Test
Chapter 20: Communicator
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Preguntas del test (19)
1During rounds, a charge nurse hears the patient care technician yelling loudly to a patient regarding a transfer from the bed to chair. When entering the room, what is the nurse's best response?
- AYou need to speak to the patient quietly. You are disturbing the patient.
- BLet me help you with your transfer technique.
- CWhen you are finished, be sure to apologize for your rough demeanor
- DWhen your patient is safe and comfortable, meet me at the desk.
2A public health nurse is leaving the home of a young mother who has a special needs baby. The neighbor states, "How is she doing, since the baby's father is no help? What is the nurse's best response?
- ANew mother's need support
- BThe lack of a father is difficult
- CHow are you today?
- DIt is a very sad situation?
3A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration. During the admission interview, the nurse should implement which communication techniques to elicit the most information from the parent?
- Areflective questions
- Bclosed questions
- Cassertive questions
- Dclarifying questions
4A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. The patient states, "Well, I haven't seen you before. Who are you?" What is the nurse's best response?
- AI'm just the IV therapist checking your IV
- BI've been transferred to this division and will be caring for you
- CI'm sorry, my name is John Smith and I am your nurse
- DMy name is John Smith, I am your nurse and I'll be caring for you until 11pm.
5A nurse enters the room of a patient with cancer. The patient is crying and states "I feel so alone". Which statements is the most therapeutic?
- AThe nurse stands at the patient's bedside and states: I understand how you feel. My mother said the same thing when she was ill
- BThe nurse places a hand on the patient's arm and states: You feel so alone
- CThe nurse stands in the patient's room and asks: Why do you feel so alone? Your wife has been here every day
- DThe nurse holds the patient's hand and asks: What makes you feel so alone?
6A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a discharge plan for the patient. Which action should be the focus of this termination phase of the helping relationship?
- ADetermining the progress made in achieving established goals
- BClarifying when the patient should take medications
- CReporting the progress made in teaching to the staff
- DIncluding all family members in the teaching session
7A nursing student is nervous and concerned about the work she is about to do at the clinical facility. To allay anxiety and be successful in her provision of care, it is most important for her to
- ADetermine the established goals of the instituition
- BBe sure her verbal and nonverbal communication is congruent
- CEngage in self-talk to plan her day and decrease her fear
- DSpeak with her fellow colleagues about how they feel
8A nurse in the rehabilitation division states to her head nurse, Mr. Tyler, "I need the day off and you didn't give it to me!" The head nurse replies, "Well, I wasn't aware you needed the day off, and it isn't possible since staffing is so inadequate." Instead of this exchange, what communication by the nurse would have been more effective?
- AMr. Tyler I placed a request to have August 8th off, but I'm working and I have a doctor's appointment
- BMr. Tyler, I would like to discuss my schedule with you. I requested the 8th of August off for a doctor's appointment. Could I make an appointment?
- CMr. Tyler, I will need to call in on the 8th of August because I have a doctor's appointment.
- DMr. Tyler, since you didn't give me the 8th of August off, will I need to find someone to work for me?
9During a nursing staff meeting, the nurses resolve a problem of delayed documentation by agreeing unanimously tht they will make sure all vital signs are reported and charted within 15 minutes following assessment. This is an example of which characteristic of effective communication?
- AGroup decision making
- BGroup leadership
- CGroup power
- DGroup identity
- EGroup patterns of interaction
10A nurse sees a patient walking to the bathroom with a stooped gait, facial grimacing, and gasping sounds. It is important that the nurse assess the patient for
- APain
- BAnxiety
- CDepression
- DFluid volume deficit
11A nursing student is preparing to administer morning care to a patient. What is the most important question that the nursing student should ask the patient about personal hygiene?
- AWould you prefer a bath or a shower
- BMay I help you with a bed bath now or later this morning
- CI will be giving you your bath. Do you use soap or shower gel?
- DI prefer a shower in the evening. When would you like your bath?
12A nurse is providing instruction to a patient regarding the procedure to change his colostomy bag. During the teaching session, he asks, "What type of foods should I avoid to prevent gas?" The patient's question allows for what type of communication?
- AA close end answer
- BInformation clarification
- CThe nurse to give advice
- DAssertive behavior
13During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is silent after she communicates the plan of care. What would be appropriate nurse responses in this situation?
- AFill the silence with lighter conversation directed at the patient
- BUse the time to perform the care that is needed uninterrupted
- CDiscuss the silence with the patient to ascertain its meaning
- DAllow the patient time to think and explore inner thoughts
- EDetermine if the patient's culture requires pauses between conversation
- FArrange for a counselor to help the patient cope with emotional issues.
14SBAR: consistent, clear, structured, and easy-to-use method of communicating between health care personnel; it organizes communication by the categories of: [blank_start]situation[blank_end], [blank_start]background[blank_end], [blank_start]assessment[blank_end] and [blank_start]recommendations[blank_end]
- Asituation
- Bbackground
- Cassessment
- Drecommendations
15[blank_start]Incivility[blank_end]: rude, intimidating and undesirable behavior directed at another person
- AIncivility
16[blank_start]Horizontal violence[blank_end]: Anger and aggressive behavior between nurses, or nurse-to-nurse hostility
- AHorizontal violence
17Which of the following activities takes place during the working phase of the nurse client-relationship?
- AThe client genuinely expresses their concern to the nurse
- BThe client identifies the goals accomplished in the relationship
- CThe client participates actively in the relationship
- DThe client and nurse identify goals of the relationship
- EThe client describes the role that the nurse plays in the relationship
18When assessing a client's nonverbal communication, the nurse will assess which of the following as the most expressive part of the body?
- AEye contact
- BHand gestures
- CFacial expressions
- DPosture
19Which of the following guidelines should a nurse use when choosing a position in relation to a client during a verbal interaction?
- AAsk the client where they would like you to position yourself, and move accordingly
- BAssess the client's culture during the initial meeting or assessment
- CChoose a position that is no closer than two feet, but no farther than four feet
- DTake note of the client's cues when choosing a position and act on these cues
Información
- Descripción
- Unit V: Roles Basic to Nursing Care Chapter 20: Communicator
- Autor
- Alexandra Bozan
- Idioma
- English
- Visitas
- 62
- Etiquetas
- Valoración
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