NUR 310 Fundamentals Prep U Communication
A nurse is obtaining a history from an adult female client. When the nurse asks how many times the client has been pregnant, the client answers, "I have four kids." Which statement, made by the nurse, seeks clarification of the original question?
"I understand you have four kids; how many times have you actually been pregnant?"
A nurse is caring for a client who sustained head trauma. The client is in a medically induced coma and on mechanical ventilation. The client's parent is at the bedside in tears. The parent states, "I just want my child to know I am here." To address the needs of the parent and the client, what would be the nurse's most appropriate response?
Place a chair next to the bed and encourage the parent to hold the client's hand.
A nurse has been caring for a client who had a myocardial infarction 2 days ago. During the morning assessment, the nurse asks the client how the client feels. Which scenario warrants further investigation?
The client stares at the floor and states, "I feel fine."
Each of the following facilitates a therapeutic nurse-client relationship except:
closed-ended questions
Which quality in a nurse helps the nurse to become effective in providing for a client's needs while remaining compassionately detached?
empathy
A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse should:
involve the child's stuffed animal in the educational session.
When caring for a psychiatric client, a nurse would make a formal contract with the client during which phase of the nurse-client relationship?
orientation phase
Care provided to a client following surgery and until discharge represents which phase of the nurse-client relationship?
working phase
The nurse is caring for a client at the end stage of life. The client is crying and states to the nurse, "I just cannot believe I am going to be leaving my children without a parent. I am not ready to go." What response by the nurse demonstrates the expression of empathy to the client?
"It sounds as though you are most concerned about how your children will feel."
A nurse is calling a physician to communicate a change in the client's condition. According to the ISBARR format for handoff communication among health care personnel, which is the most appropriate way to begin the conversation?
"My name is Sue Smith, RN, and I am calling regarding Mrs. Jones in room 356 at Jefferson Hospital."
A client with a cardiac dysrhythmia was recently prescribed metoprolol and is at a follow-up appointment at the cardiologist's office. The client tells the nurse, "I feel depressed, tired, and I have no desire to exercise." To determine a cause-and-effect relationship, the nurse should ask:
"Were you tired and depressed before starting the new medication?"
During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is:
"What did your health care provider tell you about your need to be admitted?"
Examples of closed-ended questions:
*Are you ready to get out of bed? *Do you smoke cigarettes? *Is there any chance you might be pregnant? *Does it hurt when I touch you here?
In which situation would the SBAR technique of communication be most appropriate?
A nurse is calling a physician to report a client's new onset of chest pain.
Which is a skill appropriate to use in therapeutic communication?
Control the tone of the voice to avoid hidden messages.
The nurse is providing care to an older adult client who has visual and hearing deficits. What action by the nurse is appropriate to help with communication?
Identify oneself by name and title with each entry into the client's room.
The nurse meets with the client to teach self-administration of low molecular weight heparin. During the initial part of the training the client shakes the head and asks the nurse to repeat the instructions. What action demonstrates that the nurse has assessed the client's communication abilities?
The nurse faces the client, speaks slowly and clearly, and demonstrates the procedure using a needleless syringe.
An evening shift nurse is caring for a client scheduled for a colon resection in the morning. The client tells the nurse that the client is nervous about the surgery. The best response by the nurse is to:
ask the client "Can you tell me more about what is worrying you?
A nurse and an older adult client with chronic back pain are beginning to communicate. What activity should the nurse focus on at this point?
being sensitive to the client's emotional barriers
The nurse is caring for a postoperative client who refuses a blood transfusion due to religious beliefs. The nurse is demonstrating trustworthiness when taking which action in response to the client's treatment wishes?
contacting the interprofessional care team to discuss alternative treatment options
When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive?
facial expressions
A nurse is at the end of a busy shift on a medical-surgical unit. The nurse enters a room to empty the client's urinary catheter and the client says, "I feel like you ignored me today." In response to the statement, the nurse should:
sit at the bedside and allow the client to explain the statement.
A pregnant client presents to the emergency department with vaginal bleeding. A transvaginal ultrasound is performed, and the health care provider informs the client that there are normal fetal heart tones noted. The client begins to tear-up and has a worried appearance. To facilitate therapeutic communication, what statement would the nurse make after observing the client's nonverbal communication?
"Take your time and tell me how you are feeling. I have plenty of time to answer your questions and discuss any thoughts or feelings with you."
A nurse is communicating the plan of care to a client who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply.
*The nurse maintains eye contact with the client *The nurse shows patience with the client and gives the client time to respond. *The nurse keeps communication simple and concrete.
The nurse takes into consideration factors that influence communication when communicating with clients. Which situations accurately reflect communication that considers these variables? Select all that apply.
1. A nurse uses simple language and demonstrates to explain a procedure to a preschooler. 2. A nurse checks a client's occupation for clues on how this will affect communication but avoids stereotyping the person. 3. A nurse takes into consideration a client's culture when planning how far away to sit when communicating.
Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse?
A nurse uses a disclaimer to verify that any views the nurse expresses on Facebook are the nurse's alone and not the employer's
A nurse touches the client's hand while discussing the client's diagnosis. This action is:
a communication channel
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:
agressive
A nurse has been working on a telemetry unit for 6 months. The nurse arrives at work in the morning and overhears a night shift nurse talking about the new nurse. The night shift nurse is heard saying, "That new nurse is only here to meet a doctor and get married." The best response by the new nurse would be to:
ask to speak to the night shift nurse in private and explain how the comment made the new nurse feel.
