ATI communication

a nurse in a provider's office is caring for a client who has hypertension during a follow-up appointment and is focusing on the clients ability to make a healthy behavior changes. which of the following statements by the nurse is an example of the use of affirmations?

"I'm glad you decided to continue your fitness routine."

a nurse is conducting a preoperative assessment of a client. which of the following statements is an example of the nurse using motivational interviewing?

"you said that you're sad. what is making you feel sad?"

a nurse is assessing a client who came to the ED reporting chest pain. the client tells the nurse that they have hearing loss and forgot to bring their hearing aid with them. which of the following actions should the nurse take to improve communication with the client?

-move the client to a quiet area or private room -speak at a slower pace -avoid using medical terminology

a nurse is caring for a client who has a new prescription for dialysis three times a week. the client avoids eye contact while talking to the nurse and explains that they work two jobs to support their partner and two children. the client also states, "i dont know how i am going to have time for dialysis." which of the following factors are influencing the clients communication?

-psychosocial factors -situational factors

a nurse is preparing to provide education to a group of newly licensed nurses about methods to enhance communication with clients. which of the following statements should the nurse include?

-respect the client during conversation -allow time for reflection during the conversation with the client -show empathy during conversation with the client

a nurse is planning to teach a new assistive personnel (AP) how to use a bedside glucose monitor to check a clients blood glucose level. the nurse will include a 30 min face-to-face lecture and a written copy of the step-by-step procedure. which of the following modes of communication is the nurse using in the teaching plan?

-verbal -written -nonverbal

a nurse receives a phone call from a client who was discharged yesterday. the client asks the nurse to email them a copy of their discharge instructions. which of the following responses should the nurse make?

I am unable to send your discharge instructions via email due to HIPAA privacy act

a hospice nurse is caring for a client who state that they want to have their last rites before they die. the nurse recognizes that which of the following factors is influencing the clients request?

cultural factor

a nurse is planning teaching for a client about wound care. which of the following actions should the nurse take?

ensure the client is wearing their glasses during teaching

a nurse is planning a presentation about skin care for a group of older adult clients at a senior center. which of the following actions should the nurse take to enhance client learning?

ensure the room is well lit

a nurse is instructing a client regarding heart-healthy activities. this action represents which of the following phases of the nurse-client relationship?

exploitation

a nurse is teaching a client who is newly diagnosed with diabetes mellitus. the client tells the nurse, "thank you. i never really knew what caused diabetes." using the Schramm model of communication, the nurse should recognize the clients statement as an example of which of the following components of the model?

feedback

a nurse enters a client's room and stands near the client to ask them if they need anything. the client continues to watch the television, which is at a loud volume. which of the following actions should the nurse take?

lower the volume on the television

a nurse is obtaining a health history from a client who is newly admitted. the nurse notices that the client does not make eye contact and that their arms are folded across their chest. the nurse should recognize that the client is using which of the following forms of communication?

nonverbal

a nurse calls the unit to tell say that they will be late for their shift. the charge nurse responds, "dont worry, take your time and be safe." after hanging up the phone, the charge nurse then says to staff at the nurses station "im tired of that nurse always being late. i wish someone would do something about their tardiness." which of the following communication styles is the charge nurse demonstrating?

passive-aggressive

a nurse is planning to reconcile medications for a client who speaks a different language than the nurse. which of the following actions should the nurse take?

request assistance from the facility's interpreter

a nurse is caring for a client who has refused to have a biopsy. the client states, "i dont need the biopsy; it wouldnt do anything about it anyways if its cancer." the nurse replied "you dont want to have the biopsy because you would not seek treatment if it was cancer. is that correct?" which of the following therapeutic communications techniques is the nurse using?

restating

a nurse manager is planning to introduce a new scheduling policy at the unit staff. which of the following methods of communication should the nurse manager use?

schedule a face-to-face unit staff meeting

a nurse is providing discharge instructions to a client during a follow-up telephone call. based on the shannon-weaver communication model, which of the following components of the model is the nurse demonstrating?

sender

a nurse is caring for a client who has dementia. which of the following communication strategies should the nurse implement to communicate with the client?

speak to the client clearly and at a slow pace

a nurse in the PACU is determining if a client has pain. the client is drowsy and opens their eyes to verbal stimuli but is unable to communicate their pain level. which of the following actions should the nurse take?

use an alternative method for determining the clients pain level