Question 1

The nurse is caring for a client who is alert and oriented but is hearing impaired.The nurse recognizes the BEST way for the client to communicate with caregivers may be to use:
A)an interpreter
B)sign language
C)speech reading
D)pen and paper

Accepted Answer

Verbal communication involves using words,either in speaking or in writing,to send messages.In written communication,the person receiving the message must both read and understand the words involved and attach meaning to them.

Question 2

Which statement about social communication between the nurse and client is TRUE?
A)It is very informal.
B)It is highly structured to provide information.
C)It is nonthreatening and puts the client at ease.
D)It is a way to build lifelong friendships.

Accepted Answer

Social communication between the nurse and client is nonthreatening and puts the client at ease.Social communication is not a form of therapeutic communication.

Question 3

In addition to the client's religion and family situation,which of these factors should the nurse recognize as the MOST important influence affecting the client in a nurse-client interaction?
A)gender and gender orientation
B)visual and hearing ability
C)educational background and employment status
D)self-awareness and level of compliance

Accepted Answer

Factors related to the client that must be considered include social factors,religion,family situations,visual and hearing abilities,speech ability,level of consciousness,language proficiency,and state of illness.

Question 4

Which of these terms describes a dysfunction of the muscles used for speech?
A)aphasia
B)arthria
C)dysarthria
D)dysphasia

Accepted Answer

Dysarthria is a dysfunction of the muscles used for speech.

Question 5

The nurse is caring for a client with the impairment of speech.This condition is:
A)aphasia
B)arthria
C)dysarthria
D)dysphasia

Accepted Answer

Dysphasia is the impairment of speech.

Question 6

Nurse-client relationships progress through several phases.In which phase is MOST of the interaction conducted?
A)introduction
B)working
C)analysis
D)termination

Accepted Answer

The working phase of the nurse-client relationship constitutes the major portion of any interaction and is used to accomplish the goal in the introduction.

Question 7

The nurse is preparing to administer a booster shot to a young boy who appears to be afraid of injections and says,"Boys aren't supposed to cry!" Which barrier to communication does this situation illustrate?
A)belittling
B)changing the subject
C)clichés
D)stereotyping

Accepted Answer

Stereotyping occurs when individual differences are ignored and a person is automatically put into a specific category because of having certain characteristics.

Question 8

A client and his wife have just been given information about his prognosis by the health care provider.The nurse enters the room to administer the client's scheduled medication when his wife snaps,"I don't know why you're even in here! You are doing nothing but using my husband as a guinea pig!" The nurse returns in a few minutes bringing some hot tea for the client's wife.Which of these behaviors does the nurse illustrate in this situation?
A)empathy
B)genuineness
C)respect
D)warmth

Accepted Answer

Empathy is the capacity to understand another person's feelings or perception of a situation,in an objective manner.

Question 9

Effective communication skills are essential for the nurse in any health care setting because these skills:
A)are used by clients to judge a nurse's intelligence
B)affect the client's perception and evaluation of services provided
C)can negatively influence a client's well-being
D)help the nurse build self-confidence and self-esteem

Accepted Answer

Nurses must understand that communication is most effective when these psychosocial aspects are taken into consideration.A nurse's communication skills also influence the client's perception of the nurse's competence and the client's satisfaction with care.

Question 10

For communication between nurse and client to be considered therapeutic,the focus of the conversation must be on:
A)the client's needs or problems
B)the nurse's needs or problems
C)the client's family's needs or problems
D)the client's compliance with the care plan

Accepted Answer

Therapeutic communication differs from social conversation in its focus on building a trust relationship between nurse and client.Therapeutic communication is goal-directed and is centered on the client's needs or problems,not those of the nurse.

Question 11

With which of the following clients is it important to continue verbal communication,even though they cannot respond?
A)clients with dysphasia
B)non-English-speaking clients
C)clients who are terminally ill
D)clients who are visually impaired

Accepted Answer

The client with dysphasia has difficulty putting thoughts and feelings into words but usually is still able to receive and interpret messages.Nurses should continue to provide explanations before doing anything.

Question 12

When talking with a client about discharge plans,the nurse is not sure what the client is saying about the home situation.Which of these statements by the nurse would illustrate a therapeutic communication technique in this situation?
A)"Tell me what you mean by that."
B)"Do you mean that you have many stairs to climb?"
C)"Are you frightened about going home?"
D)"We can talk about how your family can help."

Accepted Answer

Therapeutic communication is goal-directed and is centered on the client's needs or problems,not those of the nurse.The goals of therapeutic communication are to obtain or provide information,to develop trust,to show caring,and to explore feelings.

Question 13

The nurse does not know the answer to a question posed by a client.Which of these actions should the nurse take?
A)Admit not knowing but offer to find out.
B)Give the client literature pertaining to the subject.
C)Suggest the client ask the health care provider.
D)Tell the client what a possibly correct answer may be.

Accepted Answer

A trusting relationship between nurse and client can occur only when the client perceives a nurse as being dependable and responsible in a caregiving situation.When the nurse admits to not knowing information but offers to find out,this allows the client to trust the nurse.

Question 14

When caring for a client who is visually impaired,which of these actions is MOST important for the nurse take?
A)Ask for permission before touching the client.
B)Determine if social services should be included in discharge planning.
C)Keep side rails up at all times,and apply restraints if necessary to prevent client from wandering.
D)Insist a friend or family member stay at the bedside to assist in daily care.

Accepted Answer

When caring for a client who is visually impaired,the nurse should always speak and identify him- or herself when entering a room,explain each step of a procedure,and any touching should also be described before it is initiated to prevent startling the client.

Question 15

A client asks the nurse a question about a prescribed treatment.The nurse responds,"It can be unpleasant,and you might experience considerable discomfort." This situation represents an example of how to achieve which goal of therapeutic communication?
A)developing trust
B)exploring feelings
C)providing information
D)showing caring

Accepted Answer

The goals of therapeutic communication are to obtain or provide information,to develop trust,to show caring,and to explore feelings.For example,one important way to obtain information is to take a client's health history upon the client's admission to a health care facility.A nurse provides information to a client when explaining the preparation required for a scheduled diagnostic procedure.

Question 16

The nurse is caring for a client who has experienced a stroke and is no longer able to speak.This condition is known as:
A)aphasia
B)arthria
C)dysarthria
D)dysphasia

Accepted Answer

The absence or inability to speak or loss of speech is known as aphasia.

Question 17

Which of these factors determines the amount of time spent in any of the three phases of nurse-client interaction?
A)purpose of the interaction
B)length of client appointment or hospitalization
C)skill and experience of nurse
D)presence of client's family members

Accepted Answer

The phase of the nurse-client relationship constitutes the major portion of any interaction is determined by the purpose or the goal to be accomplished.

Question 18

A client has been told that a biopsy report is positive for cancer.Which of these statements by a nurse would illustrate a barrier to communication in this situation?
A)"You have a right to be concerned."
B)"You are upset?"
C)"Don't worry.Everything will be fine."
D)"How can I help you?"

Accepted Answer

False reassurance about the outcomes of a situations is often used in an effort to cheer up the client regardless of the facts.It can be especially traumatic in clients who are terminally ill and who may be desperate to believe assurances.

Question 19

In providing care to the client with dysphasia,which of these actions should the nurse take?
A)Continue to provide explanations before doing anything.
B)Encourage a family member to stay with the client as often as possible.
C)Plan care around rehabilitation activities to improve speech.
D)Speak only when absolutely necessary,to avoid confusion for the client.

Accepted Answer

The client with dysphasia has difficulty putting thoughts and feelings into words but usually is still able to receive and interpret messages.Nurses should continue to provide explanations before doing anything.

Question 20

Which of the following client information must the nurse include in an end-of-shift report?
A)information about changes in family status
B)significant changes in client status
C)any unexpected incidents involving staff
D)the time that the next care-planning review will occur

Accepted Answer

The end-of-shift report should focus on client information,such as significant changes in client status.The end-of-shift report is a brief summary of the client's health status during the previous shift of care.

Quiz 7: Communication

The nurse is caring for a client who is alert and oriented but is hearing impaired.The nurse recognizes the BEST way for the client to communicate with caregivers may be to use:

Which statement about social communication between the nurse and client is TRUE?

In addition to the client's religion and family situation,which of these factors should the nurse recognize as the MOST important influence affecting the client in a nurse-client interaction?

Which of these terms describes a dysfunction of the muscles used for speech?

The nurse is caring for a client with the impairment of speech.This condition is:

Nurse-client relationships progress through several phases.In which phase is MOST of the interaction conducted?

The nurse is preparing to administer a booster shot to a young boy who appears to be afraid of injections and says,"Boys aren't supposed to cry!" Which barrier to communication does this situation illustrate?

Effective communication skills are essential for the nurse in any health care setting because these skills:

For communication between nurse and client to be considered therapeutic,the focus of the conversation must be on:

With which of the following clients is it important to continue verbal communication,even though they cannot respond?

When talking with a client about discharge plans,the nurse is not sure what the client is saying about the home situation.Which of these statements by the nurse would illustrate a therapeutic communication technique in this situation?

The nurse does not know the answer to a question posed by a client.Which of these actions should the nurse take?

When caring for a client who is visually impaired,which of these actions is MOST important for the nurse take?

A client asks the nurse a question about a prescribed treatment.The nurse responds,"It can be unpleasant,and you might experience considerable discomfort." This situation represents an example of how to achieve which goal of therapeutic communication?

The nurse is caring for a client who has experienced a stroke and is no longer able to speak.This condition is known as:

Which of these factors determines the amount of time spent in any of the three phases of nurse-client interaction?

A client has been told that a biopsy report is positive for cancer.Which of these statements by a nurse would illustrate a barrier to communication in this situation?

In providing care to the client with dysphasia,which of these actions should the nurse take?

Which of the following client information must the nurse include in an end-of-shift report?