Quiz
Communication
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Questions in this quiz (35)
1 group of nursing students is working together on a presentation for their clinical instructor. One student in the group participates by arguing and attempting to block each step of the process of this presentation. The student’s behavior is causing frustration for the others and slowing their progress. Which of the following best describes the role this individual student is playing in relationship to the group dynamics?
- ASelf-serving
- BTask-oriented
- CMaintenance
- DGroup-building
2The nurse is caring for a client who speaks Chinese, and the nurse does not speak Chinese. An appropriate approach for communication with this client includes what?
- AUsing a caring voice and repeating messages frequently
- BSpeaking directly and loudly to the client
- CAvoiding the use of gesture or play-acting
- DWriting messages for the client and offering him a dictionary for translation.
3The daughter of an older adult female client has asked the nurse why a urine specimen was collected from her mother earlier that morning. How can the nurse best respond to the daughter’s query?
- A“We want to test your mother’s urine to make sure she doesn’t have a urinary tract infection.”
- B“Your mother’s doctor ordered a urine C&S to rule out a UTI.”
- C“We want to do everything we can to get your mother healthy again.”
- D“Sometimes sick urine can make the whole person sick, and this might be causing her fever.”
4A nurse has drafted an SBAR communication before contacting the primary care provider of a client whose condition has worsened suddenly. How should the nurse best conclude this communication?
- AAsk the care provider to come and assess the client.
- BProvide the client’s most recent vital signs.
- CAsk the care provider if he or she is familiar with this client.
- DProvide the most likely diagnosis of the problem.
5The nurse has entered a client’s room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first implement in this interaction?
- AA yes/no question
- BA directing question
- CAn open-ended question
- DA reflective question
6The nurse has entered a client’s room after receiving a morning report. The nurse rapidly assessed the client’s airway, breathing, and circulation and greeted the client by saying “Good morning.” The client has made no reciprocal response to the nurse. How should the nurse best respond to the client’s silence?
- AThe nurse should ask appropriate questions to understand the reasons for the client’s silence.
- BThe nurse should apologize for bothering the client, perform necessary assessments efficiently and leave the room.
- CThe nurse should document the client’s withdrawal and diminished mood in the nurse’s notes.
- DThe nurse should ask the client if he feels afraid or angry.
7A nurse touches a client’s hand to indicate caring and support. What channel of communication is the nurse using?
- AAuditory
- BVisual
- COlfactory
- DKinesthetic
8A nurse is educating a home care client on how to administer a topical medication. The client is watching television while the nurse is talking. What might be the result of this interaction?
- AThe message will likely be misunderstood.
- BThe stimulus for communication is unclear.
- CThe receiver will accurately interpret the message.
- DThe communication will be reciprocal.
9The family of a client in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this?
- AIntrapersonal
- BInterpersonal
- COrganizational
- DFocused
10Which of the following is an example of nonverbal communication?
- AA nurse says, “I am going to help you walk now.”
- BA nurse presents information to a group of clients.
- CA client’s face is contorted with pain.
- DA client asks the nurse for a pain shot.
11A nursing student caring for an unconscious client knows that communication is important even if the client does not respond. Which nonverbal action by the nursing student would communicate caring?
- AMaking constant eye contact with the client
- BWaving to the client when entering the room
- CSighing frequently while providing care
- DHolding the client’s hand while talking
12Which of the following statements is true of factors that influence communication?
- ANurses provide the same information to all clients, regardless of age.
- BMen and women have similar communication styles.
- CCulture and lifestyle influence the communication process.
- DDistance from a client has little effect on a nurse’s message.
13A nurse is sitting near a client while conducting a health history. The client keeps edging away from the nurse. What might this mean in terms of personal space?
- AThe nurse is outside the client’s personal space.
- BThe nurse is in the client’s personal space.
- CThe client does not like the nurse.
- DThe client has concerns about the questions.
14Why is communication important to the “assessing” step of the nursing process?
- AThe major focus of assessing is to gather information.
- BAssessing is primarily focused on physical findings.
- CAssessing involves only nonverbal cues.
- DWritten information is rarely used in assessment.
15A nurse uses the SBAR method to hand off the communication to the health care team. Which of the following might be listed under the “B” of the acronym?
- AVital signs
- BMental status
- CClient request
- DFurther testing
16What is the goal of the nurse in a helping relationship with a client?
- ATo provide hands-on physical care
- BTo ensure safety while caring for the client
- CTo assist the client to identify and achieve goals
- DTo facilitate the client’s interactions with others
17What action by the nurse will facilitate the helping relationship during the orientation phase?
- AProviding assistance to meet activities of daily living
- BIntroducing oneself to the client by name
- CDesigning a specific teaching plan of care
- DPreparing for termination of the relationship
18Which of the nursing roles is primarily performed during the working phase of the helping relationship?
- AEducator and counselor
- BProvider of care
- CLeader and manager
- DResearcher
19Which term describes a nurse who is sensitive to the client’s feelings, but remains objective enough to help the client achieve positive outcomes?
- ACompetent
- BCaring
- CHonest
- DEmpathic
20What is the primary focus of communication during the nurse–client relationship?
- ATime available to the nurse
- BNursing activity to be performed
- CClient and client needs
- DEnvironment of the client
21Which of the following is an example of a closed-ended question or statement?
- A“How did that make you feel?”
- B“Did you take those drugs?”
- C“What medications do you take at home?”
- D“Describe the type of pain you have.”
22A client tells the nurse that he is very worried about his surgery. Which of the following responses by the nurse is a cliché?
- A“Tell me what you are worried about.”
- B“Have you spoken to your family about your concerns?”
- C“Do you want to cancel your surgery?”
- D“Don’t worry, everything will be fine.”
23A nurse tells a client, “Aren’t you going to get out of bed or are you just going to sleep all day and night?” This is an example of which of the following barriers to communication?
- AUsing comments that give advice
- BUsing judgmental or belittling language
- CUsing leading questions
- DUsing probing questions
24A nurse is caring for a client who is visually impaired. Which of the following is a recommended guideline for communication with this client?
- AEase into the room without acknowledging presence until the client can be touched.
- BSpeak in a louder tone of voice to make up for lack of visual cues.
- CExplain reason for touching client before doing so.
- DKeep communication simple and concrete.
25A client has been recently diagnosed with diabetes. He is seen in the emergency room every day with high blood sugar. The client apologizes to the nurse for bothering them every day, but he cannot give himself insulin injections. What should the nurse’s response be?
- A“I myself cannot take insulin injections.”
- B“Has someone taught you how to take them?”
- C“You should learn to take injections yourself.”
- D“Ask the doctor to change the medications.”
26A nurse pays a house visit to a client who is on total parenteral nutrition. The client expresses that he misses enjoying food with his family. What is the most appropriate response by the nurse?
- ATell me more about how it feels to eat with your family.
- BYou can sit with your family at meal times, even though you don’t eat.
- CIn a few weeks you may be allowed to eat a little; you may enjoy then.
- DI know that you must be missing your favorite foods.
27A nurse is caring for a client with myasthenia gravis. The client is having difficulty forming words and his tone is nasal. Which of the following is an effective communication strategy for this client?
- AEngage the client in a lengthy discussion to strengthen his voice.
- BEncourage the client to speak quickly while talking.
- CRepeat what the client has said to verify the meaning.
- DNod continuously when the client is talking.
28The nurse has engaged the services of an interpreter when interviewing a client who speaks a language that the nurse does not understand. The interpreter is functioning in which role during the communication process?
- ASender
- BEncoder
- CReceiver
- DCommunication channel
29A client comes to the clinic complaining of abdominal pain. Which first question would be most appropriate for the nurse to ask to facilitate the assessment?
- A“Do you have sharp, stabbing pain?”
- B“Is the pain associated with meals?”
- C“What activities exaggerate the pain?”
- D“Does the pain increase on palpation?”
30When documenting client care, the nurse understands that the most important reason for correct and accurate documentation is which of the following?
- ALegal representation to care
- BConveyance of information
- CAssisting in organization of care
- DNoting the client’s response to interventions
31An older adult client who has had a colostomy for over 10 years states, “I won’t need any teaching about colostomies. I understand how to change the bag and care for my colostomy, but I’m not sure how to best clean my stoma.” What does this statement indicate?
- AAn incongruent relationship
- BA confused relationship
- CA non-therapeutic relationship
- DAn evaluative relationship
32Which of the following statements accurately describes the relationship between therapeutic communication and the nursing process? Select all that apply.
- AEffective communication techniques, as well as observational skills, are used extensively during the assessment step.
- BOnly the written word in the form of a medical record is used during the diagnosing step of the nursing process.
- CThe implementing step requires communication among the client, nurse, and other team members to develop interventions and outcomes.
- DVerbal and nonverbal communication are used to educate, counsel, and support clients and their families during the implementation phase.
- ENurses rely on the verbal and nonverbal cues they receive from their clients to evaluate whether client objectives have been achieved.
33A nurse who is discharging a client is terminating the helping relationship. Which of the following actions might the nurse perform in this phase? Select all that apply.
- AMaking formal introductions
- BMaking a contract regarding the relationship
- CProviding assistance to achieve goals
- DHelping client perform activities of daily living
- EExamining goals of the relationship to determine their achievement
34A nurse tells a client that she will come back in 10 minutes to re-assess the client’s pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing?
- AEmpathy
- BSympathy
- CTrust
- DClosure
35Which of the following should the nurse first consider when attempting to become culturally competent?
- APersonal cultural beliefs and prejudices
- BUnderstanding the client’s response
- CAvoiding labeling clients
- DTreating the client with dignity
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- Description
- Test 1 Quiz on Communication, created by Chris Tatam on 03/02/2019.
- Author
- Chris Tatam
- Language
- English
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