NUR 209 Ch. 20 Communication (Fundamentals of Nursing)

During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is: (page 468)

"Can you tell me why your physician sent you here to be admitted?"

A nurse who is preparing to administer an injection to the client states, "This injection will not be painful." The nurse has used which communication technique? (page 471)

giving false reassurance

A nurse is discussing cataract treatment with a client. Which statement by the nurse would be most therapeutic? (457-463)

"Have you ever thought of laser surgery?"

The nurse faculty is observing a student nurse gather data from a client. Which question, if asked by the student, would indicate to the faculty that the student has a clear understanding of open-ended questions? (page 468)

"Why did the health care provider prescribe this medication for you?"

A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides emotional support to the family and counsels them to cope with their loss. Which quality should the nurse use in this situation? (page 462)

Empathy

The nurse is visiting a hospice client in his home. He is explaining the difficulties he is having with his home infusion pump. By making statements such as "I see" and "go on" during the conversation, the nurse is utilizing which therapeutic nurse-client communication technique?

Encouraging elaboration

When assessing a client's nonverbal communication, the nurse will assess which characteristic as the most expressive part of the body? (page 449)

Facial expressions

A nurse enters the client's room and introduces himself stating, "Hello, Mr. Alonso. My name is Anthony Bader. I will be your registered nurse today. I will be providing your nursing care and I will be with you until 3:30 PM. If you need anything, please call me on my phone or put your light on." He then gives the client a printed card with this information. In the helping relationship, what does this represent? (page 461)

Orientation phase

Which guideline should a nurse use when choosing a position (location) in relation to a client during a verbal interaction? (page 449)

Take note of the client's cues when choosing a position and act on these cues.

A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be: (page 468)

aggressive.

A nurse suspects that a client may have a hearing problem. The nurse should attempt to consult: (page 475)

an audiologist.

A client arrives at the emergency department after experiencing several black, tarry stools. The nurse will develop a cause and effect by: (page 468)

asking the client if he or she has recently taken ferrous sulfate (iron) or bismuth subsalicylate

A nurse touches the client's hand while discussing his diagnosis. This action is a(an): (page 449-450)

communication channel.

A nurse communicating with a client states, "I will be changing your dressing, but we have plenty of time to talk first." She is already wearing sterile gloves and a mask and is busy working with her back to the client. The nurse is conveying a (an) (page 449)

incongruent relationship.

A nurse gives a speech on nutrition to a group of pregnant women. What is the speech itself known as? (page 449)

message

A nurse is attempting to communicate with a client who speaks a different language and does not understand what is being communicated. Which nursing action would best facilitate the communication process? (page 462)

speaking slowly and distinctly, but not loudly

Which factor is most important in the development of rapport between nurse and client? (page 460)

Trust

The nurse is collecting health data and avoids using closed-ended questions. Which of the following are examples of closed-ended questions? Select all that apply. (page 468)

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

A nurse is preparing to enter a client's room to perform wound care. The shift report revealed that this client has a tunneling wound in the sacral area that cannot be staged. The wound was also documented as having a foul odor. The nurse is nervous because she has not performed wound care on a complex wound in the past. Using effective intrapersonal communication, this nurse should: (page 453)

tell herself to "remain calm" and remember that she was trained to perform this skill.