communication NCLEX practice questions

a nurse is communicating the care plan to a patient who is cognitively impaired. which nursing actions facilitate this process? SATA A. the nurse maintains eye contact with the patient B. the nurse is patient and gives the patient time to respond C. the nurse communicates in a busy environment to hold the patient's attention D. the nurse keeps communication simple and concrete E. the nurse gives lengthy explanations of the care that will be given F. if there is no response, the nurse does not repeat what is said and takes a break.

A,B,D

a nurse is using the SBAR technique for hand-off communication when transferring a patient. What are examples of the use of this process? SATA A. S: the nurse handling the transfer describes the patient's situation to the new nurse B. S: the nurse discusses the patient's symptoms with the new nurse in charge C. B: the nurse gives the background of the patient by explaining the patient's history D. A: the nurse presents an assessment of the patient to the new nurse E: R: the nurse explains the rule of the new facility to the patient F: R: the nurse gives recommendations for future care to the new nurse in charge

A,C,D,F

which nursing actions would most likely help improve communications with patients and achieve a more effective helping relationship? SATA A. the nurse controls the tone of his or her voice so that it conveys exactly what is meant B. the nurse remains focused on the topic at hand and does not allow the patient to diverge to another topic C. the nurse makes statements that are as simple as possible, gearing conversation to the patient's level D. the nurse feels free to use words that might have different interpretations when using the same language as the patient E. the nurse never admits a lack of knowledge to the patient to avoid undermining the patient's confidence in the helping relationship F. the nurse takes advantage of any available opportunities to communicate information to patients in routine caregiving situations

A,C,F

A home care nurse discusses with a patient when visits will occur and how long they will last. In what phase of the helping relationship is this type of agreement established? A. Orientation phase B. Working phase C. Termination phase D. All of the above

A. Orientation phase

A nurse is communicating the care plan for a patient who is unconscious. Which nursing actions best facilitate this process? SATA A. the nurse speaks to the patient in a louder-than-normal voice B. the nurse is careful about what is said in the patient's presence since hearing is the last sense to go C. the nurse assumes the patient can hear and discusses things that would ordinarily be discussed D. the nurse raises environmental noises to help stimulate the patient E. the nurse does not use touch to communicate with the patient F. the nurse speaks with the patient before touching him or her

B,C,F

nurses a hospital burn unit meets a group to discuss procedures. which statements accurately describe the functions of group dynamics? SATA A. ideally, a group leader is selected who alone uses his or her talents and interpersonal strengths to assist the group to accomplish goals B. effective groups possess members who elicit mutually respectful relationships C. the group's ability to function at a high level depends on only the group leader's sensitivity to the needs of the group and its individual members D. if a group member dominates or thwarts the group process, the leader or other group members must confront him or her to provost the needed collegial relationships E. in an effective group. power is used to "fix" immediate problems without considering the needs of the powerless F. in an effective group, members support, praise, and critique one another

B,D,F

Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse? A. A nurse describes a patient on Twitter by giving the room number rather than the name of the patient B. A nurse posts pictures of a patient who accomplished a goal of losing 100lb and later deletes the photo C. A nurse describes a patient on Twitter by giving the patient's diagnosis rather than the patient's name D. A nurse uses a disclaimer to verify that any views expressed on Facebook are his or hers alone and not the employers

D. a nurse uses a disclaimer to verify that any views expressed on Facebook are his or hers alone and not the employer's.

a nurse who is caring for newborn infants delivers care by using the sense that is most highly developed at birth. Which example of nursing care achieves this goal? A. the nurse speaks to the infant in a loud voice to get attention B. the nurse plays "peak-a-boo" with the infant C. the nurse wear colorful clothing to stimulate the infant D. the nurse gently strokes the baby's cheek to facilitate breastfeeding

D. the nurse gently strokes the baby's cheek to facilitate breastfeeding

a nurse who "unblocks" and "clears" congested areas of energy in a patient's body to promote comfort is applying the phenomenon known as: A. "unruffling" touch B. interpersonal touch C. tactile manipulation D. therapeutic touch

D. therapeutic touch

A nurse is attempting to communicate with a patient who speaks a different language and does not understand what is being communicated. Which nursing action would best facilitate the communication process? A. speaking slowly and distinctly but not loudly B. repeating the message in the same manner many times until understood C. using medical terms and abbreviations more frequently D. avoiding using a dictionary to help maintain focus on the patient

A. speaking slowly and distinctly but not loudly

A nurse states the following to another nurse who is constantly forgetting to wash hands between clients: "It looks like you keep forgetting to wash your hands between patients. It's really not safe for your patients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech? A. Aggressive B. Assertive C. Nonassertive D. therapeutic

B. assertive

which nursing actions help improve listening skills when conversing with patients? SATA A. the nurse sits with the patient in a comfortable environment with arms and legs crossed in a relaxed position B. the nurse always maintains eye contact with the patient in a face-to-face pose C. the nurse uses appropriate facial expressions and body gestures to indicate that he or she is paying attention to what the patient is saying D. the nurse thinks before responding to the patient, even if this creates a lull in the conversation E. the nurse listens for themes in the patient's comments F. if an action being performed does not allow for conversation, the nurse pretends to listen to the patient rather than interrupting the patient's conversation

C,D,E

nurses develop helping relationships with patients when caring for them. which statements describe qualities of a helping relationship? SATA A. the helping relationship occurs spontaneously B. the helping relationship is characterized by an equal sharing on information C. the helping relationship is built on the patient's needs, not on those of the helping person D. a friendship must develop from an effective helping relationship E. a helping relationship is dynamic F. a helping relationship is purposeful and time limited

C,E,F

a 36-year-old patient who underwent a hysterectomy 4 days ago says to the nurse, "Wonder if I'll still feel like a woman." Which response would most likely encourage the patient to expand on this and express her concerns in more specific terms? A. "When did you begin to wonder about this?" B. "Do you want more children?" C. "Feel like a woman..." D. Remaining silent

C. "Feel like a woman..."

In a helping relationship, the nurse would most likely perform what action? A. encourage the patient to independently explore goals that allow his or her human needs to be satisfied B. set up a reciprocal relationship in which patient and nurse are both helper and person being helped C. establish communication that is continuous and reciprocal D. establish goals for the patient that are not set in a specific time frame

C. establish communication that is continuous and reciprocal

When attending a staff meeting, a nurse is participating in what type of communication? A. intrapersonal communication B. interpersonal communication C. small-group communication D. organizational communication

C. small-group communication

Which technique would a nurse employ when using listening skills appropriately? A. the nurse would try to avoid body gestures when listening to the patient B. the nurse would not allow conversation to lapse into periods of silence C. the nurse would listen to the themes in the patient's comments the nurse would stand close to the patient and maintain eye contact

C. the nurse would listen to the themes in the patient's comments