Chapter 14

The nurse is providing education to a client who sometimes has difficulty remembering information. Which form of communication will be most helpful for this client? A) Verbal communication B) Meta-communication C) Nonverbal communication D) Written communication

D) Written communication

The student nurse is practicing communication skills by talking with several different clients in the hospital. In which instances would silence be appropriate? *Select all that apply.* A) Allowing the client time to reflect on his thoughts B) Reflecting on the communication that has occurred C) After asking the client a question D) When the client is upset and needs time to compose himself E) When the nurse doesn't know the answer to a question

A) Allowing the client time to reflect on his thoughts B) Reflecting on the communication that has occurred C) After asking the client a question D) When the client is upset and needs time to compose himself

A nurse communicating with a client states, "I will be changing your dressing." The nurse is wearing sterile gloves and a mask. The nurse is conveying a(an): A) congruent relationship. B) incongruent relationship. C) nontherapeutic relationship. D) functional focus.

A) congruent relationship.

In the provision of care and the establishment of the therapeutic relationship, the nurse must first: A) understand the client's response. B) be aware of one's own personality. C) avoid labeling clients. D) treat the client with dignity.

B) be aware of one's own personality.

While communicating with a patient who is hearing impaired, the nurse must take into account that the impairment serves as a A) handicap. B) filter. C) blocker. D) receptor.

B) filter.

When caring for a client, nursing care will be most effective when the nurse- client communication is based upon: A) similar personality traits. B) compatible realities. C) common understanding. D) similar values.

C) common understanding.

A nurse touches the client's hand while discussing the client's diagnosis. This action is a(an): A) dynamic process. B) translation. C) communication channel. D) auditory channel.

C) communication channel.

The client responds to the nurse's questions by stating in a loud and abrupt tone, "Yes, I understand my diabetic diet and how to give my insulin." What type of message has the client sent to the nurse? A) Inconclusive B) Precise C) Clear D) Incongruent

D) Incongruent

An older adult client who has had a colostomy for over 10 years states, "I won't need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I'm not sure how to best clean my stoma." What does this statement indicate? A) An incongruent relationship B) A confused relationship C) A nontherapeutic relationship D) An evaluative relationship

A) An incongruent relationship

The community health nurse is preparing a campaign to educate the public about heart health. Which forms of verbal communication will be effective? *Select all that apply* A) Television B) Radio C) Posters D) Voice tone E) Brochures

A) Television B) Radio C) Posters E) Brochures

The 32-year-old client in a mental health unit discusses his personal thoughts and feelings with the nurse. The nurse is maintaining the circle of confidentiality by reporting this information to which individuals? *Select all that apply.* A) The client's physician B) The client's family C) The nurse from the oncoming shift D) The unit's mental health technicians E) The client's closest friend

A) The client's physician C) The nurse from the oncoming shift D) The unit's mental health technicians

A nurse is interviewing a client for the establishment of long-term care insurance. During the interview, the nurse asks questions regarding the client's past medical history. The nurse is the: A) sender. B) target. C) receiver. D) decoder.

A) sender.

The nurse completes the admission process of a client to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing? A) "You have been having a great deal of fatigue for the last 3 months." B) "You are hoping to figure out the cause of your extreme fatigue during this hospital stay." C) "You are frustrated because you are too tired to perform normal activities." D) "You are unsure of what helps or prevents your fatigue."

B) "You are hoping to figure out the cause of your extreme fatigue during this hospital stay."

The nurse caring for a client with a recent head injury asks the client to raise the left arm as high as possible. The client repeatedly raises the right arm. What does this indicate? A) Difficulty with providing feedback B) Difficulty with decoding messages C) Difficulty with compliance D) Difficulty with following commands

B) Difficulty with decoding messages

The mother of a toddler is deciding if she wants to allow her child to receive the recommended immunizations. The clinic nurse responds, "If you don't immunize your child, you are jeopardizing the health of other children." What type of approach does this response indicate? A) Authoritarian or belittling B) Guilt inducement or approval/disapproval C) Advocacy or enforcing rights D) Dictatorial or bossing

B) Guilt inducement or approval/disapproval

A nurse enters the client's room and introduces himself stating, "Hello, Mr. Alonso. My name is Anthony Bader. I will be your registered nurse today. I will be providing your nursing care, and I will be with you until 3:30 PM. If you need anything, please call me on my phone or put your light on." The nurse then gives the client a printed card with this information. In the helping relationship, which phase does this represent? A) Intimate phase B) Orientation phase C) Working phase D) Termination phase

B) Orientation phase

When caring for a psychiatric client, a formal contract is made with the client during which phase of the nurse-client relationship? A) Intimate phase B) Orientation phase C) Working phase D) Termination phase

B) Orientation phase

When the nurse communicates with a newly admitted client, the nurse must pay particular attention to nonverbal behaviors. The nurse considers which characteristic as nonverbal communication? A) The client's accent B) The client's tone of voice C) The client's religious practices D) The client's ethnicity

B) The client's tone of voice

Care provided to a client following surgery and until discharge represents which phase of the helping relationship? A) Orientation phase B) Working phase C) Termination phase D) Evaluation phase

B) Working phase

When documenting client care, the nurse understands that the most important reason for correct and accurate documentation is: A) legal representation to care. B) conveying information. C) assisting in organization of care. D) noting the client's response to interventions.

B) conveying information.

Communication is the: A) essence of nursing. B) heart of nursing. C) core of nursing. D) integral part of nursing.

B) heart of nursing.

The client is talking to the nurse about recent health problems of immediate family members and the strain the client has been under trying to care for them. The client begins to cry between sentences. What response by the nurse demonstrates the most empathy? A) "I know how you feel. I was the primary caregiver for my father when he was dying." B) "It's okay to cry. Sometimes that helps us to feel better." C) "Just take your time. I am listening." D) "It is difficult when family members are ill. It helps if you take some time for yourself."

C) "Just take your time. I am listening."

The nurse is communicating with a client following a routine physical examination. Which statement best demonstrates summarization of the appointment? A) "I think all went well with your physical, don't you?" B) "Do you have any questions about all that was discussed during the exam?" C) "We reviewed your plans for your new diet and medications. Do you have any other questions?" D) "Will we see you in 6 months to see how your diet has progressed?"

C) "We reviewed your plans for your new diet and medications. Do you have any other questions?"

The student nurse is studying the concepts of communication. Which description demonstrates the student understands the concept of feedback? A) The sender sends a clear message that is understood by the receiver. B) The receiver listens to the sender in an unassuming way. C) The sender and the receiver use one another's reactions to produce further messages. D) The sender's message is translated into a code, using verbal and nonverbal communication.

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

During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. This use of communication is considered: A) consistent. B) verbal. C) nonverbal. D) clarifying.

C) nonverbal.

The nurse is talking with a client who is thinking about obtaining a second opinion regarding the surgeon's recommendation for surgery. Which response by the nurse is considered an advocacy response? A) "You have one of the best surgeons in the area. I think it would be a waste of time to seek another opinion." B) "Your surgeon has always given you the best care and is genuinely concerned with your health." C) "You can do what you want, but I would get the surgery done as soon as possible." D) "Let us know if we can answer any further questions after you obtain your second opinion."

D) "Let us know if we can answer any further questions after you obtain your second opinion."

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: A) "Sounds as if your surgery is a pretty scary procedure." B) "You have a great surgeon. You have nothing to worry about." C) "You shouldn't be nervous. We perform this procedure every day." D) "The thought of having surgery is keeping you awake."

D) "The thought of having surgery is keeping you awake."

In order to provide effective nursing care, the nurse should engage in what type of communication with the client and significant others? A) Purposive communication B) Intrapersonal communication C) Meta-communication D) Therapeutic communication

D) Therapeutic communication

The term metacommunication is best defined as: A) congruent relationships in the spoken topics. B) documenting a conversation between the client and nurse. C) contextual factors that impede communication patterns. D) interpersonal bridge between verbal and nonverbal communication.

D) interpersonal bridge between verbal and nonverbal communication.

When communicating with clients, nurses need to be very careful in their approach. This is particularly true when communicating using: A) written material. B) audio-visual material. C) demonstration. D) medical terminology.

D) medical terminology.