Question 1

The nurse is aware that the purpose of therapeutic communication is to:

Accepted Answer

A)  gather as much information as possible about the patient's problem. 
B)  direct the patient to communicate about his deepest concerns. 
C)  focus on the patient and the patient needs to facilitate interaction. 
D)  gain specific medical information and history of illness. 
A)  gather as much information as possible about the patient's problem. 
B)  direct the patient to communicate about his deepest concerns. 
C)  focus on the patient and the patient needs to facilitate interaction. 
D)  gain specific medical information and history of illness.

Question 2

While interviewing a Native American man for the admission history, the nurse should expect to:

Accepted Answer

A)  wait patiently through long pauses in the conversation. 
B)  maintain eye contact with the patient. 
C)  give the patient permission to speak. 
D)  have another family member speak for the patient. 
A)  wait patiently through long pauses in the conversation. 
B)  maintain eye contact with the patient. 
C)  give the patient permission to speak. 
D)  have another family member speak for the patient.

Question 3

The nurse tells a patient, "For the last 2 days we have talked about whether to notify your daughter of your upcoming surgery in 2 days. You have indicated you do not want to be a burden to her, but you also would like to have her here. You may have to decide rather quickly because of the time constraint." The nurse is using the technique of:

Accepted Answer

A)  focusing. 
B)  reflection. 
C)  restatement. 
D)  summarizing. 
A)  focusing. 
B)  reflection. 
C)  restatement. 
D)  summarizing.

Question 4

To convey the intervention of active listening, the nurse would:

Accepted Answer

A)  maintain eye contact by staring at the patient. 
B)  prompt the patient when the patient stops talking for a moment. 
C)  make a conscious effort to block out other sounds in the immediate environment. 
D)  write down remarks on a clipboard to facilitate later topics of conversation. 
A)  maintain eye contact by staring at the patient. 
B)  prompt the patient when the patient stops talking for a moment. 
C)  make a conscious effort to block out other sounds in the immediate environment. 
D)  write down remarks on a clipboard to facilitate later topics of conversation.

Question 5

An example of a nurse communicating with a patient using open-ended questions would be:

Accepted Answer

A)  "Is your pain less today than it was yesterday?" 
B)  "Did you sleep all night without waking?" 
C)  "How many bowel movements have you had today?" 
D)  "What was your daughter's reaction to your desire for hospice?" 
A)  "Is your pain less today than it was yesterday?" 
B)  "Did you sleep all night without waking?" 
C)  "How many bowel movements have you had today?" 
D)  "What was your daughter's reaction to your desire for hospice?"

Question 6

An aspect of computer use in patient care in which the LPN may need to be proficient includes:

Accepted Answer

A)  input of data such as requests for radiographs or laboratory services. 
B)  programming the computer to record data from physicians and other health care workers. 
C)  teaching patients how to use hospital computers to access information such as discharge instructions or information relative to specific medications. 
D)  scheduling admissions, discharges, and nurse staffing to keep the unit at the best occupancy and utilization. 
A)  input of data such as requests for radiographs or laboratory services. 
B)  programming the computer to record data from physicians and other health care workers. 
C)  teaching patients how to use hospital computers to access information such as discharge instructions or information relative to specific medications. 
D)  scheduling admissions, discharges, and nurse staffing to keep the unit at the best occupancy and utilization.

Question 7

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

Accepted Answer

A)  "You have to walk today." 
B)  "You don't want to walk today?" 
C)  "I don't feel like walking today either." 
D)  "Why don't you want to walk today?" 
A)  "You have to walk today." 
B)  "You don't want to walk today?" 
C)  "I don't feel like walking today either." 
D)  "Why don't you want to walk today?"

Question 8

The nurse can best ensure that communication is understood by:

Accepted Answer

A)  speaking slowly and clearly in the patient's native language. 
B)  asking the family members whether the patient understands. 
C)  obtaining feedback from the patient that indicates accurate comprehension. 
D)  checking for signs of hearing loss or aphasia before communicating. 
A)  speaking slowly and clearly in the patient's native language. 
B)  asking the family members whether the patient understands. 
C)  obtaining feedback from the patient that indicates accurate comprehension. 
D)  checking for signs of hearing loss or aphasia before communicating.

Question 9

The characteristic that is representative of the nurse-patient relationship is that this relationship:

Accepted Answer

A)  focuses on the nurse's ability to build rapport. 
B)  continues after discharge. 
C)  does not include humor. 
D)  focuses on the assessed patient health problems. 
A)  focuses on the nurse's ability to build rapport. 
B)  continues after discharge. 
C)  does not include humor. 
D)  focuses on the assessed patient health problems.

Question 10

The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:

Accepted Answer

A)  discounts the patient's stated concerns. 
B)  shows a judgmental attitude on the part of the nurse. 
C)  summarizes the patient's concerns and closes communication. 
D)  confuses the patient by giving information. 
A)  discounts the patient's stated concerns. 
B)  shows a judgmental attitude on the part of the nurse. 
C)  summarizes the patient's concerns and closes communication. 
D)  confuses the patient by giving information.

Question 11

When a nurse is conducting an assessment interview, the most efficient technique would be:

Accepted Answer

A)  explaining the purpose of the interview. 
B)  excluding relatives and friends from the interaction. 
C)  telling the patient what data are already available. 
D)  asking closed questions to obtain essential information. 
A)  explaining the purpose of the interview. 
B)  excluding relatives and friends from the interaction. 
C)  telling the patient what data are already available. 
D)  asking closed questions to obtain essential information.

Question 12

To elicit more information from a patient, the nurse should ask questions that require more than a one-word answer. This type of question is called __________.

Accepted Answer

open-ended
Open-ended question

Question 13

A patient who has had a stroke is unable to speak clearly and has right-sided hemiplegia. The nurse will design the approach to the assessment interview by:

Accepted Answer

A)  asking questions and explaining procedures to the patient's daughter. 
B)  speaking slowly and giving the patient time to respond. 
C)  telling the patient he will get all necessary information from the daughter. 
D)  prompting the answers and finishing the sentences for the patient. 
A)  asking questions and explaining procedures to the patient's daughter. 
B)  speaking slowly and giving the patient time to respond. 
C)  telling the patient he will get all necessary information from the daughter. 
D)  prompting the answers and finishing the sentences for the patient.

Question 14

When communicating with an aphasic patient, the nurse appropriately:

Accepted Answer

A)  speaks quickly and shouts so the patient can hear. 
B)  assumes the patient can understand what is heard. 
C)  speaks to the patient's caregiver about the patient. 
D)  assumes the patient cannot understand what is heard. 
A)  speaks quickly and shouts so the patient can hear. 
B)  assumes the patient can understand what is heard. 
C)  speaks to the patient's caregiver about the patient. 
D)  assumes the patient cannot understand what is heard.

Question 15

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

Accepted Answer

A)  "Do the morning care first on the patients in 205 and 206 who can't get out of bed." 
B)  "You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help." 
C)  "Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed." 
D)  "Take the vital signs on all the patients in the lounge and tell me whether there are problems." 
A)  "Do the morning care first on the patients in 205 and 206 who can't get out of bed." 
B)  "You take care of all the patients in 205 and 206. Let me know how you're doing and whether you need any help." 
C)  "Give the patient in 204A a shower after breakfast, and call me to check her feet before you get her dressed." 
D)  "Take the vital signs on all the patients in the lounge and tell me whether there are problems."

Question 16

A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

Accepted Answer

A)  "Let me know if Mr. Jones' temperature is high." 
B)  "I need to know if Mr. Jones' blood pressure is elevated." 
C)  "Come and get me if Mr. Jones has a high heart rate." 
D)  "If Mr. Jones' heart rate is greater than 100, let me know." 
A)  "Let me know if Mr. Jones' temperature is high." 
B)  "I need to know if Mr. Jones' blood pressure is elevated." 
C)  "Come and get me if Mr. Jones has a high heart rate." 
D)  "If Mr. Jones' heart rate is greater than 100, let me know."

Question 17

When using the telephone to communicate with a physician about a patient, the student nurse should have ready: (Select all that apply.)

Accepted Answer

A)  current information relative to patient's condition change. 
B)  assessment of vital signs. 
C)  information on urinary output. 
D)  patient's social security number or hospital identification number. 
E)  medications received. 
A)  current information relative to patient's condition change. 
B)  assessment of vital signs. 
C)  information on urinary output. 
D)  patient's social security number or hospital identification number. 
E)  medications received.

Question 18

A nurse using active listening techniques would:

Accepted Answer

A)  use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard. 
B)  avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned. 
C)  anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence. 
D)  ask probing questions to direct the conversation and obtain the information needed as efficiently as possible. 
A)  use nonverbal cues such as leaning forward, focusing on the speaker's face, and slightly nodding to indicate that the message has been heard. 
B)  avoid the use of eye contact to allow the patient to express herself without feeling stared at or demeaned. 
C)  anticipate what the speaker is trying to say and help the patient express herself when she has difficulty with finishing a sentence. 
D)  ask probing questions to direct the conversation and obtain the information needed as efficiently as possible.

Question 19

A home health patient with a bleeding ulcer informs the nurse that she ate a bowl of chili with jalapenos. An inappropriate communication block with a judgmental tone by the nurse would be:

Accepted Answer

A)  "Well, you have had this problem long enough to know what will happen-you certainly can't blame me!" 
B)  "I don't think that was a smart thing for you to do considering your ulcer." 
C)  "Well, you better watch your stool for evidence of blood so you can notify your physician." 
D)  "Oh, poo! A bowl of chili every now and then won't make a lot of difference to your ulcer." 
A)  "Well, you have had this problem long enough to know what will happen-you certainly can't blame me!" 
B)  "I don't think that was a smart thing for you to do considering your ulcer." 
C)  "Well, you better watch your stool for evidence of blood so you can notify your physician." 
D)  "Oh, poo! A bowl of chili every now and then won't make a lot of difference to your ulcer."

Question 20

When interacting with an elderly patient, the nurse would enhance communication by:

Accepted Answer

A)  speaking slowly in order to allow the patient to process the message. 
B)  addressing him by his first name to encourage a therapeutic relationship. 
C)  standing in the doorway rather than entering the room to give the elderly patient more privacy. 
D)  speaking in simple sentences, as if to a child. 
A)  speaking slowly in order to allow the patient to process the message. 
B)  addressing him by his first name to encourage a therapeutic relationship. 
C)  standing in the doorway rather than entering the room to give the elderly patient more privacy. 
D)  speaking in simple sentences, as if to a child.

Exam 8: Communication and the Nurse-Patient Relationship

The nurse is aware that the purpose of therapeutic communication is to:

While interviewing a Native American man for the admission history, the nurse should expect to:

To convey the intervention of active listening, the nurse would:

An example of a nurse communicating with a patient using open-ended questions would be:

An aspect of computer use in patient care in which the LPN may need to be proficient includes:

When a patient states, "I don't feel like walking today," the nurse's most therapeutic verbal response would be:

The nurse can best ensure that communication is understood by:

The characteristic that is representative of the nurse-patient relationship is that this relationship:

The nurse is aware that the use of false reassurance is harmful to the nurse-patient relationship, because this communication block:

When a nurse is conducting an assessment interview, the most efficient technique would be:

To elicit more information from a patient, the nurse should ask questions that require more than a one-word answer. This type of question is called __________.

A patient who has had a stroke is unable to speak clearly and has right-sided hemiplegia. The nurse will design the approach to the assessment interview by:

When communicating with an aphasic patient, the nurse appropriately:

When the nurse is giving direction to a nursing assistant who is being delegated part of the patient care, the nurse's most effective direction would be:

A nurse is delegating to a nursing assistant. The most appropriate form of this type of communication would be:

When using the telephone to communicate with a physician about a patient, the student nurse should have ready: (Select all that apply.)

A nurse using active listening techniques would:

A home health patient with a bleeding ulcer informs the nurse that she ate a bowl of chili with jalapenos. An inappropriate communication block with a judgmental tone by the nurse would be:

When interacting with an elderly patient, the nurse would enhance communication by:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Patient Teaching for Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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