Leadership NCLEX Questions - Communication

Nurses must perform effective communication with the health care teams and other nurses for which of the following reasons? Select all that apply. 1. Reduce the risk of errors to the patient. 2. Provide best level of care for the patient. 3. Improve the nurse's status with the health care team. 4. Improve patient outcomes and prevent complications. 5. Prevent issues that need to be reported to outside agencies.

1, 2, 4

A nurse is coming onto her shift and is receiving bedside report when the night nurse is inappropriately gossiping out the patient about the room, which responds would be best by the day shift nurse? 1. *Continue gossiping* 2."I feel that this information is irrelevant." 3. "You are so rude to make assumptions." 4. "I'm telling the charge nurse that you are violating HIPPA."

2.

As Jane speaks with the team, she learns why the staff members have had difficulty following policies. Which of these would be considered barriers to effective communication? 1. The charge nurse is unavailable to help the nurses when they have questions about policies. 2. Some staff are afraid to ask particular charge nurses for help for fear of retribution. 3. The use of acronyms is confusing to staff members who are new to the unit. 4. All of the above.

4.

A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client's actions? A) you seem to be motivated in changing your behavior B) How will these changes affect your families relationships c) Why dont you make a list of behaviors you need to change D) The team recommends that you only make one behavioral change at a time family

A

A new mother is undergoing a breast biopsy. She expressed to the nurse that if she loses her breast, her husband will no longer find her attractive. Which of the following is the most appropriate response by the nurse? A. "Relax, they aren't going to remove your breast. You are just having a biopsy." B. "You should focus on your children and not worry about your husband." C. " You seem to be concerned that your husband's feelings about you might change." D. "Why don't you wait to see your husband's reaction before you get upset."

C

When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (Select all that apply) a. Check for needed adaptive equipment b. Exaggerate lip movements to help the patient lip read c. Give the patient time to respond to questions d. Keep communication short and to the point e. Communicate only through written information utcomes an

a, c, d

The nurse is communicating with a primary care provider about medical interventions prescribed for a client. What statement best represents effective communication with the provider? A. "The medication you prescribed is not a good choice, it won't work" B "I'm worried about Mr. Jones blood pressure. It is not decreasing even with antihypertensive medication" C. "We need to talk about Mr. Jones" D. "Why would you prescribe that med for him? That will never work"

B

Which nonverbal communication technique is very therapeutic and effective but requires a conscious effort by the nurse to practice and acquire skill in the use of this technique? A) Listening B) Silence C) Touch D) Converting Acceptance

B