Communication in Nursing Test Bank

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The nurse is performing a well-child assessment on a 15-month-old child. The child's mother and father are present. Which action by the nurse will best determine the health beliefs and values of the parents?

  • A. Have the parents independently complete the Myers-Briggs Type Indicator survey.
  • B. Read the documented health histories of the child's parents and grandparents.
  • C. Actively listen to the parents talk about their lives and health concerns.
  • D. Review the traditional health practices of the ethnic group identified by the parents.
Correct Answer: C

Rationale: The correct answer is C: Actively listen to the parents talk about their lives and health concerns. This action allows the nurse to directly learn about the parents' health beliefs and values. By listening attentively, the nurse can understand the parents' perspectives, concerns, and priorities regarding their child's health. This approach promotes trust and open communication, enabling the nurse to provide individualized and culturally sensitive care.

Explanation for why the other choices are incorrect:
A: Having the parents complete the Myers-Briggs Type Indicator survey is not relevant to determining their health beliefs and values.
B: Reading the health histories of the child's parents and grandparents may provide some background information but may not reflect their current health beliefs and values.
D: Reviewing traditional health practices of the ethnic group identified by the parents assumes that all individuals within that group hold the same beliefs, which may not be accurate.

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The nurse cares for a patient who has metastatic cancer. Which action(s) by the nurse conveys warmth? (Select all that apply)

  • A. Avoid distracting actions such as hand gestures.
  • B. Show interest by occasional head nodding.
  • C. Lean forward toward the patient at a 45-degree angle.
  • D. Place arms across the chest to prevent fidgeting.
Correct Answer: B

Rationale: The correct answer is B: Show interest by occasional head nodding. This action conveys warmth by demonstrating active listening and engagement with the patient. It shows empathy and understanding without being intrusive.

Avoiding distracting actions such as hand gestures (A) may come across as cold or disinterested. Leaning forward toward the patient at a 45-degree angle (C) can be perceived as invading personal space. Placing arms across the chest to prevent fidgeting (D) may appear defensive or closed off, lacking warmth and openness.

The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate?

  • A. Set time limits for the interview to reduce cost.
  • B. Avoid asking questions that may upset the patient.
  • C. Respect the patient's privacy by closing the door.
  • D. Stand at the foot of the bed to maintain eye contact.
Correct Answer: C

Rationale: The correct answer is C: Respect the patient's privacy by closing the door. Closing the door ensures confidentiality and privacy during the health history interview. This step is crucial to maintain the patient's dignity and foster trust. Setting time limits (choice A) may compromise the quality of the assessment. Avoiding upsetting questions (choice B) may hinder the gathering of important information. Standing at the foot of the bed for eye contact (choice D) is not appropriate as it may seem confrontational and uncomfortable for the patient.

The nursing student tearfully reports to the leader, "I took some flowers into Mr. N's (non- Hodgkin lymphoma) room to cheer him up, and he told me that he didn't think he was supposed to have flowers. I took them out of the room right away, and then I realized I had made a mistake." What should the team leader do first?

  • A. Direct the student to read the isolation precautions before entering the room.
  • B. Call the nursing instructor and report the student for making an error.
  • C. Acknowledge and praise the student for taking responsibility for the mistake.
  • D. Write an incident report and have the student and instructor sign it.
Correct Answer: C

Rationale: The correct answer is C because it is important to acknowledge and praise the student for taking responsibility for the mistake. By doing this, the team leader can encourage a culture of accountability and learning from errors. This approach supports the student's professional growth and self-awareness.

Option A is incorrect because the immediate focus should be on addressing the emotional response of the student and providing support rather than assigning blame. Option B is inappropriate as it could undermine the student's confidence and discourage future initiative. Option D is premature as it prioritizes paperwork over supporting the student's learning and emotional well-being.

Which statement, if made by the nurse, could positively affect the course of the patient's situation by suggestibility?

  • A. "Breastfeeding will provide time to bond with your baby."
  • B. "Breastfeeding will take longer than giving your baby a bottle."
  • C. "You will need to be careful about taking medications while breastfeeding."
  • D. "Breastfeeding mothers can develop infections that are serious."
Correct Answer: A

Rationale: The correct answer is A because it focuses on the positive aspect of breastfeeding, which is bonding with the baby. This statement can positively influence the patient's attitude and motivation towards breastfeeding. Choice B is incorrect as it introduces a negative aspect of breastfeeding. Choice C is unrelated to the positive impact of breastfeeding. Choice D introduces fear and negativity, which can hinder the patient's confidence in breastfeeding.

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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