Question 1

A nurse finds Latisha,18,in her hospital room,eyes watery and red,tissues on the bed,and the phone lying in her lap.What should the nurse say?
A)"Can I hang up that phone for you?"
B)"Well,it's a beautiful day outside.Let's open the blinds."
C)"Has your doctor been in to talk to you yet?"
D)"You look upset.Is there anything you'd like to talk about?"

Accepted Answer

The nurse should show empathy and concern for Latisha's emotional state, and asking if she would like to talk about what's bothering her could give her the opportunity to express her feelings and possibly receive support from the nurse. The other options are not appropriate or may not address the issue at hand.

Question 2

Which one of the following is an example of an open-ended question?
A)"What brings you to the hospital?"
B)"Tell me about you and your brother."
C)"Does your pain feel better or worse today?"
D)"Is there anything I can do for you?"

Accepted Answer

A

Question 3

The nurse is conducting an admission interview.Which of the following indicates that the nurse is attentively listening to the client's explanations?
A)"Can you explain what your symptoms are like?"
B)"When was the last time you saw a doctor?"
C)"Uh-huh," while nodding the head.
D)"I'm sorry,say that again."

Accepted Answer

Nodding and verbal affirmations like "Uh-huh" indicate active listening, showing the nurse is paying attention and encouraging the client to continue sharing information.

Question 4

When the nurse asks,"Did you sleep well last night?" the client answers,"No,I was not very sleepy." What component of the communication process does the client's response represent?
A)Sender
B)Message
C)Feedback
D)Receiver

Accepted Answer

The client's response acts as feedback to the nurse's question, indicating how well the communication was received and understood.

Question 5

What term is used to describe rude,discourteous,or disrespectful behaviour that reflects a lack of regard for others?
A)Incivility
B)Disruptive behaviours
C)Bullying
D)Lateral violence

Accepted Answer

Incivility refers to rude, discourteous, or disrespectful behavior that reflects a lack of regard for others. It can range from subtle comments or gestures to more overt actions and can cause harm to individuals and organizations in the workplace. Some examples of incivility include belittling colleagues, spreading rumors, ignoring others, or failing to acknowledge someone's presence.

Question 6

What should a nurse do in order to listen attentively to a client?
A)Maintain good eye contact
B)Lean back comfortably in the chair
C)Sit with legs loosely crossed
D)Respond quickly to client's statements

Accepted Answer

Maintaining eye contact shows the client that the nurse is fully engaged and focused on them. It helps to build rapport and trust with the client.

Question 7

A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics would be appropriate for this situation?
A)Intimate
B)Personal
C)Social
D)Public

Accepted Answer

Social distance is appropriate for situations involving demonstrations or presentations. It allows for a comfortable level of interaction and communication between individuals, while still providing some personal space. Intimate and personal distances are too close for this type of situation, and public distance is too far removed for effective communication.

Question 8

Some health care facilities provide information to their clients on how they can reach,via e-mail,specified staff members.What is an advantage of using e-mail as a form of communication in health care?
A)It is highly confidential.
B)It is useful in urgent situations.
C)Any lab results can be read by the client.
D)It helps communication and continuity of care.

Accepted Answer

Using email as a form of communication can help with communication and continuity of care because it allows for quick and easy communication between staff members and clients. It also provides a written record of the communication, which can be useful for reference and documentation purposes. However, it is important to ensure that email communication is secure and confidential to protect sensitive health information. Choices A and C are incorrect because confidentiality and privacy are not guaranteed with email communication, and lab results should be discussed with a healthcare provider rather than being read by the client directly. Option B is not relevant to the advantages of using email as a form of communication in healthcare.

Question 9

During an interaction between a nurse and client,the nurse conveys respect and an attitude which shows the nurse takes the client's opinions seriously.This would happen during which stage of the working phase?
A)Exploring and understanding
B)Facilitating and taking action
C)Confrontation
D)Concreteness

Accepted Answer

During the exploring and understanding stage of the working phase, the nurse focuses on building a therapeutic relationship with the client, where conveying respect and taking the client's opinions seriously are crucial for establishing trust and understanding. This stage involves actively listening and empathizing with the client's feelings and experiences.

Question 10

Mrs.Jimenez,42,has been sullen and withdrawn since receiving a cancer diagnosis.As the nurse enters the room,Mrs.Jimenez asks for assistance with a shower.Which comment by the nurse is the most appropriate?
A)"If you look better,you might feel better."
B)"Your husband will be glad to see that you're feeling better."
C)"This is a positive sign.I'll be right back with your supplies."
D)"Taking a shower might wash away some of that gloom and doom."

Accepted Answer

This choice acknowledges the patient's request for assistance with a shower and provides a positive and supportive response without dismissing or minimizing her feelings.

Question 11

A client has just lost her second baby to preterm complications.What is the most therapeutic response by the nurse?
A)"Don't be so sad.You can always try again."
B)"Didn't your doctor advise you about genetic counselling?"
C)"I know how you feel.I have children of my own."
D)"I am so sad for you.I'll stay with you for a while if you need to talk."

Accepted Answer

Option D is the most therapeutic response as it acknowledges the client's grief and offers support in a non-judgmental way. It shows empathy and validates the client's feelings, which can help in promoting healing and alleviating anxiety. Options A and B are insensitive, dismissive, and may be hurtful to the client, while option C shifts the focus from the client's emotions to the nurse's experiences, which may not be helpful.

Question 12

During which phase of the relationship process does clarification of the problem occur?
A)Preinteraction phase
B)Introductory phase
C)Working phase
D)Termination phase

Accepted Answer

The answer of During which phase of the relationship process...

Question 13

What term is used to describe the ability to form work relationships,display maturity,manage emotions,and resolve conflicts with colleagues?
A)Congruent communication
B)Emotional intelligence
C)Aesthetic knowing
D)Empirical knowing

Accepted Answer

The term used to describe the ability to form work relationships, display maturity, manage emotions, and resolve conflicts with colleagues is emotional intelligence. Aesthetic knowing refers to the ability to appreciate and recognize art, while empirical knowing refers to knowledge gained through observation and experience. Congruent communication refers to the ability to communicate effectively and clearly using nonverbal cues, language, and tone. Emotional intelligence is the most appropriate term for the given description.

Question 14

A nurse says to her client,"Your M.D.is still in ICU,but he has ordered an ABG to be drawn prior to your pre-op." The nurse is risking which threat to effective communication?
A)Cultural differences
B)Space constraints
C)Decoding misinterpretations
D)Language barriers

Accepted Answer

The nurse is using medical jargon and abbreviations that the client may not understand, leading to a potential misinterpretation of the information. This is an example of decoding misinterpretations.

Question 15

Mr.Umlah,67,is dying and his nurse sees his life partner crying.Which one of the following comments would be best for the nurse to make to facilitate discussion of Mr.Umlah's partner's feelings?
A)"How are you feeling today?"
B)"You seem upset.Is your friend worse today?"
C)"Crying is good for you.Things will look brighter tomorrow."
D)"Have you been crying? Would you like to talk about it?"

Accepted Answer

The answer of Mr.Umlah,67,is dying and his nurse sees his...

Question 16

The wife of a dying client states she is overwhelmed by her husband's illness and does not think she can go on much longer.The nurse responds by saying,"It must be difficult having a loved one in such critical condition.Would it help to talk about it?" Which communication technique does this response describe?
A)Focusing
B)Clarifying
C)Summarizing
D)Providing general leads

Accepted Answer

The nurse's response uses the communication technique of providing general leads, which involves offering a statement or question to encourage the client to continue talking and expressing their feelings. The nurse's response is open-ended and non-judgmental, which can help the client feel supported and validated.

Question 17

During which phase of the relationship process does the nurse assist the client to explore thoughts,feelings,and actions?
A)Preinteraction phase
B)Introductory phase
C)Working phase
D)Termination phase

Accepted Answer

The working phase of the relationship process is when the nurse and client work together to identify and explore thoughts, feelings, and actions. This is the phase where the client is most actively engaged in the therapeutic process and the nurse assists in facilitating exploration and understanding.

Question 18

Which one of the following would be an example of assertive communication when a nurse is addressing a physician?
A)"You need to check the laboratory results of the client in room 423."
B)"You should visit with the client's family about the upcoming procedure."
C)"I think that you need to be more aware of the situation between the client and his family."
D)"I am concerned that the client does not have adequate pain management."

Accepted Answer

Assertive communication involves expressing one's own needs, desires, or opinions in a respectful and clear manner. Choice D, "I am concerned that the client does not have adequate pain management," is an example of assertive communication because it expresses a concern directly and respectfully without blaming or demanding.

Question 19

Which of the following statements describes the Maintaining Belief process of Swanson's Theory of Caring (1991)?
A)Preserving client dignity while helping them cope is part of therapeutic caring.
B)Nurses regard their clients in high esteem and offer them realistic optimism.
C)Listening and attending to clients' needs is part of therapeutic caring.
D)Nurses facilitate their clients to move through life transitions and unfamiliar events.

Accepted Answer

The Maintaining Belief process involves nurses regarding their clients in high esteem and offering them realistic optimism. This helps the clients maintain hope and belief in their ability to achieve their goals. Preserving client dignity, listening and attending to their needs, and facilitating them through life transitions are all parts of the other processes in Swanson's Theory of Caring, but not specifically related to Maintaining Belief.

Question 20

Several nurses have been asked to put together a proposal to help implement self-scheduling.They are to develop a schedule that provides adequate staffing of all shifts.This is an example of which type of group?
A)Self-help group
B)Task group
C)Teaching group
D)Therapy group

Accepted Answer

This is an example of a task group, as the nurses have been asked to develop a specific proposal to achieve a goal or complete a task. Self-help groups are typically groups of individuals who come together to support each other and share experiences related to a common issue or problem. Teaching groups focus on providing information and education to participants. Therapy groups are designed to help members explore and address psychological or emotional concerns with the guidance of a trained therapist.

Quiz 22: Caring and Communicating

A nurse finds Latisha,18,in her hospital room,eyes watery and red,tissues on the bed,and the phone lying in her lap.What should the nurse say?

Which one of the following is an example of an open-ended question?

The nurse is conducting an admission interview.Which of the following indicates that the nurse is attentively listening to the client's explanations?

When the nurse asks,"Did you sleep well last night?" the client answers,"No,I was not very sleepy." What component of the communication process does the client's response represent?

What term is used to describe rude,discourteous,or disrespectful behaviour that reflects a lack of regard for others?

What should a nurse do in order to listen attentively to a client?

A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics would be appropriate for this situation?

Some health care facilities provide information to their clients on how they can reach,via e-mail,specified staff members.What is an advantage of using e-mail as a form of communication in health care?

During an interaction between a nurse and client,the nurse conveys respect and an attitude which shows the nurse takes the client's opinions seriously.This would happen during which stage of the working phase?

Mrs.Jimenez,42,has been sullen and withdrawn since receiving a cancer diagnosis.As the nurse enters the room,Mrs.Jimenez asks for assistance with a shower.Which comment by the nurse is the most appropriate?

A client has just lost her second baby to preterm complications.What is the most therapeutic response by the nurse?

During which phase of the relationship process does clarification of the problem occur?

What term is used to describe the ability to form work relationships,display maturity,manage emotions,and resolve conflicts with colleagues?

A nurse says to her client,"Your M.D.is still in ICU,but he has ordered an ABG to be drawn prior to your pre-op." The nurse is risking which threat to effective communication?

Mr.Umlah,67,is dying and his nurse sees his life partner crying.Which one of the following comments would be best for the nurse to make to facilitate discussion of Mr.Umlah's partner's feelings?

During which phase of the relationship process does the nurse assist the client to explore thoughts,feelings,and actions?

Which one of the following would be an example of assertive communication when a nurse is addressing a physician?

Which of the following statements describes the Maintaining Belief process of Swanson's Theory of Caring (1991) ?

Several nurses have been asked to put together a proposal to help implement self-scheduling.They are to develop a schedule that provides adequate staffing of all shifts.This is an example of which type of group?