Communication Practice Assessment
A director of nursing encourages nurse managers to serve as mentors to staff nurses who show potential for progressing within the organization. Which of the following types of power is the director of nursing displaying? I____________ power comes from the ability of those with f________ power to influence and encourage others.
Influential; formal
Relationship, which is focused on the nurse-client interaction and is not a part of a work group.
Interprofessional
Relationship work group, which is one group of health care workers who are of the same profession to create a client's plan of care.
Intraprofessional
A nurse in an acute care facility is providing care to a group of clients. Which of the following actions by the nurse is the best defense against malpractice? C_________ and a_________ documentation is the best defense against malpractice.
Complete; accurate
A nurse is caring for a 17-year-old client newly diagnosed with a heart murmur. To facilitate communication, the nurse should recognize which of the following as a developmental milestone for this client? E____________ i_____________ This is an adolescent characteristic. At this age, adolescents typically embrace independence.
Embraces independence
Role where one who keeps records and reports to the leader and members.
Observer
A nurse is providing information on a new procedure to the nursing staff and has discovered that several of the staff members have a kinesthetic learning preference. Which of the following methods of learning should the nurse implement? P___________ the new procedure, and have the staff members perform a return d______________.
Practice; demonstration
A nurse who uses "I can see" statements is using a____________ communication.
assertive
Role where one who maintains the professional standards for the group and decisions agreed upon
Standard setter
A nurse is using the SBAR communication tool to report the condition of a client to a provider. The nurse should include the client's most recent vital signs in which component of the communication? Vital signs are a component of a_____________. The nurse should report the client's most recent vital signs in this component of the SBAR communication tool.
assessment
A nurse uses self-disclosure to respond to a client who states that she is afraid to have a scheduled surgical procedure. Which of the following statements by the nurse is appropriate? "I hear your concern. I felt the same way before having the same surgery myself." The nurse maintains a therapeutic relationship with the client by a____________ the client and using m_______ s______-___________ to ease the client's concerns about surgery.
acknowledging; minimal self-disclosure
A nurse is providing care for a client who is sharing her feelings about a recent unpleasant interaction with her sibling. Which of the following is a barrier to effective communication between the nurse and client? Giving a_______ is a barrier to effective communication. The inference could be that the nurse does not view the client as capable of making effective decisions. It may undermine the client's feelings of adequacy and competence, foster dependence on the nurse, and shift problem-solving responsibility from the client to the nurse.
advice
Emotional response to the task by the client is defined in the a______________ domain.
affective
A client who received pain medication 1 hr ago reports a pain level of 8 on a scale of 0 to 10. The nurse responds, "Your pain should be getting better soon. Don't worry." Which of the following nontherapeutic communication responses did the nurse display? The nurse displayed the use of a_________________ response, which conveys that the nurse is not taking the client's concerns seriously.
automatic
A nurse is caring for a client who lives in a rural area and has a prescription for telemonitoring. Which of the following is an appropriate action for the nurse to take? The nurse should determine the a__________ of i______________ capabilities because telemonitoring transmits data from the client to the provider electronically.
availalbility; internet
The rise and fall of the nurse's voice communicates doubt, suspense, and confusion. Additionally, when communicating with a client who has a hearing impairment, the nurse should a________ a c_______ in v______ inflection.
avoid; change; vocal
A nurse is caring for a client who is deaf. Which of the following is a barrier to communication? A_________ f_________ e____________ when communicating with clients who are deaf is considered a communication barrier.
avoiding facial expressions;
A staff nurse tells the nurse manager that one of her coworkers does not work as many holidays as the other nurses. The nurse manager acknowledges the problem, thanks the nurse, and tells her that he appreciates her dependability. Which of the following conflict resolution strategies is the nurse manager demonstrating? When a_________ is used, the nurse manager acknowledges the conflict but does not attempt to r_________ the problem. The nurse manager is demonstrating this type of conflict resolution strategy.
avoiding; resolve
A nurse is explaining to a client who has a new prescription for an antihypertensive that the medication can have a serious adverse effect, and that coughing is a warning sign of this effect. Which of the following statements by the nurse demonstrates the verbal communication attributes of brevity and clarity? "Call us immediately if you start coughing." B__________ means that the communication is brief, so this statement does illustrate b_________. C________ means the communication is clear and this message is clear, and direct, and conveys the nurse's meaning. The nurse should provide an explanation to help reinforce the importance of this directive.
brevity; brevity clarity
A nurse providing care for a client refuses the client's request for hugs when leaving the room. Which of the following actions is the nurse displaying? Setting clear professional boundaries The nurse understands the importance of setting c__________ professional b____________ in order to define a therapeutic nurse-client relationship. This is the action the nurse is displaying.
clear; boundaries
A nurse is educating group members at a conference. Which of the following educational strategies addresses only one domain of learning? Lecture addresses only one domain of learning, which is the cognitive domain.
cognitive
A nurse is implementing education on range-of-motion exercises for a client who had a total hip arthroplasty. The client performs a return demonstration. Which of the following defines the cognitive domain? Thinking ability necessary to perform the skill Intellectual thinking abilities of the client are defined in the cognitive domain.
cognitive
Group discussion addresses the c_________, a________, and p____________ domains of learning.
cognitive; affective; psychomotor
Simulation addresses the c_________, a________, and p_____________ domains of learning.
cognitive; affective; psychomotor
A nurse manager is attempting to resolve a conflict between two nurses that is affecting delivery of client care. Which of the following actions is appropriate for the nurse manager to take? Meet with each nurse individually to gather more information. C________ more d______ about the conflict aids in facilitating a resolution to the conflict and is an appropriate action for the nurse manager to take.
collecting; data
A nurse manager is reviewing communication styles with the nurses on the unit. The nurse manager explains that which of the following are characteristics of passive communication? (Select all that apply.) The individual who uses passive communication avoids c_________________ because she is uncomfortable in difficult situations. Individuals who use passive communication are d__________ because they fail to express their t_____ f__________.
confrontation dishonest; true feelings
Electronic medical records are readily available to any provider who has access to the electronic medical record system. Therefore, they promote c_____________ of care.
continuity
People who attempt to control the information and sharing of ideas in a conflict negotiation are illustrating a d______________ negotiation tactic that opposes teamwork and collaboration.
destructive
A nurse is providing teaching about the prevention of pneumonia to a client who is postoperative and is being discharged home. Which of the following statements by the nurse demonstrates the best method of conveying information to the client? "Let's talk about pneumonia and what you can do to prevent it." Messages delivered in a d___________ manner facilitate a clearer understanding of the information.
direct
A nurse is collecting information concerning a client's response to incisional pain. Which of the following actions should assist the nurse in gathering this information? The nurse should make d_________ eye contact with the client, where c___________ acceptable, to help gather client information.
direct; culturally
A nurse manager is planning to involve a mediator to assist with conflict resolution efforts between the unit's charge nurses. The nurse manager should inform the nurses that a mediator The mediator assists the involved parties to identify a solution to the conflict. A mediator d_______ n_____ m_______ the f__________ decision.
does not make; final
The postanesthesia care unit (PACU) unit manager tells the PACU nursing staff, "Next week, our goal is to transfer each surgical client to the medical units within one hour." Which of the following communication patterns is displayed by the PACU unit manager? The PACU unit manager displayed d___________ c____________ by relaying vital information and activities to s______________ in the hierarchy of the nursing organization.
downward communication; subordinates
A nurse manager is observing a newly licensed nurse interact with several older adult clients. Which of the following actions by the newly licensed nurse requires intervention by the nurse manager? E_______________ lip movements is not an appropriate means of communication with older adults.
exaggerating
A nurse is working with a child who has been verbally abused. The nurse should make which of the following comments to seek clarification from the client? Asking for an e_________ is a way of seeking clarification. Seeking clarification helps the client to e__________ thoughts and feelings, thus promoting a m___________ u________________ between the client and nurse.
example; explain; mutual understanding
A nurse is monitoring a client who lives in a rural area via telecommunication. The nurse should understand that this method of communication has which of the following advantages? Monitoring through telecommunication cannot replace f_______-t_____-f__________ contact necessary for the nurse-client relationship.
face-to face contact
A nurse is planning care for a client who has expressive aphasia by assessing the client's cognitive abilities. Which of the following communication strategies should the nurse use during the assessment? The nurse should f_______ the c_______ directly when asking a question.
face;client
A nurse manager is planning to involve a mediator to assist with conflict resolution efforts between the unit's charge nurses. The nurse manager should inform the nurses that a mediator A mediator g__________ facts to help the involved parties find a s___________ to the conflict.
facts; solution
A nurse is working as a member of an interprofessional team and suggests each member have a turn to speak when a conflict arises. Which of the following maintenance roles did the nurse display? The nurse displayed the role of g___________, one who encourages all members to have a v_______ in the discussion.
gatekeeper; voice
A nurse is communicating with a client who has a hearing impairment. Which of the following techniques should the nurse use to promote communication with the client? Clients who have a hearing impairment have difficulty hearing when a _______ pitch is used. Therefore, to promote communication, the nurse should speak in a _______ pitch.
high; low
A nurse is expressing concern to the nurse manager about a coworker who uses passive-aggressive communication. Which of the following is an example of passive-aggressive communication? The coworker voices her concerns to anyone who will listen. A nurse who uses passive-aggressive communication avoids h__________, d_______ communication and expresses her concerns to o________ in an attempt to make other people look bad.
honest; direct; others
The nurse may personalize a teaching plan related to the topic when educating a client i______________, not within a g_________.
individually;group
A nurse is resolving a conflict about client care during a meeting with members from different departments. Which of the following types of conflict is displayed? The nurse is involved in an i_____________ c_________ because members from different departments are involved in a client's plan of care.
intergroup conflict
A nurse manager creates mutual trust and respect when planning care for a client. The nurse manager says, "Thank you for gathering today. I see we have members from respiratory therapy, dietary, and nursing." Which of the following examples of work relationships is exhibited in creating the plan of care? The nurse manager used an i______________ relationship work group, which gathers members from specialty departments to collaboratively create a client's plan of care.
interprofessional
A nurse is resolving a conflict about client care during a meeting with members from different departments. Which of the following types of conflict is displayed? The nurse is not involved in an i___________ conflict, which is when one's own personal and internal values and wants are in conflict.
intrapersonal conflict
A nurse includes foot care education when developing a plan of care for an older adult client who has diabetes mellitus. Which of the following strategies should the nurse use when implementing the teaching? The nurse should present l_______-p_______ educational m__________ to the client due to possible v_________ i________.
large-print; materials; visual impairments
A nurse is caring for a client who is from a Native American cultural background. Which of the following should the nurse consider when communicating with clients of this cultural background? Clients from a Native American cultural background may prefer l_______ t______ and are comfortable with s___________.
less talk; silence
A nurse is communicating with a client who has a hearing impairment. Which of the following techniques should the nurse use to promote communication with the client? The nurse should use __________ phrases when speaking with the client because it may be easier for the client to hear m___________ t________.
longer; meaningful terms
A nurse is preparing discharge instructions for a client who speaks minimal English. His adult daughter is in the room, and she is bilingual and speaks fluent English. Which of the following is the most appropriate action for the nurse to take? A m__________ i____________ can speak both languages fluently and has skills in medical terminology. M___________ i____________ are also required to maintain client confidentiality.
medical interpreter
After a client shares feelings about the death of her grandmother, the nurse says, "Everyone's grandparents die sometime." Which of the following nontherapeutic techniques was displayed by the nurse? The nurse m___________ the client's feelings by using a belittling remark that displayed lack of e_________ and u__________.
minimized; empathy; understanding
Allowing participants to progress at their own rate of learning is n_____ an e________ teaching strategy with g________.
not; effective; groups
A client tells a nurse that she is upset because she is not going to be discharged from the hospital today. Which of the following responses by the nurse demonstrates therapeutic communication? "You are frustrated because you want to go home. The nurse is p_________________ to give the client the opportunity to evaluate whether or not the communication is mutually understood. This is a therapeutic communication technique.
paraphrasing
A nurse is a team leader of a group. Which of the following is a disruptive role of a member of the group? The member who asks for p___________ r___________ of the team is the recognition seeker. This is a disruptive role in a group.
personal; recognition
A 16-year-old client is recovering from a motor vehicle crash involving alcohol. Which of the following statements by the nurse displays an effective therapeutic relationship with the client? "What can I do to help you at this time?" This technique is offering p__________. This response expresses a sincere interest and accessibility, which can provide the client with a sense of comfort.
presence;
A nurse is preparing to educate a client on self-administration of a subcutaneous medication. In which of the following environments should the nurse provide the education? The appropriate environment for client education is in a p________ room where c_______________ can be maintained.
private ; confidentiality
A staff nurse on a burn unit informs the nurse manager that another nurse on the unit falsified information on a client's medication administration record. Which of the following actions by the nurse manager is appropriate? The nurse manager should meet in p__________ with the nurse who falsified the record and give her the opportunity to e__________ the situation. The nurse manager should always provide negative feedback in private.
private; explain
Physical ability to perform the skill by the client is defined in the p______________ domain.
psychomotor
A nurse manager is attempting to resolve a conflict between two nurses that is affecting delivery of client care. Which of the following actions is appropriate for the nurse manager to take? Discussing the conflict in a p_________ area is i_____________ and u__________ behavior.
public; inappropriate; unprofessional
A nurse is preparing to demonstrate how to change an ostomy bag to a client who has a new ostomy. Which of the following client statements indicates a readiness to learn? The client's statement of needing the information written down displays knowledge r___________ to learn.
readiness
R_________ environmental n________ when communicating with a client who is deaf is an a_________ technique to facilitate communication.
reducing; noise; appropriate
A nurse is educating a client who is preparing for open-heart surgery. The client continuously talks about a friend's recent open-heart surgery. Which of the following nursing statements is therapeutic? "Let's go back to discussing your concerns about having surgery." The nurse uses therapeutic communication by r____________ the client to her own concerns about surgery and the need for further education.
refocusing
A nurse is monitoring a client who lives in a rural area via telecommunication. The nurse should understand that this method of communication has which of the following advantages? An advantage to monitoring through telecommunication provides the opportunity for the client to s_______-r________ to the nurse.
self-report
A nurse is presenting preoperative cardiac surgery education to a small group of clients. Which of the following strategies is effective with a group? Encouraging participants to s__________ i___________ about the topic is an effective strategy used to focus a group.
share information
A nurse is planning care for a client who has expressive aphasia by assessing the client's cognitive abilities. Which of the following communication strategies should the nurse use during the assessment? The client's ability to communicate using s______ l___________ is n_____ e________ due to the loss of ability to express oneself by making s_______, w_______, or s_________.
sign language; not effective; signs; writing; speaking
A nurse is reinforcing the information a provider shared with a client who had surgery for colon cancer. Which of the following is the appropriate nursing statement for reinforcing the information? "The surgeon removed the part of your colon connected to your rectum." When providing nursing information, the nurse should use appropriate and s__________ terms to reinforce the information from the provider.
simple
A client who speaks English as a second language tells the home health nurse, "I do not want to go to that big clinic. They won't be able to understand me." Which of the following actions by the nurse is appropriate to ensure a smooth transition for the client? S_________ with a n_______ at the clinic a________ of time regarding the client's concerns
speak; nurse; ahead
"Most people do really well after open-heart surgery. This response is a nontherapeutic communication technique known as s___________. When the nurse uses s____________, the client's feelings are m___________. The client may cease communication with the nurse if this type of response is used.
sterotyping; sterotyping; minimized
Participants in the conflict negotiation process must prepare to propose t__________-______ and to c____________ to reach a consensus that everyone in the group can accept.
trade-offs; compromise
A nurse is planning care for a client who has expressive aphasia by assessing the client's cognitive abilities. Which of the following communication strategies should the nurse use during the assessment? The client's ability to communicate by v____________ thoughts to answer questions is n____ e_________ due to the l_______ of ability to e_________ oneself by making signs, writing, or speaking.
verbalizing; not effective; loss; express
A nurse is providing discharge teaching for a client who speaks English as a second language. Which of the following is an appropriate action for the nurse to take? The nurse should provide w_________ information in b_______ of the client's languages to increase successful understanding of written information.
written;both
