Communication in Nursing Test Bank

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The author describes the patient journey as driving down a country road and somehow getting lost. At that moment and time, all that is needed is clear directions about how to get to your destination, not about types of entertainment in the area. The same is true for patients. Accordingly, a part of each nursing assessment should include:

  • A. Patient's need for information and level of understanding
  • B. Detailed overview of disease process
  • C. Specific examples from other patients with same disease
  • D. Nurse's feelings about newest treatment modality
Correct Answer: A

Rationale: Step 1: Understanding the patient's need for information and level of understanding is crucial to providing appropriate care.
Step 2: Clear directions are necessary to guide patients, just like clear information is needed to guide their healthcare decisions.
Step 3: Assessing the patient's need for information helps tailor education to their level of understanding.
Step 4: This choice directly aligns with the analogy of providing clear directions for patients on their healthcare journey.
Summary: Choice A is correct as it emphasizes the importance of assessing the patient's need for information and understanding, which is essential for guiding them effectively. Choices B, C, and D are incorrect as they do not directly address the patient's need for information and understanding in the analogy provided.

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The nurse cares for the mother of a child who died in the emergency room as a result of an accidental poisoning. Which response by the nurse is appropriate?

  • A. Place a greater emphasis on nonverbal aspects of empathy over verbal.
  • B. Accurately reflect on the mother's feelings to convey understanding and concern.
  • C. Repeat exact phrases stated by the mother to aid in expressions of grief.
  • D. Reflect on the expressed feelings of the mother but with the nurse's own words.
Correct Answer: B

Rationale: The correct answer is B because accurately reflecting on the mother's feelings shows understanding and empathy, validating her emotions. This approach helps establish trust and connection, essential in providing emotional support.

A: Placing greater emphasis on nonverbal aspects may not effectively convey empathy and understanding.
C: Merely repeating exact phrases may come off as insincere and robotic, lacking genuine empathy.
D: Reflecting on the mother's feelings using the nurse's own words may not accurately capture the depth of the mother's emotions and may lead to misinterpretation.

When interacting with an older adult patient, the nurse would enhance communication by:

  • A. speaking slowly in order to allow the patient to process the message.
  • B. addressing him by his first name to encourage a therapeutic relationship.
  • C. standing in the doorway rather than entering the room to give the older adult patient more privacy.
  • D. speaking in simple sentences, as if to a child. When interacting with an older adult, the nurse should try not to speak too quickly or expect an immediate answer because the older adult may take more time to process the message. Do not use baby talk or speak to them as if they were children.
Correct Answer: A

Rationale: The correct answer is A because speaking slowly allows the older adult patient to process the message at their own pace, considering potential hearing or cognitive impairments. Speaking slowly also shows respect and patience.

Option B is incorrect because using the first name may not be culturally appropriate or may not align with the patient's preference for formality.

Option C is incorrect because standing in the doorway may be seen as disrespectful and inhibit effective communication by creating physical barriers.

Option D is incorrect because speaking in simple sentences is important, but speaking as if to a child may be patronizing and disrespectful to the older adult patient.

the HCP because the client deserves to have adequate pain relief.

  • A. Wait until the change of medication occurs and then monitor the client's response.
Correct Answer: A

Rationale: The correct answer is A because it demonstrates a proactive approach to ensuring the client receives adequate pain relief. By waiting until the medication change occurs and then monitoring the client's response, the healthcare provider can assess the effectiveness of the new medication and make any necessary adjustments promptly. This approach prioritizes the client's well-being by addressing their pain management needs in a timely and thorough manner. Choices B, C, and D are not as effective as they do not involve actively monitoring the client's response to the medication change, which is crucial in ensuring optimal pain relief for the client.

According to Swanson's theory, there are five caring processes, one of which is "knowing." What are the other four?

  • A. Communication, assertiveness, responsibility, and caring
  • B. Maintaining belief, being with, doing for, and enabling
  • C. Understanding, action, information, and comfort
  • D. Maintaining belief, being with, enabling, and supporting
Correct Answer: B

Rationale: The correct answer is B: Maintaining belief, being with, doing for, and enabling.
- Maintaining belief: Involves believing in the patient's capacity for self-care.
- Being with: Being present and connecting emotionally with the patient.
- Doing for: Providing assistance and meeting the patient's needs.
- Enabling: Encouraging and supporting the patient to reach their full potential.
Other choices are incorrect:
- A: Communication, assertiveness, responsibility, and caring do not align with Swanson's caring processes.
- C: Understanding, action, information, and comfort are not the caring processes in Swanson's theory.
- D: Maintaining belief, being with, enabling, and supporting is partly correct but lacks the "doing for" process.

The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?

  • A. Use both first and last name with each encounter.
  • B. Ask the patient how he prefers to be addressed.
  • C. Call the patient by his first name.
  • D. Address the patient by his last name.
Correct Answer: B

Rationale: The correct answer is B: Ask the patient how he prefers to be addressed. This approach respects the patient's autonomy and personal preferences, promoting patient-centered care. By asking the patient directly, the nurse acknowledges the patient's individuality and ensures respectful communication.

A: Using both first and last name with each encounter may come across as too formal or impersonal for some patients, potentially creating a barrier in the nurse-patient relationship.

C: Calling the patient by his first name without consent may be perceived as too familiar or disrespectful by some patients, leading to discomfort or a lack of trust in the nurse.

D: Addressing the patient by his last name may be too formal for some patients and can create a sense of distance or hierarchy in the nurse-patient relationship.

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