Prep U Chapter 8 Communicator

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 nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer's.

A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy?

I see you are upset.. Would you like to talk?

A nurse is communicating the plan of care to a client who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply.

The nurse maintains eye contact with the client. The nurse keeps communication simple and concrete. The nurse shows patience with the client and gives the client time to respond.

A nurse suspects that a client may have a hearing problem. The nurse should attempt to consult:

an audiologist

A nurse is completing a health history with a newly admitted client. During the interview, the client presents with an angry affect and states, "If my doctor did a good job, I would not be here right now!" What is the nurse's best response?

be silent and allow the patient to continue speaking when ready

Each of the following facilitates a therapeutic nurse-client relationship except:

closed ended questions

During an assessment of a newly admitted client the nurse asks the client many questions. The nurse begins the assessment by asking, "How many times have you been hospitalized this year for your back pain?" This is an example of which type of question?

closed question

A nurse touches the client's hand while discussing the client's diagnosis. This action is:

communication channel

The client is an 18-month-old in the pediatric intensive care unit. The client is scheduled to have a subgaleal shunt placed tomorrow, and the client's mother is quite nervous about the procedure. The nurse tells the client's mother, "The surgeon has done this a million times. Your son will be fine." This is an example of what type of nontherapeutic communication?

false reassurance

A nurse is caring for a client with depression. The nurse finds that the client is withdrawn and does not communicate with others. What is the most appropriate response by the nurse?

is that a new shirt you're wearing?

When communicating with clients, nurses need to be very careful in their approach. This is particularly true when communicating using:

medical terminology

A client with a cardiac dysrhythmia was recently prescribed metoprolol and is at a follow-up appointment at the cardiologist's office. The client tells the nurse, "I feel depressed, tired, and I have no desire to exercise." To determine a cause-and-effect relationship, the nurse should ask:

were you tired and depressed before starting the new medication?

The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that apply.

"Do you smoke cigarettes?" "Does it hurt when I touch you here?" "Are you ready to get out of bed?" "Is there any chance you might be pregnant?"

For which purposes would observing silence be appropriate? Select all that apply.

*To allow the client time to reflect on the client's thoughts *To allow the client time to reflect on communication that has occurred *To allow the client time to formulate an answer after asking the client a question *To allow the client time to compose oneself when the client is upset

Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached?

Empathy

A nurse finds that a client has infiltration around the IV line that needs to be removed. What explanation should the nurse give to reduce the client's anxiety?

I know that you are anxious, but removal will be painless and IV location needs to be changed

A nurse is asking a colleague about a situation. Which statement demonstrates assertive communication?

I think there is a better way to handle this

A client is diagnosed with diabetes. The client's adult child offers to serve as an interpreter, because the client does not speak the dominant language. Which is the best action for the nurse to take?

contact a professional interpeter

Which statement accurately describes the concept of feedback as it pertains to the process of communication?

The sender and the receiver use one another's reactions to produce further messages.

When the preoperative client tells the nurse that the client cannot sleep because the client keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is:

The thought of surgery is keeping you awake

A 70-year-old client had a cholecystectomy 4 days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask to assess the client's orientation?

What day of the week is it?

A nurse is attempting to complete an admission database. While taking the history, the nurse notices the client appears uncomfortable and slightly tachypneic. The nurse should:

allow the client to set the pace

A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation?

empathy

The nurse is visiting a hospice client in the client's home. The client is explaining difficulties with a home infusion pump. By making statements such as "I see" and "go on" during the conversation, the nurse is using which therapeutic nurse-client communication technique?

encourage elaboration

The nurse makes a contract with the client during which phase of the nurse-client relationship?

orientation phase

When caring for a psychiatric client, a nurse would make a formal contract with the client during which phase of the nurse-client relationship?

orientation phase

Which is an open ended question?

why did the health care provider prescribe this medication for you?

During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is:

why did you physician send you here to be admitted

Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship?

working phase