Question 1

The nurse observes during a dressing change that the client's wound has become infected.When asked by the client how the wound looks,the nurse says "it looks fine" but the nurse's facial expression doesn't support the response.Which aspect of communication should this nurse improve?

Accepted Answer

A

Question 2

A client has been sullen and withdrawn since receiving the news of her cancer diagnosis.As the nurse enters the room,the client asks for assistance with a shower.Which comment by the nurse is the most appropriate?

Accepted Answer

Option C acknowledges the client's request in a positive manner, without making assumptions about how the shower may affect the client's mood. It also indicates the nurse's willingness to assist the client, which may help to build trust and rapport. Options A and B are not appropriate as they make assumptions about the client's feelings and may come across as dismissive or insensitive. Option D is also inappropriate as it assumes that the client's primary motivation for taking a shower is to please someone else, rather than for their own comfort and hygiene.

Question 3

A nurse needs to evaluate the effectiveness of a teaching session with a client.Which approach would provide the best feedback?

Accepted Answer

Process recording involves the nurse keeping a detailed record of the interactions between the nurse and the client during a session. It allows the nurse to analyze the effectiveness of their communication and teaching strategies and identify areas for improvement. This approach provides more concrete feedback than other options listed.

Question 4

The nurse is engaging a client in the introductory phase of the helping relationship.Which stages will be completed during this phase?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is engaging a client in...

Question 5

The nurse is communicating with an older client.Which actions demonstrate that the nurse understands the best approaches to communicate with this client?
Standard Text: Select all that apply.

Accepted Answer

Asking the client how to make them feel safe, actively listening to their feelings, and getting a copy of their favorite magazine all demonstrate an understanding of how to communicate with an older client. Offering to take the client "out for a walk" might not be suitable depending on their mobility and preferences, while consistently arranging for the client to have their hair done might not be a priority or the client may prefer to do it themselves.

Question 6

The nurse is conducting an admission interview.Which response indicates that the nurse is attentively listening to the client's explanations?

Accepted Answer

The nurse's nonverbal response of nodding and saying "uh-huh" demonstrates that they are actively listening to the client's explanations.

Question 7

During an interaction between a nurse and client,the nurse conveys respect and an attitude that shows the nurse takes the client's opinions seriously.In which stage of the working relationship are the nurse and client engaged?

Accepted Answer

The stage of exploring and understanding thoughts and feelings involves the nurse showing respect and taking the client's opinions seriously, which helps build trust and understanding.

Question 8

A nurse enters a client's room and asks about his level of pain.The client,grimacing,says "It's fine." Which communication factor is the client struggling with?

Accepted Answer

The client is struggling with congruence, or the ability to express their true feelings and emotions accurately through verbal and nonverbal communication. The client's grimace likely indicates that they are experiencing pain, but their verbal response of "It's fine" does not match their nonverbal cues, demonstrating a lack of congruence.

Question 9

The nurse is identifying communication strategies for a client unable to speak.What would be appropriate for the client in this situation?

Accepted Answer

Using a picture board can help facilitate communication for clients who are unable to speak, as they can point to pictures to express their needs or wants. Facing the client when speaking, employing an interpreter, or making sure to speak the client's dominant language may not be effective if the client cannot verbally respond.

Question 10

A nurse is giving a demonstration of new equipment to the rest of the nursing unit.Which level of proxemics should the nurse use?

Accepted Answer

Social distance is typically used in professional settings where the relationship is less personal, but still requires interaction. In this case, the nurse is giving a demonstration to the rest of the nursing unit, which suggests a more formal and professional relationship. Social distance typically ranges from 4 to 12 feet, which would allow the nurse to demonstrate the new equipment without being too close or too far away from the audience.

Question 11

The nurse enters a client's room and finds that the telephone is lying in the client's lap,tissues are wadded up on the bed,and the client's eyes are red and watery.What is the best response by the nurse?

Accepted Answer

The best response by the nurse is to show empathy and concern for the client's emotional state. This can help the client open up and share their concerns. Therefore, option D is the best choice. Option A does not address the client's emotional state. Option B is not relevant to the situation. Option C may be important information, but it does not address the client's current emotional state.

Question 12

A nurse is working on a telemetry unit when one of the clients has a cardiac arrest.The client's spouse is in the room when the code team arrives.Which statement by the nurse to the spouse is the best in this situation?

Accepted Answer

The answer of A nurse is working on a telemetry...

Question 13

A nurse is working with an elderly male client on a medical unit.Which statement demonstrates elderspeak by the nurse?

Accepted Answer

Elderspeak is a form of communication that is often patronizing and infantilizing, such as using collective pronouns like "us" instead of "you."

Question 14

A nurse must perform a catheterization on a male client.Which zone of proximity should the nurse use for this intervention?

Accepted Answer

Intimate distance should be used for catheterization, as it involves a potentially uncomfortable and invasive procedure. Intimate distance is the space within 1.5 feet around the client, where comfort level is high and touch is appropriate. Personal distance (2-4 feet) is appropriate for conversation with clients, while social distance (4-12 feet) is appropriate for public speaking or giving instructions. Public distance (more than 12 feet) is used for formal settings such as lectures or performances.

Question 15

A client has just lost her second baby to preterm complications.Which statement demonstrates the best therapeutic response for the nurse to make?

Accepted Answer

This answer demonstrates empathy and offers support by acknowledging the client's feelings and offering to stay and listen. It is important to avoid minimizing the client's loss or offering advice without being asked.

Question 16

A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy.On what should the nurse focus to improve communication skills?

Accepted Answer

The nurse should focus on simplicity in their communication with the client to ensure that they understand the instructions for the bowel prep. Using simple language and avoiding medical jargon can help improve communication and prevent misunderstandings.

Question 17

During a health history,a client admits to taking nutritional supplements instead of prescribed medication.Which responses by the nurse indicate effective communication?
Standard Text: Select all that apply.

Accepted Answer

The best choices are D and E because they both encourage the client to explain their decision without judgment. Options A, B, and C are all judgmental and can lead to the client becoming defensive or shutting down.

Question 18

Several nurses have been assigned to develop a rotation schedule that provides adequate staffing of all shifts.In which type of group are these nurses functioning?

Accepted Answer

The nurses are functioning in a task group as they have been assigned a specific task to develop a rotation schedule for adequate staffing of all shifts.

Question 19

The nurse wants to gain information about a client's situation.Which should the nurse use to maximize communication with this patient?

Accepted Answer

"What brings you to the hospital?" is an open-ended question that encourages the patient to provide more information about their situation.

Question 20

A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child.Which approach should the nurse use?

Accepted Answer

Using a hands-on approach and utilizing a doll or stuffed animal to demonstrate the nebulizer treatment can help the child understand and feel more comfortable with the process. It allows the child to be an active participant in their care and can alleviate any anxieties they may have. Additionally, involving the child's parent in the explanation can provide support and reassurance for both the child and the parent. However, it is also important to make sure that the physician is available for any further questions or concerns.

Quiz 26: Communicating