Question 1
Question
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?
Answer
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You need to speak to the patient quietly. You are disturbing the patient.
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Let me help you with your transfer technique.
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When you are finished, be sure to apologize for your rough demeanor
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When your patient is safe and comfortable, meet me at the desk.
Question 2
Question
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?
Answer
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New mother's need support
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The lack of a father is difficult
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How are you today?
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It is a very sad situation?
Question 3
Question
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?
Answer
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reflective questions
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closed questions
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assertive questions
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clarifying questions
Question 4
Question
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?
Answer
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I'm just the IV therapist checking your IV
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I've been transferred to this division and will be caring for you
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I'm sorry, my name is John Smith and I am your nurse
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My name is John Smith, I am your nurse and I'll be caring for you until 11pm.
Question 5
Question
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?
Answer
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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
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The nurse places a hand on the patient's arm and states: You feel so alone
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The nurse stands in the patient's room and asks: Why do you feel so alone? Your wife has been here every day
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The nurse holds the patient's hand and asks: What makes you feel so alone?
Question 6
Question
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?
Answer
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Determining the progress made in achieving established goals
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Clarifying when the patient should take medications
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Reporting the progress made in teaching to the staff
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Including all family members in the teaching session
Question 7
Question
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
Answer
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Determine the established goals of the instituition
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Be sure her verbal and nonverbal communication is congruent
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Engage in self-talk to plan her day and decrease her fear
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Speak with her fellow colleagues about how they feel
Question 8
Question
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?
Answer
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Mr. Tyler I placed a request to have August 8th off, but I'm working and I have a doctor's appointment
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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?
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Mr. Tyler, I will need to call in on the 8th of August because I have a doctor's appointment.
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Mr. Tyler, since you didn't give me the 8th of August off, will I need to find someone to work for me?
Question 9
Question
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?
Question 10
Question
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
Answer
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Pain
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Anxiety
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Depression
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Fluid volume deficit
Question 11
Question
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?
Answer
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Would you prefer a bath or a shower
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May I help you with a bed bath now or later this morning
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I will be giving you your bath. Do you use soap or shower gel?
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I prefer a shower in the evening. When would you like your bath?
Question 12
Question
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?
Question 13
Question
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?
Answer
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Fill the silence with lighter conversation directed at the patient
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Use the time to perform the care that is needed uninterrupted
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Discuss the silence with the patient to ascertain its meaning
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Allow the patient time to think and explore inner thoughts
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Determine if the patient's culture requires pauses between conversation
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Arrange for a counselor to help the patient cope with emotional issues.
Question 14
Question
SBAR: consistent, clear, structured, and easy-to-use method of communicating between health care personnel; it organizes communication by the categories of: [blank_start]situation[blank_end], [blank_start]background[blank_end], [blank_start]assessment[blank_end] and [blank_start]recommendations[blank_end]
Answer
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situation
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background
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assessment
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recommendations
Question 15
Question
[blank_start]Incivility[blank_end]: rude, intimidating and undesirable behavior directed at another person
Question 16
Question
[blank_start]Horizontal violence[blank_end]: Anger and aggressive behavior between nurses, or nurse-to-nurse hostility
Question 17
Question
Which of the following activities takes place during the working phase of the nurse client-relationship?
Answer
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The client genuinely expresses their concern to the nurse
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The client identifies the goals accomplished in the relationship
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The client participates actively in the relationship
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The client and nurse identify goals of the relationship
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The client describes the role that the nurse plays in the relationship
Question 18
Question
When assessing a client's nonverbal communication, the nurse will assess which of the following as the most expressive part of the body?
Answer
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Eye contact
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Hand gestures
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Facial expressions
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Posture
Question 19
Question
Which of the following guidelines should a nurse use when choosing a position in relation to a client during a verbal interaction?
Answer
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Ask the client where they would like you to position yourself, and move accordingly
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Assess the client's culture during the initial meeting or assessment
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Choose a position that is no closer than two feet, but no farther than four feet
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Take note of the client's cues when choosing a position and act on these cues