Question 1

Which statement or question by the nurse manager demonstrates an assertive approach?

Accepted Answer

Statement A demonstrates an assertive approach by clearly stating the expectation without implying blame or asking for justification, which is a key component of assertive communication.

Question 2

A hospital that is interested in purchasing intravascular infusion pumps organizes a group of nurses to evaluate pumps provided by a variety of vendors. Which type of group has been organized?

Accepted Answer

This group is organized for a specific, short-term purpose: to evaluate intravascular infusion pumps. Once the evaluation is complete, the group's purpose is fulfilled, making it a short-term group.

Question 3

A patient who speaks little English is admitted to the hospital after experiencing severe abdominal pain. Which nursing diagnosis is preferred for this patient?

Accepted Answer

Impaired Communication is the preferred nursing diagnosis for a patient who speaks little English and is experiencing severe abdominal pain. This diagnosis reflects the patient's difficulty in communicating their needs and understanding the healthcare team's instructions.

Question 4

A patient experiences expressive aphasia after a stroke. Which expected outcome is appropriate for this patient?

Accepted Answer

Expressive aphasia, also known as Broca's aphasia, is characterized by difficulty in producing language (speaking, writing, etc.). Therefore, using alternative methods of communication (such as gestures, drawing, or communication boards) is an appropriate goal for someone with expressive aphasia, as it allows them to communicate their needs and thoughts without relying solely on spoken or written language.

Question 5

A patient with severe substernal chest pain comes to the emergency department. The patient is restless and anxious. Which statement by the nurse appropriately offers reassurance?

Accepted Answer

Providing medication to relieve the pain is a concrete action that addresses the patient's immediate discomfort and anxiety, offering reassurance through effective pain management.

Question 6

After a physician discusses cancer treatment options with a patient, the patient asks the nurse which treatment should be used. Which response by the nurse is best?

Accepted Answer

Providing information about each option empowers the patient to make an informed decision, aligning with the nurse's role in patient education and support.

Question 7

Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?

Accepted Answer

Interpersonal communication is used during one-on-one interactions, such as an interview between a nurse and a patient during an admission health history and physical assessment.

Question 8

A patient who speaks only French was admitted to the hospital after a motor vehicle accident. Since the nurse does not speak French, what is the best way to communicate with this patient?

Accepted Answer

Requesting the services of a hospital translator is the best option to ensure accurate and professional communication between the nurse and the patient. This approach respects the patient's language needs and ensures that medical information is conveyed correctly.

Question 9

Which statement or question by the nurse indicates that the nurse-patient relationship is entering the termination phase?

Accepted Answer

Statement C ("I'm leaving for the day. Is there anything I can do for you before I leave?") indicates the nurse-patient relationship is entering the termination phase, as it suggests a conclusion of interaction for the day, which can be reflective of the broader process of concluding the nurse-patient relationship.

Question 10

A male patient had surgery 6 hours ago. When the nurse enters the room to turn him, the nurse notes that he is restless and grimacing. Considering the patient's nonverbal communication, what action should the nurse take first?

Accepted Answer

The answer of A male patient had surgery 6 hours...

Question 11

The nurse manager of the medical intensive care unit formed a group to help the staff cope with stress more effectively. Which comment by a group member will lead the manager to evaluate the group as successful?

Accepted Answer

The comment that indicates the group is successful in helping staff cope with stress more effectively is the one that directly addresses sharing feelings about the challenges faced in the work environment, such as dealing with pain and suffering daily. This reflects the primary goal of the group, which is to help staff manage work-related stress.

Question 12

During admission to the unit, a patient states, "I'm not worried about the results of my tests. I'm sure I'll be all right." As the nurse observes the patient, the nurse notes that the patient is shaky, tearful, and does not make eye contact. Unfortunately, the nurse is called away to an emergency before completing this discussion. Which goal is most appropriate for the nurse to establish when returning to the patient? The patient will:

Accepted Answer

The most appropriate goal is for the patient to discuss concerns and fears with the nurse. The observed behaviors (shakiness, tearfulness, lack of eye contact) suggest the patient is experiencing anxiety or fear, despite verbalizing confidence about the test results. Establishing a goal for the patient to openly discuss these concerns and fears can help in providing emotional support and appropriate interventions.

Question 13

Which action by the nurse is a nonverbal behavior that enhances communication?

Accepted Answer

Sitting down to speak with the patient is a nonverbal behavior that enhances communication by demonstrating attentiveness and willingness to engage on the same level as the patient.

Question 14

Which intervention by the nurse helps to establish a trusting nurse-patient relationship?

Accepted Answer

Greeting the patient by name whenever entering the patient's room helps to establish a personal connection and shows respect, which are key components in building trust in a nurse-patient relationship.

Question 15

A male patient being admitted in hypertensive crisis informs the nurse that he stopped taking his blood pressure medication 3 weeks ago. Which response by the nurse is best?

Accepted Answer

Option B is the best response as it opens up a dialogue in a non-judgmental way, allowing the patient to share more about his experiences and concerns with the medication. This approach can help in understanding the patient's perspective and addressing any barriers to medication adherence.

Question 16

The nurse must insert a nasogastric (NG) tube into a patient with a bowel obstruction. After inserting the NG tube, the nurse thinks about the interaction to improve communication skills. Which attribute is the nurse exhibiting?

Accepted Answer

Genuineness is the attribute the nurse is exhibiting by reflecting on the interaction to improve communication skills. This shows a sincere and honest approach to self-improvement and patient care.

Question 17

The nurse is preparing a patient for a computed tomography (CT) scan of the abdomen. Patients must be NPO (nothing by mouth) for 8 hours and void several minutes before the test. Which statement by the nurse is best to help prepare the patient?

Accepted Answer

The statement clearly explains the NPO requirement, which is crucial for the preparation of a CT scan.

Question 18

A physician tells a female patient that she has cancer and that she should have surgery as soon as possible. The patient is not certain she wants to pursue this treatment approach, but responds by saying, "I'll do whatever you think I should do." Which communication style is this patient using?

Accepted Answer

The patient is using a passive communication style, as she is not expressing her own desires or concerns and is instead deferring to the physician's recommendation without asserting her own opinion.

Question 19

A young adult with a severe episode of asthma-related bronchoconstriction comes to the emergency department with signs of respiratory distress. When the nurse performs the orientation assessment, the nurse notes that the patient cannot identify the place/location or the time. Which nursing diagnosis is most suitable for this patient?

Accepted Answer

Acute Confusion is the most suitable nursing diagnosis for this patient because the inability to identify place/location or time indicates a sudden change in cognitive function, which aligns with the definition of acute confusion. This can be related to the hypoxia from severe asthma exacerbation.

Question 20

The nurse is assigned to care for the following patients. In planning nursing care, the nurse knows touch should be used cautiously when communicating with which patient?

Accepted Answer

Patients with dementia may have altered perceptions and responses to touch, making it important to use touch cautiously to avoid causing confusion or distress.

Quiz 21: Communication Therapeutic Relationships