Chapter 8 Communication (Book FON)

In which situation would the SBAR technique of communication be most appropriate? a) A nurse is calling a physician to report a client's new onset of chest pain. b) A nurse is facilitating a family meeting to coordinate a client's discharge planning. c) A nurse is explaining the process of bone marrow biopsy to a client who is scheduled for the procedure. d) A nurse is teaching a client about the benefits of smoking cessation and the risks of continuing to smoke.

a) A nurse is calling a physician to report a client's new onset of chest pain.

A nurse is engaged in a nurse-client relationship. Which communication techniques would be important for the nurse to avoid? Select all that apply. a) False reassurance b) Giving advice c) Exploring d) Silence e) Summarizing

a) False reassurance b) Giving advice

A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique? a) Giving false reassurance b) Seeking clarification c) Giving information d) Encouraging elaboration

a) Giving false reassurance

A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario? a) The working phase b) The introduction phase c) The orientation phase d) The termination phase

a) The Working Phase

The nurse must use appropriate interviewing techniques to elicit accurate and complete health information. Which statement is an example of an open-ended question or comment? a) What brought you to the hospital this morning?" b) "Are you having pain right now?" c) "You seem upset today. Are you?" d) "I'll be back in 30 minutes to check on your pain relief."

a) What brought you to the hospital this morning?"

A nurse suspects that a client may have a hearing problem. The nurse should attempt to consult: a) an audiologist. b) an ophthalmologist. c) a clinical psychologist. d) an optometrist.

a) an audiologist.

A nurse has been working on a telemetry unit for 6 months. The nurse arrives at work in the morning and overhears a night shift nurse talking about the new nurse. The night shift nurse is heard saying, "That new nurse is only here to meet a doctor and get married." The best response by the new nurse would be to: a) ask to speak to the night shift nurse in private and explain how the comment made the new nurse feel. b) approach and tell the night shift nurse that the night shift nurse is "out of line." c) ignore the comment and begin the shift. d) call hospital security and ask them to take a report.

a) ask to speak to the night shift nurse in private and explain how the comment made the new nurse feel.

Each of the following facilitates a therapeutic nurse-client relationship except: a) closed-ended questions. b) rephrasing. c) active listening. d) reflection.

a) closed-ended questions.

A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because the nurse has not performed wound care on a complex wound in the past. Using effective intrapersonal communication, this nurse should: a) inform the client that several nurses will be needed to care for this wound. b) tell oneself to "remain calm" and remember that the nurse was trained to perform this skill. c) tell the unlicensed assistive personnel (UAP) to gather supplies and to prepare to cleanse and dress the wound. d) ask the charge nurse to change the assignment.

b) tell oneself to "remain calm" and remember that the nurse was trained to perform this skill.

Paramedics arrive in the emergency department with a client who was in a motor vehicle collision. The paramedic reports that the driver was restrained, the car was traveling about 30 miles per hour (48 km/hr), and the air bags were not deployed. The paramedic continues to report that the car was struck from behind and that all individuals in the car were able to self-extricate. Which statement made by the nurse is verifying the report from the paramedic? a) "Was there any cracking of the windshield?" b)"Were there any fatalities in the other vehicle?" c) "All of the people got themselves out of the car?" d) "Did a police officer take a report at the accident scene?"

c) "All of the people got themselves out of the car?"

A nurse is discussing cataract treatment with a client. Which statement by the nurse would be most therapeutic? a) "You should try laser surgery." b) "Why don't you try laser surgery?" c) "Have you ever thought of laser surgery?" d) "My grandfather also benefited from laser surgery."

c) "Have you ever thought of laser surgery?"

The nurse is conducting an assessment on a client and identifies the need for an interpreter. Which is the best choice for an interpreter?" a) A family member b) A friend who speaks both languages c) A professional interpreter d) A fellow nurse who knows a few words of Spanish

c) A professional interpreter

A nurse touches the client's hand while discussing the client's diagnosis. This action is: a) a dynamic process. b) a translation. c) a communication channel. d) an auditory channel.

c) a communication channel.

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: a) ask questions as quickly as possible. b) use only open-ended questions. c) tell the client to rest and allow a family member to answer. d) allow the client to set the pace.

d) allow the client to set the pace.

A nurse is preparing to provide discharge instructions to a postpartum client regarding infant care. Before beginning the education session, the nurse should: a) ask the client's partner to leave the room to allow the client to focus. b) ask all visitors to leave the room. c) ask the client if she is able to read. d) eliminate as many distractions as possible.

d) eliminate as many distractions as possible.

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.

What are some things that a Nurse can do in this Situation? A nurse and some residents enter a patients room. They are talking about this patients poor health condition, unsightly appearance, and the foul smell coming from his bedside, in the direct presence of the patient. Without any concern, acknowledgement, or verbal interaction with the patient.

1) Ignore the conversation between the nurse and residents and acknowledge the patient through words or touch. 2) Calmly ask the nurse and residents to leave the room before discussing the patient's condition. 3) Confront the nurse and residents, stating that they need to pay attention to the patient and his psychosocial and emotional well-being.

After the Correction of this Situation A nurse and some residents enter a patients room. They are talking about this patients poor health condition, unsightly appearance, and the foul smell coming from his bedside, in the direct presence of the patient. Without any concern, acknowledgement, or verbal interaction with the patient. What are some Good Outcomes we hope to see?

1) The patient's health care team will act with professionalism. 2) The health care team will demonstrate respect for the patient's human dignity. 3) The health care team will have regard for the whole patient, with attention to spiritual, emotional, and social issues. 4) The health care team will set a good example for others in our expression of caring.

Communication

Is the process of exchanging information and generating and transmitting meanings between two or more people. Essential and Basic Human need. (pg 148)

A nurse enters the client's room and states, "Hello, Mr. Alonso. My name is Anthony Bader. I will be your registered nurse today. I will be providing your nursing care and 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? Intimate phase Orientation phase Working phase Termination phase

Orientation phase

What is this an example of? A nurse and some residents enter a patients room. They are talking about this patients poor health condition, unsightly appearance, and the foul smell coming from his bedside, in the direct presence of the patient. Without any concern, acknowledgement, or verbal interaction with the patient.

Unprofessionalism and lacking in interpersonal communication skills

A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question? a) "I understand you have four kids; how many times have you actually been pregnant?" b) "All right, you have four children, is that correct?" c) "How old are your children?" d) "Were these term births?"

a) "I understand you have four kids; how many times have you actually been pregnant?"

When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive? a) Facial expressions b) Posture c) Hand gestures d) Eye contact

a) Facial expressions

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. a) The nurse maintains eye contact with the client. b) The nurse shows patience with the client and gives the client time to respond. c) The nurse communicates in a busy environment to hold the client's attention. d) The nurse keeps communication simple and concrete. e) The nurse gives lengthy explanations of the care that will be given. f) If there is no response, the nurse does not repeat what is said and takes a break.

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

A nurse is calling a physician to communicate a change in the client's condition. According to the ISBARR format for handoff communication among health care personnel, which is the most appropriate way to begin the conversation? a) "Good morning, I am calling about Mrs. Jones, who is a client of yours." b) "My name is Sue Smith, RN, and I am calling regarding Mrs. Jones in room 356 at Jefferson Hospital." c) "My name is Sue, and I am calling about Mrs. Jones, a client of yours at Jefferson Hospital." d) "I have a client of yours at Jefferson Hospital who is experiencing a change in condition and needs to be seen immediately!"

b) "My name is Sue Smith, RN, and I am calling regarding Mrs. Jones in room 356 at Jefferson Hospital."

A client is scheduled for thoracentesis. The nurse assesses that the client appears anxious about the procedure and needs honest support and reassurance. What is the most appropriate response by the nurse to this client? a) "I will be by your side throughout the procedure; the procedure will be painless if you don't move." b) "The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position." c) "The procedure may take only 2 minutes, so you might get through it by mentally counting up to 120." d) "You may feel very uncomfortable when the needle goes in, but you should breathe rhythmically."

b) "The needle causes discomfort or pain when it goes in, but I will be by your side throughout and will help you hold your position."

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) "It 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."

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? a) "Is your name Evelyn?" b) "Are you in a hospital?" c) "Is today the first day of the month?" d) "What day of the week is it?"

d) "What day of the week is it?"

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? a) Indifference b) Pity c) Sympathy d) Empathy

d) Empathy