Deck 24: Communication

Question 1

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

A) Socio-consultative
B) Personal
C) Intimate
D) Public

Answer 1

Personal

Question 2

Which situation will cause the nurse to intervene and follow up on the nursing assistive personnel's (NAP) behavior?

A) The nursing assistive personnel is calling the older-adult patient "honey."
B) The nursing assistive personnel is facing the older-adult patient when talking.
C) The nursing assistive personnel cleans the older-adult patient's glasses gently.
D) The nursing assistive personnel allows time for the older-adult patient to respond.

Answer 2

The nursing assistive personnel is calling the older-adult patient "honey."

Question 3

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) Nonjudgmental
B) Socializing
C) Narrative
D) SBAR

Answer 3

Narrative

Question 4

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

A) "You 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 5

A patient was admitted 2 days ago with pneumonia and a history of angina. The patient is now having chest pain with a pulse rate of 108. Which piece of data will the nurse use for "B" when using SBAR?

A) Having chest pain
B) Pulse rate of 108
C) History of angina
D) Oxygen is needed

Question 6

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

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

Question 7

A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take?

A) Obtain an interpreter.
B) Refer to a speech therapist.
C) Let a close family member talk.
D) Find a mental health nurse specialist.

Question 8

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

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

Question 9

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

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

Question 10

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

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

Question 11

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) Attend

Question 12

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 13

A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

A) "Tomorrow will be better."
B) "This must be hard news to hear."
C) "What's your biggest fear about this diagnosis?"
D) "I believe you can overcome this because I've seen how strong you are."

Question 14

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

Question 15

Which types of nurses make the best communicators with patients?

A) Those who learn effective psychomotor skills
B) Those who develop critical thinking skills
C) Those who like different kinds of people
D) Those who maintain perceptual biases

Question 16

A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for the nurse's action?

A) To promote autonomy
B) To use common courtesy
C) To establish trustworthiness
D) To standardize communication

Question 17

A nurse is standing beside the patient's bed. Nurse: How are you doing?
Patient: I don't feel good.
Which element will the nurse identify as feedback?

A) Nurse
B) Patient
C) How are you doing?
D) I don't feel good.

Question 18

A nurse is using therapeutic communication with a patient. Which technique will the nurse use to ensure effective communication?

A) Interpersonal communication to change negative self-talk to positive self-talk
B) Small group communication to present information to an audience
C) Electronic communication to assess a patient in another city
D) Intrapersonal communication to build strong teams

Question 19

A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the nurse in with this patient?

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

Question 20

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

A) Public
B) Small group
C) Interpersonal
D) Intrapersonal

Question 21

Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?

A) Shows sympathy appropriately
B) Uses automatic responses fluently
C) Demonstrates passive remarks accurately
D) Self-examines personal communication skills

Question 22

A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the 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 23

A nurse is using AIDET to communicate with patients and families. Match the letters of the acronym to the behavior a nurse will use.

D

A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."

Question 24

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

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

Question 25

A nurse is using AIDET to communicate with patients and families. Match the letters of the acronym to the behavior a nurse will use.

T

A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."

Question 26

A nurse is implementing nursing care measures for patients' special communication needs. Which patient will need the most nursing care measures?

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

Question 27

A nurse is using AIDET to communicate with patients and families. Match the letters of the acronym to the behavior a nurse will use.

E

A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."

Question 28

A nurse is using AIDET to communicate with patients and families. Match the letters of the acronym to the behavior a nurse will use.

I

A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."

Question 29

A nurse is implementing nursing care measures for patients with challenging communication issues. Which types of patients will need these nursing care measures? (Select all that apply.)

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

Question 30

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 31

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

A) "I think you've had a hard day."
B) "I feel uncomfortable hearing that statement."
C) "I don't think you should say things like that. It is not right."
D) "I have been checking on you regularly. How can you say that?"

Question 32

A nurse is using AIDET to communicate with patients and families. Match the letters of the acronym to the behavior a nurse will use.

A

A)Nurse describes procedures and tests.
B)Nurse lets the patient know how long the procedure will last.
C)Nurse recognizes the person with a positive attitude.
D)Nurse thanks the patient.
E)Nurse tells the patient "I am an RN and will be managing your care."

Question 33

Which behaviors indicate the nurse is using critical thinking standards when communicating with patients? (Select all that apply.)

A) Instills faith
B) Uses humility
C) Portrays self-confidence
D) Exhibits supportiveness
E) Demonstrates independent attitude