module 3 quiz
A patient who expresses anger at a diagnosis by slamming a food tray on the table is using what type of communication? Verbal Non-verbal Silence Termination
b
Two days after an ileostomy, the patient refuses nursing care and requests to be left alone. What should be the nurse's first action? Encourage the client to verbalize his feelings Tell the client that he must begin to deal with the situation Allow the client the privacy he requests Invite a member of the ostomy association for a visit
a
During an interaction with a newly admitted patient who suddenly becomes silent and stares off into space, what is the most therapeutic response by the nurse? "I noticed you have become very quiet." "Why have you fallen silent?" "Don't you want to talk anymore?" "I know I've done something to upset you."
a
In what phase of the helping relationship does the nurse review patient assessment data and develops a plan of action? Preinteraction phase Termination phase Working phase Introductory phase
a
Nurse: "Let's discuss your diet now so that you will know what to eat when you get home. We can discuss insulin some other time." Changing the subject Presenting reality Giving information Stereotyping
a
Patient centered-care includes which of the following? (Select all that apply) Assess patient preferences Actively listen to the patient Speak to patients and families using medical terms Using facial expressions to convey feelings Encourage family to participate in care
a,b,e
A patient states "I am dying." The nurse responds "You believe that you are dying?" which therapeutic approach did the nurse use? Giving information Reflecting Summarizing Focusing
b
During the initial interview, a patient with an eating disorder remarks, "I can't stand myself and the way I look." Which of the following statements by the nurse would be most appropriate? I don't think you look bad at all" "Tell me more about your feelings" "Everyone who has the same problem feels like you do" "Don't worry, you'll soon be back in shape"
b
The emergency department (ED) nurse is reporting off via phone call to the intensive care unit (ICU) nurse who is accepting a patient with pneumonia. What information should the ED nurse ensure to provide to the ICU nurse? Report elaborate background data or routine care information Report exact up to date information about the client's condition Report only the medical needs of the client's condition Report the coming and going of any visitors
b
The nurse has asked the unlicensed assistive personnel (UAP) to help with admitting a patient. Which of the following activities can be delegated to the UAP? Assess the patient's lung sounds Obtain the patient's height and weight Administer scheduled medications Collect nursing history and assessment data
b
Which of the following is the most crucial goal of therapeutic communication when helping patients deal with personal issues and painful feelings? Mutual sharing of information, spontaneity, emotions, and intimacy Conveying respect and acceptance even if all of the patient's behaviors are not tolerated Guaranteeing total confidentiality and anonymity for the patient Communicating empathy through maintaining gentle touching of the patient
b
What is the best defense against any legal malpractice for the nurse? Using the word error whenever a recording mistake has been made Using abbreviations for convenience throughout the patient chart Complete charting by using the steps of the nursing process as a framework Assuming those reading the chart understand common interventions (ex: turning) occurred
c
Which of the following are correct guidelines for charting in the patient record? Chart at the end of the shift only Always use abbreviated terminology Record the time of each entry Use initials for signing chart
c
A patient has entered a smoking cessation program to quit smoking. He tells the nurse he has not smoked a cigarette for 3 weeks, but is afraid he will slip up and smoke because of current job pressures. What would be the most appropriate reply for the nurse to make in response to the patient's comments? "If you increase your self-control, I am sure you will be able to avoid smoking" "Try taking a couple of days of vacation to relieve the stress of your job" "Don't worry about it. Everyone has difficulty quitting smoking and you should expect to as well" "It is good that you can talk about your concerns. Try calling a friend when you want to smoke"
d
A patient says, "I hate the idea of being an invalid after they cut off my leg." Which of the following would be the most therapeutic response by the nurse? "You're lucky to have a wife to care for you." "At least you still have one good leg to use." "Let's finish the preoperative teaching." "Tell me more about how you are feeling."
d
What is the root cause for 82% of sentinel events? Increased health care provider workload Incorrect diagnoses Administration of wrong meds Communication breakdown
d
What therapeutic communication technique does this interaction demonstrate? Nurse: "Tell me more about that." Restating/paraphrasing Changing subject Giving information Open ended questions
d
Which communication technique is used in this interaction? Patient: "I have been really upset about my blood pressure and having to take these pills." Nurse: "You've been upset about your blood pressure and taking pills." Patient: "I guess I'm worried about what could happen if my blood pressure gets too bad."
restating
