Prep-U: Chapter 8

A client arrives at a crisis center in a state of bipolar mania. The client has a flight of ideas and it is difficult for the nurse to obtain an adequate intake assessment. Which statement or question will elicit the most specific information?

"Are you allergic to any medications?"

The nurse is performing an admission interview with a new client diagnosed with acute coronary syndrome. For the nurse to obtain information and allow the client free verbalization, which question would elicit the most information?

"Could you tell me more about how you are feeling right now?"

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 clarifications of the original question?

"I understand you have four kids; how mango times have you actually been pregnant?"

The nurse is communicating with a client following a routine physical examination. Which statement best demonstrates summarization of the appointment?

"We reviewed your plans for your new diet and medications. Do you have any other questions?"

The nurse completes the admission process of a client's to an acute care facility. Which statement by the nurse demonstrates the communication technique of focusing?

"You are hoping to figure out the cause of your extreme fatigue during the hospital stay"

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 demonstrations 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

Car Rogers (1961) studied the process of therapeutic communication. Through his research, the elements of a "helpful" person were described. They include all of the following except which choice?

Analysis

A nurse is caring for a client who presents with a skin infection. While obtaining the client's medical history, it is determined that the client is an intravenous drug user. To foster effective communication, the nurse should:

Remain honest, open, and frank

A nurse has been caring for a client who had 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"

The nurse isa providing education to a client who sometimes has difficulty remembering information. Which form of communication will be most helpful for this client?

Written Communication

A nurse needs to complete an assessment and vital signs on a client who has Alzheimer disease. How should the nurse approach the client to gain cooperation? Select all that apply.

1. Approach the client from the front 2. Use the client's name 3. Smile and maintain eye contact

The nurse is beginning an assessment on a nonverbal client. The nurse must first:

Establish eye contact prior to assessing, touching, and interacting with the client

A nurse suspects that a client may have a hearing problem. The nurse should attempt to consult:

an audiologist

A nurse is completing a health history on a client who has a hearing impairment. Which action should the nurse take first to enhance communication?

Assess how the client would like to communicate

A nurse is caring for a client admitted to the hospital for dehydration. The physical finding's consistent with this diagnosis that the client's general appearance can nonverbally communicate to the nurse include:

Easy wrinkling of the skin and sunken eyes

A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting?

Empathy

In a helping relationship, the nurse would most likely perform what action?

Establish communication that is continuous and reciprocal

A nurse is providing care to a 3-year-old admitted with a diagnosis of infectious diarrhea. The nurse needs to insert an intravenous catheter to administer prescribed intravenous fluids. In an attempt to foster communication, the nurse should:

Involve the child's stuffed animal in the education session

The nurse makes a contract with the client during which phase of the nurse-client relationship?

Orientation Phase

A client who underwent a hysterectomy 4 days ago says to the nurse, "I wonder if I'll still feel like a woman." Which response would most likely encourage the client to expand on this and express concerns in more specific terms?

"Feel like a woman..."

A nurse is communicating the plan of care for a client who is unconscious. Which nursing actions best facilitate this process? Select all that apply.

1. The nurse is careful what is said in the client's presence because hearing is the last sense to go 2. The nurse assumes the client can hear and discusses things that would ordinarily be discussed 3. The nurse speaks with the client before touching the client

A nurse is communication the plan of care to a client who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply.

1. The nurse maintains eye contact with the client. 2. The nurse shows patience with the client and gives the client time to respond. 3. The nurse keeps communication simple and concrete