Question 1

When a nurse lectures to a large group,the method of communication is usually in the form of ____________ communication.

Accepted Answer

The answer of When a nurse lectures to a large...

Question 2

A nurse is assessing a patient with a patient problem of impaired verbal communication.What is the lowest number of defining characteristics for this diagnosis?

Accepted Answer

A)  One 
B)  Two 
C)  Three 
D)  Four 
A)  One 
B)  Two 
C)  Three 
D)  Four

Question 3

A nurse is caring for a patient experiencing respiratory distress.The health care provider places an endotracheal tube.What is the most appropriate patient problem for this patient?

Accepted Answer

A)  Ineffective coping 
B)  Risk for infection 
C)  Altered nutrition: less than body requirements 
D)  Impaired verbal communication 
A)  Ineffective coping 
B)  Risk for infection 
C)  Altered nutrition: less than body requirements 
D)  Impaired verbal communication

Question 4

A nurse tells a patient,"This PM you are going for an abdominal A&P,an H&H,as well as an IV pyelogram.Please sign these consent forms." What may this use of medical jargon cause?

Accepted Answer

A)  Understanding 
B)  Speed in communication 
C)  Misinterpretation 
D)  Clarity in the message 
A)  Understanding 
B)  Speed in communication 
C)  Misinterpretation 
D)  Clarity in the message

Question 5

A patient states,"I do cocaine when I feel things are out of my control." The nurse responds by asking,"What else does cocaine do for you?" What communication skill does this exemplify?

Accepted Answer

A)  Summarization 
B)  Restating 
C)  Showing acceptance 
D)  Stating observations 
A)  Summarization 
B)  Restating 
C)  Showing acceptance 
D)  Stating observations

Question 6

Which defining characteristics support the patient problem of impaired verbal communication? (Select all that apply. )

Accepted Answer

A)  Aphasia 
B)  Geriatric patients 
C)  Profoundly deaf 
D)  Legally blind 
E)  Severe COPD 
A)  Aphasia 
B)  Geriatric patients 
C)  Profoundly deaf 
D)  Legally blind 
E)  Severe COPD

Question 7

The nurse recognizes that a patient experiencing stress feels vulnerable.What would be the most appropriate way for the nurse to intervene?

Accepted Answer

A)  Use technical language. 
B)  Direct the conversation. 
C)  Modify communication methods. 
D)  Offer all the information. 
A)  Use technical language. 
B)  Direct the conversation. 
C)  Modify communication methods. 
D)  Offer all the information.

Question 8

What would be the best method for a literate,English-speaking patient on a ventilator to communicate his or her needs?

Accepted Answer

A)  Eye blinking for "yes" and "no" 
B)  Magic slate or paper and pencil 
C)  Computer 
D)  Message board or cards 
A)  Eye blinking for "yes" and "no" 
B)  Magic slate or paper and pencil 
C)  Computer 
D)  Message board or cards

Question 9

Although the patient denies pain,the nurse observes the patient breathing rapidly with clenched fists and facial grimacing.What is the nurse's best response to these observations?

Accepted Answer

A)  "I am glad you are feeling better and have no discomfort." 
B)  "Where do you hurt?" 
C)  "What you are saying and what I am observing don't seem to match." 
D)  "It makes me uncomfortable when you are not honest with me." 
A)  "I am glad you are feeling better and have no discomfort." 
B)  "Where do you hurt?" 
C)  "What you are saying and what I am observing don't seem to match." 
D)  "It makes me uncomfortable when you are not honest with me."

Question 10

Which are examples of passive listening? (Select all that apply. )

Accepted Answer

A)  The nurse nods frequently while the patient speaks. 
B)  The nurse maintains eye contact while listening to the patient. 
C)  The nurse occasionally interjects,"I see," when listening to the patient. 
D)  The nurse gives verbal feedback to the patient. 
E)  The nurse verbally interprets the meaning of what the patient has said. 
A)  The nurse nods frequently while the patient speaks. 
B)  The nurse maintains eye contact while listening to the patient. 
C)  The nurse occasionally interjects,"I see," when listening to the patient. 
D)  The nurse gives verbal feedback to the patient. 
E)  The nurse verbally interprets the meaning of what the patient has said.

Question 11

The nurse explains to a patient that based on the description of "personal space," the area within 18 in of the patient is designated as the ____________ zone.

Accepted Answer

The answer of The nurse explains to a patient that...

Question 12

A nurse actively avoids the use of one-way communication.What is the major problem with one-way communication?

Accepted Answer

A)  The receiver is in control. 
B)  Feedback is provided to the sender. 
C)  Participation is not equal. 
D)  The communication is unstructured. 
A)  The receiver is in control. 
B)  Feedback is provided to the sender. 
C)  Participation is not equal. 
D)  The communication is unstructured.

Question 13

A nurse is communicating with an older adult.How might the nurse enhance communication?

Accepted Answer

A)  Speak in a rapid manner to accommodate the patient's short attention span. 
B)  Speak in a lower voice tone to accommodate hearing loss. 
C)  Speak in a simple manner as if speaking to a child. 
D)  Speak in a loud voice directly at ear level. 
A)  Speak in a rapid manner to accommodate the patient's short attention span. 
B)  Speak in a lower voice tone to accommodate hearing loss. 
C)  Speak in a simple manner as if speaking to a child. 
D)  Speak in a loud voice directly at ear level.

Question 14

What therapeutic communication technique requires a great deal of skill and is not used as frequently as other communication techniques?

Accepted Answer

A)  Touch 
B)  Silence 
C)  Listening 
D)  Summarizing 
A)  Touch 
B)  Silence 
C)  Listening 
D)  Summarizing

Question 15

How may a nurse caring for a pediatric patient best be perceived as nonthreatening?

Accepted Answer

A)  Tightly crossing her arms 
B)  Maintaining an open posture 
C)  Maintaining a tense posture 
D)  Standing at the bedside 
A)  Tightly crossing her arms 
B)  Maintaining an open posture 
C)  Maintaining a tense posture 
D)  Standing at the bedside

Question 16

A grieving young widow cries out,"Why was my husband killed? Why wasn't it me?" What is the nurse's best response?

Accepted Answer

A)  Stating "You need to be strong for your children." 
B)  Silently placing her hand on the widow's arm. 
C)  Asking if there is anyone the widow needs to have notified. 
D)  Stating "You are feeling overwhelmed about your husband's death." 
A)  Stating "You need to be strong for your children." 
B)  Silently placing her hand on the widow's arm. 
C)  Asking if there is anyone the widow needs to have notified. 
D)  Stating "You are feeling overwhelmed about your husband's death."

Question 17

A patient states,"I'm really strung out about this pregnancy." The nurse responds by asking,"What about this pregnancy worries you?" What communication technique is this?

Accepted Answer

A)  Closed inquiry 
B)  Restating 
C)  Open-ended question 
D)  Minimal encouraging 
A)  Closed inquiry 
B)  Restating 
C)  Open-ended question 
D)  Minimal encouraging

Question 18

A patient roughly asks the nurse to bring him some ice cream.What would be considered an assertive response by the nurse?

Accepted Answer

A)  "You are hungry and want a snack." 
B)  "I can do that in 10 minutes when I finish my rounds." 
C)  "Maybe I can get one of the aides to bring you something in a while." 
D)  "Call the nurses' station and ask them to have the kitchen bring whatever you want." 
A)  "You are hungry and want a snack." 
B)  "I can do that in 10 minutes when I finish my rounds." 
C)  "Maybe I can get one of the aides to bring you something in a while." 
D)  "Call the nurses' station and ask them to have the kitchen bring whatever you want."

Question 19

A nurse is standing at the bedside with the patient lying in bed.What can the nurse be construed as demonstrating?

Accepted Answer

A)  Interest 
B)  Power 
C)  Caring 
D)  Support 
A)  Interest 
B)  Power 
C)  Caring 
D)  Support

Question 20

What is one of the main characteristics of therapeutic communication?

Accepted Answer

A)  It allows the patient a passive role. 
B)  It uses only verbal communication. 
C)  It involves the patient as a person. 
D)  It is directive. 
A)  It allows the patient a passive role. 
B)  It uses only verbal communication. 
C)  It involves the patient as a person. 
D)  It is directive.

Exam 4: Communication

When a nurse lectures to a large group,the method of communication is usually in the form of ____________ communication.

A nurse is assessing a patient with a patient problem of impaired verbal communication.What is the lowest number of defining characteristics for this diagnosis?

A nurse is caring for a patient experiencing respiratory distress.The health care provider places an endotracheal tube.What is the most appropriate patient problem for this patient?

A nurse tells a patient,"This PM you are going for an abdominal A&P,an H&H,as well as an IV pyelogram.Please sign these consent forms." What may this use of medical jargon cause?

A patient states,"I do cocaine when I feel things are out of my control." The nurse responds by asking,"What else does cocaine do for you?" What communication skill does this exemplify?

Which defining characteristics support the patient problem of impaired verbal communication? (Select all that apply. )

The nurse recognizes that a patient experiencing stress feels vulnerable.What would be the most appropriate way for the nurse to intervene?

What would be the best method for a literate,English-speaking patient on a ventilator to communicate his or her needs?

Although the patient denies pain,the nurse observes the patient breathing rapidly with clenched fists and facial grimacing.What is the nurse's best response to these observations?

Which are examples of passive listening? (Select all that apply. )

The nurse explains to a patient that based on the description of "personal space," the area within 18 in of the patient is designated as the ____________ zone.

A nurse actively avoids the use of one-way communication.What is the major problem with one-way communication?

A nurse is communicating with an older adult.How might the nurse enhance communication?

What therapeutic communication technique requires a great deal of skill and is not used as frequently as other communication techniques?

How may a nurse caring for a pediatric patient best be perceived as nonthreatening?

A grieving young widow cries out,"Why was my husband killed? Why wasn't it me?" What is the nurse's best response?

A patient states,"I'm really strung out about this pregnancy." The nurse responds by asking,"What about this pregnancy worries you?" What communication technique is this?

A patient roughly asks the nurse to bring him some ice cream.What would be considered an assertive response by the nurse?

A nurse is standing at the bedside with the patient lying in bed.What can the nurse be construed as demonstrating?

What is one of the main characteristics of therapeutic communication?

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