Communication Exam

A nurse is planning a presentation about skin care for a group of older adult clients at a senior center . Which of the following actions should the nurse take to enhance client learning ? A. Ensure the room is well lit B. Have soft music playing in the background C. Hand out samples of products during the teaching D. Speak quickly during the teaching

A. Ensure the room is well lit

A nurse is reviewing documentation guidelines with a newly licensed nurse . Which of the following abbreviations should the nurse note as being on The Joint Commission's Do Not Use List ? ( Select all that apply . ) A. MSO4 B. IU C. PO D. qhs E. NKA

A. MSO4 B. IU D. qhs

A charge nurse is reviewing characteristics of electronic documentation with staff at a provider's office . Which of the following characteristics should the charge nurse plan to include ? ( Select all that apply . ) A. Reduces medical errors B. Improves listening skills among interdisciplinary team members C. Less convenient than paper - based charting D. Makes client medical history more easily available E. Increases accuracy of coding procedures

A. Reduces medical errors D. Makes client medical history more easily available E. Increases accuracy of coding procedures

A nurse is assisting with teaching a newly licensed nurse about the use of electronic health records ( EHRS ) . Which of the following is an outcome associated with the use of EHRS that the nurse should include ? A. Saves time B. Decreases quality of care C. Creates redundancy D. Increases cost

A. Saves time

A nurse manager is reviewing the documentation of four newly licensed nurses . Which of the following medication entries should the nurse identify as being written correctly ? A. Synthroid 100 mg PO every morning ac B. Enoxaparin 75 mg SQ bid C. Digoxin 0.25 mg PO qd D. Metformin 500.0 mg PO with evening meal

A. Synthroid 100 mg PO every morning ac

A nurse is planning to teach new assistive personnel ( AP ) how to use a bedside glucose monitor to check a client's blood glucose level . The nurse will include a 30 - min face - to - face lecture and a written copy of the step - by - step procedure . Which of the following modes of communication is the nurse using in the teaching plan ? ( Select all that apply . ) A. Verbal B. Written C. Electronic D. Nonverbal E. Assertive

A. Verbal B. Written D. Nonverbal

A nurse receives a phone call from a client who was discharged yesterday . The client asks the nurse to email them a copy of their discharge instructions . Which of the following responses should the nurse make ? A. " The nurse manager will need to email the discharge instructions to you . " B. " I am unable to send your discharge instructions via email due to the HIPAA Privacy Act . " C. " You will need to ask your provider to email the discharge instructions to you . " D. " Sending the discharge instructions to you via email would be a violation of the Affordable Care Act . "

B. " I am unable to send your discharge instructions via email due to the HIPAA Privacy Act . "

A staff nurse is evaluating a newly licensed nurse's understanding of telephone prescriptions . Which of the following statements by the newly licensed nurse indicates an understanding of the information ? A. " I can take a telephone prescription if a provider is making routine rounds in another area of the facility . " B. " I can take a telephone prescription if a provider is directing a code for an unresponsive client . " C. " If a client requires an over - the - counter medication for relief of nausea , it is okay to accept a telephone prescription . " D. " If a client requires pain control for a terminal condition , it is okay to accept a telephone prescription . "

B. " I can take a telephone prescription if a provider is directing a code for an unresponsive client . "

A newly licensed nurse is talking about their day with another nurse . Which statement by the newly licensed nurse demonstrates incivility ? A. " I hate when I have to ask my preceptor for help with tasks I am unsure about . " B. " The charge nurse called me stupid in front of the team . " C. " My preceptor laughs when I tell a joke . " D. " The charge nurse gave me a difficult assignment . "

B. " The charge nurse called me stupid in front of the team . "

A nurse is obtaining a health history from a client who is newly admitted . The nurse notices that the client does not make eye contact and that their arms are folded across their chest . The nurse should recognize that the client is using which of the following forms of communication ? A. Auditory B. Nonverbal C. Emotional D. Energetic

B. Nonverbal

A nurse is reviewing a client's plan of care . " The client will ambulate 20 feet using a walker " is the desired outcome . Which of the following aspects of the SMART goal should the nurse identify as missing from the outcome ? A. Specific B. Timed C. Measurable D. Achievable

B. Timed

A nurse is instructing a client regarding heart - healthy activities . This action represents which of the following phases of the nurse - client relationship ? A. Identification B. Orientation C. Exploitation D. Resolution

C. Exploitation

A nurse is planning a teaching session for a client . Place the steps of the teaching process in the correct order . 1. Evaluation 2. Assessment 3. Implementation 4. Analysis 5. Planning

2. Assessment 4. Analysis 5. Planning 3. Implementation 1. Evaluation

A nurse is providing teaching to a client who has a recent diagnosis of pancreatic cancer . The nurse is using strategies in the affective domain of learning . Which of the following client statements is part of the affective domain ? A. " I have been crying a lot since I learned about my diagnosis . I'm worried about everything . " B. " I am learning how to take my blood pressure so I can check it at home every day . " C. " I understand I may lose weight because I may not feel like eating much . " D. " I will take my pain medication on a schedule to prevent my pain from becoming severe . "

A. " I have been crying a lot since I learned about my diagnosis . I'm worried about everything . "

A nurse is talking with a client about their electronic health record ( EHR ) at the facility . Which of the following client statements indicates an understanding of EHRs ? A. " I will be able to track my health information . " B. " My personal information will be entered into a national database . " C. " I will have one EHR that will encompass the health care I've received over my lifetime . " D. " The goal of EHRS is to improve insurance coding . "

A. " I will be able to track my health information . "

A nurse in a provider's office is caring for a client who has hypertension during a follow - up appointment and is focusing on the client's ability to make healthy behavior changes . Which of the following statements by the nurse is an example of the use of affirmations ? A. " I'm glad you decided to continue your fitness routine . " B. " You could achieve better results if you applied yourself more . " C. " You are adjusting very well for your age . " D. " Reducing your caffeine intake is good , but you really need to stop completely . "

A. " I'm glad you decided to continue your fitness routine . "

A nurse is discussing the nurse's role in client education with a newly licensed nurse . Which of the following statements by the newly licensed nurse indicates an understanding of a nurse's role ? A. " Nurses make up the greatest percentage of members on a health care team . " B. " Providers make up the greatest percentage of members on a health care team . " C. " Physician assistants have the greatest percentage of members on a health care team . " D. " Physical therapists have the greatest percentage of members on a health care team . "

A. " Nurses make up the greatest percentage of members on a health care team . "

A nurse is using the introduction , situation , background , assessment , recommendation , and readback ( I - SBAR - R ) communication tool when contacting a provider about a client who has Parkinson's disease . Which of the following statements by the nurse should be included in the situation component ? A. " The client is coughing while eating . " B. " Should I obtain a chest X - ray ? " C. " I will request a referral with a speech therapist . " D. " The client has a history of Parkinson's disease . "

A. " The client is coughing while eating . "

A nurse is conducting a preoperative assessment of a client . Which of the following statements is an example of the nurse using motivational interviewing ? A. " You said that you're sad . What is making you feel sad ? " B. " If you want to lose weight , why do you keep eating fast food ? " C. " Have you always struggled with depression ? " D. " Do you have any health problems ? "

A. " You said that you're sad . What is making you feel sad ? "

A nurse educator is planning an in - service for staff nurses about psychomotor client teaching strategies . Which of the following activities requires the use of gross motor skills ? ( Select all that apply . ) A. A client walking with crutches B. A client using a manual wheelchair C. Administering an intradermal injection to a client D. Opening a client's medication bottle E. Applying an adhesive bandage to a client's finger

A. A client walking with crutches B. A client using a manual wheelchair

A nurse is assessing a client's health literacy prior to providing education . Which of the following actions should the nurse take ? ( Select all that apply . ) A. Ask questions regarding the client's health care needs and concerns B. Obtain a health history C. Assess the client's education level D. Perform a physical assessment E. Use medical terminology when educating the client

A. Ask questions regarding the client's health care needs and concerns B. Obtain a health history C. Assess the client's education level

A nurse is providing teaching about performing blood glucose checks to a client who has a new diagnosis of diabetes mellitus . Which of the following actions indicates the nurse is using the affective domain of learning ? A. Ask the client how they feel about checking their blood glucose levels B. Ask the client to demonstrate how to check their blood glucose level C. Ask the client to verbalize the steps of checking their blood glucose level D. Ask the client if they understand the importance of monitoring their blood glucose level

A. Ask the client how they feel about checking their blood glucose levels

A nurse is preparing for a teaching session with a client . Which of the following actions should the nurse take to provide the client with unbiased care ? ( Select all that apply . ) A. Avoid assumptions about the client B. Compare the client to a former client C. Ask coworkers to share their past experiences with similar clients D. Control personal thoughts about the client E. Collaborate with another nurse to develop teaching strategies

A. Avoid assumptions about the client D. Control personal thoughts about the client E. Collaborate with another nurse to develop teaching strategies

A nurse is participating in a question - and - answer session with a client . Which of the following domains of learning uses this type of client education ? A. Cognitive domain B. Affective domain C. Psychomotor domain D. Adaptation domain

A. Cognitive domain

A hospice nurse is caring for a client who states that they want to have their last rites before they die . The nurse recognizes that which of the following factors is influencing the client's request ? A. Cultural factor B. Developmental factor C. Environmental factor D. Physiological factor

A. Cultural factor

A nurse is completing a medication reconciliation on a newly admitted client . Which of the following information should the nurse include ? ( Select all that apply . ) A. Current prescribed medications B. Nutritional supplements the client takes C. Over - the - counter medications the client uses D. Medications the provider has discontinued E. List of vitamins the client has stopped taking

A. Current prescribed medications B. Nutritional supplements the client takes C. Over - the - counter medications the client uses

A nurse is evaluating a client's plan of care . The desired outcome of having the client sit on the side of the bed by the end of shift was not met . Which of the following actions should the nurse take ? A. Determine if different nursing interventions are required B. Formulate a new analysis C. Notify the health care provider D. Notify physical therapy to assist getting the client out of bed to meet goals

A. Determine if different nursing interventions are required

A nurse is reviewing information about client education with a newly licensed nurse . Which of the following information should the nurse include as the focus of client education ? A. Empowering clients to be accountable for self - care B. Providing the client with disease - orientated education C. Providing education only to the client to protect confidentiality D. Encouraging clients to let go of previous experiences

A. Empowering clients to be accountable for self - care

A nurse is reviewing the role of health information technology in client care with a newly licensed nurse . Which of the following information should the nurse include ? ( Select all that apply . ) A. Facilitates care coordination B. Increases human error C. Improves practice efficiencies D. Is capable of being overridden by a nurse E. Improves clinical outcomes

A. Facilitates care coordination C. Improves practice efficiencies D. Is capable of being overridden by a nurse E. Improves clinical outcomes

A nurse is assisting with teaching a class about HIPAA . Which of the following information should the nurse include ? ( Select all that apply . ) A. HIPAA protects the unauthorized release of a client's protected health information B. HIPAA prohibits clients from obtaining their medical record C. HIPAA requires notification of a breach in privacy via an in - person report D. The loss of a provider's cell phone that contains a client's protected health information is considered a data breach E. A breach in HIPAA should be reported within 60 days after the breach is discovered

A. HIPAA protects the unauthorized release of a client's protected health information D. The loss of a provider's cell phone that contains a client's protected health information is considered a data breach E. A breach in HIPAA should be reported within 60 days after the breach is discovered

A charge nurse is discussing health records with a newly licensed nurse . Which of the following information should the nurse identify as a component of a health record ? A. Immunization data B. Record of client health care payments C. Complete medical information for household members D. Facility policies

A. Immunization data

A nurse is reviewing the goals of client education with a newly licensed nurse . Which of the following information should the nurse include ? ( Select all that apply . ) A. Improvement of health B. Provide knowledge about an illness or injury C. Relevance D. Health promotion E. Motivation

A. Improvement of health B. Provide knowledge about an illness or injury D. Health promotion

A nurse is assessing a client who came to the emergency department reporting chest pain . The client tells the nurse they have hearing loss and forgot to bring their hearing aid with them . Which of the following actions should the nurse take to improve communication with the client ? ( Select all that apply . ) A. Move the client to a quiet area or private room B. Speak at a slower pace C. Delay the assessment until the client's family member brings the hearing aid D. Have a sign language interpreter translate the communication with the client E. Stand next to the client when talking F. Avoid using medical terminology

A. Move the client to a quiet area or private room B. Speak at a slower pace F. Avoid using medical terminology

A nurse is teaching a class about using smart infusion pumps to administer intravenous medications . Which of the following information should the nurse include ? A. Nurses enter client information into the smart infusion pump B. Nurses should use workarounds when using smart infusion pumps C. The use of smart infusion pumps is associated with increased medication errors D. The smart infusion pump alerts the nurse when the setting is within the safety limits

A. Nurses enter client information into the smart infusion pump

A nurse is caring for a client who has a new prescription for dialysis three times a week . The client avoids eye contact while talking to the nurse and explains that they work two jobs to support their partner and two children . The client also states , " I don't know how I am going to have time for dialysis . " Which of the following factors are influencing the client's communication ? ( Select all that apply . ) A. Psychosocial factors B. Cognitive factors C. Situational factors D. Environmental factors E. Physiological factors

A. Psychosocial factors C. Situational factors

A nurse is teaching a newly licensed nurse about receiving and transcribing verbal prescriptions . Which of the following instructions should the nurse include ? A. Read back the prescription to the provider after transcribing B. Use symbols when transcribing a verbal prescription C. Include abbreviations when transcribing a verbal prescription D. Place a zero after a decimal when transcribing a dosage

A. Read back the prescription to the provider after transcribing

A nurse is caring for a client who has diabetes mellitus and does not adhere to the prescribed diet . Which of the following interventions by the nurse demonstrates collaborative health care ? A. Requesting a referral to a dietitian to work with the client B. Instructing the client's family not to bring in snacks for the client C. Asking the client why they are not adhering to the prescribed diet D. Informing the client that they will get used to eating the prescribed diet

A. Requesting a referral to a dietitian to work with the client

A nurse is preparing a low - stimulus environment for an educational session on smoking cessation . Which of the following should the nurse implement ? A. Set the thermostat to a comfortable temperature B. Dim the lights in the room C. Leave the door open during the educational session D. Play relaxing music

A. Set the thermostat to a comfortable temperature

A nurse is discussing the history of electronic health records ( EHRS ) during a staff in - service . The nurse should identify that which of the following agencies advocated for nationwide use of EHRs ? A. The Institute of Medicine B. Department of Veteran Affairs C. American Hospital Association D. The Joint Commission

A. The Institute of Medicine

A nurse is caring for a client following a stroke . The nurse should recognize that which of the following individuals is allowed access to the client's medical record without obtaining special consent from the client first ? ( Select all that apply . ) A. The admitting provider B. The charge nurse on the unit C. The client's sibling D. The client E. The client's spiritual advisor

A. The admitting provider B. The charge nurse on the unit D. The client

A nurse is taking an admission history from a client who is concerned about the facility using an electronic documentation system . Which of the following information should the nurse include as a benefit of electronic documentation ? A. The system alerts providers of possible actions that could cause client harm B. An electronic system prevents breaches of confidentiality of client data C. Providers can document client information in the electronic record during system downtime D. System encryption eliminates the need for security firewalls

A. The system alerts providers of possible actions that could cause client harm

A nurse is assisting with teaching a class about using simulation for clinical education . Which of the following information should the nurse include ? A. The use of simulation improves communication skills B. Simulation should be used in place of clinical practice C. Simulation is a component of nursing theory D. The use of simulation is expected to decrease

A. The use of simulation improves communication skills

A nurse is preparing to provide education to a group of newly licensed nurses about methods to enhance communication with clients . Which of the following statements should the nurse include ? ( Select all that apply . ) A. " Interrupt the client occasionally during the conversation . " B. " Respect the client during the conversation . " C. " Use complex terms when explaining with the client . " D. " Allow time for reflection during the conversation with the client . " E. " Show empathy during the conversation with the client . "

B. " Respect the client during the conversation . " D. " Allow time for reflection during the conversation with the client . " E. " Show empathy during the conversation with the client . "

A nurse is using the introduction , situation , background , assessment , recommendation , and readback ( I - SBAR - R ) communication tool when contacting a provider about a client who has COPD . Which of the following statements by the nurse should be included in the assessment component ? A. " The client has a history of COPD . " B. " The client has a respiratory rate of 38 / min . " C. " I will obtain a sputum culture . " D. " Should I increase the client's supplemental oxygen ? "

B. " The client has a respiratory rate of 38 / min . "

A nurse is reviewing the documentation of a newly licensed nurse . Which of the following entries should the nurse identify as meeting the American Nurses Association ( ANA standards for documentation ? A. " The client is now asleep , and they ate most of their breakfast a few hours ago . " B. " The client vomited 240 mL of clear emesis but denies pain or nausea . " C. " The client reports not feeling good , but they look fine . " D. " The client has 8 to 10 sores on their body . "

B. " The client vomited 240 mL of clear emesis but denies pain or nausea . "

A nurse is teaching about change - of - shift report with a newly licensed nurse . Which of the following statements should the nurse make ? A. " Change - of - shift report performed at the client's bedside results in increased overtime by nurses . " B. " Using I - SBAR - R during change - of - shift report decreases the risk of missing information . " C. " Change - of - shift report performed at the client's bedside decreases client satisfaction about their care . " D. " Taking notes during change - of - shift report increases the risk for error . "

B. " Using I - SBAR - R during change - of - shift report decreases the risk of missing information . "

A nurse is reviewing documentation principles with a group of newly hired assistive personnel ( AP ) . Which of the following information should the nurse include ? A. Providers designate to other staff which abbreviations cannot be used . B. A nurse who delegates a task to an AP will review the charting for that task C. Providers read and cosign nursing documentation for accuracy D. Licensed personnel should document out - of - range vital signs for AP

B. A nurse who delegates a task to an AP will review the charting for that task

A nurse is planning a 30 - min group education class . Which of the following actions should the nurse plan to take to address various learning styles related to the domains of learning ? A. Give demonstrations only B. Provide games , discussion , and question - and - answer C. Repeat demonstrations at the completion of class and lecture D. Allow time for role play and demonstration

B. Provide games , discussion , and question - and - answer

A nurse is providing teaching to a client who speaks a different language than the nurse . Which of the following actions should the nurse take ? A. Ask the client's family member to translate B. Request a medical interpreter to be present C. Ask another nurse on the unit to translate D. Provide the client with only written materials

B. Request a medical interpreter to be present

A nurse manager is planning to introduce a new scheduling policy to the unit staff . Which of the following methods of communication should the nurse manager use ? A. Send an email to staff via the facility's email system B. Schedule a face - to - face unit staff meeting C. Place a copy of the policy on a bulletin board in the hallway D. Leave a voicemail on each staff member's phone

B. Schedule a face - to - face unit staff meeting

A nurse is providing discharge instructions to a client during a follow - up telephone call . Based on the Shannon - Weaver communication model , which of the following components of the model is the nurse demonstrating ? A. Receiver B. Sender C. Channel D. Decoder

B. Sender

A nurse is documenting information in a client's chart and makes the entry " client reports abdominal pain on exertion . " Which of the following documentation formats describes this entry ? A. The " I " in PIE B. The " S " in SOAP C. The " R " in DAR D. The " E " in PIE

B. The " S " in SOAP

A nurse is reviewing the HIPAA regulatory rules . Which of the following rules is restricted to electronic protected health information ( e - PHI ) ? A. The Privacy Rule B. The Security Rule C. The Breach Notification Rule D. The Enforcement Rule

B. The Security Rule

A nurse is using a question - and - answer session to teach a client about a diabetic diet . Which of the following outcomes is an example of cognitive learning ? A. The client will be able to prepare a diabetic meal B. The client understands a diabetic meal plan C. The client accepts a diabetic meal plan D. The client states , " I am never giving up my soda and candy . "

B. The client understands a diabetic meal plan

A nurse is assisting with teaching a client about remote patient monitoring ( RPM ) devices . Which of the following information should the nurse include ? ( Select all that apply . ) A. The client needs to confirm the data before it is transferred to the provider B. The transfer of data is accomplished using wireless devices C. Clients can participant in their health by using RPM D. A client's heart rhythm can be transferred using RPM E. Data collected using RPM is not considered protected health information

B. The transfer of data is accomplished using wireless devices C. Clients can participant in their health by using RPM D. A client's heart rhythm can be transferred using RPM

A nurse is teaching a class about barriers to interprofessional collaboration between health care professionals . The nurse should include that which of the following is a barrier ? A. Trust in the ability of a team member B. Unresolved conflicts between team members C. Effective communication between team members D. Cultural competency within team members

B. Unresolved conflicts between team members

A nurse in the PACU is determining if a client has pain . The client is drowsy and opens their eyes to verbal stimuli but is unable to communicate their pain level . Which of the following actions should the nurse take ? A. Administer an antagonist to reverse the effects of the anesthesia B. Use an alternative method for determining the client's pain level C. Administer a pain medication as prescribed for severe pain D. Wait until the client is awake , alert , and able to vocalize their pain level

B. Use an alternative method for determining the client's pain level

A nurse is assisting with teaching a class about using health information technology for client care . Which of the following examples should the nurse include ? A. Using a roller clamp to adjust a client's IV rate B. Using a barcode to verify a client's medication C. Palpating a client's blood pressure D. Wearing sterile gloves to change a client's dressing

B. Using a barcode to verify a client's medication

A nurse is discussing computerized provider order entry ( CPOE ) systems with staff . Which of the following statements from a staff member indicates an understanding of a CPOE system ? A. " CPOE systems are associated with a slightly higher error rate . " B. " CPOE use does not include medication prescriptions . " C. " CPOE systems can increase the speed of care delivery . " D. " CPOE use is mandated by HIPAA under the Privacy Rule . "

C. " CPOE systems can increase the speed of care delivery . "

A nurse is orienting a newly licensed nurse to the unit . Which of the following statements by the newly licensed nurse indicates an understanding of the importance of documentation of client education ? A. " Client documentation can decrease hospital reimbursement . " B. " Client documentation can decrease the need to re - evaluate the client's educational needs . " C. " Client documentation can increase staffing and services . " D. " Client documentation can increase liability . "

C. " Client documentation can increase staffing and services . "

A nurse and an assistive personnel ( AP ) disagree about how to move a client from the bed to a stretcher . Which of the following statements should the nurse make to promote conflict resolution ? A. " I'm the nurse , you are the AP , so do what I say . " B. " You always need to get your own way . " C. " Let's discuss how we can work together . " D. " If you do not help me , I will report you to the charge nurse . "

C. " Let's discuss how we can work together . "

A nurse is preparing an in - service about HIPAA . Which of the following information should the nurse plan to include ? A. " Accessing the medical record of clients on units other than where you are assigned is allowed . " B. " There are large financial penalties for charting vital signs you obtain for another nurse's client . " C. " Personnel can be terminated for breaching a client's confidentiality . " D. " Once you have cared for a client , it is acceptable to look at their medical record on subsequent health care visits . "

C. " Personnel can be terminated for breaching a client's confidentiality . "

A charge nurse is providing teaching to a group of nurses about the collaborative teamwork skill of situation monitoring . Which of the following statements by a nurse indicates an understanding of the teaching ? A. " Situation monitoring identifies who should be included on the team . " B. " Situation monitoring identifies strategies to lead teams effectively . " C. " Situation monitoring focuses on the awareness of the team's performance on client outcomes . " D. " Situation monitoring supports the team by providing feedback to assist the team to function better . "

C. " Situation monitoring focuses on the awareness of the team's performance on client outcomes . "

A nurse is teaching a client who has end - stage kidney disease and a new sacral pressure injury . The client's provider has requested a plastic surgery consultation . Which of the following statements by the client indicates an understanding of the consultation ? A. " The plastic surgeon might adjust my renal diet . " B. " The plastic surgeon will assist me with financial counseling . " C. " The plastic surgeon might change my wound care treatment . " D. " The plastic surgeon will coordinate my health care team . "

C. " The plastic surgeon might change my wound care treatment . "

A nurse is caring for a client who asks , " Why do I have to talk to so many people before I can go home ? Don't these people communicate ? " Which of the following statements should the nurse make ? A. " They are very busy and do not have time to communicate about your health . " B. " Why are you concerned about talking to your health care team ? " C. " Your health care team works together so you can safely go home . " D. " The sooner you talk to them , the sooner you can leave . "

C. " Your health care team works together so you can safely go home . "

A nurse is discussing problem - oriented medical records with a group of newly licensed nurses . Which of the following information should the nurse include ? A. A problem - oriented medical record is created using the PIE model for documentation entries B. A problem - oriented medical record contains separate sections for laboratory and diagnostic information C. A problem - oriented medical record promotes information sharing among members of the interdisciplinary team D. A problem - oriented medical record is rarely used in acute care settings

C. A problem - oriented medical record promotes information sharing among members of the interdisciplinary team

A nurse is assisting with teaching a newly licensed nurse about using barcode technology in client care . The nurse should include that barcode technology is used to reduce errors during which of the following phases of the medication process ? A. Prescribing B. Transcribing C. Administering D. Dispensing

C. Administering

A nurse is planning teaching for a client about wound care . Which of the following actions should the nurse take ? A. Use medical terminology during teaching B. Sit across from the client at a table in the cafeteria during teaching C. Ensure the client is wearing their glasses during teaching D. Use the communication technique of probing during teaching

C. Ensure the client is wearing their glasses during teaching

A nurse is teaching a client who is newly diagnosed with diabetes mellitus . The client tells the nurse , " Thank you . I never really knew what caused diabetes . " Using the Schramm model of communication , the nurse should recognize the client's statement as an example of which of following components of the model ? A. Sender B. Channel C. Feedback D. Receiver

C. Feedback

A nurse is teaching a newly licensed nurse about what to include in a medication reconciliation form for a client who is being transferred to a new facility . Which of the following instructions should the nurse include ? A. Include a list of medications that the client no longer needs B. Do not include over - the - counter medications the client takes C. Include medications the client took at home D. Do not include nutritional supplements the client takes

C. Include medications the client took at home

A nurse is reviewing the impact low health literacy has for clients with a newly licensed nurse . Which of the following information should the nurse include ? A. Decrease in health care costs B. Decrease in use of emergency services C. Increase in mortality rate D. Increase in use of preventative services

C. Increase in mortality rate

A nurse calls the unit to tell say that they will be late for their shift . The charge nurse responds , " Don't worry , take your time and be safe . " After hanging up the phone , the charge nurse then says to staff at the nurses ' station , " I'm tired of that nurse always being late . I wish someone would do something about their tardiness . " Which of the following communication styles is the charge nurse demonstrating ? A. Assertive B. Aggressive C. Passive - aggressive D. Passive

C. Passive - aggressive

A nurse is assessing a postoperative client prior to a teaching session . The nurse notes that the client is grimacing and restless . Which of the following barriers to learning is the client exhibiting ? A. Psychomotor deficit B. Depression C. Physical discomfort D. Lack of motivation

C. Physical discomfort

A nurse is planning a smoking cessation program for a client . Which of the following actions is a component of SMART outcome goals ? A. Providing a reward for accomplishing the outcome B. Providing motivation to accomplish the outcome C. Providing a time frame to accomplish the outcome D. Providing demonstration on how to complete the outcome

C. Providing a time frame to accomplish the outcome

A charge nurse is reviewing SOAP documentation with a group of newly licensed nurses . Which of the following chart entries should the nurse include as an example of objective data ? A. The client states , " I've had abdominal pain for the past 3 days . " B. The client reports consuming about 1,500 mL of water per day C. Rebound tenderness noted in RLQ of the abdomen D. Recommend client referral to a registered dietitian

C. Rebound tenderness noted in RLQ of the abdomen

A nurse is preparing to educate a client about the proper procedure for a dressing change . Which of the following indicates an understanding of Knowles's fundamental principles of client readiness ? A. The client states , " I will do it myself . " B. The client has been awake all night C. The client is engaged and alert D. The client used to help change their partner's dressings

C. The client is engaged and alert

A nurse is preparing for a teaching session with a client who has pernicious anemia . Which of the following should the nurse identify as part of the implementation step of the teaching process ? A. Determine the client's health literacy B. Develop a teaching plan that meets the client's needs C. Use demonstration to teach the client about vitamin B₁2 injections D. Determine if the client has met the goals

C. Use demonstration to teach the client about vitamin B₁2 injections

A nurse is reviewing the use of electronic documentation with a newly licensed nurse . Which of the following statements should the nurse make ? A. " Electronic documentation increases paperwork . " B. " Electronic documentation increases the time available to provide direct client care . " C. " Electronic documenting takes approximately 10 percent of your time . " D. " Electronic documentation provides evidence of care provided . "

D. " Electronic documentation provides evidence of care provided . "

A nurse is admitting a client for surgery . Which of the following questions should the nurse ask to determine the client's health literacy level and learning needs ? A. " Who will be your support person while you are in the hospital ? " B. " Can you tell me what surgical procedure you are scheduled for ? " C. " How do you plan to care for yourself when you go home after surgery ? " D. " How comfortable are you with filling out medical forms by yourself ? "

D. " How comfortable are you with filling out medical forms by yourself ? "

A nurse is teaching a client about how to perform daily blood pressure readings at home . Which of the following statements by the client is an example of the teach - back method of learning ? A. " Show me again how to position the blood pressure cuff on my arm . " B. " I have an electronic blood pressure machine at home that I will use . " C. " I believe I can take my blood pressure successfully after talking through the steps . " D. " Let me show you how I will take my blood pressure at home each day . "

D. " Let me show you how I will take my blood pressure at home each day . "

A nurse is providing teaching to a client who has a new prescription for eye drops . Which of the following teaching strategies is an example of using the psychomotor domain of learning ? A. Discuss with the client how to use the eye drops B. Encourage the client to ask questions about the medication C. Provide the client with a handout that explains how to use the medication D. Ask the client to teach - back about how to use the medication

D. Ask the client to teach - back about how to use the medication

A nurse is teaching an in - service about zero - tolerance for bullying and incivility in the health care facility . Which of the following information should the nurse include ? A. Bullying can result in an increase in productivity B. Incivility can result in improved communication in the workplace C. Incivility can result in a reduction of medical errors D. Bullying can result in an increase in nursing turnover

D. Bullying can result in an increase in nursing turnover

A nurse is teaching a group of newly licensed nurses about client education . Which of the following information should the nurse include in the teaching ? A. Documentation of client education is not required for Joint Commission accreditation B. Client education does not change a client's values C. Client education does not influence the client's pain level D. Client education can improve self - care at home

D. Client education can improve self - care at home

A nurse is discussing clinical pathways with a newly licensed nurse . Which of the following information should the nurse include ? A. Paper - based clinical pathways are more effective than computer - based B. The use of clinical pathways has led to a decline in client outcomes C. Insurance companies discourage the use of clinical pathways D. Clinical pathways use evidence - based practice guidelines for health care delivery

D. Clinical pathways use evidence - based practice guidelines for health care delivery

A nurse is preparing a discharge plan for a client following a bilateral below - the - knee amputation . Which of the following interventions is the priority ? A. Check the availability of transportation to follow - up appointments B. Request a referral for a home health nurse C. Provide the client with written material about their medications D. Determine whether the client's home is wheelchair accessible

D. Determine whether the client's home is wheelchair accessible

A nurse is discussing legal regulations regarding medical records with a newly hired assistive personnel ( AP ) . Which of the following information should the nurse include ? A. American Nurse Association ( ANA ) standards prevent client records from being used for legal proceedings B. HIPAA regulations vary from one state to another C. Privacy regulations apply to electronic data transfer rather than verbal communication D. Facilities can establish their own rules for documentation methods

D. Facilities can establish their own rules for documentation methods

A nurse is preparing to use a video - enabled device to communicate with a client who is at home . Which of the following actions should the nurse plan to take ? A. Record the video conference to use as an educational tool B. Inform the client that telemedicine restricts access to nursing care C. Use a speakerphone in a semi - private location during the video conference D. Instruct the client to use a computer for the video conference

D. Instruct the client to use a computer for the video conference

A nurse enters a client's room and stands near the client to ask them if they need anything . The client continues to watch the television , which is at a loud volume . Which of the following actions should the nurse take ? A. Leave the client's room to go check on other clients B. Ask the client why they are ignoring the question C. Repeat the question in a loud voice D. Lower the volume on the television

D. Lower the volume on the television

A nurse is caring for a client who has refused to have a biopsy . The client states , " I don't need the biopsy ; I wouldn't do anything about it anyways if it's cancer . " The nurse replies , " You don't want to have the biopsy because you would not seek treatment if it was cancer . Is that correct ? " Which of the following therapeutic communication techniques is the nurse using ? A. Affirmation B. Open - ended question C. Reflection D. Restating

D. Restating

A nurse is caring for a client who has dementia . Which of the following communication strategies should the nurse implement to communicate with the client ? A. Explain the daily schedule to the client in detail B. Turn the overhead lights on in the client's room when speaking with them C. Speak in a loud voice to the client D. Speak to the client clearly and at a slow pace

D. Speak to the client clearly and at a slow pace

A nurse is assigned to care for a client . The client's provider is known to become angry and yell at the nurse . Which of the following actions by the nurse demonstrates the use of cognitive rehearsal ? A. The nurse asks another nurse to be present as a witness when the provider arrives B. The nurse confronts the provider outside the client's room C. The nurse notifies the charge nurse about the provider's actions D. The nurse mentally practices in advance what to say to the provider

D. The nurse mentally practices in advance what to say to the provider

A nurse is caring for a client who has impaired cognition and has begun taking a new medication . Which of the following actions should the nurse take during client education ? A. Expect the client to understand the information B. Direct the education to the caregivers as well as the client C. Provide written handouts only D. Speak quickly

B. Direct the education to the caregivers as well as the client

A newly licensed nurse is orienting to a facility's documentation system . The facility requires staff to only document variations from an expected set of findings when performing a physical assessment . The nurse should identify this system as which of the following documentation methods ? A. Charting by exception B. Subjective , objective , assessment , plan format C. Problem , intervention , evaluation model D. Data , action , response charting

A. Charting by exception

A nurse in a clinic is reviewing a client's prescriptions prior to discharge . The nurse should instruct the client that which of the following abbreviations indicates the medication can be taken as needed ? A. PRN B. NPO C. AC D. Ad lib

A. PRN

A nurse is reviewing discharge instructions with a client who has low health literacy . Which of the following actions should the nurse take ? A. Speak quickly B. Provide examples C. Discourage questions D. Use medical terminology

B. Provide examples

A nurse is preparing to administer morphine 15 mg PO every 4 hr PRN pain for a client who has a new prescription . By which of the following routes should the nurse plan to administer the medication ? A. By mouth B. Intramuscularly C. Per rectum D. Intravenously

A. By mouth

A nurse is planning to reconcile medications for a client who speaks a different language than the nurse . Which of the following actions should the nurse take ? A. Ask a staff member who speaks the same language as the client to interpret B. Ask a family member of the client to interpret the information C. Search the internet for an electronic application to use for translating D. Request assistance from the facility's interpreter

D. Request assistance from the facility's interpreter