NMNC 1135 Exam One Questions

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

B

A nurse is caring for a patient in a healthcare setting and is about to perform a routine hand hygiene procedure after leaving a contact precaution room. Which action by the nurse is the most appropriate according to infection control guidelines. A. Wash hands with soap and water with vigorous scrubbing for at least 20 seconds. B. Apply an alcohol-based hand sanitizer and rub hands together until dry C. Use a pre-moistened antiseptic wipe for hand cleaning D. Skip hand hygiene since the nurse's hands are not visibly soiled

A

A nurse is preparing to contact a patient's physician about a change in the patient's condition. Put the following in the correct order using SBARR communication. 1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on levofloxacin at 5 PM yesterday. She states she has poor appetite; her weight has remained stable over the past two days." 2. "The patient reported feeling very nauseated after her dose of levofloxacin an hour ago." 3. "is it possible to make a change in antibiotics, or could we give her a nutritional supplement before her medication." 4. "The patient started to complain of nausea yesterday evening and has vomited several times during the night."

4S 1B 2A 3R

A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching? A. There are times I should use soap and water rather than an alcohol-based rub to clean my hands. B. I will use cold water when I wash my hands to protect my skin from becoming too dry. C. I will apply friction for at least 10 seconds while washing my hands D. After washing my hands, I will dry them from the elbows down.

A

The patient is fearful concerning upcoming surgery. Which statement by the nurse is most therapeutic? A. "Sometimes anxiety is not easy to deal with. Can you tell me what is bothering you the most about your upcoming surgery?" B. "Don't worry. Everyone has some anxiety about having surgery." C. "Just try to think about the positive results from the surgery. You'll recover quickly." D. "I had surgery once, and it still scares me to think about it, so I know how you feel."

A

The patient states, "I don't have confidence in my doctor. She looks so young." What is the correct therapeutic response from the nurse? A. Tell me more about your concern. B. You have nothing to worry about. Your doctor is perfectly competent. C. You are worried about your care? D. You can go online and see how others have rated your doctor. I do that. E. You should ask your doctor to tell you her background.

A

A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the following personal protective equipment (PPE) items should the nurse done prior to providing client care? (Select all that apply.) A. Gown B. Gloves C. Mask D. Hair Cover E. Goggles

A. B.

Therapeutic communication is key to providing the best care possible to your patients. Choose those factors that negatively affect therapeutic communication. (Select all that apply) A. Language Barrier B. Caring Environment C. Lack of trust D. Cultural Differences E. Use of Active listening

A. C. D.

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 though written information

A. C. D.

Regarding a DAR note; which of the following are considered data. (Select all that apply) A. Blood Pressure 134/92 B. Gave Acetaminophen PO 325mg C. Ecchymosis on left forearm D. Massaged the fundus E. Requested speech therapy consult F. Resp 16 G. Provided therapeutic touch H. Pain after analgesic admin 3/10 I. A&O x3 J. patient verbalized understanding

A. C. F. I.

A nurse is caring for a client who reminds her of a negative person in her past. These memories cause the nurse to unconsciously displace negative feelings onto the patient. The nurse should recognize that she is demonstrating which of the following behaviors? A. Suppression B. Countertransference C. Transference D. Assertiveness

B

A nurse manager is addressing the issue of lateral violence among the nursing staff on a medical-surgical unit. Which intervention by the nurse manager is most effective in preventing and managing lateral violence A. Implementing a strict hierarchical structure within the nursing team. B. Conducting periodic team-building workshops and communication training. C. Ignoring the issue to avoid escalation of conflicts. D. Assigning blame to individuals involved in lateral violence incidents.

B

The nurse is talking with the patient about her husbands death 2 years ago. Tears form in the patients eyes, and she stops talking. What is the most appropriate therapeutic response by the nurse? A. Change the subject to something less difficult for the patient B. Remain silent and hold the patients hand C. Leave the room to provide privacy D. Pretend not to notice the tears and continue the conversation

B

A newly hired nurse is working on the nephrology unit. During shift change, the nurse he is receiving report from withheld information regarding medication changes for the following day. What action should the new nurse take first to address this issue? A. Confront the colleague in front of other staff members to bring attention to the behavior B. Document the incidents and report them to the nursing supervisor or manager. C. Engage in similar behavior to establish dominance in the workplace. D. Ignore the colleague's actions and focus on individual tasks.

B Documenting the incidents and reporting them to the nursing supervisor or manager is a proactive step to address the issue of lateral violence. A would only be correct if the colleague was confronted in privately, allowing for a more open and honest discussion without escalating the situation in front of others.

The nurse uses silence as a therapeutic communication technique. What are the purposes of the nurse's silence? (Select all that apply.) A. Allows the nurse time to focus and avoid saying the wrong thing. B. Prompts the patient to when when they are ready. C. Allows the patient time to think and gain insight. D. Allows the patient time to drift off to sleep E. Determines whether the patient would prefer to talk with another staff member.

B. C.

Nurses must communicate effectively with the health care team for which of the following reasons? (Select all that apply.) A. To improve the nurse's status with the health team members B. To reduce the risk of errors to the patients C. To provide an optimum level of patient care D. To improve patient outcomes E. To prevent issues that need to be reported to outside agencies

B. C. D.

The nurse therapeutic responds to an adult patient who is anxious by: (Select all that apply.) A. Matching the rate of speed to be the same as that of the patient B. Providing good eye contact C. Demonstrating a calm presence D. Spending time attentively with the patient E. Assuring the patient that all will be well

B. C. D.

A nurse is caring for a 15-month-old client who requires droplet precautions. Which of the following actions should the nurse take? A. Have the toddler wear a disposable gown when in the unit's playroom B. Wear sterile gloves when changing the toddler's diapers C. Wear a mask when assisting the toddler with meals D. Ask visitors to wear an N-95 mask when entering the toddler's room

C

A nurse is caring for a client who has methicillin-resistance staphylococcus aureus (MRSA). Which of the following precautions should the nurse implement? A. Place a client in a semi-private room B. Wear a mask when providing care C. Wear a gown when in the client's room D. Dispose of all bed linens used by the client

C

A nurse on a medical-surgical unit is washing her hands prior to inserting a foley catheter. Which of the following actions by the nurse demonstrates proper surgical handwashing technique? A. The nurse washes each part of her hands with 5 strokes. B. The nurse washes from the elbow down to the hands. C. The nurse holds her hands higher than her elbows while washing D. The nurse uses minimal friction when washing her hands.

C.

A nurse is receiving report on a client who has Clostridium difficile and is being transferred from another unit. Which of the following precautions should the nurse take. A. Place the client in a negative-airflow room B. Clean the client's room with antibacterial disinfectant C. Wear a mask when entering the clients room D. Perform hand hygiene with nonantimicrobial soap and water after client care. E. Use hand sanitizer after client care.

D

A public health nurse is assisting community leaderships to develop a disaster response plan in the event of an outbreak of a serious communicable disease. When teaching the community leaders about infectious disease, the nurse should explain that a vector is which of the following? A. A microorganism that causes the infection B. An environment where the pathogen can survive. C. A client who is susceptible to the infection D. A mode of transmission for the disease

D

Abdominal surgery has revealed that the patient, a young mother, has advanced metastatic colon cancer. While the nurse is changing her dressing, the patient begins to cry and states, "If I had just gone to the doctor sooner, my kids wouldn't have to grow up without a mother." Which response by the nurse is most therapeutic? A. "It's natural to blame yourself in situations like this." B. "Is their father available to care for the children?" C. "Don't give up. The chemotherapy and radiation might be very effective." D. "You feel that if you had been diagnosed earlier, the situation might be different?"

D

While talking with your female patient, you notice that she is frowning. What is the best way to find out her concerns? A. Ask your patient if she is unhappy B. Tell your patient that everything will be okay C. Ask your patient if she is angry about the care being given D. Identify that you notice the patient is frowning

D