Alexandra Bozan
Quiz by , created more than 1 year ago

Unit V: Roles Basic to Nursing Care Chapter 20: Communicator

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Alexandra Bozan
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Chapter 20: Communicator

Question 1 of 19

1

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?

Select one of the following:

  • 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.

Explanation

Question 2 of 19

1

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?

Select one of the following:

  • New mother's need support

  • The lack of a father is difficult

  • How are you today?

  • It is a very sad situation?

Explanation

Question 3 of 19

1

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?

Select one of the following:

  • reflective questions

  • closed questions

  • assertive questions

  • clarifying questions

Explanation

Question 4 of 19

1

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?

Select one of the following:

  • 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.

Explanation

Question 5 of 19

1

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?

Select one of the following:

  • 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?

Explanation

Question 6 of 19

1

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?

Select one of the following:

  • 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

Explanation

Question 7 of 19

1

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

Select one of the following:

  • 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

Explanation

Question 8 of 19

1

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?

Select one of the following:

  • 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?

Explanation

Question 9 of 19

1

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?

Select one or more of the following:

  • Group decision making

  • Group leadership

  • Group power

  • Group identity

  • Group patterns of interaction

Explanation

Question 10 of 19

1

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

Select one of the following:

  • Pain

  • Anxiety

  • Depression

  • Fluid volume deficit

Explanation

Question 11 of 19

1

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?

Select one of the following:

  • 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?

Explanation

Question 12 of 19

1

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?

Select one of the following:

  • A close end answer

  • Information clarification

  • The nurse to give advice

  • Assertive behavior

Explanation

Question 13 of 19

1

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?

Select one or more of the following:

  • 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.

Explanation

Question 14 of 19

1

Fill the blank spaces to complete the text.

SBAR: consistent, clear, structured, and easy-to-use method of communicating between health care personnel; it organizes communication by the categories of: , , and

Explanation

Question 15 of 19

1

Fill the blank space to complete the text.

: rude, intimidating and undesirable behavior directed at another person

Explanation

Question 16 of 19

1

Fill the blank space to complete the text.

: Anger and aggressive behavior between nurses, or nurse-to-nurse hostility

Explanation

Question 17 of 19

1

Which of the following activities takes place during the working phase of the nurse client-relationship?

Select one or more of the following:

  • 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

Explanation

Question 18 of 19

1

When assessing a client's nonverbal communication, the nurse will assess which of the following as the most expressive part of the body?

Select one of the following:

  • Eye contact

  • Hand gestures

  • Facial expressions

  • Posture

Explanation

Question 19 of 19

1

Which of the following guidelines should a nurse use when choosing a position in relation to a client during a verbal interaction?

Select one of the following:

  • 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

Explanation

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