Chapter 4 test

Question 1

Although the patient denies pain, the nurse observes the patient breathing rapidly with clenched fists and facial grimacing. What is the nurse’s best response to these observations?
A. “I’m glad you are feeling better and have no discomfort.”
B. “where do you hurt?”
C. “what you are saying and what I’m observing don’t seem to match”
D. “It makes me uncomfortable when you’re not honest with me.”

Answer 1

C. “what you are saying and what im observing dont seem to match.”

Question 2

The nurse considers the feelings and needs of a patient by stating, “I know you are concerned about your surgery tomorrow. How can I help you?” what type of communication is this?
A. Intrusive
B. aggressive
C. closed
D. assertive

Answer 2

D. assertive

Question 3

If the nurse aggressively says to a patient, “Why couldn’t you have asked me to give you your pain medication when I was in here earlier?” what is the feeling the patient is most likely to demonstrate?
A. anger
B. satisfaction that their needs are met
C. humiliation and worthlessness
D. confidence that his request will be granted

Answer 3

C. humiliation and worthlessness

Question 4

what does therapeutic communication accomplish?
A. facilitates the formation of a positive nurse-patient relationship
B. manipulates the patient
C. assigns the patient to a passive roll
D. requires the patient to accept what the nurse says

Answer 4

A. facilitates the formation of a positive nurse-patient relationship

Question 5

The nurse is sitting in a chair near the patient’s bed, leaning forward to hear what the patient is saying, and does not interrupt. What is the nurse demonstrating?
A. support
B. caring
C. active listening
D. interest

Answer 5

C. active listening

Question 6

What therapeutic communication requires great skill and is not used as frequently as other communication techniques?
A. touch
B. silence
C. listening
D. summarizing

Answer 6

B. silence

Question 7

A patient does not speak English; therefore, the nurse cannot use words to provide comfort during a painful procedure. What is another intervention that may provide comfort to the patient?
A. silence
B. listening
C. touch
D. restating

Answer 7

C. touch

Question 8

A patient states, “I do cocaine when I feel things are out of my control.” The nurse responds by asking, “what else does cocaine do for you?” What communication skill does this exemplify?
A. summarization
B. restating
C. showing acceptance
D. stating observation

Answer 8

C. showing acceptance

Question 9

A patient states, “I’m really strung out about this pregnancy.” The nurse responds by asking, “What about this pregnancy worries you?” What communication technique is this?
A. closed inquiry
B. restating
C. open-ended question
D. minimal encouraging

Answer 9

C. open-ended question

Question 10

A grieving young widow cries out, “Why was my husband killed? Why was it me?”” What is the nurses best response?
A. stating “You need to be strong for your children”
B. silently placing her hand on the widow’s arm
C. asking if there is anyone who needs to be notified
D. stating “You are feeling overwhelmed by your husband’s death”

Answer 10

B. silently placing her hand on the widow’s arm

Question 11

A nurse is assessing a patient with a patient problem of impaired verbal communication. What is the lowest number of defining characteristics for this diagnosis?
A. one
B. two
C. three
D. four

Answer 11

A. one

Question 12

What communication technique should the nurse use when communicating with an unresponsive patient?
A. avoid speaking directly to the patient
B. assume verbal stimuli are heard
C. speak in a loud voice
D. use simple words

Answer 12

B. assume verbal stimuli is heard

Question 13

If in response to a patient statement, “I am upset about all of this lab work” the nurse responds, “You’re upset?” what is this an example of?
A. an open-ended question
B. reflecting
C. restating
D. paraphrasing

Answer 13

C. restating

Question 14

What is one of the main characteristics of therapeutic communication?
A. it allows the patient a passive role
B. it uses only verbal communication
C. it involves the patient as a person
D. it is directive

Answer 14

C. it involves the patient as a person

Question 15

A nurse is standing at the bedside with the patient lying in bed. What can the nurse be construed as demonstrating?
A. interest
B. power
C. caring
D. support

Answer 15

B. power

Question 16

A nurse must violate the personal space of a patient to perform an invasive procedure. How can the nurse reduce the discomfort of the patient?
A. by approaching the interaction in a professional manner
B. by distracting the patient with jokes and humor
C. By distracting the patient with jokes and humor
D. By asking another nurse to be present at the bedside

Answer 16

A. By approaching the interaction in a professional manner

Question 17

A nurse actively avoids the use of one-way communication. What is the major problem with one-way communication?
A. the receiver is never in control
B. feedback is provided to the sender
C. Participation is not equal
D. the communication is unstructured

Answer 17

C. participation is not equal

Question 18

What would be be the best method for a literate, English-speaking patient on a ventilator to communicate his or her needs?
A. Eye blinking for yes or no
B. Magic slate or paper and pencil
C. Computer
D. Message board or cards

Answer 18

B. Magic slate or paper and pencil

Question 19

A patient roughly asks the nurse to bring him some ice cream. What would be considered an assertive response by the nurse?
A. “You are hungry and want a snack.”
B. “I can do that in 10 minutes when I finish my rounds.”
C. “Maybe I can get one of the aides to bring you something in a while.”
D. “Call the nurses’ station and ask them to have the kitchen bring you whatever you want.”

Answer 19

B “I can do that in 10 minutes when I finish my rounds.”

Question 20

A nurse tells a patient, “This PM you are going for an abdominal A&P, an H&H, as well as an IV pyelogram. Please sign these consent forms.” What may this use of medical jargon cause?
A. Understanding
B. Speed in communication
C. Misinterpretation
D. Clarity in the message

Answer 20

C. misinterpretation

Question 21

During a complete assessment, which type of questioning is not usually conductive to fostering communication?
A. open-ended
B. focused
C. Closed
D. Clarifying

Answer 21

C. Closed

Question 22

A patient states, “My husband has told me how he feels about me having a mastectomy.” The nurse nods and says, “Go on.” This is an example of:
A. clarifying
B. restating
C. focusing
D. minimal encouraging

Answer 22

D. minimal encouraging

Question 23

A nurse is communicating with an older adult. How might the nurse enhance communication?
A. speak in a rapid manner to accommodate the patient’s short attention span
B. speak in a lower voice tone to accommodate hearing loss
C. speak in a simple manner as if speaking to a child
D. speak in a loud voice directly at ear level

Answer 23

B. speak in a lower voice to accommodate hearing loss

Question 24

What does maintaining eye contact for 2-6 seconds during communication with a patient do?
A. keep the nurses attention on the conversation
B. counteracts shyness in the patient
C. indicates continuous focused attention
D. assesses if the patient is involved in the converasation

Answer 24

C. indicates continuous focused attention

Question 25

The nurse recognizes that a patient experiencing stress feels vulnerable. What would be the most appropriate way for the nurse to intervene?
A. use technical language
B. direct the conversation
C. modify communication methods
D. offer all the information

Answer 25

C. modify communication methods

Question 26

A nurse communicates with a patient by maintaining eye contact and through the use of touch. What type of communication technique is the nurse demonstrating?
A. verbal
B. persuasive
C. directive
D. nonverbal

Answer 26

D. nonverbal

Question 27

A nurse frequently looks at her watch when giving a patient a bed bath. What message is most likely conveyed to the patient from the nurse?
A. she desires to spend more time with the patient
B. she is anxious to listen to the patient’s concerns
C. she is feeling hurried
D. she likes her watch

Answer 27

C. she is feeling hurried

Question 28

When listening to a patient, what action by the nurse demonstrates disinterest and coldness?
A. tightly crossing her arms
B. uncrossing her arms
C. uncrossing her legs
D. facing the patient

Answer 28

A. tightly crossing her arms

Question 29

How can the nurse demonstrate warmth and acceptance when listening to a patient?
A. tightly crossing her arms
B. uncrossing her arms
C. tightly crossing her legs
D. facing away from the patient

Answer 29

B. uncrossing her arms

Question 30

How may a nurse caring for a pediatric patient best be perceived as nonthreatening?
A. tightly crossing her arms
B. maintaining an open posture
C. maintaining a tense posture
D. standing at the bedside

Answer 30

B. maintaining an open posture

Question 31

A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?
A. “Please let me know if you start to have pain.”
B. “Let’s practice some guided imagery”
C. “Let’s try repositioning you”
D. “I will only medicate you every 4 hours.”

Answer 31

D. “I will only medicate you every 4 hours.”

Question 32

A nurse is caring for a newly admitted diabetic patient and is performing the initial assessment. What statement made by the nurse demonstrates the use of a closed question?
A. “What time do you take your insulin?”
B. “How do you feel about taking insulin?”
C. “Tell me about your support system”
D. “How do you feel about having diabetes?”

Answer 32

A. “What time do you take your insulin?”

Question 33

A nurse is caring for a patient experiencing respiratory distress. The health care provider places and endotracheal tube. What is the most appropriate patient problem for this patient?
A. ineffective coping
B. risk for infection
C. altered nutrition; less than body requirements
D. impaired verbal communication

Answer 33

D. impaired verbal communication

Question 34

A nurse examines whether patient interventions have been appropriate and expected outcomes have been met. The nurse is demonstrating which step in the nursing process?
A. assessment
B. planning
C. implementation
D. evaluation

Answer 34

D. evaluation

Question 35

Which question is open-ended?
A. “Are you going to Europe this fall?”
B. “Are you sailing to Europe?”
C. “What are you most looking forward to in Europe?”
D. “Have you been to Europe before?”
E. “Where in Europe are you going?”

Answer 35

C. “What are you most looking forward t oin Europe?”

Question 36

Which are true regarding communicating while using eye contact?(Select all that apply)
A. Eye contact is responsible for much communication
B. Eye contact is responsible for much communication
C. Making eye contact generally indicates an intention to interact
D. eye contact always results in a positive outcome
E. extended eye contact can imply aggression.
F. extended eye contact can lead to heightened anxiety

Answer 36

A, B, C, E, F

Question 37

Which are examples of passive listening?
A. The nurse nods frequently while the patient speaks
B. The nurse maintains eye contact while listening to the patient
C. The nurse occasionally interjects, “I see,” when listening to the patient
D. The nurse gives verbal feedback to the patient
E. The nurse verbally interprets the meaning of what the patient has said

Answer 37

A, B, C, D

Question 38

What is true about the use of touch in therapeutic communication?(Select all that apply)
A. touch is a form of nonverbal communication
B. touch is a form of verbal communication
C. touch should be used with indiscretion
D. touch can convey warmth and caring
E. touch can convey support and understanding
F. touch should be used sincerely and genuinely

Answer 38

A, D, E, F

Question 39

When speaking to a person of a different culture, how should the nurse consider modifying his or her communication style?(Select all that apply)
A. speak slowly and with increased volume
B. use of touch
C. use of eye contact
D. reference of address
E. meaning of gestures

Answer 39

B, C, D, E

Question 40

Which defining characteristics support the patient problem of impaired verbal communication?(Select all that apply)
A. Aphasia
B. Geriatric patients
C. profoundly deaf
D. legally blind
E. severe COPD

Answer 40

A, C, D, E

Question 41

What is true about the use of silence in therapeutic communication?(select all that apply)
A. maintaining silence is an effective therapeutic communication technique
B. maintaining silence is generally overused in therapeutic communication
C. the sender often becomes uncomfortable when using silence
D. the ability to use silence effectively requires skill and timing
E. prolonged periods of misunderstood silence can cause tension
F. purposeful use of silence often conveys lack of respect

Answer 41

A, C, D, E

Question 42

The nurse explains to a patient that based on the description of “personal space”, the area within 18 in of the patient is designated as the _________ zone?

Answer 42

Intimate

Question 43

A patient with aphasia cannot understand a spoken or written message is said to have ______ aphasia

Answer 43

receptive

Question 44

The term that describes an individual’s perception or understanding of a particular word or phrase is ______

Answer 44

connotation

Question 45

When a nurse lectures to a large group, the method of communication is usually in the form of _______ communication?

Answer 45

one-way

Question 46

As the nurse listens to a supervisor, the nurse has a smile on her face but has crossed her arms in front of her chest and has crossed her legs. This is an example of a ________ posture

Answer 46

closed

Question 47

_________ is described as the exchange of information

Answer 47

communication

Question 48

The ________ is the person conveying the message, whereas the receiver is the individuals to whom the message is conveyed.

Answer 48

sender