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Clinical Nursing Skills

Review Questions

Clinical Nursing SkillsReview Questions

Review Questions

1 .
What is a defining characteristic of therapeutic communication?
  1. Its direction is determined by the nurse.
  2. It is designed to lead to patient understanding and participation.
  3. It is supposed to challenge unhealthy beliefs and behaviors of patients.
  4. It should consist of the nurse asking the patient “why” about their health-related behaviors.
2 .
What is the first step in the therapeutic communication process?
  1. deliver the message
  2. create the message
  3. develop communication goals
  4. listen to the response
3 .
What is the best way to evaluate the effectiveness of therapeutic communication with a patient?
  1. have the patient explain their understanding of the conversation using the teach-back method
  2. have the patient fill out a survey about their experience
  3. ask the patient if they understand everything you talked about during the conversation
  4. chart your perception of the communication based on nonverbal cues
4 .
Mr. Padilla is a 62-year-old male patient. The nurse goes to give him medication and asks him how he is doing. Mr. Padilla responds, “Well, my head is all messed up since they gave me those test results yesterday.” What would be a therapeutic response from the nurse?
  1. “Oh, I’m sure everything is going to be okay! Why don’t you call your wife?”
  2. “Have you tried distracting yourself? You could watch TV or do some exercises.”
  3. “Did you not sleep very well last night?”
  4. “I’m sorry, but I don’t understand what you mean. Can you explain?”
5 .
The nurse enters the room and sees that the patient is on the phone crying. What is an example of appropriate therapeutic nursing behavior?
  1. The nurse smiles at the patient, closes the privacy curtains around the bed and quietly leaves the room.
  2. The nurse tells the patient to be mindful of other patients on the unit and to keep their voice down.
  3. The nurse says “Oh no, I see that you’re upset. What’s wrong?”
  4. The nurse says “You poor thing. Let me give you your medication and then I’ll give you some privacy.”
6 .
What technique best helps encourage a patient to fully communicate without interrupting the flow of their narrative?
  1. adaptive questioning
  2. comprehensive interviewing
  3. reflecting and restating
  4. using silence
7 .
Why is age a special consideration when conducting a comprehensive interview?
  1. Cognitive decline is a normal part of aging.
  2. Different age groups have different physical, emotional, and developmental needs.
  3. Comprehensive interviews are only appropriate for adults.
  4. Basic communication techniques are the same across the life span.
8 .
When using ________ as an interviewing technique, it is essential to structure questions carefully to avoid leading the patient in a particular direction.
  1. clarifying
  2. confronting
  3. restating
  4. open-ended questioning
9 .
What is the purpose of patient education and teaching?
  1. to teach patients the difference between right and wrong decisions to make on their healthcare journeys
  2. to illustrate for patients in a positive way why traditional Western medicine is always the best choice
  3. to educate patients to treat their conditions at home so that they don’t use as many community health resources
  4. to empower patients to become active participants in their health care, leading to better health outcomes and an improved quality of life
10 .
A nurse is preparing to educate a patient on how to use an insulin pen at home. The patient has already stated to the nurse that they are nervous about the needle in the pen and they learn best by practicing things. What is the best action for the nurse to take to provide useful education to this patient?
  1. have the patient watch a short, informative video of someone using an insulin pen
  2. give the patient some literature to read at home about how the pen works and the type of insulin that it contains
  3. have the patient demonstrate assembling the pen and giving themselves the injection; ask them their comfort level with the procedure afterward
  4. invite the patient to a support group for patients with diabetes so that they can get tips and support from others with the same issues
11 .
What is the most effective teaching strategy when using the revised Bloom’s Taxonomy as a framework?
  1. to place the greatest emphasis on the cognitive domain, as it most affects the learning process
  2. to consider all three of the learning domains: cognitive, affective, and psychomotor, when developing a teaching plan
  3. to adhere to strict learning goals and adjust patient behavior as needed
  4. to take it slow and remember that an individual cannot move to a higher level without first comfortably completing a lower level
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