Fundamentals of Nursing Study Set 2

Nursing

Quiz 3 :
Communication

Quiz 3 :
Communication

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The nurse is caring for an adult patient with a recent below-the-knee amputation.During shift report,the nurse reports that the patient has urinated in the bed multiple times since the surgery.Which defense mechanism best describes this behavior?
Free
Multiple Choice
Answer:

Answer:

D
Regression is the return to an earlier developmental stage as a means of avoiding unpleasant or unacceptable thoughts.The adult patient recently lost a limb and reverted to bedwetting as a coping mechanism.Compensation refers to a strategy that uses a personal strength to counterbalance a weakness or a feeling of inadequacy.Refusing to accept a fact or reality as truth is termed denial.Rationalization is the act of suggesting a different explanation for one that is painful,negative,or unacceptable.

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A female patient is admitted to the emergency department after being raped by a neighbor.The patient refuses to discuss the circumstances surrounding the event with the sexual assault nurse examiner.This patient is most likely using the defense mechanism of:
Free
Multiple Choice
Answer:

Answer:

A
Suppression is the conscious decision to conceal unacceptable or painful thoughts.The patient refuses to talk about the rape possibly because of the emotional and physical pain associated with the act.Sublimation is the rechanneling of unacceptable impulses into socially acceptable activities.Displacement is an unconscious defense mechanism used to avoid conflict and anxiety by transferring emotions from one object to another object that produces less anxiety.Rationalization is the act of suggesting a different explanation for one that is painful,negative,or unacceptable.

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A patient calls the nurse to report the smell of cigarette smoke in the bathroom.The event which triggers this communication process is referred to as the:
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Multiple Choice
Answer:

Answer:

B
The elements of the communication process include a referent (i.e. ,event or thought initiating the communication),a sender (i.e. ,person who initiates and encodes the communication),a receiver (i.e. ,person who receives and decodes,or interprets,the communication),the message (i.e. ,information that is communicated),the channel (i.e. ,method of communication),and feedback (i.e.response of the receiver).

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The nurse manager sends an e-mail to the nursing staff as a reminder for a scheduled monthly meeting.In doing so,the nurse manager understands that e-mail:
Multiple Choice
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The nursing student has been assigned to help feed patients at lunch time.Which of these nursing interventions would be most effective when assisting a blind patient to eat a meal?
Multiple Choice
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The nurse observes a confused patient pacing back and forth in the dining room.The patient yells,"The doctor is going to make us all drink poison!" The most appropriate intervention at this time would be to:
Multiple Choice
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A patient with an inoperable brain tumor says to the nurse,"I just want to die now.It's going to happen soon anyway." Which of the following would be the most appropriate response?
Multiple Choice
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The nurse is caring for a patient with chronic lung disease.The patient demands a cigarette after eating breakfast.The nurse responds,"If that was me,I wouldn't be asking for a cigarette.That is what has made you so sick in the first place." This nontherapeutic communication response is an example of:
Multiple Choice
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What would be an acceptable personal space distance for most English-speaking persons?
Multiple Choice
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Based on a patient's perception of professional competence and caring,the nurse should wear:
Multiple Choice
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The nurse is admitting a patient with a foul smelling leg wound.Which behavior by the nurse indicates an understanding of appropriate body language?
Multiple Choice
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Several nurses on a medical-surgical unit have been asked by the nurse manager to form a group and gather data regarding patient complaints of late meals.The nurses meet and establish ground rules.This phase of group development is called:
Multiple Choice
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A nurse has been working with a patient for the entire shift.Which action by the nurse is unacceptable?
Multiple Choice
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During a shift report,a staff member briefly describes the history of a patient admitted with chronic gastrointestinal bleeding.In which SBAR topical area would this information be presented?
Multiple Choice
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The nurse is performing an abdominal assessment on a postoperative surgical patient.The nurse notes that the dressing needs to be changed twice a day and discusses when the patient would like to have it done.The nurse then plans to change the dressing at that time.In which phase of the nurse-patient helping relationship would this process occur?
Multiple Choice
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The nurse is collaborating with a patient to determine interventions to ensure compliance with medication administration after his pending discharge.The goals and nursing interventions would be agreed upon in the:
Multiple Choice
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A patient complains that several staff members entered the room during the morning bath without knocking.Which component of professional nursing communication has been violated in this scenario?
Multiple Choice
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The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting.The nurse decides to call the primary care physician and ask for a different medication administration route.This demonstrates the act of:
Multiple Choice
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The nurse is assisting a co-worker who is preparing to change a deep wound dressing on a patient's abdomen.Several of the patient's out-of-town friends are at the bedside watching a football game.Which action is most appropriate for the nurse to consider prior to the dressing change?
Multiple Choice
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The nurse is conducting a presurgical screening interview with a patient at a local surgical center.When performing a health assessment,the primary source of information should be:
Multiple Choice
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