PrepU Communication Flashcards
The nurse is caring for a 6-year-old girl who will be undergoing a surgical procedure that will result in a temporary ileostomy. What would be MOST effective to help prepare the child for surgery?
A) Show the child a teaching DVD about ileostomy care
B) Draw a picture that explains the procedure
C) Use a doll to role-play the events surrounding the surgical experience and the procedure
D) Show the child photographs of another girl with her ileostomy
C: Using a doll will promote understanding in a developmentally appropriate way. Children this age enjoy role-play and regularly use it in everyday life to rehearse events. Drawing a picture would be effective, but less effective than a role play. Both the DVD and photo would be better for older school-aged children (“Peer modeling”)
A client presents for their initial prenatal visit after a positive pregnancy. After taking the client’s reproductive history, the client reports having had 3 prior vaginal births at 40 weeks, 38 weeks, and 24 weeks gestation. She now has two living children. Using GTPAL, how will the nurse document reproductive history?
The client has been pregnant 4 times so gravidity is G4.
Two term births between 37-40 weeks’ gestation (T2).
1 preterm birth (P1).
No abortions (A0).
2 children living (L2)
Assessment is needed to determine what happened with the third birth.
The nurse is conducting a well-child visit on a preschool-age child who has missed their last two appointments. The nurse notes the child’s language is not where it should be for this age. Which potential underlying concern(s) should the nurse assess to help develop an appropriate care plan? (SATA)
A) Neurologic disorder
B) Adverse effect of immunizations
C) Autism spectrum disorder
D) Low socioeconomic status
E) Neglect
ACDE
A nursing instructor is describing formal and informal channels of communication that occur within a community. The instructor determines that the teaching was successful when the students identify which as an ex. of informal com?
A) Television
B) Newspaper
C) Radio
D) Flyer
D. Flyer:
- Informal = newsletters, fliers, word of mouth, and bulletin board notices
- Formal = newspaper, television, and radio
A parent brings their 4-year old child in for a well-child visit and mentions they are concerned their child has been stuttering for the past 8 months when they try to talk. Which statement should the nurse prioritize in response?
A) Does anyone else in you family have a problem with stuttering?
B) I’ll pass along your information to the physician so he can recommend a speech therapist.
C) This is normal for this age group
C:
Stuttering can be normal from 2 1/2 to 5 years of age as development of speech. Risk factors for persistent stuttering include family history, biological male, lower receptive language, lower expressive language and stuttering lasting longer than 15 months. Although a child may copy an adult with a stutter (if family history is present) it is the least likely reason for the stutter of the child at this time.
Which nursing action helps to maintain a sense of self for clients?
A) Maintaining the privacy of the room number
B) Assessing the patients weight and vitals
C) Offering a simple explanation before initiating any procedure
D) Requesting the client refrain from saying anything negative
C: This gives the client a sense of being respected as a human being
The nurse has entered a hospital client’s room and asked the client if the client plans to attend the morning’s scheduled group life-skills session. Which response should signal the presence of a thought blocking to the nurse?
A) Well, that’s the end of that!
B) Warning, warning. Watch out.
C) I might. I’ll give it some…
D) The client makes eye contact with the nurse but does not respond verbally
C: Blocking refers to a sudden stoppage in the spontaneous flow or stream of thinking or speaking for no apparent external or environmental reason.
Clanging involves perceived similarities in meaning between words of similar sounds (“morning” and “warning”).
Mutism is the absence of a verbal response.
The nurse is teaching the parents of a 4-year-old child with Guillain-Barre syndrome prior to discharge. What will the nurse include in the teaching? (SATA)
A) Proper ways to communicate with the child
B) Repositioning techniques
C) Delaying live vaccines for 6 months
D) Side effects of immunoglobulin G
E) Avoiding causative foods, such as honey
A, B: The nurse will review proper communication techniques, because the child may not be able to communicate for a time. The child may also not be able to reposition independently.
Botulism would include teachings of the latter 3 options (non-relative to Guillain-Barre syndrome.
A nurse has developed a plan of care for a patient with a nursing diagnosis of “risk for spiritual distress.” Which interventions would the plan most likely include? (SATA)
A) Actively listen to the patient
B) Demonstrate acceptance of the patient
C) Limit the amount of time spent with the patient
D) Encourage the patient to avoid usual rituals
E) Encourage the patient to talk about his or her faith
A,B,E
What would the nurse MOST likely find when assessing a client diagnosed with a frontal lobe contusion following a motor vehicle accident?
A. Difficulty speaking
B. Blurred vision
C. Loss of tactile sensation
D. Inability to hear high-pitched sounds
A: The frontal lobe contains Broca’s area, responsible for speech.
-Temporal lobe is associated with difficulty with sounds
-The parietal lobe is associated with loss of tactile sensation
-Occipital lobe= blurred vision
A client reports having joint pain that has gotten worse over the last year, despite gradually increasing doses of an OTC pain reliever. Which type of pain will the nurse document as the chief complaint?
A. Chronic pain
B. breakthrough pain
C. referred pain
D. acute pain
A: Chronic pain = pain lasting longer than 5 months.
-Referred pain = pain felt in body different than location of actual source
-Breakthrough pain is period of acute pain from one suffering with chronic pain
The nurse leads a small group that is discussing the impact of eating disorders on everyday life. Which action does the nurse implement as the group recorder?
A. Defining group position in relation to goals
B. Documenting group seggestions
C. offering group facts or generalizations
D. stimulating the group to action
B:
3 categories of group member roles: -task roles -maintenance roles -individual roles.
Group recorder = task role which includes documenting group suggestions.
A task role of energizer would be the role one would have would moving a group to action.
-Task role of information giver would be offering the group facts/generalizations
-task role of orienter would be defining the group’s position in relation to goals.
The nurse is being criticized bythe charge nurse for how the nurse handled a situation. The nurse does not say anything in response and the charge nurse continues to criticize other things the nurse has done. What type of communication is this indicative of?
A. negative circular communication
B. Triangles
C. Differentiation of self
D. Positive circular communication
A: reinforces interpersonal conflict and prevents an understanding of intended message.
Which assessment form provides a nurse with the ability to compare nursing data across clinical populations, settings, geographical areas, & time?
A. Nursing minimum data set
B Open ended forms
C. Cued or checklist forms
D. Integrated cued checklist
A: Establishes comparability of nursing data.
The nurse is performing preoperative teaching with a client diagnosed with cancer of the larynx. After completing client teaching, what would be most important for the nurse to do?
A. Reassure client and family that everything will be alright
B. Give client her cell phone number
C. Refer the client to a social worker/ psychologist
D. Provide client with audiovisual materials about the surgery.
D: Provides review and reinforcement.
The nurse is caring for a 26-y.o. pt. diagnosed with roundworms who is prescribed pyrantel. What adverse effect would the nurse inform the pt. about?
A. Vomiting
B. Itching
C. Abdominal discomfort or pain
D. Constipation
Mebendazole and pyrantel are not absorbed systemically, which may cause abdominal discomfort, diarrhea, or pain.
Nurse receives report on a group of clients. What statements requires further clarification to ensure client safety? SATA
A. My daughter will be visiting today.
B. I fell at home last month
C. I do not usually take insulin
D. I feel much better today
E. This looks like a new pill.
B., C., E
Which of the following emphasizes quality documentation?
A. Organized
B. Biased
C. Accurate
D. Complete
E. Timely
F. Concise
All but B
The nurse is interviewing a client who reports chills, fever, malaise, and cough. During the working phase of the client interview, the nurse:
A. arranges for a private location
B. summarizes key points of the interview
C. introduces self to client
D. asks client to describe symptoms
D.
-working phase: nurse collects assessment data
-preparatory phase- prepares env. for interview
-introductory phase: introductions to initiate interview
-termination phase: nurse highlights key points
Which of the following examples of documentation best exemplifies sound clinical documentation practices?
A. Client is anxious during questioning regarding health history and family history.
B. Abnormal chest sounds noted during posterior chest auscultation.
C. Non-blanching reddened area noted on medial aspect of left great toe, 1 cm in diameter.
D. Client reports sharp pain to chest on deep inspiration
C. Be specific.
