chapter 5

Communication is the A) Essence of nursing B) Heart of nursing C) Core of nursing D) Integral part of nursing

heart of nursing

When communicating with patients, nurses need to be very careful in their approach. This is particularly true when communicating using A) Written material B) Audiovisuals C) Demonstration D) Medical terminology

medical terminology

In the provision of care and the establishment of the therapeutic relationship, the nurse must first A) Understand the patient's response B) Be aware of one's own personality C) Avoid labeling patients D) Treat the patient with dignity

be aware of ones own personality

The nurse is communicating with a patient following a routine physical examination. Which statement best demonstrates summarization of the appointment? A) "I think all went well with your physical, don't you? B) "Do you have any questions about all that was discussed during the exam?" C) "We reviewed your plans for your new diet and medications. Do you have any other questions?" D) "Will we see you in 6 months to see how your diet has progressed?"

we reviewed your plans for your new diet medications

When the preoperative patient tells the nurse that he cannot sleep because he keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is A) "Sounds as if your surgery is a pretty scary procedure." B) "You have a great surgeon. You have nothing to worry about." C) "You shouldn't be nervous. We perform this procedure every day." D) "The thought of having surgery is keeping you awake."

the thought of having surgery is keeping you awake

The student nurse is practicing communication skills by talking with several different patients in the hospital. In which instances would silence be appropriate? (Select all that apply) A) Allowing the patient time to reflect on his or her thoughts B) Reflecting on the communication that has occurred C) After asking the patient a question D) When the patient is upset and needs time to compose himself E) When the nurse doesn't know the answer to a question

allowing the patient time to reflect on his or her thoughts, reflecting on the communication that has occurred, asking the patient a question, when the patient is upset and needs time to compose himself

When caring for a patient, nursing care will be most effective when the nurse-patient interactions are focused on which of the following circumstances? A) Goal achievement B) Compatible realities C) Common understanding D) Sharing values

common understanding

When documenting patient care, the nurse understands that the most important reason for correct and accurate documentation is which of the following? A) Legal representation to care B) Conveyance of information C) Assisting in organization of care D) Noting the patient's response to interventions

conveyance of information

The mother of a toddler is trying to decide if she wants to allow her child to receive the recommended immunizations. The clinic nurse responds, "If you don't immunize your child you are jeopardizing the health of other children." What type of approach does this response indicate? A) Authoritarian B) Guilt inducement C) Advocacy D) Dictatorial

guilt inducement

When caring for a psychiatric patient, a formal contract is made with the patient during which phase of the nurse-patient relationship? A) Intimate phase B) Orientation phase C) Working phase D) Termination phase

orientation phase

The nurse is providing teaching to a patient who sometimes has difficulty remembering information. Which form of communication will be most helpful for this patient? A) Verbal communication B) Meta-communication C) Non-verbal communication D) Written communication

written communication

The nurse completes the admission process of a patient to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing? A) "You have been having a great deal of fatigue for the last 3 months." B) "You are hoping to figure out the cause of your extreme fatigue during this hospital stay." C) "You are frustrated because you are too tired to perform normal acitivities." D) "You are unsure of what helps or prevents your fatigue."

you are hoping to figure out the cause of your extreme fatigue during this hospital stay

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. This use of communication is considered A) Consistent B) Verbal C) Nonverbal D) Clarifying

nonverbal

A nurse enters the patient's room and introduces himself stating, "Hello, Mr. Alonso. My name is Anthony Bader. I will be your registered nurse today. I will be providing your nursing care and I will be with you until 3:30 PM. If you need anything, please call me on my phone or put your light on." He then gives the patient a printed card with this information. In the helping relationship, what does this represent? A) Intimate phase B) Orientation phase C) Working phase D) Termination phase

orientation phase

The 32-year-old patient in a mental health unit discusses his personal thoughts and feelings with the nurse. The nurse is maintaining the circle of confidentiality by reporting this information to which individuals? Select all that apply. A) The patient's physician B) The patient's family C) The nurse from the oncoming shift D) The unit's mental health technicians E) The patient's closest friend

the patients physician, nurse from the oncoming shift, the units mental health technicians

When the nurse communicates with a newly admitted patient, the nurse must pay particular attention to nonverbal behaviors. The nurse considers which of the following as nonverbal communication? A) The patient's accent B) The patient's tone of voice C) The patient's religious practices D) The patient's ethnicity

the patients tone of voice

In order to provide effective nursing care, the nurse should engage in what type of communication with the patient and significant others? A) Interpersonal communication B) Intrapersonal communication C) Meta-communication D) Therapeutic communication

therapeutic communication

Care provided to a patient following surgery and until discharge represents which phase of the helping relationship? A) Orientation phase B) Working phase C) Termination phase D) Evaluation phase

working phase

While communicating with a patient who is hearing impaired, the nurse must take into account that the impairment serves as a A) Handicap B) Filter C) Blocker D) Receptor

filter

An elderly patient who has had a colostomy for over 10 years states, "I won't need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I'm not sure how to best clean my stoma?" What does this statement indicate? A) An incongruent relationship B) A confused relationship C) A non-therapeutic relationship D) An evaluative relationship

an incongruent relationship

A nurse touches the patient's hand while discussing his diagnosis. This action is a(an) A) Dynamic process B) Translation C) Communication channel D) Auditory channel

communication channel

A nurse communicating with a patient states, "I will be changing your dressing." She is wearing sterile gloves and a mask. She is conveying a(an) A) Congruent relationship B) Incongruent relationship C) Non-therapeutic relationship D) Functional focus

congruent relationship

The nurse caring for a patient with a recent head injury asks the patient to raise his left arm as high as possible. The patient repeatedly raises his right arm. What does this indicate? A) Difficulty with providing feedback B) Difficulty with decoding messages C) Difficulty with compliance D) Difficulty with following commands

difficulty with decoding messages

You are caring for a patient who has had a cerebrovascular accident, with left hemiparesis and aphasia. The patient responds to your spoken words with garbled responses. The nurse determines that the patient has difficulty with message A) Encoding B) Feedback C) Decoding D) Channeling

encoding

The student nurse is studying the concepts of communication. Which description demonstrates the student understands the concept of feedback? A) The sender sends a clear message that is understood by the receiver. B) The receiver listens to the sender in an unassuming way. C) Feedback occurs when the sender and the receiver use one another's reactions to produce further messages. D) The sender's message is translated into a code, using verbal and nonverbal communication.

feedback occurs when the sender and the receiver use one another reactions to produce further messages

The patient responds to the nurse's questions by stating in a loud and abrupt tone, "Yes, I understand my diabetic diet and how to give my insulin." What type of message has the patient sent to the nurse? A) Inconclusive B) Precise C) Clear D) Incongruent

incongruent

The term meta-communication is best defined as A) Congruent relationships in the spoken topics B) Documenting a conversation between the patient and nurse C) Contextual factors that impede communication patterns D) Interpersonal bridge between verbal and nonverbal communication

interpersonal bridge between verbal and nonverbal communication

The patient is talking to the nurse about recent health problems of immediate family members and the strain she has been under trying to care for them. She begins to cry between sentences. What response by the nurse demonstrates the most empathy? A) "I know how you feel. I was the primary caregiver for my father when he was dying." B) "It's okay to cry. Sometimes that helps us to feel better." C) "Just take your time. I am listening." D) "It is difficult when family members are ill. It helps if you take some time for yourself."

just take your time. i am listening

The nurse is talking with a patient 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? A) "You have one of the best surgeons in the area. I think it would be a waste of time to seek another opinion." B) "Your surgeon has always given you the best care and is genuinely concerned with your health." C) "You can do what you want, but I would get the surgery done as soon as possible." D) "Let us know if we can answer any further questions after you obtain your second opinion."

let us know if we can answer any further questions after you obtain your second opinion

A nurse is interviewing a patient for the establishment of long-term care insurance. During the interview, the nurse asks questions regarding the patient's past medical history. The nurse is the A) Sender B) Target C) Receiver D) Decoder

sender

The community health nurse is preparing a campaign to educate the public about heart health. Which forms of verbal communication will be effective? (Select all that apply) A) Television B) Radio C) Posters D) Voice tone E) Brochures

television, radio, posters, brochures