Communication (quiz 3)

A nurse is reinforcing discharge instructions with a client during a follow-up telephone call. Based on the Shannon-Weaver communication model, which of the following components of the model is the nurse demonstrating? A) Receiver B) Sender C) Channel D) Decoder

B) Sender

A nurse is reviewing the concept of critical thinking with a newly licensed nurse. Which of the following statements should the nurse make? A) "Critical thinking is the foundation for clinical decision making." B) "Critical thinking takes into consideration nursing, scientific, and technological knowledge in client situations." C) "Critical thinking is the visible or observed outcome, while using evidence-based practice." "D) Critical thinking is necessary for the nurse to collect objective client data."

A) "Critical thinking is the foundation for clinical decision making."

A nurse in a provider's office is caring for a client who has hypertension during a follow-up appointment and is focusing on the client's ability to make healthy behavior changes. Which of the following statements by the nurse is an example of the use of affirmations? A) "I'm glad you decided to continue your fitness routine." B) "You could achieve better results if you applied yourself more." C) "You are adjusting very well for your age." D) "Reducing your caffeine intake is good, but you really need to stop completely."

A) "I'm glad you decided to continue your fitness routine."

A nurse is caring for a client who has type 1 diabetes mellitus and is resistant to learning self-injection insulin methods. Which of the following statements should the nurse provide? A) "Tell me what I can do to help you overcome your fear of giving yourself injections." B) I am sure your provider will not be pleased that you refuse to give yourself insulin injections." C) "It's okay. Your partner can learn how to give you the insulin injections." D) "You won't be able to go home unless you learn to give yourself insulin injections." Check Answer Question Feedback Show Explanation

A) "Tell me what I can do to help you overcome your fear of giving yourself injections."

A nurse is collecting preoperative data from a client. Which of the following statements is an example of the nurse using motivational interviewing? A) "You said that you're sad. What is making you feel sad?" B) "If you want to lose weight, why do you keep eating fast food?" C) "Have you always struggled with depression?" D) "Do you have any health problems?"

A) "You said that you're sad. What is making you feel sad?"

A nurse is caring for a client who has emphysema. The client has not stopped smoking cigarettes and states, "It's too late for me to quit." Which of the following actions should the nurse take? A) Assist the client in finding local smoking-cessation assistance programs B) Tell the client that she will be all right now that she is receiving medical care C) Inform the client that she must stop smoking or the provider will not be able to care for her D. Advocate for the client by supporting her statement about not quitting

A) Assist the client in finding local smoking-cessation assistance programs

A nurse is beginning a therapeutic relationship with a client. Which of the following actions should the nurse perform to convey empathy when using the therapeutic communication technique of active listening? A) Assume an open position B) Sit upright while leaning back into the chair C) Avoid direct eye contact until the client initiates it D) Sit next to the client

A) Assume an open position

A nurse is caring for a client who is in an acute care facility. The nurse should recognize that the client's care requires clinical reasoning when it is complicated by which of the following factors? (Select all that apply.) A) Complex clinical situations B) Ongoing client and family concerns C) Cost of health care D) Decreased need for advanced health care practitioner intervention E) Availability of computerized medical records

A) Complex clinical situations B) Ongoing client and family concerns

A hospice nurse is caring for a client who states that they want to have their last rites before they die. The nurse recognizes that which of the following factors is influencing the client's request? A) Cultural factor B) Developmental factor C) Environmental factor D) Physiological factor

A) Cultural factor

A nurse is assisting with the planning of a presentation about skin care for a group of older adult clients at a senior center. Which of the following actions should the nurse recommend to enhance client learning? A) Ensure the room is well lit. B) Have soft music playing in the background. C) Hand out samples of products during the teaching. D) Speak quickly during the teaching.

A) Ensure the room is well lit.

A nurse asks a client to rate their current level of pain using a scale of 0 to 10 after administering pain medication 30 min ago. Which of the following steps of the nursing process is the nurse performing? A) Evaluation B) Implementation C) Planning D) Data collection

A) Evaluation

A nurse is collecting data from a client who was admitted for surgery. The client tells the nurse they have hearing loss and forgot to bring their hearing aid with them. Which of the following actions should the nurse take to improve communication with the client? (Select all that apply.) A) Move the client to a quiet area or private room. B) Speak at a slower pace. C) Delay collecting data until the client's family member brings the hearing aid D) Have a sign language interpreter translate the communication with the client. E)Stand next to the client when talking. Avoid using medical terminology.

A) Move the client to a quiet area or private room. B) Speak at a slower pace. E)Stand next to the client when talking. Avoid using medical terminology.

A nurse is caring for a client who has a new prescription for dialysis three times a week. The client avoids eye contact while talking to the nurse and explains that they work two jobs to support their partner and two children. The client also states, "I don't know how I am going to have time for dialysis." Which of the following factors are influencing the client's communication? (Select all that apply.) A) Psychosocial factors B) Cognitive factors C) Situational factors D) Environmental factors E) Physiological factors

A) Psychosocial factors C) Situational factors

A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which of the following is a NCSBN® model that can assist the nurse with critical thinking and decision making? A)Clinical judgment B) Critical thinking C) Clinical reasoning D) SMART goal

A)Clinical judgment

A nurse is preparing to insert an NG tube for a client who requires enteral feedings. Which of the following instructions should the nurse give the client before beginning the procedure? A) "Inhale forcefully during insertion." B) "Raise your index finger if you need to pause during the insertion." C) "Bear down during insertion." D) "Avoid making any swallowing motions during the insertion."

B) "Raise your index finger if you need to pause during the insertion."

A nurse is preparing to reinforce education to a group of newly licensed nurses about methods to enhance communication with clients. Which of the following statements should the nurse include? (Select all that apply.) A) "Interrupt the client occasionally during the conversation." B) "Respect the client during the conversation." C) "Use complex terms when explaining with the client." D) "Allow time for reflection during the conversation with the client." E) "Show empathy during the conversation with the client."

B) "Respect the client during the conversation." D) "Allow time for reflection during the conversation with the client." E) "Show empathy during the conversation with the client."

A nurse on a pediatric unit is caring for a child who is 4 years old. To help with communication and play activities for this client, the nurse should consider which of the following characteristics of Piaget's preoperational period? A) Seriation B) Animism C) Reversibility D) Self-consciousness

B) Animism

A nurse is collecting data from a client who has mixed aphasia. Which of the following strategies should the nurse use to help facilitate communication with this client? A) Speak loudly to the client B) Ask simple, short questions C) Reduce environmental noise D) Use a single form of communication at a time

B) Ask simple, short questions

A nurse is caring for a client who has been wheezing. The nurse asks an assistive personnel (AP) to use a stethoscope and listen to the client's lung sounds to determine if their wheezing has improved. This is an example of which of the following concepts? A) Delegation of the right circumstance B) Delegation of the wrong task C) Delegation to the right person D) Delegation of the wrong time

B) Delegation of the wrong task

A nurse is communicating with a group of clients about what to expect during the postoperative phase of a total hip arthroplasty. Which of the following elements of the communication process should the nurse identify as a sign of effective communication? A) Motivation for communication is evident. B) Feedback is provided. C) A message is communicated to the group of clients. D) Multiple channels are used by the sender.

B) Feedback is provided.

A nurse receives a phone call from a client who was discharged yesterday. The client asks the nurse to email them a copy of their discharge instructions. Which of the following responses should the nurse make? A) The nurse manager will need to email the discharge instructions to you B) I am unable to send your discharge instructions via email due to the potential violations of the HIPAA Privacy Act C) You will need to ask your provider to email the discharge instructions to you D) Sending the discharge instructions to you via email would be violation of the Affordable Care

B) I am unable to send your discharge instructions via email due to the potential violations of the HIPAA Privacy Act

A nurse is obtaining a health history from a client who is newly admitted. The nurse notices that the client does not make eye contact and that their arms are folded across their chest. The nurse should recognize that the client is using which of the following forms of communication? A) Auditory B) Nonverbal C) Emotional D) Energetic

B) Nonverbal

A nurse manager is planning to introduce a new scheduling policy to the unit staff. Which of the following methods of communication should the nurse manager use? A) Send an email to staff via the facility's email system. B) Schedule a face-to-face unit staff meeting. C) Place a copy of the policy on a bulletin board in the hallway. D) Leave a voicemail on each staff member's phone.

B) Schedule a face-to-face unit staff meeting.

A nurse in the PACU is determining if a client has pain. The client is drowsy and opens their eyes to verbal stimuli but is unable to communicate their pain level. Which of the following actions should the nurse take? A) Administer an antagonist to reverse the effects of the anesthesia. B) Use an alternative method for determining the client's pain level. C) Administer a pain medication as prescribed for severe pain. D) Wait until the client is awake, alert, and able to vocalize their pain level.

B) Use an alternative method for determining the client's pain level.

A nurse is planning to reinforce teaching with new assistive personnel (AP) how to use a bedside glucose monitor to check a client's blood glucose level. The nurse will include a 30-min face-to-face lecture and a written copy of the step-by-step procedure. Which of the following modes of communication is the nurse using in the teaching plan? (Select all that apply.) A) Verbal B) Written C) Electronic D) Nonverbal E) Assertive

B) Written

A nurse is caring for a client who has a terminal illness. The client asks several questions about the nurse's religious beliefs related to death and dying. Which of the following actions should the nurse take? A. Change the topic because the client is trying to divert attention from the illness to the nurse B. Encourage the client to express his thoughts about death and dying C. Tell the client that religious beliefs are a personal matter D. Offer to contact the client's minister or the facility's chaplain

B. Encourage the client to express his thoughts about death and dying

A nurse is collecting data from a client. Which of the following statements by the nurse reflects the communication technique of clarifying? A) "Now that we have talked about your medications, let's talk about your pain." B) "Are you having other symptoms?" C) "It sounds like your pain is intermittent." D) "It seems as though you have really had a rough time these past few weeks."

C) "It sounds like your pain is intermittent."

A nurse in an oncology clinic is collecting data for a client who is undergoing treatment for ovarian cancer. Which of the following statements by the client indicates she is experiencing psychological distress? A) "My parents are retired, and they have come to help with our children." B) "I am going to ask my husband to go to counseling with me." C) "I keep having nightmares about my upcoming surgery." D) "My girlfriends bought me a nice wig.

C) "I keep having nightmares about my upcoming surgery."

A charge nurse is planning to discuss factors that can influence the clinical decision-making process in client care with a newly licensed nurse. Which of the following factors should the charge nurse include? (Select all that apply.) A) Appropriate delegation B) Cost of client care C) Available resources D) Awareness of client status E) Support from other staff

C) Available resources D) Awareness of client status E) Support from other staff

A nurse is planning to reinforce teaching with a client about wound care. Which of the following actions should the nurse take? A) Use medical terminology while reinforcing teaching. B) Sit across from the client at a table in the cafeteria while reinforcing teaching. C) Ensure the client is wearing their glasses while reinforcing teaching. D) Use the communication technique of probing while reinforcing teaching.

C) Ensure the client is wearing their glasses while reinforcing teaching.

A nurse is instructing a client regarding heart-healthy activities. This action represents which of the following phases of the nurse-client relationship? A) Identification B) Orientation C) Exploitation D) Resolution

C) Exploitation

A nurse is reinforcing teaching with a client who is newly diagnosed with diabetes mellitus. The client tells the nurse, "Thank you. I never really knew what caused diabetes." Using the Schramm model of communication, the nurse should recognize the client's statement as which of following concepts? A) Sender B) Channel C) Feedback D) Receiver

C) Feedback

A charge nurse is preparing to discuss critical thinking skills with a group of newly licensed nurses. Which of the following skills should the nurse plan to include in the discussion? (Select all that apply.) A) Inspection B) Implementation C) Inference D) Creativity E) Inductive reasoning

C) Inference D) Creativity E) Inductive reasoning

A nurse calls the unit to tell say that they will be late for their shift. The charge nurse responds, "Don't worry, take your time and be safe." After hanging up the phone, the charge nurse then says to staff at the nurses' station, "I'm tired of that nurse always being late. I wish someone would do something about their tardiness." Which of the following communication styles is the charge nurse demonstrating? A) Assertive B) Aggressive C) Passive-aggressive D) Passive

C) Passive-aggressive

A nurse is caring for a client who is in the terminal stage of cancer. Which of the following actions should the nurse take when she observes the client crying? A) Contact the family and ask them to stay with the client B) Offer to call the client's minister C) Sit and hold the client's hand D) Leave the room and allow the client to cry privately

C) Sit and hold the client's hand

A nurse is caring for a client who just received a diagnosis of cancer. The client states, "I just don't know what I'm going to do now." Which of the following responses should the nurse make? A) "In time you'll know the right thing to do." B) "I am sorry. Would you like me to call someone for you?" C) "There are multiple treatment options for you to consider." D) "Can you explain the concerns you're having right now?"

D) "Can you explain the concerns you're having right now?"

A nurse is caring for an older adult client who becomes agitated when the nurse requests that the client's dentures be removed prior to surgery. Which of the following responses should the nurse offer? A) "It's for your safety. Dentures can slip and block your airway during surgery." B) "You wouldn't want your teeth to be lost or broken during surgery, would you?" C) "The anesthesiologist requires everyone to remove their dentures." D) "What worries you about being without your teeth?"

D) "What worries you about being without your teeth?"

A nurse at an urgent care clinic is auscultating the lungs of a client who reports a cough and shortness of breath. Which of the following steps of the nursing process is the nurse using? A)Evaluation B) Implementation C) Planning D) Data collection

D) Data collection

A nurse is caring for a client who has a hearing impairment. Which of the following interventions should the nurse use when speaking with the client? A) Speak directly toward the client's impaired ear B) Exaggerate lip movements C) Speak loudly D) Face the client when speaking

D) Face the client when speaking

A nurse enters a client's room and stands near the client to ask them if they need anything. The client continues to watch the television, which is at a loud volume. Which of the following actions should the nurse take? A) Leave the client's room to go check on other clients. B) Ask the client why they are ignoring the question. C) Repeat the question in a loud voice. D) Lower the volume on the television.

D) Lower the volume on the television.

A nurse is assisting with developing a goal for a client to ambulate with assistance at least once by the end of the shift. The nurse should identify that this is an example of which of the following steps of the nursing process? A) Evaluation B) Implementation C) Data collection D) Planning

D) Planning

A nurse is planning to reconcile medications for a client who speaks a different language than the nurse. Which of the following actions should the nurse take? A) Ask a staff member who speaks the same language as the client to interpret. B) Ask a family member of the client to interpret the information. C) Search the internet for an electronic application to use for translating. D) Request assistance from the facility's interpreter.

D) Request assistance from the facility's interpreter.

A nurse is caring for a client who has refused to have a biopsy. The client states, "I don't need the biopsy; I wouldn't do anything about it anyways if it's cancer." The nurse replies, "You don't want to have the biopsy because you would not seek treatment if it was cancer. Is that correct?" Which of the following therapeutic communication techniques is the nurse using? A) Affirmation B) Open-ended question C) Reflection D) Restating

D) Restating

A nurse delegates the collection of a client's temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegation should have prevented this situation from occurring? A) Right task B) Right circumstance C) Right person D) Right communication

D) Right communication

A nurse is caring for a client who has dementia. Which of the following communication strategies should the nurse implement to communicate with the client? A) Explain the daily schedule to the client in detail. B) Turn the overhead lights on in the client's room when speaking with them. C) Speak in a loud voice to the client. D) Speak to the client clearly and at a slow pace.

D) Speak to the client clearly and at a slow pace.

In what order should a licensed practical nurse (LPN) perform the steps of the nursing process? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Data collection, planning, implementation, evaluation