Exam 38: Communication

Handoff communication,the transfer of information during transitions in care such as during change-of-shift reports,includes an opportunity to ask questions,clarify,and confirm the information between sender and receiver.Which is the main objective for ensuring effective communication during a client handoff?

The nurse is sitting in on an Alcoholic Anonymous (AA)meeting clients on a behavioral health unit.Which decision-making methods used by the group indicates the group is functioning effectively? Select all that apply.

The nurse is providing care to a client who is newly diagnosed with human immunodeficiency virus (HIV).Which statements by the nurse could inhibit the development of a therapeutic communication with this client? Select all that apply.

A female nurse is caring for a 21-year-old male client with a questionable gastrointestinal blockage.The healthcare provider prescribes an enema.Which reaction by the client does the nurse anticipate when planning care?

A young adolescent client is in the hospital preparing for major surgery for the removal of a tumor on the kidney.The client's mother tells the nurse that she doesn't want the child to receive narcotics for pain postoperatively.Which is the best response by the nurse?

A nurse educator is teaching a group of students about therapeutic touch.In which situation is it appropriate to use therapeutic touch as a means of communication?

A home health nurse is precepting a new nurse during a routine wound care visit.The new nurse is assessing the client's wound and notes that the wound is showing signs and symptoms of infection.The client's spouse asks the new nurse how the wound looks.The new nurse responds by stating,"It looks fine," but the new nurse's face indicates a different story.When evaluating the new nurse,the preceptor should note that work is needed on which aspect of communication?

The nurse is documenting care in the medical record.The nurse provides narrative documentation only for abnormal assessment findings.Which type of charting is the nurse using based on this example?

The nurse is caring for an older adult client in a long-term care facility.Which behavior by the nurse convey physical attending when communicating with this client?

The nurse is providing teaching for an inpatient lupus support group meeting.Which group behaviors indicate the teaching was effective?

A novice nurse asks the preceptor why the staff spends time talking about the clients between shifts when the oncoming nurses can read the charts instead.Which is the best response by the preceptor?

The nurse case manager spends the morning in a peer meeting and the afternoon in an ad hoc quality management committee meeting that is led by the hospital administrator.Which two types of groups has the nurse case manager participated in?

The nurse is preparing to document care provided to the client during the day shift.The nurse documents that the client experienced an increased pain level while ambulating which required an extra dose of pain medication; took a shower; visited with family; and ate a small lunch.Which information is important to include during the oral end-of-shift reporting? Select all that apply.

The nurse is caring for a client who is reporting pain of 8/10 on a 1 to 10 numeric pain scale.The nurse administers the prescribed pain medication.When the nurse re-evaluates the client one hour later,the client is still reporting pain of 8/10.Which action by the nurse is appropriate at this time?

Whether in the classroom or clinical setting,the way a group functions,communicates,sets goals,and achieves objectives is related to which concept?

The nurse is providing care for a client who is about to be discharged.The nurse is discussing the discharge orders with the client's primary healthcare provider.Which statement by the nurse is an appropriate example of using assertive communication?

The nurse is providing care for a client who is newly diagnosed with chronic obstructive pulmonary disease (COPD).Which action by the nurse conveys therapeutic communication with the client?

The nurse educator is teaching a group of nursing students about the purpose of documentation and medical records.Which purpose is appropriate for the educator to include in the teaching session with the students?

The nurse completes a teaching session on wound care for a client who will require dressing changes after discharge.The nurse evaluates the effectiveness of a teaching session for wound care with the family and determines that more education is required.Which statement by the nurse is appropriate in this situation?

The nurse is starting preoperative teaching when the client receives a phone call.When the nurse resumes teaching,the client is visibly upset and begins to cry.Which therapeutic initial response by the nurse is appropriate?