Nokea
Which of the following is a person's intellectual ability to remember and apply new information?
- A. Learning style
- B. Learning needs
- C. Motivation
- D. Learning capacity
Correct Answer: D
Rationale: Learning capacity is a person's intellectual ability to understand, remember, and apply new information. Learning style is the manner in which a person best comprehends new information. Learning needs are the skills and concepts that the client and family must acquire to restore, maintain, or promote health. Motivation is the desire to acquire new information.
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Which of the following is a component of nonverbal communication?
- A. Paralanguage
- B. Hearing acuity
- C. Interpersonal attitudes
- D. Listening
Correct Answer: A
Rationale: Nonverbal communication consists of components such as kinesics, paralanguage (vocal sounds that communicate a message), proxemics (use of space when communicating), touch, and silence. Hearing acuity, interpersonal attitudes, and listening are variables that affect verbal communication.
The nurse is caring for a client who is newly diagnosed with atrial fibrillation. The client expresses having many questions. At what point in the client contact experience should the nurse begin client education?
- A. During a morning assessment
- B. When presenting the client with a brochure
- C. Once the health care provider confirms the diagnosis
- D. As soon as possible after admission to the hospital
Correct Answer: D
Rationale: Client teaching should begin as soon as possible after admission to the hospital. Even when the client is in the emergency department, health care providers and staff are explaining testing and procedures. The nurse will continue client education whenever there is an opportunity for teaching, such as during a morning assessment, when presenting the client with new information, or when the health care provider confirms a diagnosis.
Which of the following is one of the four categories of client needs identified by the National Council of State Boards of Nursing?
- A. Maintenance of function
- B. Restoration of wellness
- C. Psychosocial integrity
- D. Reduction of fear and worry
Correct Answer: C
Rationale: The National Council of State Boards of Nursing identifies four categories of client needs as the structure for its test plan: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Nursing care provides skills that help restore wellness, especially during an acute illness, or maintain as much function as possible. The supportive relationship that develops reduces fear and worry.
The nurse is caring for a client and family who are awaiting the results of a diagnostic test. Which nursing action best demonstrates therapeutic nonverbal communication?
- A. The nurse listens to the client's frustration of waiting for test results.
- B. The nurse smiles and rubs the client's shoulder as the client expresses frustration at waiting for the test results.
- C. The nurse is silent while carrying out nursing duties.
- D. The nurse shrugs the shoulders when asked when testing results will return.
Correct Answer: B
Rationale: A smile and rub of the client's shoulder is a nonverbal gesture that the nurse understands the client's situation. Listening to client frustration is an activity that reflects verbal communication because, therapeutically, there is a response. Silence can be therapeutic when the attention is with the client, not the nursing duties. Shrugging the shoulders can be perceived as indifferent and not caring.
The nurse is caring for a client who is hard of hearing. The nurse is in the room during a discussion between the client and health care provider. At the end of the discussion, the client asks the nurse to further explain certain terms used by the health care provider. In explaining the terms, which role has the nurse assumed?
- A. Educator
- B. Caregiver
- C. Collaborator
- D. Delegator
Correct Answer: A
Rationale: In this scenario, the nurse will assume the role of educator by explaining information provided during the client/health care provider discussion. The nurse as educator provides client teaching regarding the plan of care, medications, or prescribed tests and procedures. The nurse as a caregiver performs health-related activities that the client is unable to perform independently due to illness. The nurse as a collaborator works with others to achieve a common goal, such as sharing or exchanging information with other health care professionals (dietitians, physical therapists, or respiratory therapists). The nurse as a delegator assigns tasks to someone else such as another nurse, a nursing assistant, or other unlicensed assistive personnel (UAP).