Test Bank

Question 1

Although the patient denies pain,the nurse observes pt breathing rapidly with clenched fists and facial grimacing What is the nurses best response to these observations?

Answer 1

What you are saying and what i am observing don’t seem to match

Question 2

The nurse considers the feelings and needs of a patient by saying “i know you are concerned for your surgery tomorrow, how can i help you”? What type of communication is this?

Answer 2

Assertive - Takes a patients feelings and needs into account yet honors patients rights as an individual

Question 3

What does therapeutic communication accomplish?

Answer 3

Facilitates the formations of a positive nurse - patient relationship

Question 4

The nurse is sitting in a chair near the patients bed , leaning forward to hear what the patient is saying and does not interrupt, What is the nurse demonstrating?

Answer 4

Active listening - giving their full attention giving effort to understand nonverbal and verbal communication being displayed

Question 5

Which therapeutic communication requires a great deal of skill and is not used as frequently as other communication techniques?

Answer 5

Silence - an extremely effective therapeutic communication skill that is frequently underused because the sense feels uncomfortable applying it

Question 6

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 pt?

Answer 6

Touch

Question 7

A pt states “I do cocaine when i feel things are out of my control” The nurse responds by asking “what does cocaine do for you?” what communication skill does this display?

Answer 7

Showing acceptance

Question 8

The pt states “I’m really strung out about this pregnancy” The nurse asks “What about this pregnancy worries you?” What is this communication technique?

Answer 8

Open - ended questions

Question 9

A grieving young widow cries “why was my husband killed?, why wasn’t it me?” What is the nurses best response?

Answer 9

Silently placing her hand on the widows arm - The ability to listen to those whom are grieving through the use of silence is very effective. Other responses listed are not effective since they are non- therapeutic

Question 10

A nurse is assessing a pt with a pt problem of impaired verbal communication,what is the lowest number of defining characteristics for the diagnosis?

Answer 10

One

Question 11

What communication should the nurse use when communicating with an unresponsive patient?

Answer 11

Assure verbal stimuli are heard - a nurse should assume all sounds are heard by an unresponsive individual

Question 12

The pt states “I am upset about all this lab work” The nurse responds “You’re upset?” This response is an example of

Answer 12

Restating- Therapeutic method to ensure pt offers more information

Question 13

What is one of the main characteristics of therapeutic communication?

Answer 13

It involved the pt as a person .

Question 14

A nurse actively avoids the use of one - way communication, what is the major problem of one way communication?

Answer 14

Participant is not equal .

Question 15

A nurse must violate the personal space of a pt to perform an invasive procedure, How can the nurse reduce discomfort of pt?

Answer 15

by approaching the interaction in a professional manner

Question 16

What would be the best method for a literate , english speaking patient on a ventilator to communicate his or her needs ?

Answer 16

Magic slate or pencil and paper

Question 17

A pt roughly asks the nurse to bring him some ice cream what would be considered an assertive response by the nurse ?

Answer 17

I can do that in 10 minutes when i finish my rounds - assertiveness sets boundaries while being professional.

Question 18

A nurse tells a pt “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 using medical jargon cause to the pt?

Answer 18

misinterpretation

Question 19

During a complete assment , which type of questioning is not usually conductive to fostering communication?

Answer 19

Closed questioning - usually hinders communication.

Question 20

A pt states “my husband told me how he feels about having a mastectomy “ The nurse nodded and says, go on, this is an example of ?

Answer 20

Minimal encouraging

Question 21

How may a nurse caring for a pediatric pt best be perceived as non- threatening?

Answer 21

Maintaining an open posture

Question 22

A nurse is caring for a pt whom is experiencing excruciating pain and requires frequent administration of analgesics What statement would be an example of the nurse demonstrating aggressive communication ?

Answer 22

“I will only medicate you every four hours (-q4h) ”

Question 23

A nurse is caring for a pt whom is experiencing excruciating pain and requires frequent administration of analgesics What statement would be an example of the nurse demonstrating aggressive communication ?

Answer 23

“I will only medicate you every four hours (-q4h) ”

Question 24

A nurse is caring for a newly admitted diabetic pt and is performing the initial assessment , what statement made by the nurse demonstrates the use of a closed question ?

Answer 24

lWhat time do you take your insulin?” - It is seeking a particular awnser and is focused and is a one or two word response

Question 25

A nurse frequently looks at her watch while giving a pt a bed bath, what message is this most likely conveyed to the patient from the nurse ?

Answer 25

She is feeling hurried - Showing low desire of spending time with patient

Question 26

When listening to a pt, which action by the nurse demonstrates disinterest & coldness?

Answer 26

Tightly crossing arms - Posture has the potential to convey warmth and acceptance OR distance and disinterest

Question 27

How can the nurse demonstrate warmth and acceptance when listening to a patient?

Answer 27

Uncrossing her arms - Posture

Question 28

a nurse is caring for a client experiencing respiratory distress , The health care provider places an endotrachealtube What is the most appropriate patient problem for this patient?

Answer 28

Impaired verbal communication

Question 29

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?

Answer 29

Evaluation

Question 30

What is an open - ended question?

Answer 30

“What are you most looking forward to in europe?”

Question 31

What does maintaining eye contact for 2 to 6 seconds during communication with a patient do?

Answer 31

Indicates continues focused attention

Question 32

The nurse recognizes that a pt experiencing stress feels vulnerable, What would be the most appropriate way for the nurse to intervene?

Answer 32

Modify communication methods

Question 33

A nurse communicates with a pt by maintaining eye contact and the the use of touch, What type of communication technique is the nurse demonstrating?

Answer 33

Non- verbal No use of words were used

Question 34

The nurse explains to a pt that based on the description of “personal space” the area within 18 inches of the patient is designated as the ¿ zone

Answer 34

intimate

Question 35

A pt with aphasia who cannot understand a spoken or written message is said to have ¿ aphasia

Answer 35

receptive

Question 36

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

Answer 36

connotation

Question 37

Which defining characteristics support the pt patient problem of impaired verbal communication ?

•Aphasia
•Profoundly deaf
•Legally blind
•Severe COPD
•Gastric pt

Answer 37

Aphasia
Profoundly deaf
Legally blind
Severe COPD

Being a Gastric patient does not support patient problem of impaired communication

Question 38

What is true about the use of silence in therapeutic communication?

Answer 38

Maintaining silence is an effective therapeutic communication technique
The sender often becomes uncomfortable when using silence
The ability to use silence effectively requires skill and timing
Prolonged periods of misunderstood silence can cause tension

Question 39

When a nurse lectures to a large group of people (seminar or lecture) the method of communication is usually in the form of ¿ communication

Answer 39

One - way

Question 40

When a nurse listens to a supervisor, the nurse has a smile on her face but has crosses her arms in front of her chest , and crossed her legs Which posture is this ?

Answer 40

Closed

Question 41

¿ Is described as the exchange of information

Answer 41

Communication

Question 42

The ¿ Is the person conveying the message , but the receiver is to whom the message is conveyed

Answer 42

Sender

Question 43

What are examples of passive listening?

Answer 43

The nurse nods frequently while or speaks
The nurse maintains eye contact while listening to pt
The nurse occasionally interjects with things such as “i see” while listening to pt
The nurse gives verbal feedback

Question 44

What is true about the use of touch in therapeutic communication?

Answer 44

Touch is a form of non verbal communication
Touch can convey warmth and understanding
Touch can convey support and understanding
Touch should be used sincerely and genuinely

Question 45

When speaking to a person of different culture , how should the nurse consider modifying their communication style ?

Answer 45

Use of touch
Use of eye contact
Reference of address
Meaning of gestures

Question 46

Congratulations , Give yourself a lil break 😁