Quiz 3 - Communication and Patient Centered Care

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. Summarizing C. Giving information D. Reflecting

D. Reflecting

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

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

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. Obtain the patient's height and weight B. Collect nursing history and assessment data C. Administer scheduled medications D. Assess the patient's lung sounds

A. Obtain the patient's height and weight

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 the coming and going of any visitors C. Report only the medical needs of the client's condition D. Report elaborate background data or routine care information

A. Report exact up to date information about the client's condition

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. "I know I've done something to upset you." B. "I noticed you have become very quiet." C. "Don't you want to talk anymore?" D. "Why have you fallen silent?"

B. "I noticed you have become very quiet."

What is the root cause for 82% of sentinel events? A. Incorrect diagnoses B. Communication breakdown C. Increased health care provider workload D. Administration of wrong meds

B. Communication breakdown

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. Invite a member of the ostomy association for a visit B. Encourage the client to verbalize his feelings C. Allow the client the privacy he requests D. Tell the client that he must begin to deal with the situation

B. Encourage the client to verbalize his feelings

A patient who expresses anger at a diagnosis by slamming a food tray on the table is using what type of communication? A. Silence B. Non-verbal C. Termination D. Verbal

B. Non-verbal

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. "It is good that you can talk about your concerns. Try calling a friend when you want to smoke" D. "Try taking a couple of days of vacation to relieve the stress of your job"

C. "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. "I don't think you look bad at all" B. "Everyone who has the same problem feels like you do" C. "Tell me more about your feelings" D. "Don't worry, you'll soon be back in shape"

C. "Tell me more about your feelings"

Patient centered-care includes which of the following? (Select all that apply) A. Speak to patients and families using medical terms B. Using facial expressions to convey feelings C. Assess patient preferences D. Encourage family to participate in care E. Actively listen to the patient

C. Assess patient preferences D. Encourage family to participate in care E. Actively listen to the patient

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. Giving information B. Stereotyping C. Changing the subject D. Presenting reality

C. Changing the subject

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. Assuming those reading the chart understand common interventions (ex: turning) occurred C. Complete charting by using the steps of the nursing process as a framework D. Using abbreviations for convenience throughout the patient chart

C. Complete charting by using the steps of the nursing process as a framework

What therapeutic communication technique does this interaction demonstrate? Nurse: "Tell me more about that." A. Changing subject B. Restating/paraphrasing C. Open ended questions D. Giving information

C. Open ended questions

In what phase of the helping relationship does the nurse review patient assessment data and develops a plan of action? A. Working phase B. Termination phase C. Pre-interaction phase D. Introductory phase

C. Pre-interaction phase

Which of the following are correct guidelines for charting in the patient record? A. Use initials for signing chart B. Chart at the end of the shift only C. Record the time of each entry D. Always use abbreviated terminology

C. Record the time of each entry

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. Using humor B. Informing C. Restating D. Summarizing

C. Restating

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. "You're lucky to have a wife to care for you." B. "At least you still have one good leg to use." C. "Let's finish the preoperative teaching." D. "Tell me more about how you are feeling."

D. "Tell me more about how you are feeling."