Deck 17: Communication and Relational Practice

Question 1

Before meeting the patient,a nurse talks to other caregivers about the patient.The nurse is in which phase of the helping relationship?

A)Preinteraction.
B)Orientation.
C)Working.
D)Termination.

Answer 1

Preinteraction.

Question 2

A nurse is using SOLER to facilitate active listening.Which technique should the nurse use for "R"?

A)Relax.
B)Respect.
C)Reminisce.
D)Reassure.

Answer 2

Relax.

Question 3

What characterizes nurses who make the best communicators?

A)Developing critical thinking skills.
B)Liking different kinds of people.
C)Learning effective psychomotor skills.
D)Maintaining perceptual biases.

Answer 3

Developing critical thinking skills.

Question 4

Which person is the best referral for a patient who speaks a foreign language?

A)A family member.
B)A speech therapist.
C)An interpreter.
D)A mental health nurse specialist.

Question 5

A patient has trouble speaking words,and the patient's speech is garbled.Which nursing diagnosis is most appropriate for this patient?

A)Hopelessness.
B)Impaired verbal communication.
C)Hearing loss.
D)Self-care deficit.

Question 6

An older patient is wearing a hearing aid.Which technique should the nurse use to facilitate communication?

A)Speak clearly and loudly.
B)Turn off the television.
C)Chew gum.
D)Use at least 14-point print.

Question 7

During the initial home visit,a home health nurse lets the patient know that the visits are expected to end in about a month.The nurse is in which phase of the helping relationship?

A)Preinteraction.
B)Orientation.
C)Working.
D)Termination.

Question 8

The nurse asks a patient where the pain is,and the patient responds by pointing to the area of pain.Which form of communication did the patient use?

A)Verbal.
B)Nonverbal.
C)Intonation.
D)Vocabulary.

Question 9

Which situation will cause the nurse to intervene and follow up on the unregulated care provider's behaviour?

A)The unregulated care provider is calling the older patient "honey."
B)The unregulated care provider is facing the older patient when talking.
C)The unregulated care provider cleans the older patient's glasses.
D)The unregulated care provider allows time for the older patient to respond.

Question 10

When making rounds,the nurse finds a patient who is not able to sleep because of anticipation of surgery in the morning.Which therapeutic response is most appropriate?

A)"It will be okay.Your surgeon will talk to you in the morning."
B)"Why can't you sleep? You have the best surgeon in the hospital."
C)"Don't worry.The surgeon ordered a sleeping pill to help you sleep."
D)"It must be difficult not to know what the surgeon will find.What can I do to help?"

Question 11

A patient has been admitted to the hospital numerous times.The nurse asks the patient to share a personal story about the care that has been received.Which interaction is the nurse using?

A)Narrative.
B)Socializing.
C)Nonjudgemental.
D)SBAR.

Question 12

The patient draws back when the nurse reaches over the side rails to take his blood pressure.What should the nurse do first to promote effective communication?

A)Tell the patient that the blood pressure can be taken at a later time.
B)Rotate the nurses who are assigned to take the patient's blood pressure.
C)Continue to perform the procedure quickly and quietly.
D)Apologize for startling the patient and explain the need for contact.

Question 13

A nurse wants to present information about flu immunizations to older persons in the community.Which type of communication should the nurse use?

A)Interpersonal.
B)Public.
C)Transpersonal.
D)Small group.

Question 14

Which technique is being used most effectively in which scenario?

A)Interpersonal communication to change negative self-talk to positive self-talk.
B)Small-group communication to present information to an audience.
C)Intrapersonal communication to build strong teams.
D)Transpersonal communication to enhance meditation.

Question 15

A nurse is sitting at the patient's bedside documenting a nursing history.Which zone of personal space is the nurse using?

A)Intimate.
B)Personal.
C)Social.
D)Public.

Question 16

A nurse and patient take action to meet health-related goals.The nurse is in which phase of the helping relationship?

A)Preinteraction
B)Orientation
C)Working
D)Termination

Question 17

A smiling patient angrily states,"I will not cough and deep breathe." How will the nurse interpret this finding?

A)The patient's personal space was violated.
B)The patient's affect is inappropriate.
C)The patient's vocabulary is poor.
D)The patient's denotative meaning is wrong.

Question 18

A nurse is standing beside the patient's bed.The nurse asks,"How are you doing?" The patient responds,"I don't feel good." In this situation,which element is the feedback?

A)The nurse.
B)The patient.
C)"How are you doing?"
D)"I don't feel good."

Question 19

The nurse is in the process of conducting an admission interview with the patient.At one point in the discussion,the patient has provided information that the nurse would like to clarify.Using the technique of clarification,how does the nurse respond?

A)"I'm not sure that I understand what you mean by that statement."
B)"The electrocardiogram records information about your heart's electrical activity."
C)"Let's look at the problem you have had with your medication at home."
D)"What's your biggest concern at the moment?"

Question 20

A nurse believes that the nurse-patient relationship is a partnership and that both are equal participants.Which term should the nurse use to describe this belief?

A)Critical thinking.
B)Authentic.
C)Mutuality.
D)Attending.

Question 21

Which critical thinking standards should the nurse use to ensure sound,effective communication with patients? (Select all that apply. )

A)Faith.
B)Supportiveness.
C)Self-confidence.
D)Humility.
E)Independent attitude.f.Spiritual expression.

Question 22

A patient says,"You are the worst nurse I have ever had." Which response by the nurse is the most assertive?

A)"If I were you,I'd feel grateful for a nurse like me."
B)"I feel uncomfortable hearing that statement."
C)"How can you say that when I have been checking on you regularly?"
D)"You shouldn't say things like that,it is not right."

Question 23

A confused older person is wearing thick glasses and a hearing aid.Which intervention is priority to facilitate communication?

A)Focus on tasks to be completed.
B)Allow time for the patient to respond.
C)Limit conversations with the patient.
D)Use gestures and other nonverbal cues.

Question 24

Which of the following patients will cause the greatest communication concerns for a nurse?

A)A patient who is alert,has strong self-esteem,and is hungry.
B)A patient who is oriented,pain free,and blind.
C)A patient who is cooperative,depressed,and hard of hearing.
D)A patient who is dyspneic,has a tracheostomy,and is anxious.

Question 25

What is characteristic of a nurse using critical thinking to enhance communication with patients?

A)Showing sympathy appropriately.
B)Using automatic responses fluently.
C)Self-examining personal communication skills.
D)Demonstrating passive remarks accurately.

Question 26

A patient is aphasic,and the nurse notices that the patient's hands shake intermittently.Which nursing action is most appropriate to facilitate communication?

A)Use a picture board.
B)Use pen and paper.
C)Use an interpreter.
D)Use a hearing aid.

Question 27

The staff is having a hard time getting an older person to communicate.Which technique should the nurse suggest the staff use?

A)Allow the patient to reminisce.
B)Try changing topics often.
C)Involve only the patient in conversations.
D)Ask the patient for explanations.

Question 28

Which types of patients can cause challenging communication situations? (Select all that apply. )

A)A male patient who is cooperative with treatments.
B)A female patient who is outgoing and flirty.
C)An older patient who is demanding.
D)An older patient who can see small print clearly.
E)A teenager frightened by the prospect of impending surgery.
F)A child who is developmentally delayed.