Review Questions
1
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A nurse is developing a plan of care for a patient who has self-identified communication needs. What would be the most appropriate question for the nurse to ask to assess the communication needs of the patient?
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What is your preferred form of communication?
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Do you speak English?
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Have you ever engaged in self-talk?
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Do you like to talk with your family?
2
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What form of communication is the nurse using when she notices the patient is crocheting a blanket and, speaking directly to the patient, asks them about the blanket?
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public
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interpersonal
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intrapersonal
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small group
3
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The nurse is preparing to discharge Mr. Francois who is 42 years old and speaks only French. What action by the nurse best provides discharge teaching?
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Thoroughly explain his discharge instructions using simple words.
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Give him a brochure and show him a website that has information in French and English.
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Ask the registered nurse on your unit who speaks French to help explain the discharge information.
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Use the hospital-provided translation services even though it will take time to set it up.
4
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A nurse provides discharge instructions for a patient and family. Which model of communication should the nurse use to assess learning?
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transmission model
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transactional model
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interactional model
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action model
5
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A nurse provides discharge instructions for a patient. While the nurse is checking if the patient understands the discharge instructions, the patient cannot recall any of the instructions. The nurse assesses the communication and determines that semantic noise caused a breakdown in communication. What is an example of semantic noise?
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machines alarming in the room
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increased foot traffic in the hallway
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frequent public address system announcements
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use of medical jargon
6
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When conducting MI with a patient, what should the nurse say to encourage the patient?
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Let’s discuss how you think the change you want to make can be done in small, achievable goals.
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Please tell me about what the healthcare provider said to you about your health.
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You think you will give up something if you make this change.
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Help me understand how this change will affect your lifestyle.
7
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A nurse discovers a patient on the floor. The patient states they fell out of bed, they could not reach the call light, and no one answered when they yelled. After checking the patient for injuries, the nurse addresses this adverse event and wants to bring resolution. What is an appropriate action by the nurse?
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Find out who was responsible for placing the call light and discuss proper call light placement.
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Ask the charge nurse to talk to the patient about fall risk.
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Discuss with the healthcare provider keeping all four side rails up at all times.
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Assemble a care team and discuss ways to prevent falls and positioning of personal essential items.
8
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What would be an example of a therapeutic response by a nurse?
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Why are you still smoking?
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My mom had a mastectomy after she was diagnosed with breast cancer, I think you should do the same.
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Don’t you want to be considered a good patient? You better eat all your peas.
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Would you tell me more about your fear of magnetic resonance imaging (MRI)?
9
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What would be an example of a nontherapeutic response by a nurse?
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The nurse is silent while the patient is crying.
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The nurse holds the patient’s hand during IV line insertion.
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The nurse jokes with the patient about weather.
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The nurse defends a peer’s actions during the previous shift.
10
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What physical communication barrier would the nurse be able to intervene in when providing discharge education for a patient?
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unit construction on patient rooms
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severe thunderstorm occurring in the geographical area
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a hospital-wide computer failure
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short educational sessions to prevent information overload
11
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Which aspect of EI should the nurse consider when faced with caring for a patient who has been physically assaulted, as the nurse has experienced physical assault themselves?
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self-management
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relationship management
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social awareness
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self-awareness
12
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What would be a nurse’s response that demonstrates an evaluation of patient learning?
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Do you need help checking your pulse?
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You should take your medication at the same time each day with food.
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I will provide written instructions on how to administer your insulin.
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Would you please demonstrate to me how to suction your child’s tracheostomy?