Communication in Nursing 8th Edition Test Bank

Communication in Nursing 8th Edition Test Bank Related

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According to Kimble and Bamford-Wade, what distinguishes the behavior of one caring and competent nurse from another nurse who is simply competent but not engaged with the patient?

  • A. Immediacy, the availability of the nurse
  • B. Warmth, the hallmark of compassion
  • C. Attention, the focus of the nurse
  • D. Communication, the instructional side of the nurse
Correct Answer: B

Rationale: The correct answer is B: Warmth, the hallmark of compassion. This is because warmth, or the ability to convey care and empathy, is what distinguishes a caring and competent nurse from one who is simply competent but lacks emotional engagement. Kimble and Bamford-Wade emphasize the importance of compassion and connection in nursing care, as it enhances the patient experience and contributes to better outcomes.

A: Immediacy, the availability of the nurse - While being available and responsive is important, it does not necessarily capture the essence of emotional connection and compassion in nursing care.

C: Attention, the focus of the nurse - While attention and focus are crucial in providing quality care, they do not fully encapsulate the emotional aspect of caring that sets one nurse apart from another.

D: Communication, the instructional side of the nurse - Effective communication is essential in nursing, but it primarily addresses the transfer of information rather than the emotional connection and compassion that define a caring nurse.

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Which nonverbal action(s) would be consistent with an assertive style of communication? (Select all that apply)

  • A. Relaxed posture
  • B. Established eye contact
  • C. Hands placed on hips
  • D. Distant, soft voice
Correct Answer: A

Rationale: The correct answer is A (Relaxed posture) because assertiveness is about expressing oneself confidently while respecting others. A relaxed posture conveys confidence and self-assurance. Established eye contact (B) is also consistent with assertiveness, showing engagement and sincerity. Choices C (Hands placed on hips) and D (Distant, soft voice) are more indicative of aggression or passivity, respectively, rather than assertiveness. Placing hands on hips can come across as confrontational, while a distant, soft voice lacks the firmness and clarity associated with assertive communication.

The team leader is reviewing the pain management plan for Mr. U. He is having significant pain related to the cancer and the pulmonary resection. Which option would be the best for Mr. U?

  • A. Mr. U is instructed to ask for pain medication whenever he needs it.
  • B. Mr. U is to receive around-the-clock fixed doses of opioid analgesics.
  • C. Mr. U should be offered the nonopioid medication first to see it if works.
  • D. Mr. U has a high risk for respiratory distress, so opioids are not prescribed.
Correct Answer: B

Rationale: The correct answer is B because Mr. U is experiencing significant pain related to cancer and pulmonary resection, which typically requires continuous pain management. Around-the-clock fixed doses of opioid analgesics provide consistent pain relief and can be adjusted based on his pain levels. This approach ensures adequate pain control without the need for Mr. U to wait until the pain becomes severe before asking for medication. Option A may lead to undertreatment of pain. Option C delays effective pain relief for Mr. U who is already experiencing significant pain. Option D is incorrect as opioids can be safely administered with proper monitoring, even in patients at high risk for respiratory distress.

Which patient would most likely be uncomfortable with close personal space during an interaction with the nurse?

  • A. A 19-year-old white female patient who is standing 2 feet in front of the nurse.
  • B. A 40-year-old African-American male patient who is sitting next to the nurse.
  • C. A 60-year-old Latin-American female patient who is seated across from the nurse.
  • D. An 82-year-old patient from France who is lying in bed with the nurse sitting next to the bed.
Correct Answer: A

Rationale: The correct answer is A because cultural background and individual preferences influence personal space comfort. In this case, the 19-year-old white female patient standing only 2 feet away may feel uncomfortable with close personal space. Different cultures and age groups have varying norms regarding personal space. The other choices are less likely to be uncomfortable based on cultural norms and distance from the nurse. The 40-year-old African-American male patient sitting next to the nurse, the 60-year-old Latin-American female patient seated across, and the 82-year-old patient from France lying in bed with the nurse sitting next to them are all at a comfortable distance, thus less likely to be uncomfortable with personal space.

The nurse cares for a client with hypertension, and a nurse3client contract is developed outlining the activities and responsibilities of each. Which would be appropriate to include in this contract? (Select all that apply)

  • A. The outcomes should be realistic and measurable.
  • B. Progress should be reviewed at regular intervals.
  • C. The contract should be written and signed.
  • D. The nurse should keep the information confidential.
Correct Answer: A

Rationale: The correct answer is A because setting realistic and measurable outcomes helps track progress and ensure treatment effectiveness. This promotes accountability and motivation for both the nurse and client. Choice B is incorrect because it is a general practice and not specific to the contract. Choice C is incorrect as the contract doesn't necessarily have to be written and signed, although it is recommended. Choice D is incorrect as confidentiality is a standard practice and not specific to the contract's content.

A nurse manager asks a colleague for advice on strategies to improve communication with staff nurses. Which response by the nurse manager's colleague is best?

  • A. "Be sensitive, show respect, and be genuine."
  • B. "You need to be consistently nice to the staff nurses."
  • C. "Work as a staff nurse every month to develop empathy."
  • D. "Staff nurses need a leader who is not emotional."
Correct Answer: A

Rationale: The correct answer is A because it emphasizes essential components of effective communication: sensitivity, respect, and genuineness. Sensitivity helps in understanding others' emotions, respect fosters a positive relationship, and genuineness promotes trust. Choice B is too simplistic and lacks depth. Choice C is impractical as working as a staff nurse monthly may not be feasible for a manager. Choice D is incorrect as emotional intelligence and empathy are crucial for effective leadership, not being emotionless. Thus, choice A is the best response due to its focus on key communication principles.

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