Communication (Pearson)

Question 1

Which should be viewed as an appropriate question to ask an older pt?

Answer 1

What would you like to eat for lunch today?

Question 2

A pt reports to having no hx of STD. Which action should the nurse take if chlamydia is documented in the pts medical hx?

Answer 2

Confront the pt about the discrepancy (confronting the pt about any discrepancies that might inhibit the understanding or exploration of specific areas. - confronting is done empathetically)

Question 3

The nurse responds to a pts call light. For which action should the nurse use intimate distance to provide care?

Answer 3

Positioning the bed

Question 4

The problem of decreased oral communication is identified for a pt. Which outcome should be included in the pts plan of care?

Answer 4

The pt uses verbal and nonverbal techniques to communicate needs. (the overall goal for pts with decreased oral communication is to reduce or resolve the factors impairing the communication)

Question 5

A pts actual problems have been resolved. At which point should the nurse begin termination discussions with the pt?

Answer 5

Before the termination interview

Question 6

The nurse notices that a pt is frowning and seems distressed. Which communication technique should the nurse use to approach the pt in a calm and reserved manner?

Answer 6

Adaptability

Question 7

A pt rolls the eyes and sighs loudly in response to a nurse’s question. Which term should be used to describe the pts behavior?

Answer 7

Incivility

Question 8

A pt reports in inability to identify and verbalize feelings after the spouses death. Which response should the nurse make to help the pts identify feelings?

Answer 8

You sound like you have been feeling lonely ever since your spouse died

Question 9

The nurse needs to reposition a pt in bed. Which distance should the nurse complete this action?

Answer 9

Intimate

Question 10

The nurse teaches a pt with limited English skills about nutrition related to gout. Which question should the nurse ask to determine if the teaching was effective?

Answer 10

Which foods do you feel are good for you to eat? (use open-ended questions to assess understanding - this requires the pt to recall and repeat the information)

Question 11

The PCP uses a monotone voice and avoids eye contact while telling a pt that cancer is in remission. In which way should this communication be categorized?

Answer 11

Incongruent

Question 12

The nurse notices a pt wears a charm bracelet. Which statement should the nurse make to foster a connection?

Answer 12

What is the significance of the charms on your bracelet?

Question 13

A pt reports feeling nervous about an upcoming procedure. Which nurse response should best indicate attentive listening?

Answer 13

I understand you are feeling nervous. Would you like to discuss what about the procedure makes you nervous?

Question 14

The nurse needs to obtain a urine sample from a pt using a catheter. Which explanation should the nurse give for the procedure?

Answer 14

I will insert a small tube in your bladder to obtain urine for analysis

Question 15

An adolescent pt reports having difficulty communicating with a parent. Which term should the nurse use to describe this situation?

Answer 15

Generation gap

Question 16

A pt who has been hospitalized for sometime is disappointed that cake cannot be ordered through the hospital menu. Which factor should the nurse consider before buying cake for the pt?

Answer 16

Boundaries

Question 17

The nurse pulls the privacy curtain around a pt who is crying. Which interpretation should cause the pt to view this action as caring?

Answer 17

Perception (the pts personal view of the action is that the nurse cares for their privacy - each person will interpret messages and experiences differently)

Question 18

During which phase of the helping relationship should the pts social hx be reviewed?

Answer 18

Preinteraction

Question 19

The nurse wants to track communication with a pt. For which reason should a process recording be used?

Answer 19

Increase awareness of communication strengths and weaknesses

Question 20

A pt watches the nurse’s lips during a conversation. Which action should the nurse take?

Answer 20

Assess the pt for hearing deficit

Question 21

A pt reports having a sore throat, fever, and chills for the past 2 days. For which component of the communication process should the nurse nod and record the pts symptoms?

Answer 21

Response (response is verbal or nonverbal communication - like a nod. the receiver returns to the sender// response is also called feedback)

Question 22

The nurse is interviewing a pt. Which action should the nurse make to express empathy?

Answer 22

Nod head moderately

Question 23

For which action should the nurse use intimate distance to provide care?

Answer 23

Positioning in bed

Question 24

The nurse is identifying a way to communicate with a pt. For which health problem should the nurse ask the pt to blink twice if words are heard?

Answer 24

unconsciousness (this pt should be observed for indications of comprehending what is being communicated)

Question 25

Which nonverbal communication should the nurse avoid?

Answer 25

Glancing at the clock every few minutes (sends the message the the nurse doesn’t have time to talk)

Question 26

A nurse is attempting to communicate with an unconscious pt. Which action should the nurse take?

Answer 26

Ask the pt to blink twice if the nurse can be heard