You don't seem to know how to do anything right. Look at you now! You're bathing the patient and it's almost time for lunch." An assertive approach would be to say a. "You're right. I am still bathing the patient. She was in pain earlier. I waited until her narcotic made her more comfortable." b. "I'm sorry you think I give poor care. I'm still pretty new, and I'm trying hard to learn." c. "I've watched you, too. You've criticized every student. Is this some game you play?" d. "I hope you won't report this to my instructor."

a. "You're right. I am still bathing the patient. She was in pain earlier. I waited until her narcotic made her more comfortable."

Which of the following are likely examples of insidious on-the-job aggression? (Select all that apply.) a. Another nurse interrupted me to tell the health care provider about my client. b. I am routinely assigned the heaviest client on the unit for morning care. c. One group of nurses is bullying the new nurses on the unit. d. When I am asked to go to lunch with someone, I explain that I must study for my classes. e. A nurse is busy providing care to her clients and cannot assist another nurse when requested.

a. Another nurse interrupted me to tell the health care provider about my client. b. I am routinely assigned the heaviest client on the unit for morning care. c. One group of nurses is bullying the new nurses on the unit.

Which of the following is an example of an "I"-centered statement? (Select all that apply.) a. I feel you are not quite working up to your potential. b. I think that you could improve the accuracy of your work. c. I feel that you are concerned for your safety. d. I will watch you demonstrate inserting a catheter today. e. I hope that you will be able to work tomorrow.

a. I feel you are not quite working up to your potential. b. I think that you could improve the accuracy of your work. c. I feel that you are concerned for your safety.

Which of the following recommendations will the nurse offer the unit's safety committee to promote a safe workplace? a. Our department needs to examine how staff attitude, body language, and the environment can impact unit/institution safety. b. Safety is an issue that must be placed solely in the hands of nonuniformed, outside security staff. c. It is necessary to go back to the strict visiting rules and limit hours and visitors to family. d. Violence is a part of our current culture, and there is very little you can do to effect change.

a. Our department needs to examine how staff attitude, body language, and the environment can impact unit/institution safety.

A patient states, "my chest incision hurts. I can't walk because of the pain." The nurse responds, "you've been unable to walk because of incisional pain." The nurse's response is an example of which active listening behavior? a. Restating b. Reflection c. Clarification d. Paraphrasing

a. Restating

A nurse using active listening techniques would: a. use nonverbal cues such as leaning forward focusing on the speaker's face, and slightly nodding to indicate that the message has been heard. b. avoid the use of eye contact to allow the patient to express herself without feel stared at or demeaned. c. anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence. d. ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.

a. use nonverbal cues such as leaning forward focusing on the speaker's face, and slightly nodding to indicate that the message has been heard.

When a nurse is the target for unwanted behavior that she perceives as sexually harassing, she should first

assertively tell the person that the behavior is unwanted.

Which of the following is an indirect nonassertive behavior? a) A nurse responds to a patient's questions about her personal life. b) A nurse limits contact with a mentally ill patient and performs required care only. c) A nurse answers for the patient. d) A nurse needs help with assignments but says nothing.

b) A nurse limits contact with a mentally ill patient and performs required care only.

A 48-year-old woman who is being given information about what to expect postsurgically smiles and nods while the nurse is speaking with her. Given the characteristics of communication by women, which action would be particularly important by the nurse? Which of the following statements is true about male and female communication differences? a) Assume that the patient agrees with the information. b) Ask the patient to tell what she understood from the nurse. c) Assume that the patient has understood the information. d) Ask the patient if she has any questions about what has been said.

b) Ask the patient to tell what she understood from the nurse.

Which of the following is an early sign of workplace violence? a) Threats with a weapon b) Hostile responses to other nurses c) Physical fighting with a supervisor d) Destruction of workplace property

b) Hostile responses to other nurses

A nurse tells a depressed patient that all depressed people feel the same way. This is an example of what type of communication block? a) False reassurance b) Pat answers c) Chiding d) Belittling

b) Pat answers

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.

Verbal communication includes: a) body language. b) spoken words. c) intonation. d) gesture.

b) spoken words.

A patient asks the nurse, "What would you do if you had cancer and had to choose between surgery and chemotherapy?" The reply that can best help the patient is: a. "If I were you, I would choose surgery and then consider chemo afterward." b. "What solutions have you considered?" c. "I would talk it over with my friends first." d. "I don't know. I'm glad it isn't my decision."

b. "What solutions have you considered?"

Which statement most accurately reflects a nursing communication difference that is age related? a. Speaking in a loud, high voice makes it easier for an elderly client to hear you. b. Discussing with school-age clients their illness in age appropriate terms. c. Giving a toddler having a tantrum a special treat. d. Using medical jargon and current slang to help a teenager to see you as human.

b. Discussing with school-age clients their illness in age appropriate terms.

A nurse had a challenging day at work due to a difficult client assignment and coworkers that were not supportive and did not offer assistance. The nurse decided to verbalize their frustration on social media about their coworkers by calling the coworkers unfair and rude. Which areas could the nurse be considered noncompliant? Select all that apply a. The Health Insurance Portability and Accountability Act (HIPPA) b. NCSBN's A Nurse's Guide to the use of Social Media Guidelines c. Health care facility where the nurse is employed d. State law where the nurse holds a primary license e. National Student Nurses Association Code of Ethics for Student Nurses

b. NCSBN's A Nurse's Guide to the use of Social Media Guidelines c. Health care facility where the nurse is employed d. State law where the nurse holds a primary license

Which scenario does the nurse recognize as the best description of potential sexual harassment? a. A coworker and you have been sharing jokes since you started working. b. The immediate supervisor has asked you (alone) to meet for dinner at their house to discuss a potential promotion. c. A client asks you if you are willing to go out on a date after they are discharged. d. Your coworker is upset as a peer has refused to meet them socially for a drink.

b. The immediate supervisor has asked you (alone) to meet for dinner at their house to discuss a potential promotion.

A patient who has had knee surgery tells the nursing student that he is "doing fine" and "doesn't need anything." The student observes that he winces when moving in bed and that he has a worried frown. The student asks him to rate his pain on a numerical scale and then encourages him to take his prn analgesic. Which is true of this interaction? a. The nursing student understood that verbal messages outrank nonverbal messages in importance b. The nursing student recognized that the patient's verbal and nonverbal messages were incongruent c. The nursing student realized that affective communication is of lesser importance d. The nursing student used one-way communication effectively

b. The nursing student recognized that the patient's verbal and nonverbal messages were incongruent

To begin talking with a newly admitted patient about pain management, the nurse would most appropriately state: a. you look pretty comfortable. are you having any pain b. tell me about the pain you've been having c. is this pain the same as the pain you had yesterday d. don't worry; this pain won't last forever.

b. tell me about the pain you've been having

Which of the following is an example of one-way communication? a) "You are telling me you have pain. Where is your pain and when did it start?" b) A nurse educates and clarifies medication instructions with a patient. c) "Give me your arm. I'm going to take your blood pressure." d) A nurse repeats a physician's order back to the physician for accuracy.

c) "Give me your arm. I'm going to take your blood pressure."

Which of the following assertive behaviors describes a direct statement of wishes? a) A nurse says she cannot work over her shift that day because of prior commitments. b) A nurse tells another to go back to the end of the line after wrongly moving ahead in the line. c) A nurse tells her supervisor that she needs to talk to her before 3 PM. d) A nurse is ready to leave work, but a peer stops to talk about a personal problem. The nurse says, "Can we meet tomorrow for coffee and talk?"

c) A nurse tells her supervisor that she needs to talk to her before 3 PM.

In front of a patient, a physician says to a nurse, "So, is your partner's drinking habit getting any worse?" The nurse is left feeling embarrassed and angry. What type of negative manipulative interaction is described? a) Seducer b) Divide and conquer c) Passive aggressive d) Insidious aggression

c) Passive aggressive

A supervisor is talking to a nurse about problems with another nurse on the unit. The nurse should respond assertively which of the following statements? a. I am honored that you trust me to try to resolve this issue with you. b. Maybe you and I can meet over coffee after the shift so it will be more private. c. I am happy to assist in problem solving the broad issue, but I am uncomfortable discussing my peer's behavior with you, without them present. d. If you don't tell anyone of our conversation, I'll tell you what I know.

c. I am happy to assist in problem solving the broad issue, but I am uncomfortable discussing my peer's behavior with you, without them present.

Which is an appropriate response to the client when the nurse identifies affectively and nonverbally the client is angry? a. Leave the room and report your observations to the team leader immediately. b. Lighten up the situation by sharing some funny e-mail jokes with the client. c. Provide observations of nonverbal behavior and encourage the client to talk about their feelings. d. Continue what you came in to do silently and leave as soon as you are through.

c. Provide observations of nonverbal behavior and encourage the client to talk about their feelings.

A student has arrived for their first clinical experience in the nursing home. The student wants to do everything right and feels ready because they have an elderly grandmother. Which of the following actions indicate the student's understanding of a positive interaction with a geriatric client? (Select all that apply.) a. Walk in with great enthusiasm and say, "Hi, Grandma, how are you doing?" b. Talk loudly in the resident's left ear to be sure the resident can hear her. c. Say, "Good morning. My name is....... I am a student nurse from the college. Can you confirm your name and birth date?" d. Knock on the door before entering. Take time before moving into the client's personal space. e. Quietly enter the room and touch the person's shoulder while saying "hello."

c. Say, "Good morning. My name is....... I am a student nurse from the college. Can you confirm your name and birth date?" d. Knock on the door before entering. Take time before moving into the client's personal space. e. Quietly enter the room and touch the person's shoulder while saying "hello."

Which of the following is an appropriate task for a nurse to delegate to a nursing assistant? a. Checking a healthcare provider's new prescriptions b. Changing a patient's wound dressing c. Toileting a patient on a bladder-training regimen d. Taking the blood pressure of a patient who has fallen

c. Toileting a patient on a bladder-training regimen

the nurse recognizes the patient who demonstrates communication congruency when the patient: a. smiles and laughs while speaking of feeling lonely and depressed. b. wrings her hands and paces around the room while denying that she is upset. c. is tearful and slow in speech when talking about her husband's death d. states she is comfortable while she frowns and her teeth are clenched.

c. is tearful and slow in speech when talking about her husband's death

Two-way communication differs from one-way communication because with one-way communication a. the impact is positive. b. the receiver contributes as much as the sender. c. no feedback is expected. d. body language does not affect the receiver

c. no feedback is expected.

The nurse can best ensure that communication is understood by a. speaking slowly and clearly in the patient's native language b. asking the family members whether the patient understands c. obtaining feedback from the patient that indicates accurate comprehension d. checking for signs of hearing loss or aphasia before communicating

c. obtaining feedback from the patient that indicates accurate comprehension

When the nurse makes the statement, "We can come back to that later- right now I need to know about when your symptoms started," the nurse is: a. letting the patient know that topic of conversation was inappropriate b. setting limits on the expression of feelings c. refocusing the patient to the issue at hand when the conversation has wandered. d. closing off the conversation by quickly getting to the point of the interview.

c. refocusing the patient to the issue at hand when the conversation has wandered.

A patient reports that his chest hurts. The nurse asks where exactly it hurts. This is an example of what type of active listening behavior? a) Summarizing b) Reflection c) Restating d) Clarification

d) Clarification

Which technique is used when a nurse asks a patient, "Tell me how your night was?" a) Clarifying b) Offering of self c) Summarizing d) General lead

d) General lead

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.

In general hospitals, where do most assaults occur? a) Pediatric units b) Surgical units c) Medical units d) Psychiatric units

d) Psychiatric units

When giving constructive criticism to the UAP, the LPN/LVN should: a) expect the UAP to immediately self-correct the specified behavior. b) not discuss the consequences of the UAP's actions. c) avoid empathy for the UAP. d) acknowledge the feelings of the UAP.

d) acknowledge the feelings of the UAP.

Which statement about life span communication differences can the nurse rely on when implementing patient care? a. Children from birth to age 2 are most soothed by a high-pitched tone of voice. b. Preschool children tend to respond well to a reasoning approach. c. It is important to try to communicate with teens using their slang. d. Older adults hear lower frequency sounds more easily than high-pitched sounds.

d. Older adults hear lower frequency sounds more easily than high-pitched sounds.

Which is the best description of assertiveness that a nurse manager can share at a unit meeting? a. A level of communication that few nurses attain b. Outspoken, anger-based, honest communication c. An indirect method of getting others to do what you wish d. Taking a positive stand without violating others' rights

d. Taking a positive stand without violating others' rights

A nurse demonstrates assertive behavior by doing which of the following? a. When a patient asks the nurse to stop and feed the patient's cats on the way home, the nurse frowns but agrees to do so. b. The nurse feels the team leader's assignment is unfair, so the nurse drops hints to co-workers about feelings of unfairness. c. When the patient asks about the nurse's personal life, the nurse answers the questions out of fear of not being liked for not answering. d. When working with a patient who is critical of the nurse, the nurse sits down with the patient and listens attentively to the patient's concerns.

d. When working with a patient who is critical of the nurse, the nurse sits down with the patient and listens attentively to the patient's concerns. When asked about something unfamiliar, the nurse admits to not knowing, but agrees to find out.

A Hispanic patient approaches the Asian nurse and, standing very close, touches the nurse's shoulder during their conversation. The nurse begins to step back to 18 to 24 inches, while smiling and nodding to the patient. This situation is most likely an example of: a. the nurses need to maintain a professional role rather than a social role. b. a patent's attempt to keep the nurse's attention c. a nurse's need to establish a more appropriate location for conversation d. a difference in culturally learned personal space of the nurse and the patient

d. a difference in culturally learned personal space of the nurse and the patient

When a nurse is conducting an assessment interview, the most efficient technique would be: a. explaining the purpose of the interview b. excluding relatives and friends from the interaction c. telling the patient what data are already available d. asking closed questions to obtain essential information

d. asking closed questions to obtain essential information

A patient states, "I'm really turned off when the doctor hurries out of here." The nurse responds, "you're feeling upset with your doctor because he doesn't spend enough time with you." This interaction demonstrates a. summarizing. b. validating. c. clarifying. d. reflecting.

d. reflecting

A nurse who develops a therapeutic nurse-patient relationship will find that it differs from a social relationship, because

the nurse-patient relationship ends when the patient is discharged.

The best description of an autocratic leader is a leader who

tightly controls team members