Question 1

The nurse is speaking with a client regarding his new diagnosis of diabetes mellitus type 2. Which of the following is not an example of nonverbal communication?

Accepted Answer

A.This is incorrect. Shaking his head is an example of nonverbal communication.
B.This is incorrect. Looking at the wall is an example of nonverbal communication.
C.This is correct. Saying, "I do not like this" is an example of verbal communication.
D.This is incorrect. Shrugging his shoulders is an example of nonverbal communication.

Question 2

The nurse is caring for a client following an acute exacerbation of chronic obstructive pulmonary disease. The nurse understands that nonverbal communication includes specific behaviors. As the nurse explains the treatment plan to the client, what nonverbal communication cue may the nurse be conscious of when speaking with her?

Accepted Answer

A.This is correct. Body posture is a type of nonverbal communication.
B.This is incorrect. Asking for more information is not a type of nonverbal communication.
C.This is incorrect. Reflecting on life goals is not a type of nonverbal communication.
D.This is incorrect. Asking the nurse to return and explain the treatment plan to the family is not a type of nonverbal communication.

Question 3

The nurse is reflecting on her conversation with a client who was admitted for a fractured femur. Given this situation, which of the following is true concerning communication theory?

Accepted Answer

A.This is incorrect. All nonverbal communication is meaningful.
B.This is correct. One component of communication theory is that a dyadic relationship has varying degrees of symmetry and complementarity.
C.This is incorrect. All communication has two major channels for transmission: digital and analog.
D.This is incorrect. The two major levels of communication are relationship and content.

Question 4

The client's family members are constantly present at the client's bedside, and they communicate with one another frequently. The nurse recognizes that all of the following are functions of communication within the family, except which one?

Accepted Answer

A.This is incorrect. Communication within the family assists family members to clarify expectations of behavior, learn about their environment, and resolve conflict.
B.This is incorrect. Communication within the family assists with conflict resolution.
C.This is incorrect. Communication within the family assists family members to learn about their environment.
D.This is correct. One function of communication within the family is developing self-esteem.

Question 5

The nurse is working with a 10-year-old client who is a victim of sexual abuse. What is a form of digital communication the nurse can use with the client?

Accepted Answer

A.This is correct. Digital communication is verbal communication.
B.This is incorrect. Music is analog communication.
C.This is incorrect. Drawing is analog communication.
D.This is incorrect. Writing a story is analog communication.

Question 6

The nurse is caring for a child with an autism spectrum disorder. The nurse is careful to include both parents and the child's two older siblings in conversations about caretaking and treatment plans. Which statement is true regarding the postmodernist approach to nursing practice?

Accepted Answer

A.This is incorrect. Postmodernism focuses on the family as a whole and multiplicity.
B.This is correct. Postmodernism focuses on multiplicity.
C.This is incorrect. Postmodernism emphasizes collaborative relationships and partnerships with clients.
D.This is incorrect. Postmodernism respects differences.

Question 7

A client has been a smoker for 18 years. The client's 5-year-old daughter was recently diagnosed with asthma. What is a component of change theory that should be carefully considered in this situation?

Accepted Answer

A.This is incorrect. Change is dependent on co-evolving goals for treatment.
B.This is incorrect. Understanding alone will not lead to change.
C.This is correct. The client must perceive his smoking as a problem for his daughter's health.
D.This is incorrect. Change does not occur equally in all family members.

Question 8

One component of change theory is that understanding alone does not always result in a change. Which of the following demonstrates this principle?

Accepted Answer

A.This is incorrect. The client has been educated about his diagnosis and made a change to adhere to the treatment plan.
B.This is incorrect. The client received education about her diagnosis and made a change.
C.This is incorrect. The client began taking iron supplements as a result of the education provided.
D.This is correct. The client was provided teaching and understands the problem, but he refuses to make the needed change.

Question 9

The client has received military deployment orders. Which of the following most likely reflects acceptance of the change?

Accepted Answer

A.This is correct. This shows that the client is accepting of the change.
B.This is incorrect. This shows that the client is having difficulty adjusting to the change.
C.This is incorrect. This shows that the client's son is not adjusting to the change.
D.This is incorrect. This shows that the client's wife is not adjusting to the change.

Question 10

The nurse is caring for a client following her diagnosis with terminal cancer. The client has been referred for palliative care. One component of change theory is that it must be based on co-evolving goals for treatment. Which of the following scenarios demonstrates this component?

Accepted Answer

A.This is incorrect. Treatment goals should be discussed openly, but ultimately, the family must set goals collaboratively.
B.This is correct. One of the nurse's goals is to help the family discover its own solutions to problems.
C.This is incorrect. Change requires goals to co-evolve in a realistic time frame.
D.This is incorrect. Families rarely come to a family interview with the idea that a change may be required Therefore, the nurse should engage the family and help them to have a different view of the problem.

Question 11

Biologically speaking, what shapes understanding?

Accepted Answer

A.This is incorrect. Understanding is not solely shaped based on environment.
B.This is incorrect. Understanding is not solely shaped based on experience.
C.This is incorrect. Understanding is not solely shaped based on culture and socioeconomic status.
D.This is correct. Understanding is shaped by all the events and experiences of living.

Question 12

The nurse is caring for an 89-year-old widower who recently had a stroke. Before his stroke, the client was living independently at home. He is now being admitted to a long-term care facility with unilateral neglect of the left side. What does the nurse realize about change?

Accepted Answer

A.This is incorrect. Change is rarely easy for most clients.
B.This is incorrect. Change is a common occurrence.
C.This is incorrect. Change is often influenced by more than one variable.
D.This is correct. Change is typically influenced by more than one variable.

Question 13

The nurse is planning care for a family. Which of the following is not an important consideration for the nurse when deciding on family interventions?

Accepted Answer

A.This is incorrect. It is important to consider sexual orientation when determining family interventions.
B.This is correct. The family's opinions, not the nurse's, should be considered when determining family interventions.
C.This is incorrect. It is important to consider ethnicity and race when determining family interventions.
D.This is incorrect. It is important to consider socioeconomic status when determining family interventions.

Question 14

The nurse is caring for a family, following the grandmother's diagnosis of stroke. The grandmother is currently recovering in a rehab facility and has developed close relationships with many of the staff. Which of the following questions, if asked by the nurse, reflects an understanding of the nurse's responsibility?

Accepted Answer

A.This is incorrect. This question deals with context.
B.This is incorrect. This question is focused on context.
C.This is correct. This question reflects the nurse's understanding of his or her responsibility to facilitate change.
D.This is incorrect. This question is focused on context.

Question 15

Change in families is constantly evolving and transforming. Which of the following can precipitate a major change in an entire family system?

Accepted Answer

A.This is incorrect. This is a temporary change that most likely will not disrupt the entire family system. A natural disaster that displaces the family from their home is more of a major change.
B.This is incorrect. This is a minor change that most likely will not disrupt the entire family system. Loss of employment is more of a major change.
C.This is incorrect. This is a minor change that most likely will not disrupt the entire family system. A serious illness is more of a major change.
D.This is correct. Addictions are major changes that will most likely disrupt the entire family system.

Quiz 2: Theoretical Foundations of the Calgary Family Assessment and Intervention Models