Communication (c. 24)

Which of the following statements by the nurse would be nontherapeutic and tend to block communication? (Select all that apply.) A) "You look sad today." B) "Why are you so nervous?" C) "If I were you, I'd have the surgery." D) "I'm sure the test results will come out fine." E) "Tell me what it's like to live with dizziness."

A) "You look sad today." B) "Why are you so nervous?" C) "If I were you, I'd have the surgery." D) "I'm sure the test results will come out fine."

During the orientation phase of the helping relationship, the nurse might do which of the following? A) Discuss the cards and flowers in the room. B) Work together with the client to establish goals. C) Review the client's history to identify possible health concerns. D) Use therapeutic communication to manage the client's confusion.

A) Discuss the cards and flowers in the room. B) Work together with the client to establish goals. C) Review the client's history to identify possible health concerns.

To facilitate communication with an older adult who is hard of hearing the nurse should: A) Face the client and maintain eye contact. B) Use lengthy explanations to ensure that the message is made clear. C) Cover several topics at one time to be most efficient in communication. D) Help the client by anticipating what he or she is going to say and finishing the client's sentences for him or her.

A) Face the client and maintain eye contact.

The nurse says to the client, "We've talked a lot about your medications, but let's look more closely at the trouble you're having in taking them on time." The nurse is using the therapeutic technique of: A) Focusing B) Clarifying C) Paraphrasing D) Providing information

A) Focusing

The nurse says to the client, "We've talked a lot about your surgery and the implications for you when you go home. Let's discuss some of the exercises you can do." This is an example of: A) Focusing B) Clarifying C) Summarizing D) Providing information

A) Focusing

Which of the following is an example of transpersonal communication? A) Prayer B) Negotiation C) Active listening D) Positive self-talk

A) Prayer

Which of the following are behaviors of active listening? (Select all that apply) A.Maintaining an open posture B. Writing down what the client says so that details are not forgotten C.Establishing and maintaining eye contact D.Nodding in agreement with the client throughout the conversation E.Responding positively when giving feedback

A,C,E

A nurse is bathing an older adult client and says to him, "Turn to your side now honey".The nurse believes she id demonstrating warmth and caring by calling the client "honey".However, the client finds the term offensive. What has caused this mis-communication to occur? A.The connotative meaning of the word is different to the client and the nurse. B.The client was unable to hear the nurses message. C.The nurse's verbal communication was not congruent with her non-verbal communication D.It is not the appropriate time for performing the clients bath.

A.The connotative meaning of the word is different to the client and the nurse.

The nurse tells the client, "I'm not sure I understand what you mean by 'sicker than usual.' What is different now?" The nurse is using the therapeutic technique of: A) Focusing B) Clarifying C) Paraphrasing D) Providing information

B) Clarifying

A nursing student gives herself positive messages regarding her ability to do well on a test. This is an example of what level of communication? A) Public B) Intrapersonal C) Interpersonal D) Transpersonal

B) Intrapersonal

A pregnant client mentally rehearses giving birth in her mind. This is an example of: A) Metacommunication B) Intrapersonal communication C) Interpersonal communication D) Transpersonal communication

B) Intrapersonal communication

When working with an older adult, the nurse should remember to avoid: A) Touching the client B) Shifting from subject to subject C) Allowing the client to reminisce D) Asking the client how he or she feels

B) Shifting from subject to subject

A client with diabetes is hospitalized with a sore on his foot that has failed to heal. The nurse is gathering a videotape and some printed material on diabetes to begin teaching the client when he calls the nurse asking for something to decrease his pain. In terms of the elements of the communication process, the referent in this situation is: A) The nurse B) The client's pain C) The videotape and printed material on diabetes D) The client's and nurse's sociocultural background

B) The client's pain

Which of the following illustrates the focus of the nurse's interaction during the working phase of the nurse-client helping relationship? A) The nurse says to the client, "Hi, Mr. Owen. My name is Gwen, and I'll be your nurse today." B) The nurse asks the client, "What do you think would help you recover more quickly from your surgery?" C) The nurse asks another nurse while receiving a report, "What did the laboratory report indicate for Mr. Owen?" D) The nurse tells the client, "My shift will be over in about 30 minutes, but I'll see you again tomorrow. You did really well with physical therapy today."

B) The nurse asks the client, "What do you think would help you recover more quickly from your surgery?"

A nurse recognizes that a helping relationship is established with a client if the communication. A.is equally reciprocal between the nurse and the client B.encourages the client to express his thoughts and feelings C.has no time limits D.occurs spontaneously throughout the nurse-client relationship

B.encourages the client to express his thoughts and feelings

When communicating with a child who is seated, the nurse should. A.touch the child B.sit at eye level with the child C.Stand facing the child D.stand with a relaxed posture

B.sit at eye level with the child

A client's family member wipes her eyes as she cries at the loss of a loved one and says, "It's no big deal. I mean, we all have to die sometime, right?" The nurse is engaging in metacommunication when the nurse responds: A) "You are taking this really well." B) "You are exactly right. Dying is inevitable." C) "Losing a loved one can be really difficult. It looks like you're pretty upset. I'd like to help." D) "Let's not talk about it. That will help you feel better. After all, God won't give you more than you can handle."

C) "Losing a loved one can be really difficult. It looks like you're pretty upset. I'd like to help."

If the nurse is working with a client who has expressive aphasia, it would be most helpful for the nurse to: A) Ask open-ended questions. B) Speak loudly and use simple sentences. C) Allow extra time for the client to respond. D) Encourage a family member to answer for the client.

C) Allow extra time for the client to respond

The nurse demonstrates active listening by: A) Agreeing with the client B) Repeating everything the client says to clarify C) Assuming a relaxed posture and leaning toward the client D) Smiling and nodding continuously throughout the interview

C) Assuming a relaxed posture and leaning toward the client

A nurse should consider zones of personal space and touch when caring for clients. If the nurse is taking the client's nursing history, she should: A) Sit next to the client B) Be 4 to 12 feet from the client C) Be 18 inches to 4 feet from the client D) Be 12 inches to 3 feet from the client

C) Be 18 inches to 4 feet from the client

A nursing instructor notices that a student nurse is showing a lack of professionalism when the student: A) Accepts responsibility for an error he made in documentation B) Arrives on time and is clean and neat, wearing no perfume or cologne C) Shares personal information about his assigned client with other students not involved in the client's care D) Knocks on the door before entering and says, "Hello, Mr. Smith. I am Bill Johnson, and I'll be your student nurse today."

C) Shares personal information about his assigned client with other students not involved in the client's care

The nurse may facilitate verbal communication with clients by: A) Using words that can have several meanings B) Using medical terminology to ensure accuracy C) Using short sentences that express an idea simply and directly D) Speaking slowly and deliberately and allowing long pauses in the conversation

C) Using short sentences that express an idea simply and directly

A client says to the nurse, "It was a stupid thing that I did. If I had just stayed home, this car accident wouldn't have happened." The nurse's best response is: A) "So, why did you go out?" B) "Why would you say that?" C) "If I were you, I'd quit worrying about it. You can't change the past." D) "You feel responsible for the accident, as though it could've been prevented."

D) "You feel responsible for the accident, as though it could've been prevented."

In a nurse-client helping relationship, the nurse should: A) Problem solve for the client. B) Distort the truth when the client is to receive bad news to protect the client. C) Convey acceptance by always agreeing with the client or approving of the client's decisions or actions. D) Convey nonjudgmental acceptance with a willingness to hear a message or to acknowledge feelings.

D) Convey nonjudgmental acceptance with a willingness to hear a message or to acknowledge feelings.

A nurse is meeting a 3 year old for the first time. Communication with the child will be facilitated if the nurse: A) Ignores the child B) Lifts the child onto the nurse's lap C) Distracts the child by clapping the hands D) Kneels down while holding and talking to a teddy bear

D) Kneels down while holding and talking to a teddy bear

Which of the following is an example of a positive outcome of a nurse?health team relationship? A) The nurse becomes an effective change agent in the community. B) The nurse better understands the family dynamics that affect the client. C) The nurse better appreciates what the client perceives as meaningful from the client's perspective. D) The nurse receives encouragement and support from co-workers to cope with the many stresses associated with the nursing role.

D) The nurse receives encouragement and support from co-workers to cope with the many stresses associated with the nursing role.

A nurse feels frustrated because she is behind in administering her clients' medications. She comes to the client's bedside hurriedly with a frown on her face and sighs while she is waiting for the client to swallow the medication. The nurse then says brightly, "Isn't it a relaxing day?" The nurse should remember that: A) The client may respond defensively if his or her personal space is threatened. B) Maintaining eye contact during conversation shows respect and willingness to listen. C) Most meaning in conversation is transmitted by spoken words rather than by nonverbal communication. D) When there is incongruity between verbal and nonverbal communication, the receiver usually "hears" the nonverbal message as the true message.

D) When there is incongruity between verbal and nonverbal communication, the receiver usually "hears" the nonverbal message as the true message.

The professional nurse can best be said to be engaging in collaboration with others to develop the client's plan of care when the nurse: A) Consults the physician for direction in establishing goals for clients B) Depends on the latest literature to complete an excellent plan of care for clients C) Works independently to plan and deliver care and does not depend on other staff for assistance D) Works with colleagues and clients' families to take advantage of combined expertise in planning care

D) Works with colleagues and clients' families to take advantage of combined expertise in planning care

The statement that best explains the role of collaboration with others for the client's plan of care is which of the following? A.The professional nurse consults the physician for direction in establishing goals for clients B.The professional nurse depends on the latest literature to complete an excellent plan of care for clients C.The professional nurse works independently to plan and deliver care and does not depend on other staff for assistance D.The professional nurse collaborates with colleagues and the client's family to provide expertise in planning of care

D.The professional nurse collaborates with colleagues and the client's family to provide expertise in planning of care