Question 1

The registered nurse is orienting a new nurse to the unit.They are completing paperwork on a newly admitted patient.When the experienced nurse asks what the new nurse thinks the patient will need to learn for self-care at home, the new nurse expresses surprise.What statement by the registered nurse is most appropriate?

Accepted Answer

Discharge planning should begin upon admission to ensure a smooth transition and adequate preparation for the patient's self-care at home.

Question 2

A patient who says that both parents died of heart disease early in life is waiting for diagnostic testing results.The patient is biting fingernails and pacing around the room.Which statement should the nurse use to clarify patient information?

Accepted Answer

The nurse should ask the patient to provide more information about their family's history to better understand the context and potential genetic risks.

Question 3

The nurse is caring for a patient who refuses to participate in physical therapy (PT) and states, "I really don't like to exercise." Which response by the nurse is most likely to help engage the patient in PT?

Accepted Answer

This response opens a dialogue to understand the patient's specific concerns or dislikes about exercise, allowing the nurse to address them and potentially find a way to make PT more appealing.

Question 4

A patient with a history of violence directed toward others becomes very excited and agitated during the nurse's interview.Which intervention does the nurse implement to foster therapeutic communication?

Accepted Answer

Assuming an open, nonthreatening posture helps to de-escalate the situation and fosters a safe environment for communication.

Question 5

The nurse interviews a patient during admission.Which observation by the nurse identifies consistency between the patient's verbal and nonverbal communication?

Accepted Answer

The patient's verbal request for an explanation of the surgical procedure is consistent with her nonverbal behavior of listening intently, indicating genuine interest and engagement.

Question 6

A patient's mother died several days ago.The patient begins to cry and states, "The pain of her death is impossible to bear." Which statement by the nurse is the most effective response?

Accepted Answer

This response acknowledges the patient's feelings and provides empathetic support, which is crucial in therapeutic communication.

Question 7

After receiving a diagnosis of a fatal disease, the patient expresses sadness and states "I don't know what to do next".Which action by the nurse best facilitates communication at this time?

Accepted Answer

Sitting quietly with the patient and observing nonverbal communication allows the patient to express feelings and thoughts at their own pace, facilitating open communication and emotional support.

Question 8

The patient tells the nurse, "I must be very sick because so many tests are being performed." Which statement does the nurse use to clarify the patient's message?

Accepted Answer

This response directly addresses the patient's concern by asking for clarification, which helps ensure understanding and opens up further communication.

Question 9

The nursing staff are using the SBAR communication technique during patient hand-off communication.The circumstances leading up to the current status would be explained by the nurses during which step of the technique?

Accepted Answer

The "Background" step in the SBAR communication technique is where the circumstances leading up to the current status are explained.

Question 10

The nursing staff are working with a postoperative patient from another culture who does not understand or speak the English language well.Which approach by the nurse would be best?

Accepted Answer

Obtaining a medical interpreter is the best approach because it ensures that the patient can understand and communicate with the nursing staff effectively, regardless of their language proficiency.

Question 11

The nurse is caring for a patient who states, "I don't feel well today." Which is the best response by the nurse?

Accepted Answer

Asking the patient to describe their feelings further allows the nurse to gather more information about the patient's condition and concerns, which is essential for providing appropriate care.

Question 12

The nurse is explaining a procedure to a 3-year-old patient.Which strategy would the nurse use for patient teaching?

Accepted Answer

Using dolls and stories is an effective way to explain procedures to young children, as it makes the information more relatable and understandable for their developmental level.

Question 13

The nurse is preparing to begin the patient hand-off procedure for five patients.Who should the nurse include in this process?

Accepted Answer

The patient hand-off procedure should include the nursing personnel who will be directly caring for the patients to ensure continuity of care and accurate communication of patient information.

Question 14

The patient tells the nurse, "I want to die." Which is the best response by the nurse to facilitate therapeutic communication?

Accepted Answer

This response encourages the patient to express their feelings and thoughts, facilitating open communication and understanding.

Question 15

A student is watching a nurse perform a medication reconciliation prior to transferring the patient to a skilled nursing facility.What explanation of this process to the student is best?

Accepted Answer

Medication reconciliation is the process of creating an accurate list of all medications a patient is taking to ensure that errors do not occur during transitions in care, such as transfers to another facility.

Question 16

The nurse brings the patient's medications into the room, and the patient shouts, "You don't care if I take these, so get out of my room!" Which response by the nurse is most appropriate?

Accepted Answer

This response acknowledges the patient's emotions and opens the door for further communication, allowing the patient to express their feelings and concerns.

Question 17

The nurse admits a patient who is nonverbal and agitated.What can the nurse do to communicate effectively with the patient?

Accepted Answer

Using a communication aid can help facilitate communication with a nonverbal patient, allowing them to express their needs and feelings.

Question 18

The nurse is interviewing a newly admitted patient.Which statement by the nurse is most likely to result in effective patient communication?

Accepted Answer

The answer of The nurse is interviewing a newly admitted...

Question 19

The patient shouts at the nurse, "No one answered my nurse call system all night!" Which response would the nurse use with this patient to restore therapeutic communication?

Accepted Answer

This response acknowledges the patient's feelings and demonstrates empathy, which is essential for restoring therapeutic communication.

Question 20

The nurse is working toward discharging a patient.Which of following demonstrates patient engagement during the discharge process?

Accepted Answer

Patient engagement involves the patient actively participating in their own care, such as establishing daily goals, which empowers them to take charge of their health and recovery.

Quiz 2: Communication and Collaboration