Fundamentals of Nursing - Chapter 8: Communication (Taylor Foundations 9th Edition)

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

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

A group of nurses is working together on a hospital task force focused on preventing infection. One nurse in the group continually argues with other members and attempts to block each step of the process. The nurse's behavior is causing frustration for the others and slowing their progress. Which attribute best describes this nurse's behavior in relation to group dynamics? A) Group-building B) Self-serving C) Maintenance D) Task-oriented

B) Self-serving

A client reports to a primary care physician with aggravated chest pain. The physician orders a stress test. The client tells the nurse that the client does not want to take the test and would prefer instead to continue taking medication a little longer. Understanding that the client is anxious, what is the most appropriate response by the nurse? A) "Tell me more about how you are feeling." B) "Most people tolerate the procedure quite well." C) "Don't you want to improve your health?" D) "Emergency equipment is always kept ready during stress tests."

A) "Tell me more about how you are feeling."

A sick client would most likely place the most trust in which nurse? A) A male nurse with a clean shaved face who is documenting at the nurses' station B) A male nurse with visible tattoos, facial piercings, and a beard C) A female nurse eating a salad in the hallway D) A female nurse with mismatched scrub attire talking on her personal cell phone

A) A male nurse with a clean shaved face who is documenting at the nurses' station

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

A) Empathy

A nurse visits a female victim of sexual assault. During the visit the client expresses that she is unable to cope with the trauma. Even though the assault occurred quite some time ago, she feels as if it just happened yesterday. What is the most appropriate response by the nurse? A) "In reality, the sexual assault did not occur yesterday; it has been over one month now." B) "We should move on from the strong feelings associated with this incident." C) "Tell me more about the aspects that make you feel as if it happened yesterday." D) "Can you do something to alleviate the fear of being assaulted again?"

C) "Tell me more about the aspects that make you feel as if it happened yesterday."

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

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

During an annual performance review with an employee, the nurse manager does not maintain eye contact and seems concerned about the time and the next appointment. This use of communication is considered: A) verbal. B) clarifying. C) nonverbal. D) consistent.

C) nonverbal.

A nurse is performing an admission assessment with a non-English speaking client. Which actions can the nurse take to enhance communication? (Select all that apply.) Contact a telephone-based medical interpreter. Request assistance from an agency interpreter. Ask the client's teenage daughter to interpret. Use an electronic translator. Speak loudly and slowly.

Contact a telephone-based medical interpreter. Request assistance from an agency interpreter. Use an electronic translator.

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

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

A nurse and an older adult client with chronic back pain are beginning to communicate. What activity should the nurse focus on at this point? A) Explaining in detail all of the pain management options available B) Sharing the nurse's own family and personal history of back pain C) Reassuring the client that back surgery will likely alleviate the pain completely D) Being sensitive to the client's emotional barriers

D) Being sensitive to the client's emotional barriers

Which action by the nurse demonstrates respect for the client as an individual? A) The nurse is giving report to another nurse about "the gallbladder client." B) The nurse is providing care to an older adult client and calls her "Mom." C) The nurse asks the aide to provide a bath for "the motor vehicle accident (MVA) client." D) The nurse is administering medication to a client she addressed as "Mrs. Taylor."

D) The nurse is administering medication to a client she addressed as "Mrs. Taylor."

Which statement accurately describes the concept of feedback as it pertains to the process of communication? A) The sender's message is translated into a code, using verbal and nonverbal communication. B) The sender sends a clear message that is understood by the receiver. C) The receiver listens to the sender in an unassuming way. D) The sender and the receiver use one another's reactions to produce further messages.

D) The sender and the receiver use one another's reactions to produce further messages.

Which activities take place during the working phase of the nurse-client relationship? Select all that apply. The client identifies the goals accomplished in the relationship. The client describes the role that the nurse plays in the relationship. The client genuinely expresses concerns to the nurse. The client and nurse identify goals of the relationship. The client participates actively in the relationship.

The client genuinely expresses concerns to the nurse. The client participates actively in the relationship.

A client in a mental health unit discusses personal thoughts and feelings with the nurse. The nurse can maintain the circle of confidentiality when reporting this information to which individuals? Select all that apply. The client's physician The nurse from the oncoming shift The unit's mental health technicians The client's closest friend The client's family

The client's physician The nurse from the oncoming shift The unit's mental health technicians