NUR 300 - Chapter 5

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."

D. "You are having a tough time and you are scared."

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.

D. achieving identified health-related goals

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.

A. administer an analgesic and postpone the interaction

A client is admitted to the hospital for unsteady gait resulting in frequent falls. Which of the following is a circular question that the nurse could ask this client? a. "Tell me more about your falls at home." b. "How will this hospitalization affect your family?" c. "Have you experienced dizziness and imbalance before?" d. "Can you tell me w.hat brought you here?"

B. "How will this hospitalization affect your family?"

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. "You cannot sleep because of the noise level at night?"

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

B. Paraphrasing

The nurse demonstrates understanding of the concept of metacommunication through a. recognizing the impact of communication on others. b. actively listening with good eye contact. c. implementing barriers to effective communication. d. ensuring that verbal and nonverbal messages are incongruent.

B. actively listening with good eye contact

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.

B. begin with open-ended questions and proceed to focused questions

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. thinking ahead to the next question

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.

C. "What impact will these plans have on your life?"

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

C. Acknowledge the question, but explain the time limitations and focus of that particular group

The nurse asks a newly admitted client, "Can you tell me what brought you to the hospital today?" The purpose of an open-ended question is to a. influence the direction of an acceptable response. b. encourage the client to answer the question with a one-word response. c. allow clients latitude in telling their story. d. allow the client to engage in a passive relationship with the nurse.

C. allow clients latitude in telling their story

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.

C. humor and laughter have healing purposes.

When conducting an assessment interview, which of the following is the best communication technique for the nurse to use? a. Ask multiple questions at the same time b. Offer limited time for the client to respond to each question that is asked c. Use short, unambiguous listening responses focused on current health issues and client concerns d. Ensure that all questions are answered immediately in order to avoid the need for related follow-up questions to clarify

C. use short, unambiguous listening responses focused on current health issues and client concerns

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. face the client while leaning slightly forward

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

D. paraphrasing

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.

D. putting ideas in a logical sequence of related material

As the nurse communicates with a client, the feedback provided by the nurse should be a. descriptive, general, and content focused. b. client focused and evaluative. c. well-timed and general. d. specific and focused on observed behavior.

D. specific and focused on observed behavior