Module 3_ Communication & Patient Centered Care (Quiz Questions)

A patient states "I am dying." The nurse responds "You believe that you are dying?" which therapeutic approach did the nurse use? a) Focusing b) Clarifying c) Giving information d) Summarizing

b) Clarifying

Patient centered-care includes which of the following? (Select all that apply) a) Actively listen to the patient b) Assess patient preferences c) Speak to patients and families using medical terms d) Using facial expressions to convey feelings e) Encourage family to participate in care

a) Actively listen to the patient b) Assess patient preferences e) Encourage family to participate in care

Identify the barrier to communication in the following interaction.Patient: "When can I expect to be told about how to take my insulin?"Nurse: "Let's discuss your diet now so that you will know what to eat when you get home. We can discuss insulin some other time." a) Changing the subject b) Stereotyping c) Giving information d) Presenting reality

a) Changing the subject

Two days after an ileostomy, the patient refuses nursing care and requests to be left alone. What should be the nurse's first action? a) Encourage the client to verbalize his feelings b) Allow the client the privacy he requests c) Invite a member of the ostomy association for a visit d) Tell the client that he must begin to deal with the situation

a) Encourage the client to verbalize his feelings

In what phase of the helping relationship does the nurse review patient assessment data and develops a plan of action? a) Preinteraction phase b) Introductory phase c) Working phase d) Termination phase

a) Preinteraction phase

Which of the following are correct guidelines for charting in the patient record? a) Record the time of each entry b) Chart at the end of the shift only c) Always use abbreviated terminology d) Use initials for signing chart

a) Record the time of each entry

The emergency department (ED) nurse is reporting off via phone call to the intensive care unit (ICU) nurse who is accepting a patient with pneumonia. What information should the ED nurse ensure to provide to the ICU nurse? a) Report exact up to date information about the client's condition b) Report only the medical needs of the client's condition c) Report elaborate background data or routine care information d) Report the coming and going of any visitors

a) Report exact up to date information about the client's condition

A patient says, "I hate the idea of being an invalid after they cut off my leg." Which of the following would be the most therapeutic response by the nurse? a) "At least you still have one good leg to use." b) "Tell me more about how you are feeling." c) "Let's finish the preoperative teaching." d) "You're lucky to have a wife to care for you."

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

What is the best defense against any legal malpractice for the nurse? a) Using the word error whenever a recording mistake has been made b) Complete charting by using the steps of the nursing process as a framework c) Assuming those reading the chart understand common interventions (ex: turning) occurred d) Using abbreviations for convenience throughout the patient chart

b) Complete charting by using the steps of the nursing process as a framework

Which of the following is the most crucial goal of therapeutic communication when helping patients deal with personal issues and painful feelings? a) Communication empathy through maintaining gentle touching of the patient b) Conveying respect and acceptance even if all of the patient's behaviors are not tolerated c) Mutual sharing of information, spontaneity, emotions, and intimacy d) Guaranteeing total confidentiality and anonymity for the patient

b) Conveying respect and acceptance even if all of the patient's behaviors are not tolerated

What is the root cause for 82% of sentinel events? a) Administration of wrong meds b) Incorrect diagnoses c) Communication breakdown d) Increased health care provider workload

c) Communication breakdown

The nurse has asked the unlicensed assistive personnel (UAP) to help with admitting a patient. Which of the following activities can be delegated to the UAP? a) Assess the patient's lung sounds b) Collect nursing history and assessment data c) Obtain the patient's height and weight d) Administer scheduled medications

c) Obtain the patient's height and weight

What therapeutic communication technique does this interaction demonstrate? Nurse: "Tell me more about that." a) Giving information b) Restating/paraphrasing c) Open ended questions d) Changing subject

c) Open ended questions

During an interaction with a newly admitted patient who suddenly becomes silent and stares off into space, what is the most therapeutic response by the nurse? a) "Don't you want to talk anymore" b) "I know I've done something to upset you" c) "Why have you fallen silent" d) "I noticed you have become very quiet"

d) "I noticed you have become very quiet"

A patient has entered a smoking cessation program to quit smoking. He tells the nurse he has not smoked a cigarette for 3 weeks, but is afraid he will slip up and smoke because of current job pressures. What would be the most appropriate reply for the nurse to make in response to the patient's comments? a) "Don't worry about it. Everyone has difficulty quitting smoking and you should expect to as well" b) "If you increase your self-control, I am sure you will be able to avoid smoking" c) "Try taking a couple of days of vacation to relieve the stress of your job" d) "It is good that you can talk about your concerns. Try calling a friend when you want to smoke"

d) "It is good that you can talk about your concerns. Try calling a friend when you want to smoke"

During the initial interview, a patient with an eating disorder remarks, "I can't stand myself and the way I look." Which of the following statements by the nurse would be most appropriate? a) "Everyone who has the same problem feels like you do" b) "I don't think you look bad at all" c) "Don't worry, you'll soon be back in shape" d) "Tell me more about your feelings"

d) "Tell me more about your feelings"

A patient who expresses anger at a diagnosis by slamming a food tray on the table is using what type of communication? a) Termination b) Silence c) Verbal d) Non-verbal

d) Non-verbal

Which communication technique is used in this interaction? Patient: "I have been really upset about my blood pressure and having to take these pills." Nurse: "You've been upset about your blood pressure and taking pills." Patient: "I guess I'm worried about what could happen if my blood pressure gets too bad." a) Informing b) Using humor c) Summarizing d) Restating

d) Restating