patrick test two lecture

A nurse is communicating with a client who has aphasia after having a stroke. Which action should the nurse take? A. Face the client and establish eye contact. B. Talk in a louder than normal voice. C. Keep the television on while she speaks. D. Use one long sentence to say everything that needs to be said.

A

A nurse is sitting near a patient while conducting a health history. The patient keeps edging away from the nurse. What might this mean in terms of personal space? A. The nurse is in the patient's personal space. B. The patient does not like the nurse. C. The nurse is too far away from the patient. D. The patient has concerns about the questions.

A

A nurse tells a client that she will come back in 10 minutes to re-assess the client's pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing? A. Trust B. Closure C. Empathy D. Sympathy

A

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. What type of communication is the manager exhibiting? A. Nonverbal B. Verbal C. Clarifying D. Consistent

A

The nurse is completing an admission assessment with a client. The client looked down and became tearful when asked about feeling safe at home. How would the nurse respond to the nonverbal communication displayed by the client? A. "You seem upset. You are safe here and can talk to me confidentially." B. "Do you want me to call the police for you? You seem scared to be at home." C. "I am glad that you feel safe at home; everyone should feel safe at home." D. "Is someone abusing you at home? I need to report this to the police."

A

Which is an example of a closed-ended question or statement? A. "Did you take those drugs?" B. "Describe the type of pain you have." C. "What medications do you take at home?" D. "How did that make you feel?"

A

The nurse is providing care to a pregnant woman who speaks a different language from that of the nurse. When communicating with this client, the nurse demonstrates best practice by which action? A. speaking to the client in a loud voice at a slow pace B. arranging for an interpreter to be present during any communication C. standing close to the client while using a strong emphatic tone D. having a family member communicate the information to the client

B

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. "What brought you to the hospital this morning?" C. "I'll be back in 30 minutes to check on your pain relief." D. "You seem upset today. Are you?"

B

What is the primary focus of communication during the nurse-patient relationship? A. time available to the nurse B. patient and patient needs C. environment of the patient D. nursing activity to be performed

B

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

B

Which of the following is an example of nonverbal communication? A. A patient asks the nurse for a pain shot. B. A patient's face is contorted with pain. C. A nurse presents information to a group of patients. D. A nurse says, "I am going to help you walk now."

B

While conducting a health assessment with an older adult, the nurse notices it takes the person longer to answer questions than is usual with younger clients. What should the nurse do? A. Realize that the client has some dementia. B. Slow the pace and allow extra time for answers. C. Stop asking questions so as not to confuse the client. D. Ask a family member to answer the questions.

B

During a health history, the nurse notices that a client is watching the nurse's face intently and leaning in closer with each question asked. As the nurse becomes aware of such behaviors, she will inquire about which possible client impairment? A. Constipation B. Pain C. Hearing loss D. Fear

C

The client tells the nurse, "I'm frightened about my surgery tomorrow." What response by the nurse is best? A. "Didn't the surgeon answer all your questions?" B. "What's to be frightened about, the OR crew will take care of you." C. "Can you tell me what frightens you?" D. "Hundreds of people have this surgery daily."

C

The nurse is providing education to a client who sometimes has difficulty remembering information. Which form of communication will be most helpful for this client? A. Verbal communication B. Nonverbal communication C. Written communication D. Metacommunication

C

Which is an open-ended question? A. "Do you take this medication daily?" B. "How many tablets do you take at one time?" C. "Why did the health care provider prescribe this medication for you?" D. "When was the last time you had your prescription refilled?"

C

A nurse touches a patient's hand to indicate caring and support. What channel of communication is the nurse using? A. olfactory B. auditory C. kinesthetic D. visual

C The channels are auditory (spoken words and cues), visual (sight, observations, and perceptions), and kinesthetic (touch).

A nurse is admitting an older client named Grace Staples to a long-term care facility. How should the nurse address the client? A. "I know you have lots of grandchildren, Grandma." B. "I think you will enjoy living here, Sweetie." C. "We will just call you Grace while you live here. Okay?" D. "What name do you want us to use for you?"

D

A nurse is caring for a patient who is visually impaired. Which of the following is a recommended guideline for communication with this patient? A. Speak in a louder tone of voice to make up for lack of visual cues. B. Keep communication simple and concrete. C. Ease into the room without acknowledging presence until the patient can be touched. D. Explain reason for touching patient before doing so.

D

A nurse is conducting a health history interview for a client at an assisted-living facility. The client says, "I have been so constipated lately." How should the nurse respond? A. "Why don't you use a laxative every night?" B. "Everyone who ages has bowel problems." C. "Do you have a family history of chest problems?" D. "Do you take anything to help your constipation?"

D

A nurse tells a patient, "Why won't you get out of bed? Are you always this lazy? This is an example of which of the following barriers to communication? A. using comments that give advice B. using probing questions C. using leading questions D. using judgmental or belittling language

D

After spending 15 minutes talking with a client, the client leaves the interaction feeling defensive. This is evidence that the communication can be described as what? A. In an improper environment B. Blocked by external noise C. Therapeutic D. Nontherapeutic

D

Which is the most important skill the nurse must bring to the therapeutic nurse-client relationship? A. Humor B. Confrontation C. Reframing D. Empathy

D

Which of the following is an example of a closed-ended question or statement? A. "What medications do you take at home?" B. "Describe the type of pain you have." C. "How did that make you feel?" D. "Did you take those drugs?"

D

Which of the following statements is true of factors that influence communication? A. Nurses provide the same information to all patients, regardless of age. B. Distance from a patient has little effect on a nurse's message. C. Men and women have similar communication styles. D. Culture and lifestyle influence the communication process.

D