Fundamentals Ch. 24

Which special zone of touch requires the nurse to get permission to touch patient`s wrist? Social zone Consent zone Intimate zone Vulnerable zone

Consent zone

The nurse summarizes a conversation with the patient to determine whether the patient has understood the nurse. Which element of the communication process does this illustrate? Referent Channel Environment Feedback

Feedback

The registered nurse (RN) is interviewing patients who are breast cancer survivors and asking them to share their views on how they went through treatment and how their family members supported them. Which type of communication is suitable in this situation? Orientation Termination Preinteraction Narrative interaction

Narrative interaction

The nurse understands that effective verbal communication is important in nursing practice. Which aspects of verbal communication improve effectiveness? Pacing Posture Intonation Vocabulary Facial expression

Pacing Intonation Vocabulary

The nurse is learning about therapeutic communication techniques. Which actions should the nurse perform to practice these techniques? Provide personal opinion. Provide hope to the patients. Listen actively to the patients. Understand the patients' feelings. Provide sympathy to the patients.

Provide hope to the patients. Listen actively to the patients. Understand the patients' feelings.

The nurse is recalling a funny shared experience with a patient shortly before the patient is discharged from the hospital. Which phase of the helping relationship does this action indicate? Working phase Orientation phase Termination phase Preinteraction phase

Termination phase

The nurse is exploring an elderly patient's spiritual needs, which include meditation. Which term describes the type of communication involved when meditating? Small-group Transpersonal Intrapersonal Nonpersonal

Transpersonal

The nurse is caring for patients in a hospital setting. Which actions would the nurse perform during the working phase of a helping relationship? Review medical data of the patients. Assess patients for their health status. Work with patients to set their goals. Help patients express feelings. Take actions to help patients meet the goals.

Work with patients to set their goals. Help patients express feelings. Take actions to help patients meet the goals.

While taking the history of a patient, the nurse states, "I see you haven't eaten anything." Which therapeutic communication technique is the nurse exhibiting through this statement? Sharing hope Sharing humor Sharing empathy Sharing observations

Sharing observations

What does metacommunication include? Nonverbal communication skills All factors influencing communication Communication skills used for individuals who are hearing impaired Communication skills used for children

All factors influencing communication

The nurse is explaining the elements of professional communication to nursing students. The nurse states that being self-directed and independent is essential for accomplishing goals. Which element of communication is the nurse describing? Empathy Autonomy Courtesy Assertiveness

Autonomy

Which factors influence the relational context of communication? Expression of feelings Customs and expectations Balance of power and control Shared history of participants Growth and development status

Balance of power and control Shared history of participants

The nurse is caring for a 55-year-old patient who is unresponsive. Which communication strategies would be appropriate? Converse only verbally with the patient. Call the patient by name during interactions. Discuss the patient with others in his presence. Provide orientation to person, place, and time. Articulate to the patient, as though he or she can hear.

Call the patient by name during interactions. Provide orientation to person, place, and time. Articulate to the patient, as though he or she can hear.

Which phase of a helping relationship involves activities such as reviewing available medical and nursing history? Working Termination Orientation Preinteraction

Preinteraction

Which is a nontherapeutic communication technique? Sympathy Focusing Clarifying Summarizing

Sympathy

The registered nurse (RN) is teaching a nursing student about interacting with a patient in the orientation phase. Which statements by the student nurse indicate the need for further learning? "I should encourage and help the patient set goals." "I should begin to make inferences and judgments about patient messages." "I should achieve a smooth transition for the patient to other caregivers as needed." "I should set the tone for the relationship adopting a warm, empathetic, caring manner." "I should closely observe the patient and expect to be closely observed by the patient."

"I should encourage and help the patient set goals." "I should achieve a smooth transition for the patient to other caregivers as needed."

The registered nurse (RN) is teaching the licensed practical nurse (LPN) about the elements of professional communication while interacting with patients. Which statements by the LPN indicate effective learning? "I should introduce myself by giving my name and designation." "I should address the patient by their first names during initial interactions." "I should address a patient with a confused cognitive status by their last names." "I should avoid referring to patients by diagnosis, room number, or other attribute." "I should avoid terms such as honey, dear, or grandma while addressing the patients."

"I should introduce myself by giving my name and designation." "I should avoid referring to patients by diagnosis, room number, or other attribute." "I should avoid terms such as honey, dear, or grandma while addressing the patients."

The registered nurse (RN) is teaching a nursing student about communicating with a patient who has a hearing impairment. Which statements made by the nursing student indicate the need for further learning? "I should speak at an elevated volume." "I should reduce environmental noise." "I should face the patient with my mouth visible." "I should check the patient for hearing aids and glasses." "I should repeat rather than rephrase if there is any misunderstanding."

"I should speak at an elevated volume." "I should repeat rather than rephrase if there is any misunderstanding."

The registered nurse (RN) is teaching a nursing student about the development of trust while caring for patients. Which statement by the nursing student indicates the need for further learning? "I should treat the patient with respect." "I should answer the patient honestly." "I should display consistent behavior when responding to patients." "I should withhold key information that may make the patient depressed." "I should leave immediately after providing care to allow the patient to rest."

"I should withhold key information that may make the patient depressed." "I should leave immediately after providing care to allow the patient to rest."

A registered nurse (RN) is teaching a nursing student about the different assessments required while communicating throughout the nursing process. Which statement by the nursing student indicates the need for further teaching? "I will document the diagnostic procedure." "I will verbally interview and ask for history." "I will visually observe for nonverbal behavior." "I will gather data during physical examination." "I will verbally communicate with the health care team."

"I will document the diagnostic procedure." "I will verbally communicate with the health care team."

Which nontherapeutic communicative statement indicates a defensive response? "No one here would intentionally lie to you." "This work is incomplete, and it's all your fault." "Things are bad, and there's nothing I can do about it." "How can you say you didn't sleep when I heard you snoring all night?"

"No one here would intentionally lie to you."

The nurse is assessing the psychosocial well-being of a patient who says that there is no meaning to life, and the patient wants to see the end of it. The nurse asks the patient, "Are you talking about suicide?" What is this communication technique called? Clarifying Focusing Paraphrasing Self-disclosure

Clarifying

The nurse states to a patient, "When you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" Which therapeutic communication technique does this illustrate? Providing information Clarifying Focusing Paraphrasing

Clarifying

The nurse is asking a patient about symptoms. Which factors should the nurse consider when using the method of confrontation as a therapeutic means of communication with the patient? Confrontation is restating the patient's message using the patient's own words. Confronting patients should be done gently and after establishing trust. Confronting patients improves patient self-awareness in a therapeutic way. Confrontation helps nurses to focus on an important message in a vague discussion. Using confrontation helps the patient to become aware of inconsistent feelings.

Confronting patients should be done gently and after establishing trust. Confronting patients improves patient self-awareness in a therapeutic way. Using confrontation helps the patient to become aware of inconsistent feelings.

A 35-year-old athlete becomes aggressive when not allowed to be ambulatory due to a fractured leg. The patient tries to get out of the bed unattended and falls. The nurse tries to explain the importance of immobilization. The nurse explains that walking and putting weight on the fractured leg may cause more injury and worsen the condition. Which nontherapeutic techniques should the nurse avoid while communicating with the patient? . False reassurance Sharing hopes and feelings Responding aggressively Asking for explanation Listening actively Clarification

False reassurance Responding aggressively Asking for explanation

The nurse provides a semi-solid diet to a patient, but the patient wants to have a solid diet. The nurse convinces the patient that having a solid diet would delay recovery and the patient ultimately agrees to the semi-solid diet. Which attitude does the nurse exhibit that promotes effective communication? Humility Curiosity Integrity Creativity

Integrity

The nurse finds that a patient avoids taking painkillers due to a fear of drug addiction, in accordance with the patient's cultural beliefs. Which level of communication should the nurse use for cultural assessment of the patient? Public Small group Intrapersonal Interpersonal

Interpersonal

The nurse is changing a patient's surgical dressing. Which zone of personal space is the nurse entering? Public zone Intimate zone Personal zone Socio-consultative zone

Intimate zone

The nurse explains to a patient that self-talk can improve self-awareness and help build a positive self-concept. To which level of communication does this refer? Intrapersonal Interpersonal Transpersonal Small-group communication

Intrapersonal

The nurse is performing a mental rehearsal on how to deal effectively in difficult situations with increased confidence. Which level of communication is exhibited by the nurse? Public communication Small-group communication Intrapersonal communication Interpersonal communication

Intrapersonal communication

The senior nurse is teaching a group of nursing students about using the technique of summarizing in therapeutic communication. Which are advantages of summarizing? It helps recall previous discussions. It helps participants to focus on key issues. It helps reveal true personal experiences. It is useful in the terminal phases of the patient relationship. It brings a sense of caring and human connection.

It helps recall previous discussions. It helps participants to focus on key issues. It is useful in the terminal phases of the patient relationship.

The nurse is practicing active listening when conducting a patient interview. The nurse sits facing the patient with legs and arms crossed. The nurse leans towards the patient and maintains intermittent eye contact while listening. What can be concluded about the nurse's active listening skills? The nurse has very good active listening skills. It is inappropriate to lean towards the patient. It is inappropriate to cross legs and arms. It is inappropriate to maintain intermittent eye contact.

It is inappropriate to cross legs and arms.

The nurse is planning to conduct an interview of a Portuguese patient who does not speak English. The nurse has arranged for an interpreter, who is currently in the patient's room. The nurse speaks to the interpreter directly and maintains eye contact. The interpreter then translates the information for the patient. What can be said about the communication pattern used by the nurse? It is appropriate, because the nurse is speaking to the interpreter. It is inappropriate, because the nurse is not speaking to the patient directly. It is appropriate, because the nurse is maintaining eye contact with the interpreter. It is inappropriate, because the nurse should have conducted the interview in the presence of caregivers.

It is inappropriate, because the nurse is not speaking to the patient directly.

A patient with limited English proficiency is going to be discharged on new medication. How should the nurse complete the discharge teaching? Use a dictionary to give directions for medication administration. Explain the directions to the patient's 14-year-old daughter. Obtain an interpreter to facilitate communication of medication information. Use a picture board and visual aids to communicate information about medication administration.

Obtain an interpreter to facilitate communication of medication information.

The senior nurse is training a nursing student about the professional approach in communication. The nurse explains that the way one responds to a question or a situation indicates state of mind. Which statements are true about this explanation? Passive responses serve to avoid conflict or sidestep issues. Aggressive responses provoke confrontation. Passive responses reflect anger and frustration. Aggressive responses help to avoid issues. Assertive responses are a more professional approach.

Passive responses serve to avoid conflict or sidestep issues. Aggressive responses provoke confrontation. Assertive responses are a more professional approach.

The nurse is assessing four patients with different symptoms. Which patient is most likely to challenge the nurse's decision-making skills and call for careful use of therapeutic communication techniques? Patient 1 Patient 2 Patient 3 Patient 4

Patient 1

The nurse is caring for different patients with disabilities. Which patient would benefit from the use of a picture or gestures that mimic the desired action? Patient A Patient B Patient C Patient D

Patient D

A 40-year-old patient is suffering from poorly controlled hypertension. The dietitian recommends several dietary modifications to the patient. The patient tries to explain the reason for poor dietary compliance; the patient works extra hours and does not have the time to cook. Which elements of nonverbal communication should the nurse utilize to establish a good nurse-patient helping relationship? Conversational tone Posture Eye contact Vocabulary Clarity

Posture Eye contact

The nurse is reviewing the available data, including the medical and nursing history, of a patient. Which phase of the helping relationship is the nurse performing? Working phase Orientation phase Termination phase Preinteraction phase

Preinteraction phase

The patient has just been told that she has cancer, and she is crying. Which actions facilitate therapeutic communication? Turning on the television to her favorite show Pulling the curtain to provide privacy Offering to discuss information about her condition Asking her why she is crying Sitting quietly by her bed and holding her hand

Pulling the curtain to provide privacy Offering to discuss information about her condition Sitting quietly by her bed and holding her hand

What does the communication tool SBAR stand for in professional communication among team members? Symptoms, Background, Alignment, and Referral Site, Benefits, Agreement, and Resolution Situation, Background, Assessment, and Recommendation Situation, Background, Assignment, and Reconciliation

Situation, Background, Assessment, and Recommendation

The nurse is instructing a patient's visitors to avoid talking loudly inside the hospital. Which zone of personal space is involved in this interaction? Public zone Intimate zone Personal zone Socio-consultative zone

Socio-consultative zone

While interacting with a patient, the nurse sits and faces the patient and listens attentively. What does this posture toward the patient convey? The nurse is involved in the interaction. The nurse is comfortable with the patient. The nurse is interested in what the patient is saying. The nurse is willing to listen to what the patient is saying.

The nurse is interested in what the patient is saying.

The nurse works in a long-term care facility and attends to a 52-year-old patient with type 2 diabetes mellitus. The patient is depressed and gets angry when people try to help. Which physical signs would the patient present that would lead the nurse to conclude that the patient is depressed and angry? The patient has an erect posture and walks briskly. The patient has drooped shoulders and walks slowly. The patient speaks in a very soft tone to people offering help. The patient has a blunt facial expression when people offer her help. The patient lacks eye contact while talking to any person willing to help.

The patient has drooped shoulders and walks slowly. The patient has a blunt facial expression when people offer her help. The patient lacks eye contact while talking to any person willing to help.

The nurse has a patient who is short of breath and calls the health care provider using SBAR (Situation-Background-Assessment-Recommendation) to help with the communication. Which does the nurse address first? The respiratory rate is 28. The patient has a history of lung cancer. The patient is short of breath. The nurse requests an order for a breathing treatment.

The patient is short of breath.

In the communication process, who is the receiver of the message? The person who encodes a message The person who decodes a message The person who delivers a message The person who seeks feedback

The person who decodes a message

Which statement best explains the role of collaboration with others for the patient's plan of care? The professional nurse consults the health care provider for direction in establishing goals for patients. The professional nurse depends on the latest literature to complete an excellent plan of care for patients. The professional nurse works independently to plan and deliver care and does not depend on other staff for assistance. The professional nurse works with colleagues and the patient's family to provide combined expertise in planning care.

The professional nurse works with colleagues and the patient's family to provide combined expertise in planning care.

The nurse is having a conversation with a patient. Which actions by the nurse would not require permission from the patient? Touching the patient's arms Patting the patient's back Holding the patient's wrist Patting the patient's shoulders Touching the patient's feet

Touching the patient's arms Patting the patient's back Patting the patient's shoulders

The nurse is caring for a non-English-speaking patient. Which measures should the nurse adopt to ensure effective communication? Patronize and comment on the patient's culture. Speak to the interpreter instead of the patient. Understand cultural and language differences. Avoid interpreting based on personal cultural beliefs. Provide written information in the primary language.

Understand cultural and language differences. Avoid interpreting based on personal cultural beliefs. Provide written information in the primary language.

The nurse is caring for a patient who is visually impaired. Which measures should the nurse take when communicating with this patient? Use at least 14-point print. Check if the patient wears glasses. Use indirect lighting and avoid glare. Enter the room without addressing the patient. Follow the patient's gestures and nonverbal communication.

Use at least 14-point print. Check if the patient wears glasses. Use indirect lighting and avoid glare.

The nurse asks another nurse how to collect a laboratory specimen and is told, "Why don't you figure it out?" Which would be the best response? Say nothing and walk away. Find a different nurse to help. "When you brush me off like that, it takes me even longer to do my job." "Why do you always put me down like that?" "I guess I just enjoy having you make fun of me."

"When you brush me off like that, it takes me even longer to do my job."

When the nurse takes the patient's nursing history, where is the most therapeutic place for the nurse to sit? Next to the patient 4 to 12 feet from the patient 18 inches to 4 feet from the patient 12 inches to 3 feet from the patient

18 inches to 4 feet from the patient

According to the circular transactional model, which element motivates one person to communicate with another? Channels Message Referent Environment

Referent

A patient tells the nurse, "I am feeling sicker than yesterday." The nurse immediately calls the emergency staff to see the patient. What should the nurse have done before calling the rapid response team? Clarify the patient's statement. Contact the nurse supervisor. Contact the nurse manager. Take advice from a colleague.

Clarify the patient's statement.

The nurse is caring for a patient with facial trauma. The patient is experiencing difficulty in speaking due to the injuries. What should the nurse keep in mind when communicating with this patient? Ask the patient to speak fast. Communicate directly to the patient. Review medical records to assess the level of sensory loss. Listen patiently when the patient speaks. Assume answers when patient is unable to speak.

Communicate directly to the patient. Review medical records to assess the level of sensory loss. Listen patiently when the patient speaks.

Mr. Sakda emigrated from Thailand. When taking care of him, the nurse notes that the patient looks relaxed and smiles but seldom looks at the nurse directly. Which is the best response? Use therapeutic communication to assess for increased anxiety. Sit down near the patient and at eye level. Deflect eyes downward to show respect. Continue to maintain eye contact.

Deflect eyes downward to show respect.

The nurse is caring for a Spanish-speaking patient with a hand fracture. Which approaches are likely to be ineffective when communicating with the patient? Assessing the patient's level of fluency in English Incorporating the patient's communication methods Providing written information in English and the primary language Designating a family member of the patient as an interpreter Perceiving patient nodding or statements such as "OK" as indications of effective understanding

Designating a family member of the patient as an interpreter Perceiving patient nodding or statements such as "OK" as indications of effective understanding

Which nursing interventions help the nurse establish a therapeutic relationship while working with a patient to solve problems and accomplish goals? Assessing the patient's health status Encouraging and helping the patient set goals Taking action to meet the goals set with the patient Providing information needed to understand and change behavior Talking to other caregivers who have information about the patient

Encouraging and helping the patient set goals Taking action to meet the goals set with the patient Providing information needed to understand and change behavior

The nurse is caring for a patient with diabetes. Which nursing action is involved in the termination phase of the nurse-patient relationship? Advise the patient to change his or her lifestyle Assess the patient for blood sugar level and for any foot ulcers Encourage the patient to maintain a checklist of food habits and blood sugar level Evaluate whether the patient has achieved the goal of maintaining normal blood sugar levels

Evaluate whether the patient has achieved the goal of maintaining normal blood sugar levels

The nurse notices tension on the face of a patient before going to the operating room. The patient says, "I don't mind going in for surgery." The nurse acknowledges the patient's nonverbal indications of stress and prompts the patient to elaborate on his or her feelings. Which type of communication is the nurse exhibiting? Metacommunication Nonverbal communication Intrapersonal communication Nontherapeutic communication

Metacommunication

Which phase of the helping relationship is involved when the nurse and a patient meet and become acquainted? Working phase Orientation phase Termination phase Preinteraction phase

Orientation phase

The nurse works in a nursing home and understands that most of the elderly patients have varying degrees of hearing loss. Which interventions would help the nurse to communicate with these patients? Speak clearly and slowly. Check for the patient's hearing aids. Make the patient aware while talking. Speak quickly and move to the next task. Avoid facing the patient while speaking.

Speak clearly and slowly. Check for the patient's hearing aids. Make the patient aware while talking.

Which special zone of touch requires special care? Social zone Consent zone Intimate zone Vulnerable zone

Vulnerable zone

The registered nurse (RN) is teaching a nursing student about the personal zones of space while communicating with patients. Which statements by the nursing student indicate effective learning? "I should be in the personal zone while counseling the patient." "I should maintain a distance of 9 ft (274 cm) while taking patient history." "Speaking at a community forum generally involves the public zone." "I should ask for permission before assessing the patient's wrist or feet." "I should be in the socio-consultative zone while performing physical assessment."

"I should be in the personal zone while counseling the patient." "Speaking at a community forum generally involves the public zone." "I should ask for permission before assessing the patient's wrist or feet."

The registered nurse (RN) is teaching a nursing student about nonverbal skills that facilitate attentive listening while interacting with the patient. Which statement by the nursing student indicates the need for further teaching? "I should sit facing the patient." "I should maintain eye contact." "I should lean away from the patient." "I should be relaxed and comfortable." "I should keep my arms and legs crossed."

"I should lean away from the patient." "I should keep my arms and legs crossed."

The registered nurse (RN) is teaching a nursing student about assertive behavior when interacting with patients and coworkers. Which statement by the nursing student indicates effective learning? "It helps the nurse avert ethical dilemmas." "It helps to resist intentionally imposed guilt." "It helps the nurse move beyond superficial care." "It may result in an environment conducive to lateral violence."

"It helps to resist intentionally imposed guilt."

Which behaviors foster the development of trust? Answering the call light promptly Calling the patient by first name unless requested otherwise Completing all care as quickly as possible and leaving the room so the patient can rest Answering questions honestly Demonstrating competence when implementing treatments

Answering the call light promptly Answering questions honestly Demonstrating competence when implementing treatments

The nurse is caring for a patient with aphasia. Which precautions should the nurse take when communicating with this patient? Ask simple questions. Avoid using visual clues. Use communication aids. Listen attentively and patiently. Assume the patient's answers without disturbing.

Ask simple questions. Use communication aids. Listen attentively and patiently.

The nurse is taking the patient's medical history. Which actions should the nurse perform to practice active listening skills? Be relaxed. Sit beside the patient. Avoid sitting with hands crossed. Avoid leaning toward the patient. Maintain intermittent eye contact.

Be relaxed. Avoid sitting with hands crossed. Maintain intermittent eye contact.

Which special zone of touch is involved during teeth replacement? Social zone Consent zone Intimate zone Vulnerable zone

Consent zone

The nurse and a patient are talking about a baseball game. Both of them are using the word baseball to refer to the sport. Which best describes the use of the word baseball in this context? Denotative Connotative Intonation Metacommunication

Denotative

Which situational context factors influence communication? Privacy levels Emotional status Expression of feelings Information exchange Balance of power and control

Expression of feelings Information exchange

The nurse is performing the initial assessment of a patient who is experiencing difficulty articulating words. Which etiological factors may lead to this condition? Acne Facial trauma Laryngeal cancer Endotracheal intubation Intravenous catheterization

Facial trauma Laryngeal cancer Endotracheal intubation

A patient who is married and has a 3-year-old daughter is diagnosed with terminal cancer. The patient has come to see the nurse with her daughter and husband to talk about it. Which is the most appropriate response by the nurse? Talk to the patient's husband first. Convince the patient that she will be fine. Inform the patient about palliative care options. Tell the patient that she only has a couple of months left to live.

Inform the patient about palliative care options.

Which form of communication is appropriate to assess understanding and clarify misinterpretations when the nurse is teaching a patient about a health concern? Public communication Small-group communication Intrapersonal communication Interpersonal communication

Interpersonal communication

The pediatric nurse finds that one of the mothers in the unit is not able to console her infant who is crying, so the nurse holds the infant. Which zone of personal space does this gesture belong to? Social Public Personal Intimate

Intimate

A 35-year-old athlete becomes aggressive when not allowed to be ambulatory due to a fractured leg. The patient tries to get out of the bed unattended and falls. The nurse talks to the patient, who states, "I'm frustrated. I want to get out of here." The nurse encourages the patient to express concerns freely. Which techniques should the nurse utilize to actively listen to the patient? Stand away with hands folded. Lean forward towards the patient. Sit erect facing the patient with uncrossed arms. Make eye contact. Pace up and down the room. Close eyes and listen.

Lean forward towards the patient. Sit erect facing the patient with uncrossed arms. Make eye contact.

A 35-year-old athlete becomes aggressive when not allowed to be ambulatory due to a fractured leg. The patient tries to get out of the bed unattended and falls. Which therapeutic communication techniques should the nurse apply in attending to the patient? . Listen actively. Share empathy. Give personal opinions. Ask relevant questions. Confront the patient. Leave the room if the patient is shouting.

Listen actively. Share empathy. Ask relevant questions.

The registered nurse (RN) is teaching a group of nursing students about the care of patients in the intensive care unit (ICU). Which level of communication is applicable in this situation? Public communication Electronic communication Small-group communication Interpersonal communication

Public communication

The nurse and a new patient introduce themselves by exchanging names. The nurse informs the patient about being assigned for the patient's care. While taking the patient's history, the nurse addresses the patient using the last name. Later, while reporting to the head nurse, the nurse says that "the patient in room 31 has stable vitals." Which part of the nurse's communication is inappropriate? Giving out the nurse's name to the patient Addressing the patient using the last name Referring to the patient using the room number Giving out the nurse's status to the patient

Referring to the patient using the room number

While interacting with a patient, the nurse comments on positive aspects of the patient's behavior and response. Which therapeutic communication technique does the nurse exhibit? Sharing hope Sharing feelings Sharing empathy Sharing observations

Sharing hope

When working with an older adult, which should the nurse avoid? Touching the patient. Allowing the patient to reminisce. Shifting quickly from subject to subject. Asking how the patient feels.

Shifting quickly from subject to subject.

While interacting with a woman who underwent a mastectomy, the nurse says, "I'm worried that you might feel devastated after your surgery." Which nontherapeutic communication technique does the nurse exhibit? Sharing humor Sharing feelings Showing sympathy Giving personal opinions

Showing sympathy

While communicating with a patient, the nurse keeps arms and legs uncrossed. What message does this convey to the patient? The nurse is open to what the patient says. The nurse is feeling uncomfortable with the patient. The nurse is involved and interested in the interaction. The nurse is listening and interested in what the patient is saying.

The nurse is open to what the patient says.

The nurse is observing the nonverbal cues of a patient who has a quick and purposeful gait. What does the patient's gait indicate? The patient is attentive. The patient is nervous. The patient is depressed. The patient is confident.

The patient is confident.

The nurse is interviewing a patient with cognitive impairment. Which strategy should the nurse avoid while communicating with this patient? Give sufficient time for the patient to answer questions Use pictures or gestures that resemble the desired action Involve a family member in conversation while providing counseling Use detailed explanations while asking questions to help the patient understand.

Use detailed explanations while asking questions to help the patient understand.

A patient is admitted to the hospital with congestive heart failure. The nurse immediately notifies the primary health care provider using the SBAR (Situation, Background, Assessment, and Recommendation) technique. Which statement by the nurse demonstrates "background"? "The blood pressure of the patient is 150/90 mm Hg." "The patient has severe perspiration and chest pain." "The patient has a history of congestive heart failure." "The nurse requests an order from the primary health care provider to treat the patient."

"The patient has a history of congestive heart failure."

A patient on initial assessment reports a cough for 3 days that is getting worse. The nurse says, "Tell me more about your cough." The patient says, "I wish I could, but that is why I'm here. You tell me what's wrong!" Which would be most appropriate response to enhance communication? "I'll examine you and figure out later what the problem is." "I don't know what's wrong. You could have almost any disease." "After 3 days, your cough has gotten worse. Have you had a fever?" "I'd like to hear more about your experiences. Where were you born?"

"After 3 days, your cough has gotten worse. Have you had a fever?"

The registered nurse (RN) is communicating with a patient in the surgical unit. Which statement by the RN indicates the technique of sharing hope? "You seem to be cheerful today." "You are a fighter and I know you can find a way to face this condition." "I understand that you may be frustrated that you are bedridden for a month." "You have to walk for five minutes, as directed by the primary health care provider."

"You are a fighter and I know you can find a way to face this condition."

A patient says to the nurse, "I have been drinking four glasses of whiskey daily for the past 20 years, and I never had any problems. I don't know why my primary healthcare provider has asked me to stop drinking." How should the nurse paraphrase this statement? "You do not want to stop drinking?" "You think drinking is not harming you?" "You want to continue drinking for the rest of your life?" "You are not convinced that you need to stop drinking?"

"You are not convinced that you need to stop drinking?"

An elderly patient who is critically ill asks the nurse about assisted suicide. The nurse is ethically opposed to assisted suicide. Which is the most appropriate response by the nurse? "You should not think about it." "I don't want to talk about it." "This is a bad idea and you should not talk about it." "You have been thinking about it; let us discuss more about how you feel."

"You have been thinking about it; let us discuss more about how you feel."

What does the term referent mean in the communication process? A primary healthcare provider who refers a patient A patient who is being referred A service to which the patient is being referred An event that motivates a person to communicate with another

An event that motivates a person to communicate with another

The nurse is interviewing a patient to collect health-related data. Which actions should the nurse perform to maintain good interpersonal communication? Avoid talking to colleagues or other patients. Be authentic. Discourage expression of negative feelings. Take initiative in communicating. Respond appropriately to others.

Be authentic. Take initiative in communicating. Respond appropriately to others.

When caring for a patient, the nurse identifies factors that affect the outcomes of the treatment. To which phase of the nursing process does this nursing activity belong? Planning Evaluation Assessment Implementation

Evaluation

The nurse is caring for a patient who is unable to communicate properly due to laryngeal cancer. Which could be the consequences of diminished ability to speak in this patient? Anxiety Stomach pain Social isolation Ineffective coping Difficulty in movement

Anxiety Social isolation Ineffective coping

The nurse is asking a patient about pain in the abdomen. Which should the nurse use as an appropriate means for effective communication? Closed questions Appropriate intonation Properly paced statements Clear and concise phrasing Hurried complex statements

Appropriate intonation Properly paced statements Clear and concise phrasing

The nurse is learning about communicating with patients who are cognitively impaired. Which are the most appropriate actions that the nurse should perform? Avoid including family and friends in discussion. Ask one question at a time. Provide lengthy explanations. Use simple sentences to clarify. Allow time for patients to respond.

Ask one question at a time. Use simple sentences to clarify. Allow time for patients to respond.