week 6 sherpath Flashcards
Match the type of communication to its characteristic.
Has fluid ethical and legal boundaries
Has sharing but in a limited capacity from the nurse
Has the focus on the nurse
Answer choices
Nontherapeutic
Therapeutic
Social
Has fluid ethical and legal boundaries
Social
Has sharing but in a limited capacity from the nurse
Therapeutic
Has the focus on the nurse
Nontherapeutic
Which feature of the nurse–patient helping relationship is legally upheld by the Health Insurance Portability and Accountability Act (HIPAA)?
Confidentiality
Respect
Caring
Empathy
Confidentiality
Match the key concept of professional communication to its example.
Nurse asks the patient’s name preference during initial contact
Nurse defends the rights of others, especially vulnerable patients
Nurse has confidence and commands respect
Nurse keeps the nurse–patient relationship therapeutic, not social
Answer choices
Assertiveness
Respect
Professional boundaries
Advocacy
Nurse asks the patient’s name preference during initial contact
Respect
Nurse defends the rights of others, especially vulnerable patients
Advocacy
Nurse has confidence and commands respect
Assertiveness
Nurse keeps the nurse–patient relationship therapeutic, not social
Professional boundaries
For which reason would the nurse avoid nontherapeutic communication in a nurse–patient helping (therapeutic) relationship?
Focuses on patient’s options
Exhibits empathy to the patient
Shifts the emphasis to the patient
Requires justification of actions from the patient
Requires justification of actions from the patient
Which nursing responses are considered nontherapeutic?
Select all that apply.
Asking “why” questions
Using open-ended questions
Offering advice
Agreeing with the patient
Providing general leads
Asking “why” questions
Offering advice
Agreeing with the patient
Match the phase of the nurse–patient helping relationship with its activity.
Collaborating among the nurse, patient, and others
Transitioning to another caregiver
Predetermining topics of interaction
Observing, interviewing, and assessing patients
Answer choices
Working
Orientation
Preorientation
Termination
Collaborating among the nurse, patient, and others
Working
Transitioning to another caregiver
Termination
Predetermining topics of interaction
Preorientation
Observing, interviewing, and assessing patients
Orientation
Which distance range (in feet) is considered social space in proxemics? Record your answer as whole numbers separated by a hyphen.
4-12 feet
Which behaviors would the nurse implement when using active listening?
Select all that apply.
Lightly touching the patient’s arm
Maintaining eye level with the patient
Keeping arms uncrossed
Facing the patient
Leaning toward the patient
Allowing time for the patient to answer
Maintaining eye level with the patient
Keeping arms uncrossed
Facing the patient
Leaning toward the patient
Match the verbal therapeutic technique to its example.
“I’ll sit with you for a while.”
“You seem frustrated.”
“Tell me about some of your concerns.”
“It is time for physical therapy.”
Answer choices
Offering self
Sharing observations
Giving information
Using open-ended comments
“I’ll sit with you for a while.”
Offering self
“You seem frustrated.”
Sharing observations
“Tell me about some of your concerns.”
Using open-ended comments
“It is time for physical therapy.”
Giving information
Which techniques promote therapeutic communication?
Select all that apply.
Asking “yes” or “no” questions
Conveying acceptance
Using focused comments
Using humor
Offering generalized responses
Conveying acceptance
Using focused comments
Using humor
Which impairments may impede communication?
Select all that apply.
Gustatory
Hearing
Visual
Cognitive
Olfactory
Physical
Hearing
Visual
Cognitive
Physical
Which technique would the nurse use to facilitate communication with a hearing-impaired patient?
Learn sign language.
Provide background music to block out extraneous sounds.
Stand at a distance greater than 8 feet while talking.
Make sure the area is well lit.
Make sure the area is well lit.
Which strategy would the nurse use to facilitate communication with a visually impaired patient?
Allow the patient to explore the room independently.
Use analog clock descriptors to specify location.
Place bright colors in various areas of the room.
Provide a writing board for the patient to write messages.
Use analog clock descriptors to specify location.
Match the defense mechanism to its definition.
Refusing to admit the reality of a situation
Using personal strengths to overcome feelings of inadequacy
Choosing not to think consciously about unpleasant feelings
Taking on certain characteristics of another
Answer choices
Repression
Introjection
Suppression
Denial
Displacement
Compensation
Refusing to admit the reality of a situation
Denial
Using personal strengths to overcome feelings of inadequacy
Compensation
Choosing not to think consciously about unpleasant feelings
Suppression
Taking on certain characteristics of another
Introjection
Which important patient insight may be gained by communicating with family members?
Identifying cognitive impairment in a family member
Providing data from primary sources
Recognizing the existence of support systems
Determining assistive devices to use for interpreting gestures
Recognizing the existence of support systems
Which scenario complies with regulations of confidentiality?
Whispering in a crowded elevator to another nurse about a patient’s diagnosis
Providing laboratory test results to the adult patient’s mother
Posting a picture of the patient and nurse with the patient’s status on social media
Refusing to tell the patient’s partner about the diagnosis without patient authorization.
Refusing to tell the patient’s partner about the diagnosis without patient authorization.
Which scenario complies with professional role boundaries?
Visiting a patient to provide home health care
Accepting a $10 tip from the patient’s family for excellent care
Going to the movies with the patient and paying for the patient’s way
Borrowing a patient’s car because the nurse’s car needs repairs
Visiting a patient to provide home health care
Which standard communication strategies would the nurse use to positively influence the nurse–patient helping relationship?
Select all that apply.
Leaning toward the patient as the patient speaks
Completing the patient interview standing at the patient’s bedside
Holding the patient’s hand while the health care provider provides the results of a biopsy
Remaining silent while being present in the room
Standing in the doorway while asking if there is anything the patient needs
Leaning toward the patient as the patient speaks
Holding the patient’s hand while the health care provider provides the results of a biopsy
Remaining silent while being present in the room
Which communication strategies would the nurse use for a patient with dementia?
Select all that apply.
Avoiding eye contact
Using computer-enabled communication
Reminiscing with the patient
Accepting the patient’s erroneous line of thinking
Continually reorienting the patient to the present
Reminiscing with the patient
Accepting the patient’s erroneous line of thinking
Which response would the nurse use when the patient avoids eye contact when discussing a sensitive subject?
“You seem uncomfortable.”
“Is there a reason why you are ignoring me?”
“I think you should look at me when talking.”
“Why do you avoid eye contact with me?”
“You seem uncomfortable.”
Which action would the male nurse take when a female patient from another culture does not want him to perform an assessment?
Gently let the patient know the assessment will be performed by the nurse.
Request a female nurse to perform the assessment.
Distract the patient and then reintroduce the assessment at a later time.
Obtain an interpreter to explain the benefits of letting the male nurse perform the assessment.
Request a female nurse to perform the assessment.
Which actions would the nurse implement for a patient with visual and hearing impairments?
Select all that apply.
Raise voice slightly above normal level.
Speak to the patient before touching.
Verify patient understanding with a “yes” answer.
Display active listening.
Use audiobooks to facilitate learning.
Raise voice slightly above normal level.
Speak to the patient before touching.
Display active listening.
Which question or comment is an effective verbal technique for obtaining more information?
“Do you exercise regularly?”
“You look like a smoker.”
“Tell me more about your diet.”
“Have you traveled recently?”
“Tell me more about your diet.”
Which key concepts of professional communication are represented when the circulating nurse in the operating room says, “The patient’s arm is not straight; it needs to be repositioned”?
Select all that apply.
Respect
Assertiveness
Advocacy
Empathy
Confidentiality
Assertiveness
Advocacy
Which techniques would the nurse use for a male patient who identifies as a female?
Select all that apply.
Say, “Sweetie, it is time for you to eat lunch.”
Establish trust.
Complete care quickly.
Touch the patient’s shoulder for comfort.
Use “he” when with the health care team.
Establish trust.
Touch the patient’s shoulder for comfort.
Which approach would the nurse use to communicate with a patient who is on a ventilator and is paralyzed in all extremities?
Use eye movements to indicate “yes” or “no.”
Avoid teaching the patient at this time.
Avoid correcting an erroneous line of thinking in this patient.
Allow the patient to squeeze the nurse’s hand to indicate affirmation of a question.
Use eye movements to indicate “yes” or “no.”
Which response would the nurse make to a patient who is about to undergo a stressful procedure in 1 hour and yells at the nurse who is 5 minutes late with the medications?
“Stop yelling at me.”
“You’re mad because your partner isn’t here to help you through this procedure.”
“Why are you acting this way? I haven’t done anything to you.”
“I understand that you are probably nervous; tell me about how you are feeling.”
“I understand that you are probably nervous; tell me about how you are feeling.”
Which action would the nurse take for an older adult female patient who left her glasses at home but is wearing her hearing aid and wants information about her newly prescribed medications?
Disregard the question because she is probably confused.
Write down the medications so she can read about them.
Sit down with the patient to verbally answer questions.
Talk very loudly, staying within 3 feet of the patient.
Sit down with the patient to verbally answer questions.
Which nursing behaviors are therapeutic?
Select all that apply.
Allowing the older adult more time to answer questions
Not touching the top of a patient’s head who is from another country
Using personal space to give a bed bath to a patient
Asking family members to leave when talking about personal issues
Using detailed explanations for a young child
Allowing the older adult more time to answer questions
Not touching the top of a patient’s head who is from another country
Asking family members to leave when talking about personal issues
Which response would the nurse make to a female patient who is crying and asks the nurse if she should get chemotherapy treatments?
“So what would you like to order for dinner?”
“There’s no reason to cry; you are going to be alright.”
“What are your concerns about the chemotherapy?”
“My mother’s chemotherapy didn’t work, but it might for you.”
“What are your concerns about the chemotherapy?”
Which phase of the nurse–patient helping relationship is represented when the nurse is summarizing care?
Preorientation
Orientation
Working
Termination
Termination
Match the communication technique to its example.
“You have no reason to be crying.”
“You won’t get better care anywhere else.”
“And then?”
“It will work out.”
Answer choices
General leads
Defensiveness
Restate
Approval/disapproval
Generalized responses
Validate
“You have no reason to be crying.”
Approval/disapproval
“You won’t get better care anywhere else.”
Defensiveness
“And then?”
General leads
“It will work out.”
Generalized responses
Which techniques are being used when the nurse says, “Mrs. Sharp, we have discussed your medications, treatments, and next appointment. What else would you like to discuss?”
Select all that apply.
Summarizing
Validating
Verbalizing the implied
Using open-ended questions
Calling the patient by name
Offering self
Summarizing
Using open-ended questions
Calling the patient by name
Which patient situation describes projection?
An adult patient feels ugly but calls the nurse ugly.
An adult patient admits to drinking alcohol because work is stressful.
A school-age patient starts to wet the bed after treatments.
A school-age patient who wants to fight starts taking boxing lessons.
An adult patient feels ugly but calls the nurse ugly.
Which actions would the nurse take for a patient who is comatose?
Select all that apply.
Not allowing friends in the room
Speaking before touching the patient
Observing for grimacing
Monitoring for restlessness
Maintaining quietness when providing care
Speaking before touching the patient
Observing for grimacing
Monitoring for restlessness
Which actions would strengthen the nurse–patient helping relationship?
Select all that apply.
Using a family member to help interpret for a patient who does not speak the same language as the nurse
Not leaving a severely anxious patient alone
Postponing teaching if the patient is in severe pain
Giving detailed explanations to patients with moderate pain
Observing family dynamics when interacting with patients and families
Not leaving a severely anxious patient alone
Postponing teaching if the patient is in severe pain
Observing family dynamics when interacting with patients and families
Which situation describes collaboration?
Three individuals listening to a lecture on respect for team members
Two individuals working on different patient teams
One individual preparing an online seminar for working in teams
Two or more individuals working toward a common goal
Two or more individuals working toward a common goal
Which health care team member would the nurse consult to help a patient get dressed in the morning?
Occupational therapist
Physical therapist
Health care provider
Social worker
Occupational therapist
Which information is correct about delegating care?
The nurse can delegate evaluation.
The nurse relies on the national nurse practice act for delegation.
The nurse retains accountability for tasks delegated.
The nurse avoids the scope of practice when delegating.
The nurse retains accountability for tasks delegated.
Which example is one of the five rights of delegation?
Right time
Right direction or communication
Right drug or prescription
Right documentation
Right direction or communication
Which skills or components are needed to be an effective nurse collaborator?
Select all that apply.
Team building
Critical thinking
Communication
Personal purpose
Independent goal
Team building
Critical thinking
Communication
Which team-building skills would the nurse use to be an effective collaborator?
Select all that apply.
Recognizing resource limitations
Starting and ending a meeting on time
Advocating on the patient’s behalf
Aggressively challenging team members
Avoiding conflict about safety issues
Recognizing resource limitations
Starting and ending a meeting on time
Advocating on the patient’s behalf
Which factors are components of critical thinking?
Select all that apply.
Scientific research
Best practices
Volunteer input
Continual learning
Clinical experience
Scientific research
Best practices
Continual learning
Clinical experience
Which nursing behavior would enhance health care team communication when directly caring for patients?
Conversing with the hospital board members
Rounding with health care providers
Validating an acquaintance’s feelings
Reviewing an education pamphlet
Rounding with health care providers
Which question represents one of the areas of the acronym SBAR?
What is happening in the future?
Which assignments should be delegated?
Has the nurse contacted the health care provider?
What action(s) should be initiated for this problem?
What action(s) should be initiated for this problem?
Which organization states that collaboration can enhance health diplomacy and lower health disparities?
American Nurses Association (ANA)
International Council of Nurses (ICN)
National League for Nursing (NLN)
Institute of Medicine (IOM)
American Nurses Association (ANA)
Under which heading is collaboration listed as a standard in the book, Nursing: Scope and Standards of Practice?
Standards of Practice
Standards of Professional Performance
Core Proficiency and Competency
Core Scope of Practice Competency
Standards of Professional Performance
Which organization determined that collaboration, or working as part of the interdisciplinary team, is one of five core proficiencies for both students and professionals?
Institute of Medicine (IOM)
American Nurses Association (ANA)
National League for Nursing (NLN)
International Council of Nurses (ICN)
Institute of Medicine (IOM)
