Practice Question ch 4 Flashcards
The patient is fearful concerning his upcoming surgery . Which statement by the nurse is most therapeutic ?
- Sometimes anxiety is not easy to deal with . Can you tell me what is bothering you the most about your upcoming surgery ?”
- “Don’t worry . Everyone has some anxiety about having surgery .”
- Just try to think about the positive results from the surgery. You’ll recover quickly.”
- had surgery once , and it still scares me to think about it, so know how you feel .”
1
. During an admission interview , the patient refers several times to “all the problems had last time.” What is the most appropriate communication technique for the nurse to use in this situation ?
- Reflection
- Paraphrasing
- Minimal encouragement
- Focusing
4
The patient states , “ I’m so nervous about being hospitalized . “ Which statement is the nurse’s best response to get the patient to elaborate ?
- It’s normal to be nervous , but we’ll take good care of you.”
- ” You’re feeling especially nervous ?
- ” How many times have you been hospitalized ?
- ” Nurses will be here all the time to check on you .”
2
The nurse is talking with the patient about her husband’s death 2 years ago. Tears form in the patient’s eyes, and she stops talking . What is the most appropriate therapeutic response by the nurse?
- Change the subject to something less difficult for the patient .
- Remain silent and hold the patient’s hand .
- Leave the room to provide privacy .
- Pretend not to notice the tears and continue the conversation .
- Which question is an example of clarification? (Select all that apply .)
2
Which question is an example of clarification ? (Select all that apply .)
- “You will take your medicine now, won’t you?”
- “Does this headache have anything in common with your previous headaches ?”
- In other words, you feel that your stomach aches are associated with stress at work ?”
- “What do you mean by that ?
- ” Do understand you correctly that you are saying that you don’t understand why the doctor prescribed this medication for you ? “
3,5
The newly admitted Vietnamese patient speaks almost no English . The nurse needs to obtain from the patient a urine specimen for culture and sensitivity . An interpreter is not readily available . What is the best nursing action to assist in obtaining the specimen ?
- Speak very slowly and distinctly .
- Show the patient the equipment and illustrations of the process .
- Obtain a physician’s order to catheterize the patient to collect the specimen .
- Delay the collection of the specimen until an interpreter can be found .
2
Abdominal surgery has revealed that the patient, a young mother, has advanced metastatic colon cancer. While the nurse is changing her dressing , the patient begins to cry and states , “If I had just gone to the doctor sooner , my kids wouldn’t have to grow up without a mother .” Which response by the nurse is most therapeutic ?
- “It’s natural to blame yourself in situations like this.
- Is their father available to care for the children ?
- “Don’t give up . The chemotherapy and radiation might be very effective . “
- “You feel that if you had been diagnosed earlier , the situation might be different ?
4
During his admission interview , an older patient states , can’t hear you very well .” After determining that the patient does not have a hearing aid , which action assists with communicating with this patient ? (Select all that apply .)
- Speak in a higher pitched voice .
- Speak loudly into his “good “ ear .
- Exaggerate lip movement while speaking .
- Face the patient and speak slowly and distinctly .
- Be sure to get the patient’s attention before speaking .
4,5
Which statement by the student nurse is an example of assertive communication? (Select all that apply)
- It’s time for your morning care. Do you prefer to use the shower chair, or do you think you are strong enough to stand during your shower today?
2.I’d like you to take your shower now, but if you’d rather do it later, I guess that would be okay.
- It would be best if we completed your morning care now, but since you want to wait until tonight , ask my instructor if that would be okay.”
- I’m sure you’ll feel better after you have your morning care . Will you please take your shower now?”
- “Since you will be going to physical therapy soon , it’s important we get your morning care completed Do you want to take a sponge bath or a shower ? “
1,5
The patient has a long history of smoking and has just been diagnosed with lung cancer . He states to the nurse , “There’s no point in trying to stop smoking now . I might as well enjoy the time have left .” Which is the best response by the nurse ?
- “You’re probably right . It won’t do much good to stop smoking now . “
- You feel that there is no reason to stop smoking now? “
- “It’s never too late to stop smoking . “
- know it’s hard , but if you stop smoking now , your condition might improve .
2
The patient tells the nurse that he is frightened about having cancer. Which response by the nurse is most effective in getting the patient to vent his concerns?
1.”Fear is a common reaction to having cancer.”
2.”Tell me more about being frightened by having cancer.”
3.”Have you told your wife you are afraid?”
4.”Would you like me to call the chaplain to visit with you?”
2
The nurse is admitting a patient with long-standing type 1 diabetes. Which communication technique is most efficient in ascertaining the number of units of insulin the patient usually takes?
1.Closed question
2.Reflection
3.Minimal encouragement
4.Paraphrasing
1
The patient is being seen in the clinic for a follow-up visit after fracturing her ankle. The nurse notes that she is not using her crutches correctly. Which statement by the nurse is most appropriate?
1.”You are not using your crutches correctly.
“2.”Let me show you some ways to make crutch walking easier for you.
“3.”Who taught you to use your crutches like that?”
4.”Do your crutches seem to fit you properly?”
2
Which method is most appropriate for communicating with an alert patient on a ventilator with an endotracheal tube in place?
1.Open-ended questions
2.Communication board
3.Reflection
4.Restatement
2
The patient is in a coma after a motor vehicle accident. Which statement regarding communication with the patient is most appropriate? (Select all that apply.)
1.Speak to the patient as if he can hear what is being said.
2.Avoid verbal stimulation because of its potential to trigger excitability.
3.Encourage family members to limit visitation to no more than 5 minutes per hour.
4.Turn on the television to stimulate the patient.
5.Encourage family members to read a book or newspaper to the patient.
1,5
Which statement about communication is most accurate?
1.Use of therapeutic communication techniques guarantees that a therapeutic interaction takes place.
2.Some form of communication takes place each time there is an interaction between individuals.
3.The intended receiver is always the person receiving the communication.
4.Verbal communication is more effective than nonverbal communication.
2
Which communication technique is considered appropriate in all interactions?
1.Active listening
2.Silence
3.Touch
4.Eye contact
1
The nurse is providing discharge instructions to a patient. Which action provides the most accurate assessment of understanding by the patient?
1.Asking the patient whether he understands the instructions
2.Repeating the instructions a second time
3.Providing the patient with written instructions
4.Asking the patient to repeat the instructions
4
Which nurse-patient interaction usually occurs in the “personal zone” of space surrounding the patient?
1.Urethral catheterization
2.Complete bed bath
3.Discharge instructions
4.Injection administration
3,5
. Which approach is most appropriate for effective communication with a patient with cognitive impairment?
1.Repeating a phrase until the patient indicates understanding
2.Asking friends and family to step out of the room to decrease distraction
3.Using simple sentences and avoiding detailed explanations
4.Directing communication to significant others rather than the patient
3
A nurse is caring for a client who states , “I have to check with my partner and see if they think I am ready to go home.” The nurse replies, “How do you feel about going home today?” Which clarifying technique is the nurse using to enhance communication with the client ?
A. Pacing
B. Reflecting
C. Paraphrasing
D. Restating
Ati book chapter 32
B
Practice online
1-10
ch 4
Which of the following actions should the nurse take when demonstrating an empathic presence to a client? (Select all that apply.)
A. Use an open posture .
B. Write down what the client says to avoid forgetting details.
C. Establish and maintain eye contact .
D. Nod in agreement with the client throughout the conversation.
E. Sit facing the client.
Ati book chapter 32
A,C,E
A nurse is caring for a client who is concerned about being discharged to home with a new colostomy because of being an avid swimmer . Which of the following statements should the nurse make ? (Select all that apply .)
A. “You will do great ! You just have to get used it.”
B. “Why are you worried about going home ?”
C. “Your daily routines will be different when you get home. “
D. Tell me about the support system you’ll have after you leave the hospital .”
E. “It sounds like you are not sure how having a colostomy will affect swimming .
C,D,E
Which of the following strategies should a nurse use to establish a helping relationship with a client?
A. Make sure the communication is equally distributed between the nurse’s and client’s desires.
B. Encourage the client to communicate their thoughts and feelings
C. Give the nurse - client communication no time limits
D. Allow communication to occur spontaneously throughout the nurse -client relationship .
B
A nurse is caring for a school -age child who is sitting in a chair . To facilitate effective communication , which of the following actions should the nurse take?
A. Touch the child’s arm .
B. Sit at eye level with the child.
C. Stand facing the child.
D. Stand with a relaxed posture .
B
