Exam 1 Flashcards
1
Q
The communication tool SBAR is an acronym for which words?
A.) Symptoms-background-alignment-resolution
B.) Site-background-agreement-resolution
C.) Situation-background-assessment-recommendation
D.) Situation-background-assignment-reconciliation
A
C.) Situation-background-assessment-recommendation
2
Q
Which stage of cognitive learning involves the breakdown of information into organized parts? A.) Applying B.) Analyzing C.) Evaluating D.) Understanding
A
B.) Analyzing
3
Q
Which communication technique is non-therapeutic? A.) Sympathizing B.) Focusing C.) Clarifying D.) Summarizing
A
A.) Sympathizing
4
Q
Which critical thinking attitude motivates the nurse to communicate and know more about a patient? A.) Curiosity B.) Creativity C.) Perseverance D.) self-confidence
A
A.) Curiosity
5
Q
Which teaching method does the nurse use for a patient newly diagnosed with diabetes who will be self-administering insulin? A.) Simulation B.) Demonstration C.) Group instruction D.) One-on-one discussion
A
B- Demonstration
6
Q
Which teaching tool is beneficial for patients with reading comprehension problems and visual deficits? A.) Graphs B.) Physical objects C.) Audiovisual material D.) Computer instruction
A
C- Audiovisual material
7
Q
Which screening tool can be used to test literacy? select all that apply
A.) The joint commission’s (TJC) speak up initiatives
B.) Wide range achievement test (WRAT3)
C.) National assessment of adult literacy survey (NAALS)
D.) Cloze test
E.) Rapid estimate of adult literacy in medicine (REALM)
A
B.) Wide range achievement test
D.) Cloze test
E.) Rapid estimate of adult literacy in medicine (REALM)
8
Q
Which statement would block communication?
A.) “You look kind of tired today”
B.) “why do you always put so much salt on your food”
C.) “It sounds like this has been a hard time for you”
D.) If you use your oxygen when you walk, you may be able to walk farther”
A
B.)- “why do you always put so much salt on your food”
9
Q
The nurse states to a patient, "when you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" Which therapeutic communication technique does this illustrate? A.) Providing information B.) Clarifying C.) Focusing D.) Paraphrasing
A
B.) clarifying
10
Q
In the communication process, which person is the receiver of the message? A.) The person who encodes the message B.) The person who decodes the message C.) The person who delivers a message D.) The person who seeks feedback
A
B.) The person who decodes the message
11
Q
The nurse is teaching a group of patients the importance of using sunscreen. Which type of content is the nurse providing?
A.) Simulation
B.) Restoring health
C.) Coping with impaired function
D.) Health promotion and illness prevention
A
D.) Health promotion and illness prevention
12
Q
Which communicative statement indicates a defensive response?
A.) “No one here would intentionally lie to you”
B.) “This work is incomplete, and it’s all your fault”
C.) “Things are bad, and there’s nothing I can do about it”
D.) “How can you say you didn’t sleep when I heard you snoring all night?”
A
A.) No one here would intentionally lie to you”
13
Q
Which teaching approach would be effective for informing a patient of an emergency appendectomy and the postoperative recovery he or she will experience? A.) Telling B.) Participating C.) Entrusting D.) Reinforcement
A
A.) Telling
14
Q
Which nontherapeutic communication technique is the nurse using when saying, "Don't worry; you'll be fine" to a patient? A.) Demonstrating sympathy B.) Offering false reassurance C.) Giving personal opinions D.) Asking personal questions
A
B.) Offering false reassurance
15
Q
When the nurse teaches a patient how to administer an epinephrine injection in case of a severe allergic reaction, the nurse instructional method did the nurse use? A.) Telling B.) Analogy C.) Demonstration D.) Simulation
A
B.) Analogy
16
Q
While teaching a patient, the nurse determines that the patient is not able to read above the fifth-grade level. This describes which inability? A.) Health literacy B.) Health illiteracy C.) Learning disability D.) Functional illiteracy
A
D.) Functional illiteracy
17
Q
Which phrase of the helping relationship is the nurse exhibiting when reviewing the patient's medical and nursing histories? A.) Working B.) Orientation C.) Termination D.) Preinteraction
A
D.) Preinteraction
18
Q
Which minimum font size (in points) should be used for the print for a visually impaired patient? (whole number)
A
size 14 font
19
Q
Which teaching method has the nurse employed when showing a patient how to use a sphygmomanometer to record blood pressure and asking the patient to perform the procedure to confirm understanding? A.) Practice B.) Demonstration C.) Independent projects D.) Return demonstration
A
D.) Return demonstration
20
Q
Which approach is used to determine the outcome of patient teaching? A.) Entrusting B.) Teach-back C.) Reinforcing D.) Participating
A
B.) Teach-back
21
Q
Which etiological factor may lead to difficulty articulating words? (select all that apply) A.) Acne B.) Facial trauma C.) Laryngeal cancer D.) Endotracheal intubation E.) Intravenous catheterization
A
B.) Facial trauma
C.) Laryngeal cancer
D.) Endotracheal intubation
22
Q
The school nurse is about to teach a freshman-level high-school health class about nutrition. which instructional approach ensures that the students meet the learning outcomes?
A.) Provide information using a lecture
B.) Use simple words to promote understanding
C.) Develop topics for discussion that require problem solving
D.) Complete an extensive literature search focusing on eating disorders
A
C.) Develop topics for discussion that require problem solving
23
Q
Which assessment determines the patient's motivation to learn? A.) Reading level B.) Sensory deficits C.) Cognitive function D.) Learning style preference
A
D.) Learning style preference
24
Q
Which communication technique is the nurse using when he or she comments on positive aspects of a patient's behavior and response? A.) Sharing hope B.) Sharing feelings C.) Sharing empathy D.) Sharing observations
A
A.) Sharing hope
25
```
A diminished ability to speak can lead to which consequence? (select all that apply)
A.) Anxiety
B.) Stomach pain
C.) Social isolation
D.) ineffective coping
E.) Difficulty in movement
```
A.) Anxiety
C.) Social isolation
D.) Ineffective coping
26
```
Arrange the levels of cognitive learning in increasing order of complexity
A.) Creating
B.) Applying
C.) Analyzing
D.) Evaluating
E.) Remembering
F.) Understanding
```
```
F.) Understanding
E.) Remembering
B.) Applying
C.) Analyzing
D.) Evaluating
A.) Creating
```
27
```
A nurse describes arterial blood pressure as "like water flowing through a hose." Which teaching technique does this exemplify?
A.) Analogy
B.) Role play
C.) Demonstration
D.) Simulation
```
A.) Analogy
28
```
Which basic step of the nursing process includes setting priorities based on patient's immediate needs?
A.) Planning
B.) Evaluation
C.) Assessment
D.) Implementation
```
A.) Planning
29
```
The nurse teaches a patient with diabetes how to use a glucometer and then askes the patient to use the glucometer to measure his or her blood sugar. The nurse is using which teaching method?
A.) Practice
B.) Demonstration
C.) Independent projects
D.) Return demonstration
```
D.) Return demonstration
30
A 40-year-old patient has poorly controlled hypertension. the dietitian recommended several dietary modifications to the patient. Which technique would the nurse use during the orientation phase of this helping relationship? (select all that apply)
A.) Closely observe the patient's behavior
B.) Prioritize the patient's problems and identify goals
C.) Review the patient's medical history
D.) Begin the conversation with warmth and empathy
E.) Work to understand the patient's behavior
F.) Choose a quiet and private location for the interaction
A.) Closely observe the patient's behavior
B.) Prioritize the patient's problems and identify goals
D.) Begin the conversation with warmth and empathy
E.) Work to understand the patient's behavior
31
Which statement by the nurse indicates a correct understanding of the elements of professional communication? (select all the apply)
A.) "I should introduce myself by giving my name and title."
B.) "I will address patients by their first names during initial interactions."
C.) " I should address patients with a confused cognitive status by their last names."
D.) "I will avoid referring to patients by diagnosis, room number, or other attributes
E.) "I should avoid terms such as "honey, dear, or grandma" while addressing the patients."
A.) "I should introduce myself by giving my name and title."
D.) "I will avoid referring to patients by diagnosis, room number, or other attributes
E.) "I should avoid terms such as "honey, dear, or grandma" while addressing the patients."
32
```
Which level of communication is applicable when the registered nurse is teaching a group of nursing students about the care of patients?
A.) Public
B.) Electronic
C.) Small-group
D.) Interpersonal
```
A.) Public
33
```
Which distance of personal space is involved when giving a verbal report to a group of nurses?
A.) 2 feet
B.) 3 feet
C.) 9 feet
D.) 13 feet
```
C.) 9 feet
34
```
According to the circular transactional model, which element motivates a patient to communicate with the nurse?
A.) Channels
B.) Message
C.) Referent
D.) Environment
```
C.) Referent
35
```
Which form of communication is appropriate to asses understanding and clarify misinterpretations when the nurse is teaching a patient about a heath concern?
A.) Public
B.) Small-group
C.) Intrapersonal
D.) Interpersonal
```
D.) Interpersonal
36
```
Which characteristic would the nurse infer from the nonverbal cues of a patient who has a quick and purposeful gait?
A.) Attentive
B.) Fatigued
C.) Depressed
D.) Confident
```
D.) Confident
37
```
Which zone of personal space is involved when the nurse is instructing visitors in the hallway to avoid talking loudly?
A.) Public
B.) Intimate
C.) Personal
D.) Social
```
D.) Social
38
```
Which phrase of the helping relationship is represented when the nurse recalls a funny shared experience when a patient shortly before the patient is transferred to another unit?
A.) Working
B.) Orientation
C.) Termination
D.) Preorientation
```
C.) Termination
39
```
Which level of communication is exhibited by the nurse performing a mental rehearsal on how to deal effectively in a difficult situation with increased confidence?
A.) Public
B.) Small-group
C.) Intrapersonal
D.) Interpersonal
```
C.) Intrapersonal
40
```
Which phase of the helping relationship is involved when the nurse and a patient meet and become acquainted?
A.) Working
B.) Orientation
C.) Termination
D.) Preinteraction
```
B.) Orientation
41
```
Which special zone of touch requires the nurse to get permission to take a pulse at a patient's wrist?
A.) Social
B.) Consent
C.) Intimate
D.) Vulnerable
```
B.) Consent
42
```
Which term describes snide remarks or put-downs between colleagues?
A.) Lateral violence
B.) Metacommunication
C.) Therapeutic communication
D.) Nonverbal communication
```
A.) Lateral violence
43
```
Which level of prevention describes the nurse participating at a health fair in the local mall by administering influenza vaccines to senior citizens?
A.) Primary
B.) Secondary
C.) Tertiary
D.) Quaternary
```
A.) Primary
44
An older Chinese woman is admitted to the hospital after a hip fracture. Once the fracture has healed, the nurse encourages the patient to walk around the room. The patient refuses to walk without her son. What should the nurse do in this scenario?
A.) Leave the patient alone but understand that the patient has no self-confidence
B.) Respect the patient's wish and ask her to walk when her son is present.
C.) Explain to the patient calmly that she cannot be dependent on her son
D.) Tell the patient that she needs to walk now, and that it is inappropriate to be dependent on her son.
B.) Respect the patient's wish and ask her to walk when her son is present
45
Which factor would the nurse consider when communicating with adolescents?
A.) Be alert for clues to their emotional state
B.) Ask close-ended questions to get straight answers
C.) Avoid looking for meaning behind adolescents' words or actions
D.) Avoid discussing sensitive issues such as sex and drugs
A.) Be alert for clues to their emotional state
46
Which priority action would the nurse take before administering a new drug?
A.) Confer with a colleague before giving the medication
B.) Consult with a pharmacist to obtain knowledge about the medication
C.) Ask the patient about the medication
D.) Administer the medication as prescribed and on time.
B.) Consult with a pharmacist to obtain knowledge about the medication
47
```
Which parenteral route of administration uses the Z-track method?
A.) IV
B.) ID
C.) IM
D.) Sub Q
```
C.) IM
48
```
Which developmental theorist explained the behavior of a 4-year-old who fantasizes about the parent of the opposite sex?
A.) Sigmund Freud
B.) Arnold Gesell
C.) Erik Erikson
D.) Jean Piaget
```
A.) Sigmund Freud
49
```
Which site is frequently recommended for administering heparin?
A.) Thigh
B.) Abdomen
C.) Upper arm
D.) Dorsal Gluteal area
```
B.) Abdomen
50
The nurse has to examine a patient and administer and intravenous medication that is not a lifesaving drug. The patient is a devout Muslim. When the nurse goes to administer the medication, the nurse finds that the patient is getting ready for namaz (prayers). The nurse understands that the patient prays at certain times, as specified in his culture. What should the nurse do in this scenario?
A.) Administer the drug while the patient prays
B.) Ask the patient to pray after the medication is administered
C.) Allow the patient to pray and come back later to administer the medication
D.) Tell the patient that the nurse has other patients to look after and cannot come later.
C.) Allow the patient to pray and come back later to administer the medication
51
The nurse is preparing to give CPR to a patient in cardiac arrest. The HCP orders the nurse and code team to avoid resuscitating the patient. Which reason for this is most likely?
A.) The patient is unlikely to benefit from CPR
B.) The patient does not have a written order for CPR
C.) The patient has given a DNR order
D.) The patient's family has not yet given consent to resuscitate the patient.
C.) The patient has given a DNR order
52
What is an advantage of summarizing? (select all that apply)
A.) Promotes recall of previous discussions
B.) Participants focus on key issues
C.) Reveals true personal experiences
D.) Useful in the terminal phases of the patient relationship
E.) Brings a sense of caring and human connection
A.) Promotes recall of previous discussions
B.) Participants focus on key issues
D.) Useful in the terminal phases of the patient relationship
53
Which behavior fosters the development of trust? (select all that apply)
A.) Answering the nurse call system promptly
B.) Calling the patient by his or her first name unless he or she requests otherwise
C.) Complete all care as quickly as possible and leaving the room so the patient can rest
D.) Answer questions honestly
E.) Demonstrating competence when implementing treatments
A.) Answering the nurse call system promptly
D.) Answer questions honestly
E.) Demonstrating competence when implementing treatments
54
Which statement describes appropriate uses of focusing as a therapeutic means of communication? (select all that apply)
A.) This method guide the direction of the conversation to important areas
B.) Use focusing when the patient begins a vague conversation
C.) Avoid focusing if it interrupts the patient's important discussion
D.) This technique is helpful when the patient provides valuable information
E.) Focusing can distract the patient from her illness and give suggestions.
A.) This method guide the direction of the conversation to important areas
B.) Use focusing when the patient begins a vague conversation
C.) Avoid focusing if it interrupts the patient's important discussion
55
```
Which action describes a therapeutic communication technique? (select all that apply)
A.) Provide personal opinion
B.) Provide Hope to the patients
C.) Listen actively to the patients
D.) Understand the patent's feelings
E.) Provide sympathy to the patients
```
B.) Provide Hope to the patients
C.) Listen actively to the patients
D.) Understand the patent's feelings
56
```
Which term describes the type of communication involved when the nurse teaches individuals about healthy meal planning?
A.) Small-group
B.) Transpersonal
C.) Intrapersonal
D.) Nonpersonal
```
A.) Small-group
57
```
The nurse assures a patient that the nurse is always available to talk. Which stage of grieving would trigger this action of the nurse?
A.) Anger
B.) Resolution
C.) Bargaining
D.) Denial or disbelief
```
D.) Denial or disbelief
58
```
During which stage of the grieving process does the patient begin to express emotions openly?
A.) Anger
B.) Resolution
C.) Bargaining
D.) Acceptance
```
B.) Resolution
