Communications Real question sets Exam 1

D

A 16-year-old trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery. The nurse knows that a. a parent/guardian must give consent. b. the client can give consent if she provides proof of emancipation. c. the client must first be evaluated for competency before obtaining consent. d. surgery can be performed without consent.

A

A client diagnosed with dementia is becoming increasingly unable to express complete thoughts and is having difficulty engaging in simple conversations. When communicating with this client, the nurse should a. use words directly applicable to the client's daily routine. b. restate ideas using different words in a different sequence. c. refrain from validating the meaning of the client's responses. d. ask the client questions that require more than a yes or no answer.

B

A client has an order for a new medication. When preparing to administer the medication to the client for the first time, the nurse gets ready to educate the client and the client's daughter about the medication. When educating the client and the daughter, the nurse should do all of the following except a. observe the client before implementing teaching and gear teaching strategies to meet the individual needs of the client. b. direct instructions to the client's daughter. c. draw on the client's experiences and interests in planning teaching. d. make the teaching session short enough to avoid tiring the client.

D

A client has just had his status changed to "comfort care only." The nurse recognizes that the client is spiritually distressed. The nurse understands that spiritual pain a. cannot be inferred from the client's behavior. b. is not as severe as physical pain. c. cannot be verbally shared. d. can be as severe as physical pain.

B

A client states, "I can't sleep all night because the nurses are noisy." Which of the following responses by the nurse best represents the nurse's recognition of the client's theme? a. "I will speak to the supervisor about your complaint." b. "You cannot sleep because of the noise level at night?" c. "You need to understand that nurses communicate with other clients during the night." d. "I will tell the night nurses that you complained."

B

A client states, "I don't know about taking this medicine the doctor is putting me on. I've never had to take medication before, and now I have to take it twice a day." The nurse's response is, "It sounds like you don't know what to expect from taking the medication." The nurse's response is an example of which of the following? a. Clarification b. Paraphrasing c. Restatement d. Validation

D

A client tells the nurse, "I am having a tough time and I am scared about the future." Which of the following responses by the nurse is the best feedback? a. "I know what you mean." b. "You should do something about it." c. "I really don't think you are having a tough time." d. "You are having a tough time and you are scared."

C

A client who is scheduled for a bilateral inguinal hernia repair the next day is observed pacing the unit. After validating that the client is anxious about his upcoming surgery because he is afraid of pain, a relevant nursing diagnosis would be a. anxiety related to surgery. b. pain related to anxiety about surgery as evidenced by pacing. c. anxiety related to fear of postoperative pain as evidenced by pacing. d. pacing related to fear of postoperative pain.

C

A nurse attends an in-service aimed to educate staff about reporting hospital errors. The nurse demonstrates understanding when listing which of the following as consistent with error reporting within the United States? a. Error reporting is transparent b. Errors are overreported c. Errors are underreported d. Providers are not concerned about consequences of reporting errors

C

A nurse is conducting a medication education group for mentally ill clients. One of the clients states, "I don't think everyone needs medications. What about psychotherapy? Can you tell me about that?" What is an appropriate response by the nurse? a. Talk to the group about the benefits of psychotherapy. b. Tell the group that psychotherapy is ineffective and they need medication. c. Acknowledge the question, but explain the time limitations and focus of that particular group. d. Explain that it is the physician's decision what type of treatment modality is for each client

B

A nurse manager encourages staff to improve error and near miss event reporting. The nurse manager recognizes that as error reporting improves, a. the severity of errors increases. b. better, safer systems can be developed. c. the likelihood of other errors increases. d. error detection rates and severity remain unchanged.

A

A nurse recognizes that strategies for clear, accurate communication to promote client safety include which of the following? a. Establishing a safe environment b. Maintaining a climate of closed communication c. Using unique interdisciplinary communication tools d. Using communication tools that promote vague communication

C

A nurse whose father was an alcoholic is assigned to care for a client who is in alcohol withdrawal. The nurse's best therapeutic action would be to a. request another assignment. b. deliver care in short intervals to avoid projecting negativity. c. examine personal vulnerabilities, strengths, and limitations. d. monitor the client's physical status closely.

D

A pediatric nurse is educating parents about how children cope with hospitalization. Which of the following statements by the nurse is correct? a. "The quiet, compliant child who never complains is comfortable on the nursing unit." b. "The child who screams and cries is much more frightened of hospitalization than the quiet child." c. "The 2-year-old child who asks for a bedtime bottle is showing signs of regression." d. "The child who screams and cries may be less frightened than the quiet, overly compliant child who never complains."

D

A school-aged child is admitted to the hospital because of an accident during gymnastics. The child complains of not feeling her legs. The child's parents ask the nurse, "What is going to happen to our daughter? Will she walk again?" The best response by the nurse is a. "I'm sure everything will be okay. She is in good hands." b. "The best thing you can do for your child is to act like everything is alright." c. "You will have to ask the doctor; he is in surgery right now." d. "You must have several fears and concerns. We will let you know the test results as soon as they are available."

D

A young mother tells the nurse, "I'm worried because my son needs a blood transfusion. I don't know what to do, because blood transfusions cause AIDS." Which central nursing construct is represented in this situation? a. Environment b. Caring c. Health d. Person

D

Abraham Maslow's needs theory is a framework that a. begins with meeting basic psychosocial needs first. b. ensures essential needs are satisfied, then people move into higher physiological areas of development. c. proposes that people are motivated to meet their needs in a descending order. d. nurses use to prioritize client needs and develop relevant nursing approaches.

C

After receiving her morning assignment, the nurse realizes that she will be caring for a client with Alzheimer disease. The nurse understands that when communicating with this client, it will be important to a. avoid touch because this may be misinterpreted by the client. b. shorten processing time before the client becomes distracted. c. break instructions down into small, sequential steps. d. present ideas all at once before the client's attention wanders.

D

An adult client responds to questions inappropriately. The nurse should do which of the following? a. Assume that the client is depressed and seek further information. b. Ask other staff members whether the client is sick. c. Leave the client alone for now and return to reassess. d. Observe the client's nonverbal behavior.

A

An older adult client who is mourning the death of her spouse comes to the health clinic for follow-up care for an irregular heartbeat. During the examination the client tells the nurse, "I don't care about my irregular heartbeat; I will be with my husband soon." The best response by the nurse is, a. "It sounds as if you would like to see your husband again." b. "Your husband is dead and you have so much to live for." c. "Your heartbeat was good today. The medication seems to be working." d. "Have you talked to your children recently about how you're doing?"

A

Communication is a combination of a. verbal and nonverbal behaviors. b. pitch, tone, and paralanguage. c. proxemics, touch, and kinesics. d. eye contact, facial expressions, and nonverbal messages.

A

During a routine visit, the nurse notes that a child has several bruises at various stages of healing. The child reports having fallen down. Failure to report these findings is an example of a. negligence. b. reasonable prudence. c. maintenance of confidentiality. d. HIPAA regulation.

C

During the first session of an Alzheimer disease support group for family members, the nurse recognizes the need to a. encourage member contributions and emphasize cooperation in recognizing each person's talents related to group goals. b. accept differences in member perceptions as being normal and growth producing. c. encourage group members to introduce themselves and share a little of their background or their reason for coming to the group. d. link constructive themes while stating the nature of the disagreement.

C

Nursing's metaparadigm, or worldview, distinguishes the nursing profession from other disciplines and emphasizes its unique functional characteristics. The four key concepts that form the foundation for all nursing theories are: a. caring, compassion, health promotion, and education. b. respect, integrity, honesty, and advocacy. c. person, environment, health, and nursing. d. nursing, teaching, caring, and health promotion.

A

Personal values are defined as a. values shaped by family, religious beliefs, and years of experience. b. altruism. c. two values that are in conflict. d. values determined by commitment.

B

Stereotypes are learned during a. exposure to early education. b. childhood and reinforced by life experiences. c. limited contact with other cultures. d. uncomfortable experiences with culturally diverse clients.

C

The central constructs of person, environment, health, and nursing are found in all nursing theories and models and are referred to as a. telehealth. b. the medical model. c. nursing's metaparadigm. d. five core areas of competency.

D

The client has a living will in which he states he does not want to be kept alive by artificial means. The client's family wants to disregard the client's wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to a. tell the family that they have no legal rights. b. tell the family that they have the right to override the living will because the patient cannot speak. c. report the situation to the hospital ethics committee. d. allow the family to verbalize their feelings and concerns, while maintaining the role of client advocate.

C

The client's values a. must coincide with those of the nurse. b. are only considered during assessment. c. influence the nurse's interventions. d. are not influenced by culture.

B

The group leader states, "Today we discussed some of the issues about taking medications, and each one of you developed a goal in relation to some of the problems you were experiencing. I think it was helpful that some of you were able to share your experiences with other group members." The leader is using the technique of a. harmonizing. b. summarizing. c. encouraging. d. compromising.

D

The nurse demonstrates an understanding of mutuality when stating to the client, a. "Mr. Jones, I think you should go to bed now." b. "Mr. Jones, I would like you to go to bed now." c. "Mr. Jones, I don't think you should sit in the chair." d. "Mr. Jones, I thought we agreed that you would return to bed at this time."

A

The nurse enters a client's room with the intent of allowing the client to express feelings in relation to her new cancer diagnosis. The nurse notices that the client is crying and guarding her incision site. After validating physical discomfort, the nurse should a. administer an analgesic and postpone the interaction. b. sit with the client and hold her hand. c. explain that pain is expected following surgery but that it is important to increase activity to avoid complications. d. acknowledge the physical pain but state that it is a priority to immediately address the emotional pain.

D

The nurse has just completed a care plan on a visually impaired client. Which of the following interventions is most appropriate for this client? a. Stand away from the client when communicating to not obstruct the view of the immediate environment. b. Provide the client with reading material that has all capital letters. c. Verbally explain all written information while discouraging the client from asking questions. d. Ensure the client's room has bright lighting with no glare.

C

The nurse is assessing a newly admitted Native American client. When assessing the client's perception of touch, the nurse should a. casually touch the client. b. use timing with touch. c. ask the client for permission to touch. d. shake the client's hand.

B

The nurse is assigned to care for a client who has been diagnosed with multiple sclerosis. Which communication behavior will have the most impact on the client? a. What is said b. Tone of voice c. Sense of confidence d. Verbal message

B

The nurse is assigned to provide a bed bath to a client who cannot speak English. Which of the following communication tools or strategies should the nurse use? a. Nonverbal communication b. Trained interpreter c. Family member as interpreter d. Other staff member who speaks the same language

B

The nurse is caring for a 2-year-old child on a pediatric unit. The child's parents have just left the unit for the night. The child is standing at the edge of the crib and crying. Which of the following interventions is most appropriate for the nurse to use? a. Limit the use of kinesthetic approaches when caring for the child. b. Talk to the child about Mommy and Daddy and how much the child cares for them. c. Maintain a flat affect when interacting with the child. d. At first maintain a distance of 8 feet from the child.

B

The nurse is caring for a Hispanic client. When communicating with the client's family about the client's illness, which family member should the nurse contact? a. Oldest female family member b. Oldest male family member c. Oldest daughter of client d. Oldest son of client

C

The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development. When the child has toileting accidents, the nurse should a. recommend a urology consult. b. obtain a urine sample and send it to the lab. c. reassure the child's parents that this is common. d. eliminate all fluids after dinner.

C

The nurse is caring for a client who has a large extended family. The nurse recognizes the client is part of a group known as a a. focus group. b. educational group. c. primary group. d. secondary group.

A

The nurse is caring for a client who has experienced a stroke. The client has aphasia. The nurse recognizes that aphasia is a a. neurological linguistic deficit. b. cognitive comprehension deficit. c. sensory deprivation deficit. d. mental disorder deficit.

B

The nurse is caring for a client who is anxious about a new diagnosis of cancer. When discussing chemotherapy with the client, the nurse understands that a. the client will need to be given instructions only once. b. the client may only hear part of the instructions. c. emotions obey the rules of logic. d. a cognitive lack of understanding may occur.

A

The nurse is caring for a client who is becoming increasingly short of breath. The nurse decides to call the physician. Which of the following should the nurse initially do when speaking with the physician? a. State the problem b. Tell what is needed c. State the client's allergies d. Relate the client's background

C

The nurse is caring for a client who is hearing-impaired and legally blind in his right eye. The client has just returned from cataract surgery on his left eye. The nurse recognizes that a. the client's arm should be held when walking. b. verbal speech is useless in this situation. c. signals should be developed to indicate changes in pace or direction while walking. d. the client should be discouraged from reading lips.

B

The nurse is caring for a client who is nonverbal. When caring for this client, the nurse should a. insist the client communicate in a two-way mode. b. continue to initiate communication in a one-way mode. c. refrain from explaining procedures because the client will not understand. d. limit orienting cues in order to reduce environmental stimuli.

A

The nurse is caring for a client whose health has suddenly worsened. The nurse calls the health care provider. What is the best example of the nurse communicating to the health care provider using the situation part of SBAR communication? a. "The patient has developed dyspnea with audible crackles in the lungs bilaterally; oxygen saturation is 86% on room air." b. "The patient has chronic obstructive pulmonary disease due to a long-term history of smoking." c. "I am concerned that the patient is exhibiting signs of a pulmonary embolus due to a sudden drop in oxygenation." d. "I would like for you to order a STAT chest x-ray because the patient has suddenly developed shortness of breath with hypoxia."

D

The nurse is caring for a family that is experiencing a crisis. The nurse recognizes that interventions for initial family responses to crisis include a. minimizing the family's sense of control within the hospital environment. b. prohibiting extreme expression of feelings. c. providing the family with information that is lengthy and abstract. d. repeating and frequently reinforcing information.

C

The nurse is caring for a frail older adult client who is admitted to the hospital after falling. The client has been living alone independently and appears reluctant to accept assistance. The nurse recognizes that the client's reluctance to accept assistance is most likely caused by fear of a. inability to pay for services. b. additional financial burden on the family. c. relinquishing independent living. d. loss of privacy.

C

The nurse is caring for a postoperative preschooler who is crying and has been refusing to eat. The best communication strategy for the nurse to use is to a. avoid providing the child with simple explanations. b. assign the child to a different nurse in order to optimize socialization. c. give the child some clay, crayons, and paper. d. encourage the child to express complex thoughts and feelings.

D

The nurse is caring for a postpartum client who is African American. The nurse recognizes that an essential component for successful communication when interacting with this client is the use of a. clergy in treatment plans. b. only simple language strategies. c. folk-healing strategies. d. trust development.

C

The nurse is caring for an older adult client who has been diagnosed with dementia. The nurse recognizes which of the following as true in relation to the use of touch with this client? a. Clients with dementia can ask for touch. b. Clients with dementia can create touch for themselves. c. Clients with dementia can become more anchored in the present time, space, and humanity when touched. d. Clients with dementia can tell the nurse about the meaning of touch.

D

The nurse is caring for an older adult client who has early moderate cognitive impairment and has been diagnosed with dementia. When interacting with the client's family, the nurse should teach family members that a. memory for recent events is retained longer than remote memory. b. it is important to focus on recent events when asking the client questions. c. reminiscing about the past can cause the client undue distress. d. reminiscing about the past can be a means of connecting.

B

The nurse is caring for an older adult client who has recently experienced losses associated with deaths of important people in her life. The nurse recognizes that this type of problem challenges which of Maslow's hierarchy of needs? a. Physiological integrity b. Love and belonging c. Self-actualization d. Safety and security

B

The nurse is caring for an older adult client who has recently withdrawn from relationships, appears depressed, and appears reluctant to seek information from the nurse. The nurse suspects the client is experiencing hearing loss. The nurse recognizes that a. the client will readily acknowledge that this is the problem if asked. b. the client may try to hide deficits and withdraw from relationships. c. decreased hearing ability is not related to conversational style. d. older adults, as a group, have better consonant discrimination.

A

The nurse is caring for an older adult client who is recovering from a stroke. When the nurse speaks to the client, the client nods her head and responds using incoherent words. Which type of aphasia does this client exhibit? a. Expressive b. Receptive c. Global d. Cognitive

B

The nurse is caring for an older adult client. The nurse recognizes that the factor most closely associated with the older adult's inability to live independently is a. chronological age. b. functional status. c. relationship needs. d. social functioning.

B

The nurse is caring for an unconscious client. The client's family member reports that a nurse at the client's bedside stated, "I wouldn't want to live in this condition." What did this nurse not realize about the client's capabilities? a. The client can read lips b. Hearing can remain acute in clients who are not fully alert c. The client can respond to statements through written communication d. The client can be sensitive to the nurse's nonverbal behavior

C

The nurse is communicating with a client who is experiencing a crisis related to marital difficulties. Which of the following statements made by the nurse is the best example of therapeutic communication when working with this client? a. "I think we should work toward fixing your marital difficulties immediately." b. "I'm going to call the counselor and make an appointment for you." c. "What would happen if you chose to go for counseling compared to seeking a divorce?" d. "I think you and your spouse need to go for counseling as soon as possible."

A

The nurse is performing an admission assessment on a client with cognitive impairment. When developing a plan of care for this client, the nurse should plan to a. provide instructions one step at a time. b. offer several instructions at a time when orienting the client to their room. c. teach the client new skills using complex instructions with multiple steps. d. refrain from mentioning the client's past life experiences when asking questions.

C

The nurse is performing an admission assessment on an Asian client. The intake includes a cultural assessment. The nurse should ask the client, a. "Does a minister, priest, or rabbi visit you?" b. "Do you feel understood and loved?" c. "What language do you prefer to speak?" d. "Does life have meaning and value for you?"

A

The nurse is teaching the student nurse about how to use SBAR when calling a physician. The student nurse verbalizes understanding of SBAR when stating that SBAR is a. used as a situational briefing. b. utilized strictly within the hospital setting. c. not used in e-mails due to HIPAA rules. d. never recorded within the client's chart.

B,C,E

The nurse manager is educating the unit staff about ways to promote safer clinical practice. The nurse manager emphasizes that this can be done through the incorporation of which of the following? (Select all that apply.) a. Correlation b. Cooperation c. Collaboration d. Cultural sensitivity e. Communication clarity

D

The nurse notices that a group member is quiet during support group meetings. What is the best intervention by the nurse for involving the quiet group member in the group process? a. Ask the group if they have noticed that a group member never talks. b. Ask the group what can be done to involve the quiet group member more. c. Set up a private meeting with the quiet group member to discuss group participation. d. Ask the quiet group member if he or she would like to comment on what another group member has just said.

A

The nurse performs a dressing change using sterile technique. This is an example of which pattern of knowledge? a. Empirical b. Personal c. Aesthetic d. Ethical

A

The nurse puts his arm around an older adult client when assisting her to transfer to a chair. The client could interpret the nurse's touch as a. a positive gesture only. b. a threat. c. denotation. d. paralanguage.

C

The pediatric nurse is working on an oncology unit with a terminally ill child. The nurse conveys respect to the child by a. interacting as a buddy to the child. b. protecting the child from the truth about the terminal illness. c. using the concept of mutuality. d. being emotionally unavailable.

C

The professional relationship goes through a developmental process characterized by overlapping yet distinct stages, which are a. confidentiality, trust, and empathy. b. listening, hearing, and feeling. c. preinteraction, orientation, working phase, and termination phase. d. getting details, thoughts, and answers.

C

The student nurse is working on an assignment in which she has to interview a fellow student nurse for 30 minutes. The fellow student nurse talks about career plans, possible jobs after graduation, and her part-time work. After 10 minutes, she has stopped talking and both student nurses sit in silence. Which of the following is the best response by the interviewing student nurse? a. "Tell me more about how you selected your career goals." b. "Who is the most significant person in your life?" c. "What impact will these plans have on your life?" d. Remain silent until the fellow student nurse breaks the silence.

B

To adequately meet the spiritual needs of clients, the nurse should first a. learn to be considerate and sensitive. b. distinguish between his or her own spiritual needs and those of the client. c. meet the client's spiritual needs. d. offer to pray and read the bible with the client.

B

Values clarification can be incorporated within the intervention phase of the nursing process by a. identifying ineffective family coping. b. identifying care guidelines. c. identifying client's values. d. identifying specific nursing diagnoses.

A

When caring for a client from a different culture, which of the following is the best assessment approach by the nurse? a. "Are there any special cultural beliefs about your illness that might help me give you better care?" b. "Describe to me your position of greatest relief from pain and discomfort." c. "I will return shortly to give you a pain medication. Is there anything else that you need?" d. "I will roll your bed down and place a pillow between your legs."

D

When a group leader encourages the group members to express their feelings about one another with the stipulation that any concerns the group may have about an individual member or suggestions for future growth should be stated in a constructive way and the group leader summarizes goal achievement, the group has reached which phase of group development? a. Formative phase b. Engagement c. Active intervention d. Termination

D

When a night shift nurse completes a shift, she gives a report about her clients to the oncoming day shift nurse. When beginning the report, the night shift nurse introduces herself and states her role, states the client's name, identifiers, age, sex, and location. Which of the following should the nurse do next? a. State critical lab reports, allergies, and alerts b. List current medications and client's family history c. Talk about any anticipated changes in the plan of care d. Relate client's chief complaint, vital signs, symptoms, and diagnosis

B

When admitting a client to the medical-surgical unit, the nurse asks the client about cultural issues. The nurse is demonstrating use of the concept of a. person. b. environment. c. health. d. nursing.

A

When admitting an adolescent to a hospital unit, the nurse knows she should keep in mind which of the following? a. The nurse should use the "three wishes" question to assess cognitive level. b. When a teen asks a direct question, the teen does not really want the answer. c. Teens recognize that life is a roller-coaster ride with ups and downs. d. Teens are able to self-assess competency.

C

When assessing a 5-year-old Asian client in the emergency department, the nurse observes welts on the client's body. The nurse's first course of action should be to a. report child abuse to the authorities. b. consult a traditional healer. c. question the family about cultural practices. d. ignore it because it is an imbalance between "yin and yang."

A

When assessing a child's reaction to illness, it is important for the nurse to a. observe the interaction between parent and child. b. recognize that chronological age matches cognitive level. c. realize that children are more comfortable with female health care providers. d. recognize that the child's behavior will be age appropriate.

D

When assessing an older adult client, the nurse recognizes the client has a significant hearing loss. The most appropriate intervention by the nurse is to a. introduce herself first. b. shout into the client's good ear. c. repeat words the client doesn't understand. d. check the hearing aid batteries.

C

When attempting to communicate a procedure to a Spanish-speaking client, a strategy that the nurse could use to facilitate understanding would be a. speak distinctly while exaggerating words. b. attempt to use sign language. c. use pictographs. d. explain what is happening in complex terms.

B

When caring for a hearing-impaired client, the nurse should a. face the interpreter when speaking to the client. b. use gestures that reinforce verbal content. c. speak distinctly while exaggerating words. d. communicate in a dimly-lit room.

D

When caring for a hospitalized client, the nurse demonstrates effective communication when a. presenting several ideas at a time. b. using vocabulary that is unfamiliar to the client. c. stating key ideas only once. d. putting ideas in a logical sequence of related material.

C

When caring for a preschooler, the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification, leading to a misunderstanding of messages. The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development? a. Concrete operations b. Formal operations c. Preoperational d. Sensorimotor

D

When caring for an older adult client who is experiencing memory loss, the nurse notes that the client emotionally overreacts to situations, appearing as if having temper tantrums when responding to real or perceived frustration. The nurse recognizes the client is experiencing a catastrophic reaction. When caring for this client, the nurse should a. attempt to keep the client awake for extended periods of time. b. demand the client stop demonstrating inappropriate behavior. c. increase the client's environmental stimuli. d. use distraction to move the client away from the offending environmental stimuli.

B

When caring for the client with macular degeneration, the nurse should a. face the client directly. b. stand to the client's side. c. hold the client's arm when walking. d. refrain from touching the client.

D

When communicating with a client diagnosed with a serious mental disorder, it is important for the nurse to recognize which of the following? a. Clients with mental disorders never have intact sensory channels b. Clients with a 'flat affect' are easier to understand c. Clients with mental disorders are always very talkative d. Clients with mental disorders may suffer from social isolation and impaired coping

D

When communicating with a client from Thailand who speaks limited English, the nurse should a. use technical jargon and complex sentences. b. recognize nodding as an indicator the client agrees with what the nurse is saying. c. speak quickly and concisely, using complex words. d. provide advice in a matter-of-fact, concise manner.

D

When communicating with a client's physician, the nurse suggests ordering a STAT chest x-ray for a client who is experiencing dyspnea. This is an example of which component of the SBAR format for communicating with the client's physician? a. Situation b. Assessment c. Background d. Recommendation

B

When communicating with a client, the nurse recognizes that a barrier to effective communication is a. cultural sensitivity. b. thinking ahead to the next question. c. completion of physical care in a nonhurried manner. d. focusing on the current questions asked by the client.

B

When communicating with a client, which of the following best demonstrates the use of nonverbal communication? a. Ignoring nonverbal cues b. Holding the client's hand c. Conversing with the client d. Using incongruent nonverbal behaviors

A

When communicating with a preschooler who is admitted to the hospital for a fractured arm, which is the best method for the nurse to describe the preschooler's impending surgery? a. Encourage the preschooler to put a bandage on a teddy bear's arm. b. Explain what surgery will be like, using abstract terminology. c. Explain to the preschooler how long the surgery will take and that it will be done by noon. d. Inform the preschooler that fixing the fractured arm will make it possible to play sports in the future.

D

When communicating with clients, the nurse actively uses listening responses. Which of the following types of listening response should the nurse use? a. Moralizing b. Giving advice c. False reassurance d. Paraphrasing

C

When communicating with hospitalized infants and toddlers, the nurse knows a. she should use long sentences with soothing words. b. she cannot communicate with a preverbal infant. c. moving to the child's eye level and maintaining eye contact are important. d. she should pick up an 18-month-old infant immediately.

A

When communicating with older adult clients, the nurse recognizes that a. hearing problems can diminish an older person's ability to interact with others. b. hearing loss associated with normal aging begins after age 40 years. c. older adults who experience hearing loss initially cannot hear lower-frequency sounds of vowels. d. older adults distinguish sounds better against background noises.

D

When conducting an in-service on serious medical errors, the nurse teaches that nearly 70% of sentinel events are related to a. lack of education. b. inadequate resources. c. minimal rest periods. d. miscommunication.

A

When directing the behavior of clients, it is important for the nurse to a. understand the dimensions of self-concept. b. become personally involved with each client. c. learn to control one's feelings. d. offer limited guidance and support.

A,C,D,E

When educating staff about how to reduce errors and increase safety, the nurse manager emphasizes the importance of communication that is (Select all that apply.) a. clear. b. vague. c. timely. d. accurate. e. unambiguous

D

When members of a group experience controversy, conflict, and disagreements, the nurse leading the group recognizes the importance of a. encouraging member contributions and emphasizing cooperation in recognizing each person's talents related to group goals. b. focusing on working together and participating in another person's personal growth. c. having members introduce themselves and share a little of their background or their reason for coming to the group. d. accepting differences in member perceptions as being normal and growth producing.

D

When performing a mental status examination on an older adult client, the nurse discovers that the client is illiterate and only has a third-grade education. How should the nurse assess the client's cognition? a. Have the client spell the word "world" backwards. b. Have the client spell the word "world" forwards. c. Ask the client to perform serial 7s. d. Instruct the client to state the days of the week backwards.

D

When performing a newborn bath demonstration for the mother of a Native American infant, the nurse should a. maintain constant eye contact with the mother. b. anticipate answering many of the mother's questions. c. ask the mother to stand next to the nurse. d. deliver verbal instructions in a story-telling format.

D

When practicing cultural awareness, the nurse recognizes that cultural patterns a. are socially transmitted through ethnic groups. b. are nonessential parts of personal identity. c. are minor determinants of health-related attitudes. d. are important determinants of health-related beliefs.

A,B,C,E,F

When practicing effective and correct communication, the nurse should (Select all that apply.) a. speak in a clear voice. b. be concise when providing client education. c. be concrete when communicating with clients. d. focus entirely on abstract communication techniques with clients. e. ensure that communication with clients is complete. f. provide courteous communication when interacting with clients.

B

When setting goals with a client, the nurse demonstrates which step of the nursing process? a. Assessment b. Planning c. Implementation d. Evaluation

D

When teaching a client how to administer insulin, the nurse recognizes that the best method of communicating therapeutically with the client is to a. talk to the client in the visitors' lounge. b. talk to the client within his personal space. c. communicate with the client using touch. d. face the client while leaning slightly forward.

D

When therapeutically communicating with a client who has just found out he is HIV- positive, the nurse should focus on a. professional needs. b. an unlimited time frame for communication. c. verbal communication only between the client and the nurse. d. achieving identified health-related goals.

B

When using the acronym "I PASS the BATON," the nurse demonstrates understanding by beginning with an introduction; then stating the client's name, identifiers, age, sex, and location; then discussing the assessment of the client; and then talking about a. safety concerns related to the client. b. the situation, including current status. c. a summary of the client's medications. d. a synopsis of the client's psychosocial needs.

D

When visiting a client in his or her home, the home health nurse notes that the client frequently shifts the conversation to reminisce. Which of the following communication techniques would be most effective for the nurse to use with this client? a. Restating b. Changing the subject c. Providing information d. Asking about the client's life history

C

When working on a nursing unit, the nurse recognizes that incomplete communication errors most often occur during a. staff meetings. b. the night shift. c. a handoff procedure. d. medication administration.

C

When your are administering medications to a client with human immunodeficiency virus (HIV), the client states, "I should just stop taking them and get it over with." A therapeutic response by the nurse would be a. "You have to take these! If you stop you will get very sick." b. "You're just feeling depressed right now. You'll feel better later." c. " Tell me more about what you're feeling." d. "You have the right to refuse treatment."

A

Which of the following best describes cultural diversity? a. Encompasses variations between cultural groups b. A smaller group of people living within the dominant culture who have adopted a cultural lifestyle distinct from that of the mainstream population c. Groups in which members share a cultural heritage from one generation to another d. Heterogeneous society in which diverse cultural worldviews can coexist

D

Which of the following best describes the critical thinking skills of a novice nurse and an expert nurse? a. The expert nurse is able to diagnose faster than the novice nurse. b. The expert nurse does not need to question and reassess like the novice nurse. c. The novice nurse uses past knowledge, whereas the expert nurse stays in the here and now. d. The expert nurse organizes data more efficiently than the novice nurse.

A

Which of the following clients with a communication deficit requires the use of touch during a therapeutic encounter? a. Vision-impaired client b. Client with a hearing loss c. Mentally ill client d. Client with schizophrenia

A

Which of the following demonstrates the use of the caring process? a. Respecting the uniqueness of every client b. Problem solving for the client c. Performing tasks for the client d. Communicating expectations of the health care team

B

Which of the following describes caring? a. It is difficult to demonstrate professionally. b. It is an ethical responsibility. c. It is an intuitive process. d. It is not influenced by past experience.

C

Which of the following examples indicates adherence to client confidentiality? a. Talking about the client's symptoms in front of family members b. Using the client's name in a social conversation c. Sharing client information with other members of the health care team as needed d. Reading a friend's chart on another hospital unit

A

Which of the following is a barrier to communication? a. Intrusion into personal space b. Unconditional acceptance c. Self-awareness d. Gender differences

B

Which of the following is a characteristic of a secondary group? a. There is not a designated leader. b. They have a prescribed structure. c. They lack identified specific goals. d. The group remains together even when goals are achieved.

D

Which of the following is a violation of client confidentiality? a. Sharing of information about a communicable disease b. Stating client's diagnosis during change of shift report c. Photographing a client's wound to monitor the healing process d. Discussing private information about the client casually with others

D

Which of the following is a violation of client confidentiality? Reporting a. certain communicable diseases. b. child abuse. c. gunshot wounds. d. client data to a colleague in a nonprofessional setting.

B

Which of the following is the best questioning sequence during a client interview in which the client is communicative and not in an emergency situation? a. Begin with focused questions and proceed to open-ended questions. b. Begin with open-ended questions and proceed to focused questions. c. Begin with closed questions and proceed to open-ended questions. d. Begin with open-ended questions and proceed to closed questions.

D

Which of the following is true about trust? a. The sender feels it. b. It is difficult to demonstrate professionally. c. It is an intuitive process. d. The trusting client feels comfortable revealing needs.

B

Which of the following is true in relation to communication deficits? a. Communication deficits occur only as a result of physical disabilities. b. Communication deficits can arise from sensory deprivation. c. Individuals who are equally impaired are equally disabled. d. The primary nursing goal is to minimize the client's independence.

A,B,C,D

Which of the following is true in relation to the context of the message? (Select all that apply.) a. It is shaped by the situation in which the interaction occurs. b. Taking time to evaluate the time and space in which the contact takes place allows for flexibility in choosing the appropriate context. c. Communication is shaped by the environment in which it takes place. d. Evaluating the physical setting in which the contact takes place allows for flexibility in choosing the appropriate context. e. The environment has little effect on communication.

D

Which of the following is true in relation to the stress of having an ill child? a. Coping with uncertainty over the outcome is the most stressful factor for parents. b. Factors connected with the child's illness causes more stress than alleviation of the child's pain. c. Uncertainty about a critically ill child's current condition is considered to be a minor source of stress. d. The parents' inability to comfort the child is more stressful than factors connected with the illness.

C

Which of the following is true in relation to the use of humor? a. Humor is most effective when building rapport. b. Humor should focus on the client's personal characteristics. c. Humor and laughter have healing purposes. d. Humor should dominate the situation.

D

Which of the following is true regarding personal space? a. Individuals living in a Western culture need 40 square feet of personal space. b. Direct eye contact causes a need for less space. c. People need less space when they are anxious. d. The elderly need more control over their personal space.

D

Which of the following messages would validate the worth of the individual? a. The nurse says, "Take that tray to room 6 bed 2." b. "I want to know about your physical symptoms following the chemotherapy." c. "Now dear, we are going to have a nice bath." d. "I would like to meet your family and we could talk to them about your aftercare."

A

Which of the following should be achieved first in establishing the nurse-client relationship? a. Trust b. Empathy c. Mutuality d. Empowerment

B

Which of the following situations is an example of the nurse using empathy? a. Setting up a rehabilitation placement for a client addicted to heroin b. Sitting quietly and holding a client's hand while she cries following the news that she has inoperable cancer c. Giving a bed bath to a client who suffers from a cerebral vascular accident (CVA) d. Telling a client all about the fun night at one of the local clubs

C

Which of the following statements is true about self-esteem? a. It is an objective emotional process. b. Achievements lead to high self-esteem. c. It is the emotional value a person places on his or her self-concept. d. It is a concept that becomes fixed.

C

Which of the following statements is true? a. A Muslim client may refuse to take insulin if it contains beef. b. African American males have a lower chance of developing cancer. c. Hispanic clients make small talk before discussing their health problems. d. Asian clients frequently challenge health care workers.

C

he majority of person-to-person communication is a. verbal. b. process. c. nonverbal. d. content.

B

he nurse knocks on the client's door and waits for the client to answer before entering the room. The nurse is demonstrating a. nonverbal communication skills. b. respect for the client's personal space. c. respect for the client's confidentiality. d. respect for the client's gender difference.

C

he nurse observes a client pacing the floor. The nurse validates an inference when speaking to the client by stating, a. "You are anxious, so let's talk about it." b. "Let's try some deep breathing to help you relax." c. "You seem anxious. Will you tell me what is going on?" d. "Clients who pace usually need to talk to a physician. Should I call yours?"