Chapter 26 My Nursing Test Banks

 

Kozier & Erbs Fundamentals of Nursing, 9/E
Chapter 26

Question 1

Type: MCSA

A nurse explains to a client that he will need to have, a bowel prep before going to his esophagogastroscopy. The nurse needs to improve communication skills by focusing on:

1. Pace

2. Intonation

3. Simplicity

4. Clarity

Correct Answer: 3

Rationale 1: Pace help indicate interest, anxiety, boredom, or fear-all of which modify the feeling and impact of the message.

Rationale 2: Intonation helps indicate interest, anxiety, boredom, or fear-all of which modify the feeling and impact of the message.

Rationale 3: Simplicity includes the use of commonly understood words, brevity, and completeness. A bowel prep may be completely meaningless to a client, but telling him that he needs to drink a gallon of laxative-like medication gets the point across better. Esophagogastroscopy is a complicated word. Using words like small camera looking down your throat into your stomach will make much more sense to the client.

Rationale 4: Clarity and brevity imply that the message is direct and simple-saying precisely what is meant and using the fewest words necessary.

Global Rationale: Page Reference: 465

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 02 Discuss the various aspects that nurses need to consider when using the different forms of communication.

Question 2

Type: MCSA

The nurse observes during a dressing change that the clients wound has become infected. When asked by the client how the wound looks, the nurse says it looks fine but the nurses facial expression doesnt support the response. This nurse needs to work on which aspect of communication?

1. Adaptability

2. Credibility

3. Timing and relevance

4. Clarity and brevity

Correct Answer: 1

Rationale 1: Adaptability is adjusting tone of speech and facial expression to match the spoken message. Clearly, if the nurses face doesnt match his words, the client will identify a problem with the situation.

Rationale 2: Credibility means worthiness of belief, trustworthiness, and reliability.

Rationale 3: Timing and relevance affect how the message is taken or heard.

Rationale 4: Clarity and brevity is preciseness and use of few words.

Global Rationale: Page Reference: 465

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 01 Describe the components of the communication process.
02 Discuss the various aspects that nurses need to consider when using the different forms of communication.

Question 3

Type: MCSA

A nurse is working on a telemetry unit when one of the clients has a cardiac arrest. The clients spouse is in the room when the code team arrives. Which statement by the nurse is the best, in this situation?

1. I know youre worried about your loved one. Im sure this is a difficult situation for you. Do you have any questions right now?

2. Your spouses heart stopped. All these people are here to help get it started.

3. Your spouses physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now.

4. Is there someone you would like to call? Im sure this is a scary situation and you may feel more comfortable if someone were with you during this time.

Correct Answer: 2

Rationale 1: Dealing with the spouses fears and concerns right now is not the priority need-the clients emergency situation is.

Rationale 2: Clarity and brevity provide a message that is simple and clear. In this situation, taking time to explain and/or address all of the spouses needs and concerns is inappropriate. Not only will the client be unable to process extra information, but the nurse doesnt have time to give long, drawn out explanations about the situation.

Rationale 3: Clarity and brevity provide a message that is simple and clear. In this situation, taking time to explain and/or address all of the spouses needs and concerns is inappropriate. Not only will the client be unable to process extra information, but the nurse doesnt have time to give long, drawn out explanations about the situation.

Rationale 4: Clarity and brevity provide a message that is simple and clear. In this situation, taking time to explain and/or address all of the spouses needs and concerns is inappropriate. Not only will the client be unable to process extra information, but the nurse doesnt have time to give long, drawn out explanations about the situation.

Global Rationale: Page Reference: 465

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 02 Discuss the various aspects that nurses need to consider when using the different forms of communication.
05 Recognize barriers to communication.

Question 4

Type: MCSA

The nurse enters a clients room and finds that the telephone is lying in the clients lap, tissues are wadded up on the bed, and the clients eyes are red and watery. The best response by the nurse is:

1. Can I hang that phone up for you?

2. Well, its a beautiful day outside. Lets open the blinds.

3. Has your doctor been in to talk to you yet?

4. You look upset. Is there anything youd like to talk about?

Correct Answer: 4

Rationale 1: Nonverbal communication, or body language, often tells the nurse more about what a person is feeling than what is actually said. The interpretation of such observations requires validation with the client. This option does not address the nonverbal cues. The clients appearance, the phone off the hook, and the tissues lead the nurse to at least consider that perhaps the client had an upsetting phone call. This should be addressed by the nurse.

Rationale 2: This option does not address the nonverbal cues. The clients appearance, the phone off the hook, and the tissues lead the nurse to at least consider that perhaps the client had an upsetting phone call. This should be addressed by the nurse.

Rationale 3: This option does not address the nonverbal cues. The clients appearance, the phone off the hook, and the tissues lead the nurse to at least consider that perhaps the client had an upsetting phone call. This should be addressed by the nurse.

Rationale 4: Nonverbal communication, or body language, often tells the nurse more about what a person is feeling than what is actually said. The interpretation of such observations requires validation with the client.

Global Rationale: Page Reference: 465-466

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 03 Describe factors influencing the communication process.

Question 5

Type: MCSA

A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower. Which comment by the nurse is the most appropriate?

1. If you look better, you might feel better.

2. Taking a shower might wash away some of that gloom and doom.

3. This is a positive sign. Ill be right back with your supplies.

4. Your spouse will be glad to see that youre feeling better.

Correct Answer: 3

Rationale 1: Telling the client that she might feel better if she looks better implies that the clients looks are objectionable.

Rationale 2: Suggesting that washing away the gloom and doom minimizes the clients concerns.

Rationale 3: How a person dresses or looks may be an indicator of how the person feels. A change in grooming habits may signal that the client is feeling better.

Rationale 4: A change in grooming habits may signal that the client is feeling better, but the nurse must be careful in this situation that the focus is not on the clients spouse-but on the client.

Global Rationale: Page Reference: 466-467

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 03 Describe factors influencing the communication process.

Question 6

Type: MCSA

A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child. Which of the following would be the most appropriate?

1. Give the childs parent a full explanation, but make sure the child hears what is said.

2. Let the child handle the equipment first, then demonstrate on the childs doll.

3. Start the treatment, but make sure that the parent is there to comfort the child if she becomes afraid.

4. Make sure that the physician is available for questions.

Correct Answer: 2

Rationale 1: The nurse should not talk over or around the child, just because of her age, but include her in conversation and communication. Before any treatment or therapy, explanation should be given. Otherwise the child will be frightened and the treatment will not be effective.

Rationale 2: The knowledge of the clients developmental stage will allow the nurse to modify the message accordingly. The use of dolls and games with simple language may help explain a procedure to a child.

Rationale 3: Before any treatment or therapy, explanation should be given. Otherwise the child will be frightened and the treatment will not be effective.

Rationale 4: Nurses should always be prepared to give explanation and teaching to their clients.

Global Rationale: Page Reference: 468

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 03 Describe factors influencing the communication process.
05 Recognize barriers to communication.

Question 7

Type: MCSA

A nurse is giving a demonstration of new equipment to the rest of the nursing unit. Which level of proxemics would be appropriate for this situation?

1. Intimate

2. Personal

3. Social

4. Public

Correct Answer: 3

Rationale 1: Intimate distance is touching or up to 1-1/2 feet. This would be appropriate when cuddling a baby, touching a sightless client, repositioning a client, observing an incision, and restraining a toddler for an injection.

Rationale 2: Personal distance is 1-1/2 to 4 feet and is less overwhelming than intimate distance. Much communication between nurses and clients occurs at this distance, such as sitting with a client, giving medications, or establishing an IV.

Rationale 3: Social distance is characterized by a clear, visual perception of the whole person and generally 4 to 12 feet in distance. Social distance is important in accomplishing the business of the day. It is expedient in communicating with several people at the same time or within a short time, which would be the case in this situation.

Rationale 4: Public distance is 12 to 15 feet and requires loud, clear vocalizations. It is used most often with a group of people or in the community.

Global Rationale: Page Reference: 469

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 01 Describe the components of the communication process.
03 Describe factors influencing the communication process.

Question 8

Type: MCSA

A nurse must perform a catheterization on a male client. Which of the zones of proximity would be most appropriate?

1. Personal distance

2. Intimate distance

3. Social distance

4. Public distance

Correct Answer: 2

Rationale 1: Personal distance is 1-1/2 to 4 feet and is less overwhelming than intimate distance. Much communication between nurses and clients occurs at this distance, such as sitting with a client, giving medications, or establishing an IV infusion.

Rationale 2: Intimate distance is characterized by body contact and used frequently by nurses when they are required to perform a procedure. Distance in this category is touching to 1-1/2 feet.

Rationale 3: Social distance is characterized by clear, visual perception of the whole person and is important in accomplishing the business of the day.

Rationale 4: Public distance requires loud, clear vocalizations and is used for groups of people or in the community for presentations.

Global Rationale: Page Reference: 469

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 01 Describe the components of the communication process.
03 Describe factors influencing the communication process.

Question 9

Type: MCSA

A nurse enters a clients room and asks about his level of pain. The client, grimacing, says Its fine. Which of the factors of communication is the client struggling with?

1. Territoriality

2. Environment

3. Congruence

4. Attitude

Correct Answer: 3

Rationale 1: Territoriality is a concept of the space and things that an individual considers as belonging to the self.

Rationale 2: The environment involved in communication must be comfortable. Otherwise it may distract and impair communication.

Rationale 3: In congruent communication, the verbal and nonverbal aspects of the message match. Saying his pain level is fine, but then showing with facial grimacing that it is not, would be in conflict.

Rationale 4: Attitudes can convey beliefs, thoughts, and feelings about people and events-not what is described in this scenario.

Global Rationale: Page Reference: 470

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 03 Describe factors influencing the communication process.
05 Recognize barriers to communication.

Question 10

Type: MCSA

A nurse is working with an elderly male client on a medical unit. Which statement by the nurse is an example of elderspeak?

1. Its time for us to go to physical therapy.

2. I think it would be better if you were planning to go to a nursing home after discharge.

3. Your children must really love their dad.

4. Your wife must be having trouble adjusting to your illness.

Correct Answer: 1

Rationale 1: Elderspeak is a speech style, similar to baby talk, that gives a message of dependence and incompetence to older adults. Characteristics of elderspeak include inappropriate terms of endearment, inappropriate plural pronoun use (its time for us to go to physical therapy), tag questions, and slow, loud speech.

Rationale 2: Telling the client that he needs to go to a nursing home is insensitive.

Rationale 3: Noting that the children love their father is not an example of elderspeak, merely the nurse making observations to the client.

Rationale 4: Making comments about the wifes adjustments to the illness is not an example of elderspeak, merely the nurse making observations to the client.

Global Rationale: Page Reference: 470

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 04 Compare and contrast therapeutic communication techniques that facilitate communication and focus on client concerns.

Question 11

Type: MCSA

A client has just lost her second baby to preterm complications. The best therapeutic response by the nurse is:

1. Dont be so sad. You can always try again.

2. Didnt your doctor advise you about genetic counseling?

3. I know how you feel. I have children of my own.

4. I am so sad for you. Ill stay with you for a while if you need to talk.

Correct Answer: 4

Rationale 1: The clients feelings must be validated, not dismissed.

Rationale 2: Asking about genetic counseling implies that the client could have done something to possibly prevent this situation.

Rationale 3: Therapeutic communication promotes understanding and is client directed. Nurses need to respond to the feelings expressed by the client. The nurse has no way of knowing how this client feels, and saying so is just insensitive.

Rationale 4: Therapeutic communication promotes understanding and is client directed. Nurses need to respond to the feelings expressed by the client. Sometimes clients need time to deal with their feelings and the best thing the nurse can provide is presence and listening.

Global Rationale: Page Reference: 471-472

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 03 Describe factors influencing the communication process.
05 Recognize barriers to communication.

Question 12

Type: MCSA

The nurse is conducting an admission interview. Which of the following indicates that the nurse is attentively listening to the clients explanations?

1. Can you explain what your symptoms are like?

2. When was the last time you saw a doctor for this?

3. Uh-huh, while nodding the head

4. Im sorry, say that again?

Correct Answer: 3

Rationale 1: This is an example of clarifying.

Rationale 2: This is an example of clarifying.

Rationale 3: A nurse can convey attentiveness in listening to clients in various ways. Common responses are nodding the head, uttering uh-huh or mmm, repeating the words the client has used, or saying I see what you mean.

Rationale 4: This is an example of clarifying.

Global Rationale: Page Reference: 472

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 01 Describe the components of the communication process.
09 Discuss how nurses use communication skills in each phase of the nursing process.

Question 13

Type: MCSA

During the introductory phase of the helping relationship there are specific stages. Which of the following apply?

1. Opening the relationship

2. Clarifying the problem

3. Structuring and formulating the contract

4. Planning before the interview

Correct Answer: 1,2,3

Rationale 1: The introductory phase, also referred to as the orientation phase or prehelping phase, sets the tone for the rest of the relationship. Other important tasks of the introductory phase include getting to know each other and developing a degree of trust. Planning before the interview is part of the preinteraction phase.

Rationale 2: The introductory phase, also referred to as the orientation phase or prehelping phase, sets the tone for the rest of the relationship. Other important tasks of the introductory phase include getting to know each other and developing a degree of trust. Planning before the interview is part of the preinteraction phase.

Rationale 3: The introductory phase, also referred to as the orientation phase or prehelping phase, sets the tone for the rest of the relationship. Other important tasks of the introductory phase include getting to know each other and developing a degree of trust. Planning before the interview is part of the preinteraction phase.

Rationale 4: The introductory phase, also referred to as the orientation phase or prehelping phase, sets the tone for the rest of the relationship. Other important tasks of the introductory phase include getting to know each other and developing a degree of trust. Planning before the interview is part of the preinteraction phase.

Global Rationale: Page Reference: 475

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 06 Describe the four phases of the helping relationship.

Question 14

Type: MCSA

During an interaction between a nurse and client, the nurse conveys respect and an attitude that shows the nurse takes the clients opinions seriously. This would happen during which stage of the working phase?

1. Exploring and understanding thoughts and feelings

2. Facilitating and taking action

3. Confrontation

4. Concreteness

Correct Answer: 1

Rationale 1: The working phase has two major stages: conveying respect and an attitude that shows the nurse takes the clients opinions seriously would occur during the exploring and understanding thoughts and feelings Phase.

Rationale 2: The working phase has two major stages: conveying respect and an attitude that shows the nurse takes the clients opinions seriously would not occur during the facilitating and taking action phase.

Rationale 3: Confrontation and concreteness are some of the skills required for the first phase.

Rationale 4: Concreteness is one of the skills required for the first phase.

Global Rationale: Page Reference: 475-476

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 06 Describe the four phases of the helping relationship.

Question 15

Type: MCSA

Several nurses have been given the task of developing a rotation schedule that provides adequate staffing of all shifts. This is an example of which type of group?

1. Self-help group

2. Task group

3. Teaching group

4. Therapy group

Correct Answer: 2

Rationale 1: A self-help group is a small, voluntary organization composed of individuals who share a similar health, social, or daily living problem.

Rationale 2: The task group is one of the most common types of work-related groups to which nurses belong. The focus of such groups is the completion of a specific task.

Rationale 3: A teaching group has as its major purpose to impart information to the participants.

Rationale 4: A therapy group works toward self-understanding, more satisfactory ways of relating or handling stress, and changing patterns of behavior toward health.

Global Rationale: Page Reference: 478-479

Cognitive Level: Understanding

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 08 Identify types of groups helpful in promoting health and comfort.

Question 16

Type: MCSA

A client is nonverbal and the nurse is implementing strategies to promote communication. Which of the following would be appropriate for the client in this situation?

1. Using a picture board to facilitate communication

2. Facing the client when speaking

3. Employing an interpreter

4. Making sure that the language spoken is the clients dominant language

Correct Answer: 1

Rationale 1: The picture board, would be of assistance since it does not rely on verbal communication.

Rationale 2: The client is nonverbal, so speaking en face does not address the clients ability to communicate.

Rationale 3: The client is nonverbal, so using an interpreter does not address the clients ability to communicate.

Rationale 4: The client is nonverbal, so using the clients dominant language does not address the clients ability to communicate.

Global Rationale: Page Reference: 480

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: 04 Compare and contrast therapeutic communication techniques that facilitate communication and focus on client concerns.
05 Recognize barriers to communication.

Question 17

Type: MCSA

A nurse needs to evaluate the effectiveness of a teaching session with a client. Which of the following would provide the best feedback?

1. Client communication

2. Process recording

3. Therapeutic communication

4. Verbal communication

Correct Answer: 2

Rationale 1: A process recording is a word-for-word account of a conversation. It includes all verbal and nonverbal interactions of both the client and nurse. It would be appropriate to use for evaluating the effectiveness of a teaching session. Client communication, therapeutic communication, and verbal communication are simply types of communication-all of which are helpful in client interactions but do not provide a vehicle for evaluation.

Rationale 2: A process recording is a word-for-word account of a conversation. It includes all verbal and nonverbal interactions of both the client and nurse. It would be appropriate to use for evaluating the effectiveness of a teaching session. Client communication, therapeutic communication, and verbal communication are simply types of communication-all of which are helpful in client interactions but do not provide a vehicle for evaluation.

Rationale 3: A process recording is a word-for-word account of a conversation. It includes all verbal and nonverbal interactions of both the client and nurse. It would be appropriate to use for evaluating the effectiveness of a teaching session. Client communication, therapeutic communication, and verbal communication are simply types of communication-all of which are helpful in client interactions but do not provide a vehicle for evaluation.

Rationale 4: A process recording is a word-for-word account of a conversation. It includes all verbal and nonverbal interactions of both the client and nurse. It would be appropriate to use for evaluating the effectiveness of a teaching session. Client communication, therapeutic communication, and verbal communication are simply types of communication-all of which are helpful in client interactions but do not provide a vehicle for evaluation.

Global Rationale: Page Reference: 482

Cognitive Level: Remembering

Client Need: Psychosocial Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 09 Discuss how nurses use communication skills in each phase of the nursing process.

Question 18

Type: MCSA

Communication among health professionals is a vital component of health care to clients. Of the following, which are categories of conversation that are especially difficult, very important for staff to perform well, and yet are often left in silence?

1. Broken rules

2. Micromanagement

3. Incompetence

4. Intimidating behaviors

Correct Answer: 1,2,3

Rationale 1: In the report Silence Kills, these areas were found to be difficult for many health care workers to discuss with their colleagues. Also included in this list are mistakes, lack of support, and disrespect. When these topics were not discussed among co-workers, poorer health outcomes were seen for clients. When co-workers were confident in their communication abilities and did discuss their concerns, better client outcomes were observed along with more satisfaction and commitment to stay in health by the workers themselves.

Rationale 2: In the report Silence Kills, these areas were found to be difficult for many health care workers to discuss with their colleagues. Also included in this list are mistakes, lack of support, and disrespect. When these topics were not discussed among co-workers, poorer health outcomes were seen for clients. When co-workers were confident in their communication abilities and did discuss their concerns, better client outcomes were observed along with more satisfaction and commitment to stay in health by the workers themselves.

Rationale 3: In the report Silence Kills, these areas were found to be difficult for many health care workers to discuss with their colleagues. Also included in this list are mistakes, lack of support, and disrespect. When these topics were not discussed among co-workers, poorer health outcomes were seen for clients. When co-workers were confident in their communication abilities and did discuss their concerns, better client outcomes were observed along with more satisfaction and commitment to stay in health by the workers themselves.

Rationale 4: In the report Silence Kills, these areas were found to be difficult for many health care workers to discuss with their colleagues. Also included in this list are mistakes, lack of support, and disrespect. When these topics were not discussed among co-workers, poorer health outcomes were seen for clients. When co-workers were confident in their communication abilities and did discuss their concerns, better client outcomes were observed along with more satisfaction and commitment to stay in health by the workers themselves.

Global Rationale: Page Reference: 462-484

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 03 Describe factors influencing the communication process.

Question 19

Type: MCSA

Assertive communication is an appropriate approach for nurses to use in the clinical area. Which of the following would be an example of this type of communication technique when a nurse is addressing a physician?

1. You need to check the laboratory results of the client in room 423.

2. You should visit with the clients family about the upcoming procedure.

3. We need to be more aware of the situation among the client and the clients family.

4. I am concerned that the client does not have adequate pain management.

Correct Answer: 4

Rationale 1: An important characteristic of assertive communication includes the use of I statements versus you statements. You statements place blame and put the listener in a defensive position. I statements encourage discussion.

Rationale 2: An important characteristic of assertive communication includes the use of I statements versus you statements. You statements place blame and put the listener in a defensive position. I statements encourage discussion.

Rationale 3: An important characteristic of assertive communication includes the use of I statements versus you statements. You statements place blame and put the listener in a defensive position. I statements encourage discussion.

Rationale 4: An important characteristic of assertive communication includes the use of I statements versus you statements. You statements place blame and put the listener in a defensive position. I statements encourage discussion.

Global Rationale: Page Reference: 487

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 12 Discuss the differences between nurse and physician communication and how to address these differences.

Question 20

Type: MCSA

In order to gain the necessary information about a clients situation, the nurse must be able to ask open-ended questions. Which of the following is an example of this type of communication?

1. What brings you to the hospital?

2. Are you having pain?

3. Does your pain feel better or worse today?

4. Is there anything I can do for you?

Correct Answer: 1

Rationale 1: An open-ended question is one that cannot be answered with a simple yes/no or a one-word response. Often they begin with the words What, Describe for me, Explain, or Tell me about. All other options listed can be answered with one word or a yes/no response.

Rationale 2: An open-ended question is one that cannot be answered with a simple yes/no or a one-word response. Often they begin with the words What, Describe for me, Explain, or Tell me about. All other options listed can be answered with one word or a yes/no response.

Rationale 3: An open-ended question is one that cannot be answered with a simple yes/no or a one-word response. Often they begin with the words What, Describe for me, Explain, or Tell me about. All other options listed can be answered with one word or a yes/no response.

Rationale 4: An open-ended question is one that cannot be answered with a simple yes/no or a one-word response. Often they begin with the words What, Describe for me, Explain, or Tell me about. All other options listed can be answered with one word or a yes/no response.

Global Rationale: Page Reference: 472

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 04 Compare and contrast therapeutic communication techniques that facilitate communication and focus on client concerns.

Question 21

Type: MCMA

The nurse shows an understanding of the implication of recent research findings regarding the impact of communication when caring for the elderly institutionalized client when:

Standard Text: Select all that apply.

1. Asking, What can I do to make you feel safe?

2. Observed intently listening to the client describe how being alone makes her feel.

3. Offering to take the client out for a walk.

4. Consistently arranging for the client to have her hair done.

5. Managing to get a copy of the clients favorite magazine.

Correct Answer: 1,2,5

Rationale 1: Good communication with the client will result in knowing what makes a difference to her. With this valuable knowledge, the nurse can reduce vulnerability and enhance the quality of life.

Rationale 2: Good communication with the client will result in knowing what makes a difference to her. With this valuable knowledge, the nurse can reduce vulnerability and enhance the quality of life.

Rationale 3: This would be effective only if the nurse knew that going for a walk was important to the client.

Rationale 4: This would be effective only if the nurse knew that getting her hair done was important to the client.

Rationale 5: Good communication with the client will result in knowing what makes a difference to her. With this valuable knowledge, the nurse can reduce vulnerability and enhance the quality of life.

Global Rationale: Page Reference: 472-473

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10 State why effective communication is imperative among health professionals.

Question 22

Type: MCMA

The nurse engages in a helping relationship with a newly admitted client when:

Standard Text: Select all that apply.

1. Becoming familiar with the clients social history by reading the admission interview.

2. Orienting the client to the physical layout of the facility as well as to the facilitys policies.

3. Gaining the clients trust by consistently keeping promises to return and visit.

4. Respecting the clients wish to be alone after hearing about the loss of a family friend.

5. Asking to remain with the client when he is experiencing symptoms of the flu.

Correct Answer: 1,3,4,5

Rationale 1: A caring relationship consists of four phases; preparing for the relationship is part of the pre-interaction phase.

Rationale 2: While an appropriate nursing intervention for this client, this activity does not necessarily assist in developing a caring relationship.

Rationale 3: A caring relationship consists of four phases; gaining trust is part of the introductory phase.

Rationale 4: A caring relationship consists of four phases; showing respect for a client and his wishes is part of the ongoing maintaining phase.

Rationale 5: A caring relationship consists of four phases; showing concern for a client and his wishes is part of the ongoing maintaining phase.

Global Rationale: Page Reference: 475-476

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 06 Describe the four phases of the helping relationship.

Kozier & Erbs Fundamentals of Nursing, 9/E Test Bank

Copyright 2012 by Pearson Education, Inc.

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