Deck 6: Communication and Relationships

Question 1

The nurse stays in a client's room longer than necessary to ensure that a health-care provider has left the care area.Which type of behavior is the nurse demonstrating?

A)Avoidant
B)Assertive
C)Aggressive
D)Confrontational

Answer 1

Avoidant

Question 2

The nurse is confronted by an angry client who begins to scream.Which should the nurse do to positively resolve the conflict? Select all that apply.

A)Apologize for any misunderstandings.
B)Make jokes and personal insults.
C)Be specific about what he or she perceives the problem to be.
D)Ask the client for ideas on how to resolve the conflict.
E)Speak privately with the client.

Answer 2

Apologize for any misunderstandings.
Be specific about what he or she perceives the problem to be.
Ask the client for ideas on how to resolve the conflict.
Speak privately with the client.

Question 3

The nurse is describing how it feels when a health-care provider confronts the nurse in a client's room.Which step of the DESC process is the nurse completing?

A)Describing the behavior
B)Relating the consequences
C)Stating the desired outcome
D)Explaining the impact of the behavior

Answer 3

Explaining the impact of the behavior

Question 4

The nurse prepares to enter the room of a newly admitted client.Which should the nurse recall about communicating with a client face-to-face? Select all that apply.

A)It is an active process.
B)It is as simple as telling.
C)It is often a passive, one-sided event.
D)It is completed when the receiver offers feedback.
E)It involves both parties sending and receiving messages simultaneously.

Question 5

The instructor is conducting a class on the communication process with a group of nursing students.Which should the instructor emphasize about effective communication? Select all that apply.

A)It is essential in proper documentation practices.
B)It is the foundation of nurse-patient relationships.
C)It helps establish proper transfer of health-care information.
D)It is something that nurses often feel prepared to do in clinical situations.
E)It is a key element when reporting information to other health-care members.

Question 6

The nurse has an idea to improve the way supplies are distributed and charged to clients.Which action should the nurse take that demonstrates an appropriate communication technique?

A)Explain the idea to other staff members.
B)Mention the idea at the end of morning report.
C)Contact the director to discuss how the idea will work.
D)Write down the idea and schedule a meeting to talk about it.

Question 7

During a health history, the nurse learns that a client is a lesbian.Which should the nurse recommend to promote health for this client?

A)Schedule an annual mammogram.
B)Plan routine pelvic examinations as necessary.
C)Comment that the risk of sexually transmitted infections is reduced.
D)State that the need for human papillomavirus screening is not required.

Question 8

The nurse prepares to assess a client.Which action should the nurse take to complete the process of active listening? Select all that apply.

A)Share perceptions
B)Avoid confrontation
C)Exhibit a superior attitude
D)Refrain from sharing feeling
E)Respond and provide feedback

Question 9

The nurse writes the following telephone order: T.O.received by Harrold Smith, MD, October 4, 2020 9:00 AM.Client Williams, Sheila T.to receive Lasix 20 mg by mouth now.Order repeated to Dr.Smith and was validated.Which information is missing from this order?

A)Client's room number
B)Time identified in military time
C)Nurse's signature and credentials
D)Full spelling of the client's middle name

Question 10

A client comes into the community clinic and demands to be seen immediately because she has a health issue that is much more serious than anyone else who is waiting to be seen.Which type of communication style is this client demonstrating?

A)Passive
B)Avoidant
C)Assertive
D)Aggressive

Question 11

A pharmacy technician acts bothered when requested to deliver medications or answer questions about dosages.When addressing this behavior with the DESC model, which step might the nurse have the most difficulty completing?

A)Describe
B)Explain
C)State
D)Consequences

Question 12

The nurse enters the room of a client.Which action should the nurse take to demonstrate active listening? Select all that apply.

A)Ignoring nonverbal cues
B)Tuning out intrusions and distractions
C)Using all of the senses to interpret verbal messages
D)Using all of the senses to interpret nonverbal messages
E)Paying attention to both what the speaker is saying and not saying

Question 13

A client comments, "I can't wait to get out of here." Which response should the nurse make that demonstrates the therapeutic communication technique of reflection?

A)"I know what you mean."
B)"Don't you like being here?"
C)"You can't wait to get out of here."
D)"Your home is more comfortable than here."

Question 14

When performing an admission assessment, the nurse assesses a client's verbal communication.Which characteristics of this communication should the nurse assess? Select all that apply.

A)Posture
B)Written words
C)Facial grimacing
D)Vocalization of pain
E)Disheveled appearance

Question 15

The nurse is caring for a client with Wernicke's aphasia.Which should the nurse do while communicating with the client? Select all that apply.

A)Speak slowly.
B)Use long sentences.
C)Ask yes-or-no questions.
D)Avoid interrupting the client.
E)Speak in a normal tone of voice.

Question 16

When responding to a client's call light, the nurse says, "What can I do to help you?" Which therapeutic communication technique is the nurse using?

A)Offering self
B)Using restatement
C)Seeking clarification
D)Using open-ended questions

Question 17

The nurse stands at the foot of a client's bed to ask if there is anything needed at this time.Which personal space-distance zone is the nurse standing?

A)Public
B)Intimate
C)Casual-personal
D)Social-consultative

Question 18

The nurse observes a newly admitted client.Which should the nurse recognize as nonverbal communication? Select all that apply.

A)Rigid posture
B)Written words
C)Brow tightening
D)Vocalization of anxiety
E)Manicured appearance

Question 19

The nurse is planning to assess a client.Which should the nurse recall about patient-centered communication? Select all that apply.

A)It focuses primarily on the nurse.
B)It empowers clients to participate in their care.
C)It discourages clients from participating in their care.
D)It discourages clients from participating in decisions.
E)It establishes a positive nurse-client relationship.

Question 20

The nurse overhears an unlicensed assistive personnel (UAP)say to a client, "I have other clients who are sicker than you who don't put on their call light as much." Which barrier to communication should the nurse address with the UAP?

A)Belittling
B)Giving advice
C)False reassurance
D)Expressing disapproval