Deck 2: Professional Guides for Nursing Communication

Question 1

When the nurse identifies a health problem or alteration in a client's health status that requires a nursing intervention,the nurse is performing which step of the nursing process?

A) Diagnosis
B) Planning
C) Intervention
D) Evaluation

Answer 1

Diagnosis

Question 2

A client who is scheduled for a bilateral inguinal hernia repair the next day is observed pacing the unit.After validating that the client is anxious about his upcoming surgery because he is afraid of pain,a relevant nursing diagnosis would be

A) anxiety related to surgery.
B) pain related to anxiety about surgery as evidenced by pacing.
C) anxiety related to fear of postoperative pain as evidenced by pacing.
D) pacing related to fear of postoperative pain.

Answer 2

anxiety related to fear of postoperative pain as evidenced by pacing.

Question 3

The nurse is teaching a client who is alert and oriented about the drug warfarin.When teaching the client about this drug,the nurse emphasizes the need to be consistent with Vitamin K intake,which is found primarily in green leafy vegetables.When the client's spouse comes to visit,the client states,"I can no longer consume green leafy vegetables." This is an example of what type of failure caused by a communication problem?

A) System failure
B) Reception failure
C) Transmission failure
D) Global aphasia

Answer 3

Reception failure

Question 4

The client has a living will in which he states he does not want to be kept alive by artificial means.The client's family wants to disregard the client's wishes and have him maintained on artificial life support.The most appropriate initial course of action for the nurse would be to

A) tell the family that they have no legal rights.
B) tell the family that they have the right to override the living will because the patient cannot speak.
C) report the situation to the hospital ethics committee.
D) allow the family to verbalize their feelings and concerns, while maintaining the role of client advocate.

Question 5

The nurse observes a client pacing the floor.The nurse validates an inference when speaking to the client by stating,

A) "You are anxious, so let's talk about it."
B) "Let's try some deep breathing to help you relax."
C) "You seem anxious. Will you tell me what is going on?"
D) "Clients who pace usually need to talk to a physician. Should I call yours?"

Question 6

When setting goals with a client,the nurse demonstrates which step of the nursing process?

A) Assessment
B) Planning
C) Implementation
D) Evaluation

Question 7

In regard to informed consent,which of the following statements is true?

A) Only legally incompetent adults can give consent.
B) Only parents can give consent for minor children.
C) It is not required that the client be told about costs and alternatives to treatment.
D) Consent must be voluntary.

Question 8

Which of the following is a violation of client confidentiality? Reporting

A) certain communicable diseases.
B) child abuse.
C) gunshot wounds.
D) client data to a colleague in a nonprofessional setting.

Question 9

When evaluating the client's progress toward goal achievement,the nurse should ask which of the following questions?

A) "Did the client tell the truth?"
B) "Were the goals realistic?"
C) "Did the physician diagnose the client's condition correctly?"
D) "Was the length of stay too short?"

Question 10

When practicing effective and correct communication,the nurse should

A) speak in a clear voice.
B) be concise when providing client education.
C) be concrete when communicating with clients.
D) focus entirely on abstract communication techniques with clients.
E) ensure that communication with clients is complete.
F) provide courteous communication when interacting with clients.

Question 11

The nurse collects both objective and subjective data.An example of subjective data is

A) BP 140/80.
B) skin color jaundiced.
C) "I have a headache."
D) history of seizures.

Question 12

A preoperative assessment shows that a client's hemoglobin level is dropping.The anesthetist orders 3 units of blood to be administered.The nurse administers the first unit before discovering that the client is a Jehovah's Witness,as documented in the record.This is an example of

A) professional conduct.
B) a negligent act.
C) physical abuse.
D) breaching client confidentiality.

Question 13

The nurse demonstrates effective communication by ensuring all of the following except

A) two-way exchange of information among clients and health providers.
B) making sure that unilateral information is exchanged between clients and nurses.
C) making sure that the expectations and responsibilities of all are clearly understood.
D) recognizing that effective communication is an active process for all involved.

Question 14

Which of the following is an outcome for a client with a broken leg?

A) Client will develop an ambulation program within 1 month.
B) Encourage client to ambulate with cast using crutches.
C) Client asks, "When will I walk again?"
D) Client experiences alteration in mobility related to a broken leg.

Question 15

The nurse is caring for a client whose health has suddenly worsened.The nurse calls the health care provider.What is the best example of the nurse communicating to the health care provider using the situation part of SBAR communication?

A) "The patient has developed dyspnea with audible crackles in the lungs bilaterally; oxygen saturation is 86% on room air."
B) "The patient has chronic obstructive pulmonary disease due to a long-term history of smoking."
C) "I am concerned that the patient is exhibiting signs of a pulmonary embolus due to a sudden drop in oxygenation."
D) "I would like for you to order a STAT chest x-ray because the patient has suddenly developed shortness of breath with hypoxia."

Question 16

During a routine visit,the nurse notes that a child has several bruises at various stages of healing.The child reports having fallen down.Failure to report these findings is an example of

A) negligence.
B) reasonable prudence.
C) maintenance of confidentiality.
D) HIPAA regulation.

Question 17

A 16-year-old trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery.The nurse knows that

A) a parent/guardian must give consent.
B) the client can give consent if she provides proof of emancipation.
C) the client must first be evaluated for competency before obtaining consent.
D) surgery can be performed without consent.

Question 18

The plan of care serves as the structural framework for

A) maintaining confidentiality.
B) attaining self-actualization.
C) maintaining therapeutic communication.
D) providing safe, high-quality care.