During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. When entering the room, what is the nurse's best response?
You need to speak to the patient quietly. You are disturbing the patient.
Let me help you with your transfer technique.
When you are finished, be sure to apologize for your rough demeanor
When your patient is safe and comfortable, meet me at the desk.
A public health nurse is leaving the home of a young mother who has a special needs baby. The neighbor states, "How is she doing, since the baby's father is no help? What is the nurse's best response?
New mother's need support
The lack of a father is difficult
How are you today?
It is a very sad situation?
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parent?
reflective questions
closed questions
assertive questions
clarifying questions
A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. The patient states, "Well, I haven't seen you before. Who are you?" What is the nurse's best response?
I'm just the IV therapist checking your IV
I've been transferred to this division and will be caring for you
I'm sorry, my name is John Smith and I am your nurse
My name is John Smith, I am your nurse and I'll be caring for you until 11pm.
A nurse enters the room of a patient with cancer. The patient is crying and states "I feel so alone". Which statements is the most therapeutic?
The nurse stands at the patient's bedside and states: I understand how you feel. My mother said the same thing when she was ill
The nurse places a hand on the patient's arm and states: You feel so alone
The nurse stands in the patient's room and asks: Why do you feel so alone? Your wife has been here every day
The nurse holds the patient's hand and asks: What makes you feel so alone?
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a discharge plan for the patient. Which action should be the focus of this termination phase of the helping relationship?
Determining the progress made in achieving established goals
Clarifying when the patient should take medications
Reporting the progress made in teaching to the staff
Including all family members in the teaching session
A nursing student is nervous and concerned about the work she is about to do at the clinical facility. To allay anxiety and be successful in her provision of care, it is most important for her to
Determine the established goals of the instituition
Be sure her verbal and nonverbal communication is congruent
Engage in self-talk to plan her day and decrease her fear
Speak with her fellow colleagues about how they feel
A nurse in the rehabilitation division states to her head nurse, Mr. Tyler, "I need the day off and you didn't give it to me!" The head nurse replies, "Well, I wasn't aware you needed the day off, and it isn't possible since staffing is so inadequate." Instead of this exchange, what communication by the nurse would have been more effective?
Mr. Tyler I placed a request to have August 8th off, but I'm working and I have a doctor's appointment
Mr. Tyler, I would like to discuss my schedule with you. I requested the 8th of August off for a doctor's appointment. Could I make an appointment?
Mr. Tyler, I will need to call in on the 8th of August because I have a doctor's appointment.
Mr. Tyler, since you didn't give me the 8th of August off, will I need to find someone to work for me?
During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously tht they will make sure all vital signs are reported and charted within 15 minutes following assessment. This is an example of which characteristic of effective communication?
Group decision making
Group leadership
Group power
Group identity
Group patterns of interaction
A nurse sees a patient walking to the bathroom with a stooped gait, facial grimacing, and gasping sounds. It is important that the nurse assess the patient for
Pain
Anxiety
Depression
Fluid volume deficit
A nursing student is preparing to administer morning care to a patient. What is the most important question that the nursing student should ask the patient about personal hygiene?
Would you prefer a bath or a shower
May I help you with a bed bath now or later this morning
I will be giving you your bath. Do you use soap or shower gel?
I prefer a shower in the evening. When would you like your bath?
A nurse is providing instruction to a patient regarding the procedure to change his colostomy bag. During the teaching session, he asks, "What type of foods should I avoid to prevent gas?" The patient's question allows for what type of communication?
A close end answer
Information clarification
The nurse to give advice
Assertive behavior
During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after she communicates the plan of care. What would be appropriate nurse responses in this situation?
Fill the silence with lighter conversation directed at the patient
Use the time to perform the care that is needed uninterrupted
Discuss the silence with the patient to ascertain its meaning
Allow the patient time to think and explore inner thoughts
Determine if the patient's culture requires pauses between conversation
Arrange for a counselor to help the patient cope with emotional issues.
SBAR: consistent, clear, structured, and easy-to-use method of communicating between health care personnel; it organizes communication by the categories of: , , and
: rude, intimidating and undesirable behavior directed at another person
: Anger and aggressive behavior between nurses, or nurse-to-nurse hostility
Which of the following activities takes place during the working phase of the nurse client-relationship?
The client genuinely expresses their concern to the nurse
The client identifies the goals accomplished in the relationship
The client participates actively in the relationship
The client and nurse identify goals of the relationship
The client describes the role that the nurse plays in the relationship
When assessing a client's nonverbal communication, the nurse will assess which of the following as the most expressive part of the body?
Eye contact
Hand gestures
Facial expressions
Posture
Which of the following guidelines should a nurse use when choosing a position in relation to a client during a verbal interaction?
Ask the client where they would like you to position yourself, and move accordingly
Assess the client's culture during the initial meeting or assessment
Choose a position that is no closer than two feet, but no farther than four feet
Take note of the client's cues when choosing a position and act on these cues
