Communcation Quizlet

The nurse is reporting to an oncoming nurse about the care of a client using the SBAR format. The nurse informs the oncoming nurse that the client should continue to have neurolgoical checks every 2 hours and the nurse should report any alterations to the health care provider. In which section should this information be relayed? Situation Background Assessment Recommendation

Recommendation

A nurse is asking a colleague about a situation. Which statement demonstrates assertive communication? "Why are you treating me this way?" "You always act like this." "I think there is a better way to handle this." "What is your problem with me?"

"I think there is a better way to handle this."

Mrs. Miller is a 60-year-old woman status post a hip replacement. She has had multiple complications following surgery including a skin infection and a blood clot. As a result, she has been a client on the unit for 6 weeks. The nurse has just returned from vacation and this is her first day caring for Mrs. Miller. A colleagues looks at the nurse and describes Mrs. Miller as "quite difficult to deal with." The nurse knows that all of the following can contribute to difficult behaviors except: a quiet room. language barrier. fatigue. multiple family members in the room.

a quiet room.

nurse is caring for a client admitted to the hospital for dehydration. The physical findings consistent with this diagnosis that the client's general appearance can nonverbally communicate to the nurse include: easy wrinkling of the skin and sunken eyes. slow heart rate and prolonged capillary refill. pallor and diaphoresis. cold intolerance and brittle nails.

easy wrinkling of the skin and sunken eyes.

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

eliminate as many distractions as possible.

A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse should: ask the child's parents to leave the room while the nurse and child talk. involve the child's stuffed animal in the educational session. provide both verbal and written information to the child. show the child the intravenous catheter and explain how it works.

involve the child's stuffed animal in the educational session.

A nurse enters a client's room to complete an admission history. The nurse will convey interest in the client's story if the nurse: stands at the foot of the bed and maintains constant eye contact. sits at the client's bedside and faces the client. asks all visitors to leave the room. holds the medical record while sitting at the bedside and crossing the legs.

sits at the client's bedside and faces the client.

A client arrives at the emergency department after experiencing several black, tarry stools. The nurse should assess for the cause of the client's complaint by: asking the client to provide a stool specimen for guaiac testing. asking the client whether the client has recently taken ferrous sulfate (iron) or bismuth subsalicylate. determining whether the client has any food or drug allergies. insisting that the client not eat or drink anything until further instructed.

asking the client whether the client has recently taken ferrous sulfate (iron) or bismuth subsalicylate.

A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication? Assess how the client would like to communicate Use facial and hand gestures Contact a person skilled in sign language Provide paper and pencil for written communication

Assess how the client would like to communicate

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? Restating Clarification Reflection Encouraging elaboration

Encouraging elaboration

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

Orientation phase

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

allow the client to set the pace.

A nurse is caring for a client experiencing biliary colic from uncomplicated cholelithiasis. The client asks, "My doctor says I should have surgery to remove my gallbladder. Do you think it is really necessary?" What is the nurse's best response? "You should follow your physician's recommendation and have the surgery." "When you see the physician this morning, request more information about the surgery." "It is a minimally invasive surgery with rapid recovery time, so you will do fine." "Share with me the advantages and disadvantages of your options as you see them."

"Share with me the advantages and disadvantages of your options as you see them."

A client has just been given a diagnosis of cirrhosis of the liver. Which statements by the nurse should be avoided because they could impede communication? Select all that apply. "Cheer up. Tomorrow is another day." "Your doctor knows best." "That's a lot of information to take in. Would you like to talk about it?" "Don't worry. You will be just fine in another day or two." "Everything will be all right."

"That's a lot of information to take in. Would you like to talk about it?"

A client reports to the primary health care facility reporting chest pain. After the investigations and initial treatment, the client anxiously inquires if he had a heart attack. What should be the nurse's reply? "The physician wants to monitor you and control your pain." "Yes, you had a heart attack; this is why you are here with us." "Yes, you had a heart attack, but the damage is very minimal." "No; we can assure you that you will not have a heart attack."

"The physician wants to monitor you and control your pain."

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

"What day of the week is it?"

The nurse is performing an admission interview with a new client diagnosed with acute coronary syndrome. For the nurse to obtain information and allow the client free verbalization, which question would elicit the most information? "Have you ever had chest pain prior to this admission?" "Could you tell me more about how you are feeling right now?" "I have had chest pain before, and it is really scary!" "Did you take any medication when you had the pain?"

"Could you tell me more about how you are feeling right now?"

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

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

Which is a skill appropriate to use in therapeutic communication? Control the tone of the voice to avoid hidden messages. Avoid the use of periods of silence. Use cliches to enhance a client's understanding of information. Be precise and inflexible regarding the intent of the conversation.

Control the tone of the voice to avoid hidden messages.

The nurse and the physical therapist discuss the therapy schedule and goals for a client on a rehabilitation unit. What type of communication is occurring between the nurse and the therapist? Interpersonal Intrapersonal Small-group Organizational

Interpersonal

A home care nurse discusses with a client when visits will occur and how long they will last. In what phase of the nurse-client relationship is this type of agreement established? Orientation phase Working phase Termination phase Evaluation phase

Orientation phase

The nurse makes a contract with the client during which phase of the nurse-client relationship? Intimate phase Orientation phase Working phase Termination phase

Orientation phase

A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be: aggressive. assertive. passive. nurturing.

aggressive

A client arrives at a crisis center in a state of bipolar mania. The client has a flight of ideas and it is difficult for the nurse to obtain an adequate intake assessment. Which statement or question will elicit the most specific information? "Describe why people in glass houses should not throw stones." "Tell me about a time in your life when you were happy." "What do believe caused this current manic episode?" "Are you allergic to any medications?"

"Are you allergic to any medications?"

The nurse is collecting health data and avoids using closed-ended questions. Which are examples of closed-ended questions? Select all that apply. "Are you ready to get out of bed?" "What sorts of things do you do for fun?" "What plans do you have after you are discharged?" "Do you smoke cigarettes?" "Is there any chance you might be pregnant?" "Does it hurt when I touch you here?"

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

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

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

The nurse is caring for a client who is a victim of sexual assault. Which action would the nurse take to develop a trusting rapport with the client? Approach the client with empathy and understanding and allow the client to share feelings without being judged. Exhibit a professional demeanor while examining the client and obtaining specimens, asking questions that are not intrusive. Practice active listening by allowing the client to express fears and concerns then restating in the nurse's own words to demonstrate understanding. Use strategic pauses to allow the client to provide information that will be used to help officials in their investigation.

Approach the client with empathy and understanding and allow the client to share feelings without being judged.

A client reports to a primary health care provider with aggravated chest pain. The health care provider prescribes a stress test. The client tells the nurse about not wanting to take the test and wanting to continue taking medication for now. Understanding that the client is anxious, which action should the nurse take first to provide education needed for this client? Instruct the client to find information about the test online. Ask the client "What has your health care provider shared with you about stress tests?" Provide the client with an educational booklet about stress tests. Tell the client about the stress test procedure.

Ask the client "What has your health care provider shared with you about stress tests?"

A client, who was recently diagnosed with diabetes, has been coming to the emergency room every day for hyperglycemia. The client reports not being able to self-administer insulin injections. What strategy would best educate the client and improve the client's ability to self-administer insulin? Explain the importance of being able to control blood glucose levels with the injections. Demonstrate the proper method and have the client mimic the demonstration. Offer encouragement to boost the client's self-confidence. Refer to client to a diabetes educator and nutritionist.

Demonstrate the proper method and have the client mimic the demonstration.

A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting? Sympathy Curiosity Empathy Humility

Empathy

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? Indifference Pity Sympathy Empathy

Empathy

A nurse is experiencing difficulty obtaining the client's cooperation in performing exercises after surgery. Which would be the best method for the nurse to obtain the client's cooperation? Request another nurse talk with the client. Explain the purpose and benefit of the postsurgical exercises. Ask the family to perform the exercises for the client. Advise the client noncompliance will be reported to the health care provider.

Explain the purpose and benefit of the postsurgical exercises.

It is important for the nurse to empathize with the client to develop a positive, therapeutic relationship. What is a characteristic of empathy? Identifying with the client's feelings Experiencing feelings similar to those of the client Conveying genuine care to the client Caring for the client without negative judgment

Identifying with the client's feelings

A nurse gives a speech on nutrition to a group of pregnant women. Within the model of the communication process, what is the speech itself known as?

Message

A nurse is caring for a client who sustained head trauma. The client is in a medically induced coma and on mechanical ventilation. The client's parent is at the bedside in tears. The parent states, "I just want my child to know I am here." To address the needs of the parent and the client, what would be the nurse's most appropriate response? Place a chair next to the bed and encourage the parent to hold the client's hand. Place the client's hand on the parent's hand and reassure the parent that things will be fine. Place a chair next to the bed and then leave the room to allow the parent to grieve. Encourage the parent to bring in pictures of the family that can be displayed in the room.

Place a chair next to the bed and encourage the parent to hold the client's hand.

A nurse is caring for a client in a semi-private room. How will the nurse prepare a private environment to discuss the client's plan of treatment? Direct the client in the other bed to walk in the hallway. Ask all visitors to leave the room. Pull the curtain dividing the two beds. Bring the client into the hallway to discuss the treatment plan.

Pull the curtain dividing the two beds.

A nurse administers pain medication to a client. Which action should the nurse take to facilitate trust? Allow the client to vent about the pain. Share with the client a time the nurse was in pain. Return in 30 minutes for follow-up per previous communication with the client. Report pain medication administration to the nurse on the oncoming shift.

Return in 30 minutes for follow-up per previous communication with the client.

The client recently immigrated from Mumbai, India. The client was just admitted to the nurse's unit postoperatively following gallstone removal. The client does not speak the dominant language. When using the hospital's interpretive services, which is most important? Speak directly to the client. Ensure that family members are present. Give all of the discharge instructions at once. Have the interpreter write out all of the information listed in the unit brochure.

Speak directly to the client.

A registered nurse (RN) working with an experienced licensed practical/vocational nurse (LPN/LVN) delegates the task of administering oral medications to a group of clients. The LPN/LVN documents a client's medication administration before entering the client's room. What action will the LPN/LVN anticipate? The RN will check all client's medication records to make sure the appropriate drugs were given. The RN will stop the LPN/LVN immediately and discuss the possible consequences of this action. The RN will contact the nurse manager to discuss the actions of the LPN/LVN. The RN will continue to supervise the LPN/LVN as medications are being administered.

The RN will stop the LPN/LVN immediately and discuss the possible consequences of this action.

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? The working phase The introduction phase The orientation phase The termination phase

The working phase

A nurse is on lunch break in the hospital cafeteria and sits at a table near a group of physicians eating their lunch. One of the physicians, who is in charge of the nurse's clients, points at the nurse and states, "That guy needs to get fired." The best response by the nurse would be to: call the nursing supervisor to address the situation at hand. ask to speak to the physician in private and address the disrespectful remark. return to the nurse's home unit and ask to meet with the charge nurse. write a written account of what transpired and contact an attorney.

ask to speak to the physician in private and address the disrespectful remark.

An evening shift nurse is caring for a client scheduled for a colon resection in the morning. The client tells the nurse that the client is afraid of waking up during surgery. The best response by the nurse is to: look directly at the client and state, "You are afraid of waking up during surgery." ask the surgeon to come to the bedside to reassure the client. state "everyone is afraid of that." ask why the client thinks the client will wake up during surgery.

ask why the client thinks the client will wake up during surgery.

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

medical terminology.

A male client has always prided himself in maintaining good health and is consequently shocked at his recent diagnosis of diabetes. The nurse has asked the client, "How do you think your diabetes is going to affect your lifestyle?" The nurse has utilized which of the following interviewing techniques? open-ended question validating question closed question reflective question

open-ended question

A nurse is caring for a client who presents with a skin infection. While obtaining the client's medical history, it is determined that the client is an intravenous drug user. To foster effective communication, the nurse should: ask the client for a urine specimen for urine drug use screening. consult with the social worker regarding inpatient drug rehabilitation. ask if the client realizes the infection is a direct result of the drug use. remain honest, open, and frank.

remain honest, open, and frank.

A nurse is at the end of a busy shift on a medical-surgical unit. The nurse enters a room to empty the client's urinary catheter and the client says, "I feel like you ignored me today." In response to the statement, the nurse should: sit at the bedside and allow the client to explain the statement. smile at the client and apologize. ignore the statement and empty the urinary catheter. inform the client that the unit was very busy that day.

sit at the bedside and allow the client to explain the statement.

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: inform the client that several nurses will be needed to care for this wound. tell oneself to "remain calm" and remember that the nurse was trained to perform this skill. tell the unlicensed assistive personnel (UAP) to gather supplies and to prepare to cleanse and dress the wound. ask the charge nurse to change the assignment.

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