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college Geriatrics Quiz on chapter 5, created by nursing fairy on 20/10/2014.

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chapter 5

Question 1 of 32

1

The briefest explanation of therapeutic communication is that it:

Select one of the following:

  • has a specific intent or purpose.

  • is the only form of professional communication.

  • should never be used in a social setting.

  • requires no special skills, just a willingness to listen.

Explanation

Question 2 of 32

1

The nurse is careful in the use of medical jargon while talking with an older adult patient because the use of medical jargon might become a(n):

Select one of the following:

  • opportunity to instruct the patient.

  • effective abbreviated communication shortcut.

  • indicator of formal communication.

  • communication barrier.

Explanation

Question 3 of 32

1

The nurse uses superficial social conversation to initiate communication because this type of exchange:

Select one of the following:

  • lets the patient know that he or she is considered to be a person, not just a patient.

  • encourages sharing of intimate details.

  • establishes the nurse’s role as a health care provider.

  • blocks more meaningful therapeutic communication.

Explanation

Question 4 of 32

1

The nurse communicating with an older adult who has a hearing impairment will improve reception by speaking:

Select one of the following:

  • in a higher tone, standing directly in front of the patient.

  • more loudly from several feet away.

  • normally with exaggerated hand gestures.

  • in a low tone, bending close to the patient.

Explanation

Question 5 of 32

1

Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, “I’m fine.” The nurse should:

Select one of the following:

  • sit down next to the bed and say, “You don’t act fine.”

  • pat him on the shoulder and continue on rounds.

  • say, from the doorway, “If you need anything, just call me.”

  • assist the patient to sit up and say, “Now, that’s much better, isn’t it?”

Explanation

Question 6 of 32

1

When approaching an older adult to insert a catheter, the nurse should:

Select one of the following:

  • touch the patient and say, “I need to insert this catheter.”

  • approach the bed, turn back the cover, and announce, “The doctor wants a urine
    specimen.”

  • open catheter tray at bedside, turn back the cover, and say, “Is it okay to put a tube
    in your bladder?”

  • introduce yourself at the door and ask, “May I insert this catheter for a urine
    specimen?”

Explanation

Question 7 of 32

1

The nurse is aware that for a patient with receptive aphasia, the best method of communication would be the use of:

Select one of the following:

  • a notepad.

  • speaking slowly.

  • worded flash cards.

  • gestures.

Explanation

Question 8 of 32

1

The white female nurse is concerned that the 80-year-old African American male patient is not being truthful with her because of his:

Select one of the following:

  • lack of eye contact.

  • smiling facial expression.

  • tone of voice.

  • body language.

Explanation

Question 9 of 32

1

When asked about the severity of pain, the 93-year-old patient does not answer right away. The nurse should:

Select one of the following:

  • ask rapid questions: “Is it better? Is it worse than yesterday? Is it worse than this morning?”

  • repeat the question in a louder voice.

  • say, “You must be feeling better because you’re not complaining.”

  • keep eye contact and wait for the answer.

Explanation

Question 10 of 32

1

When the nurse answers the call light after a delay of 5 minutes, the angry patient says, “You made me wait an hour. I’m in pain and no one’s willing to help me.” The nurse’s best response would be:

Select one of the following:

  • “It’s only been 5 minutes. What do you want?”

  • “Well, I’m here now. What is your problem?”

  • “I know it must have seemed like an hour. I’ll bring your medication.”

  • “I was attending to another patient who’s really ill. I’ll help you now.”

Explanation

Question 11 of 32

1

The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, “I know you can’t do anything more, but I hurt so bad.” The nurse’s best intervention would be to:

Select one of the following:

  • bring pain medication when it is time for it.

  • assure the patient that the pain medication will take effect soon.

  • touch the patient’s shoulder and sit quietly without speaking.

  • distract the patient by offering a sip of water.

Explanation

Question 12 of 32

1

When entering the room of a new 85-year-old female patient to complete the admission process, the nurse should initiate the conversation by saying:

Select one of the following:

  • “Good morning, Mary. We need to get some questions answered.”

  • “Welcome to 4B, Mrs. Miller. I’d like to get some additional information, if I
    may.”

  • “Hello, sweetie. I’ll bet you thought all the admission stuff was finished, didn’t
    you?”

  • “I need to finish the admission. What is your name?”

Explanation

Question 13 of 32

1

The nurse informing a patient about an upcoming diagnostic procedure could best relate the information by saying:

Select one of the following:

  • “Mr. Brown, your leg is to be x-rayed in the x-ray department in an hour.”

  • “X-ray is coming to get you for an AP and lateral of your chest.”

  • “You can’t eat anything after supper because of some lab work.”

  • “Mrs. Smith, the OR has notified us that they’re running behind.”

Explanation

Question 14 of 32

1

The nurse is aware that the overuse of direct questions can:

Select one of the following:

  • get a lot of information quickly.

  • help the patients organize their thoughts.

  • get minimum response answers of “yes” and “no.”

  • make patients think that they are contributing to their health care.

Explanation

Question 15 of 32

1

The patient denies smoking, although the smell of tobacco is strong in his hospital room. The nurse confronts the patient most effectively by saying:

Select one of the following:

  • “Don’t bother to lie to me. I know you’ve been smoking.”

  • “It is very dangerous to smoke in bed.”

  • “The hospital has policies against smoking.”

  • “I can smell the tobacco, and I see your lighter on the bedside table.”

Explanation

Question 16 of 32

1

When inquiring about the degree of pain, the nurse could best support the patient by asking:

Select one of the following:

  • “Does your stomach hurt now?”

  • “How would you describe your pain?”

  • “When the pain occurs, does the medicine help?”

  • “Do you use more than one pain remedy?”

Explanation

Question 17 of 32

1

The patient says, “When I came to the hospital yesterday, everything got confused.” The nurse’s best response would be:

Select one of the following:

  • “What happened?”

  • “Yes, hospital admissions can be confusing.”

  • “Are you confused now?”

  • “We really try to make admissions less stressful.”

Explanation

Question 18 of 32

1

The nurse reminds the CNAs that only about ___% of communication is transmitted by way of verbal communication.

Select one of the following:

  • 7

  • 18

  • 22

  • 36

Explanation

Question 19 of 32

1

The caring nurse will use empathetic listening in order to:

Select one of the following:

  • encourage the patient to divulge information.

  • gain time to pose another question to the patient.

  • indicate the conversation has come to a close.

  • interpret what the patient has said.

Explanation

Question 20 of 32

1

When using an interpreter to speak with an 84-year-old Chinese woman, the nurse will focus on:

Select one of the following:

  • the patient, not the interpreter.

  • encouraging the interpreter to paraphrase.

  • limiting questions from the patient.

  • listening to the words, not emotional tone.

Explanation

Question 21 of 32

1

The nurse must tell a 94-year-old resident of a nursing home that his wife has fallen and has been hospitalized with a broken hip. In planning the delivery of this distressing news, the nurse should:

Select one of the following:

  • hurry through the conversation to spare the resident.

  • conserve time by delaying plans for follow-up.

  • use social conversation before the delivery of the information.

  • gather all pertinent information that is accurate.

Explanation

Question 22 of 32

1

The area within 18 inches of a person is known as _____ space.

Select one of the following:

  • public

  • social

  • personal

  • intimate

Explanation

Question 23 of 32

1

The area between 18 inches and 4 feet of a person is known as _____ space.

Select one of the following:

  • public

  • social

  • personal

  • intimate

Explanation

Question 24 of 32

1

The area between 4 and 12 feet of a person is known as _____ space.

Select one of the following:

  • public

  • social

  • personal

  • intimate

Explanation

Question 25 of 32

1

The area 12 feet from a person and beyond is known as _____ space.

Select one of the following:

  • public

  • social

  • personal

  • intimate

Explanation

Question 26 of 32

1

It is important to remember that older adults of today differ from young adults in regard to __________. (Select all that apply)

Select one or more of the following:

  • experience with electronic tools of communication

  • attitude about lifestyle

  • value of money

  • methods of communication

  • perceptions of gender roles

Explanation

Question 27 of 32

1

The nurse is aware that successful communication is dependent on __________.
(Select all that apply.)

Select one or more of the following:

  • the need to share information with someone else

  • empathetic listening

  • assessing or correcting communication barriers

  • using perfect grammar

  • use of a variety of communication skills

Explanation

Question 28 of 32

1

The nurse is aware that selection of words and phraseology is significant for effective communication. The nurse should base the communication approach on the patient’s __________. (Select all that apply.)

Select one or more of the following:

  • culture

  • ethnicity

  • income level

  • perspective

  • level of education

Explanation

Question 29 of 32

1

The nurse is sensitive to the use of nonverbal communication from patients, which includes the interpretation of __________. (Select all that apply.)

Select one or more of the following:

  • choice of words

  • voice tone

  • body language

  • gestures

  • facial expression

Explanation

Question 30 of 32

1

The nurse uses touch as a form of communication to convey __________. (Select all that apply.)

Select one or more of the following:

  • affection

  • understanding

  • concern

  • empathy

  • acknowledgement

Explanation

Question 31 of 32

1

Which of the following represent “elderspeak” from the examples below? (Select all that apply.)

Select one or more of the following:

  • “Ok, honey, let’s get a bath now.”

  • “Oh, dear! We better get you a clean diaper.”

  • “Today is Tuesday, Mr. Brown. It’s your dialysis day.”

  • “My gracious, Mary! What in the world are you doing out here in the hall?”

  • “You naughty girl! Just look at the front of your dress.”

Explanation

Question 32 of 32

1

The nurse is aware that there are many communication barriers when conversing with the older adult, which includes __________. (Select all that apply.)

Select one or more of the following:

  • hearing impairment

  • language differences

  • dementia

  • pain

  • aphagia

Explanation

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