Question 1

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 2

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 3

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 4

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 5

A nurse is caring for a patient experiencing respiratory distress. The physician places an endotracheal tube. What is the most appropriate nursing diagnosis 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 6

Which are true regarding communicating while using eye contact? (Select all that apply.)

Accepted Answer

A)  Eye contact is responsible for much communication. 
B)  Eye contact is responsible for much miscommunication. 
C)  Making eye contact generally indicates an intention to interact. 
D)  Eye contact always results in a positive outcome. 
E)  Extended eye contact can imply aggression.
F) Extended eye contact can lead to heightened anxiety 
A)  Eye contact is responsible for much communication. 
B)  Eye contact is responsible for much miscommunication. 
C)  Making eye contact generally indicates an intention to interact. 
D)  Eye contact always results in a positive outcome. 
E)  Extended eye contact can imply aggression.
F) Extended eye contact can lead to heightened anxiety

Question 7

A nurse examines whether patient interventions have been appropriate and expected outcomes have been met. The nurse is demonstrating which step in the nursing process?

Accepted Answer

A)  Assessment 
B)  Planning 
C)  Implementation 
D)  Evaluation 
A)  Assessment 
B)  Planning 
C)  Implementation 
D)  Evaluation

Question 8

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 nursing 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 nursing station and ask them to have the kitchen bring whatever you want."

Question 9

During a complete assessment, which type of questioning is not usually conducive to fostering communication?

Accepted Answer

A)  Open-ended 
B)  Focused 
C)  Closed 
D)  Clarifying 
A)  Open-ended 
B)  Focused 
C)  Closed 
D)  Clarifying

Question 10

How can the nurse demonstrate warmth and acceptance when listening to a patient?

Accepted Answer

A)  Tightly crossing her arms 
B)  Uncrossing her arms 
C)  Tightly crossing her legs 
D)  Facing away from the patient 
A)  Tightly crossing her arms 
B)  Uncrossing her arms 
C)  Tightly crossing her legs 
D)  Facing away from the patient

Question 11

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

Accepted Answer

intimate
Personal space zones:

Question 12

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.

Question 13

Which defining characteristics support the nursing diagnosis 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 14

As the nurse listens to a supervisor, the nurse has a smile on her face but has crossed her arms in front of her chest and has crossed her legs. This is an example of a __________ posture.

Accepted Answer

closed
A posture wit

Question 15

A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?

Accepted Answer

A)  "Please let me know when you start to have pain." 
B)  "Let's practice some guided imagery." 
C)  "Let's try repositioning you." 
D)  "I will only medicate you every 4 hours." 
A)  "Please let me know when you start to have pain." 
B)  "Let's practice some guided imagery." 
C)  "Let's try repositioning you." 
D)  "I will only medicate you every 4 hours."

Question 16

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 17

A nurse is assessing a patient with a nursing diagnosis 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 18

____________ is the reciprocal process in which messages are sent and received between people.

Accepted Answer

communication
Communication is

Question 19

What does therapeutic communication accomplish?

Accepted Answer

A)  Facilitates the formation of a positive nurse-patient relationship 
B)  Manipulates the patient 
C)  Assigns the patient a passive role 
D)  Requires the patient to accept what the nurse says 
A)  Facilitates the formation of a positive nurse-patient relationship 
B)  Manipulates the patient 
C)  Assigns the patient a passive role 
D)  Requires the patient to accept what the nurse says

Question 20

A nurse must violate the personal space of a patient to perform an invasive procedure. How can the nurse reduce the discomfort of the patient?

Accepted Answer

A)  By approaching the interaction in a professional manner 
B)  By distracting the patient with jokes and humor 
C)  By asking another nurse to be present at the bedside 
D)  By assuring the patient that all people dislike invasion of personal space 
A)  By approaching the interaction in a professional manner 
B)  By distracting the patient with jokes and humor 
C)  By asking another nurse to be present at the bedside 
D)  By assuring the patient that all people dislike invasion of personal space

Exam 4: Communication

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

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

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

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

A nurse is caring for a patient experiencing respiratory distress. The physician places an endotracheal tube. What is the most appropriate nursing diagnosis for this patient?

Which are true regarding communicating while using eye contact? (Select all that apply.)

A nurse examines whether patient interventions have been appropriate and expected outcomes have been met. The nurse is demonstrating which step in the nursing process?

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

During a complete assessment, which type of questioning is not usually conducive to fostering communication?

How can the nurse demonstrate warmth and acceptance when listening to a patient?

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

What is one of the main characteristics of therapeutic communication?

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

As the nurse listens to a supervisor, the nurse has a smile on her face but has crossed her arms in front of her chest and has crossed her legs. This is an example of a __________ posture.

A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?

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

____________ is the reciprocal process in which messages are sent and received between people.

What does therapeutic communication accomplish?

A nurse must violate the personal space of a patient to perform an invasive procedure. How can the nurse reduce the discomfort of the patient?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

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