Test 4 - Communication From Fundamentals Of Success By Nugent And Vitale

50 Questions | Total Attempts: 370

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Communication Quizzes & Trivia

Pages 109-121


Questions and Answers
  • 1. 
    A patient states, "Do you think I could have cancer?" The nurse responds, "What did the doctor tell you?" What interviewing approach did the nurse use?
    • A. 

      Paraphrasing

    • B. 

      Confrontation

    • C. 

      Reflective technique

    • D. 

      Open-ended question

  • 2. 
    The main purpose of the working phase of a therapeutic relationship is to:
    • A. 

      Establish a formal or informal contract that addresses the patient's problems

    • B. 

      Implement nursing interventions that are designed to achieve expected patient outcomes

    • C. 

      Develop rapport and trust so the patient feels protected and an initial plan can be identified

    • D. 

      Clearly identify the role of the nurse and establish the parameters of the professional relationship

  • 3. 
    Reflective techniques focuses on:
    • A. 

      Feelings

    • B. 

      Content themes

    • C. 

      Clarification of information

    • D. 

      Summarization of the topics discussed

  • 4. 
    Patient: "I do not know if I can make it through this surgery." Which response by the nurse could block further communication by the patient?   
    • A. 

      You sound scared

    • B. 

      You think you will die

    • C. 

      Surgery can be frightening

    • D. 

      Everything will be alright

  • 5. 
    Patient says: "My wife is going to be very upset that my prostate surgery probably is going to leave me impotent." What is the best response by the nurse? 
    • A. 

      "I am sure your wife will be willing to make this sacrifice in exchange for your well being"

    • B. 

      "The doctors are getting great results with nerve sparing surgery today"

    • C. 

      "Your wife may not put as much emphasis on sex as you think"

    • D. 

      "Let's talk about how you feel about this surgery"

  • 6. 
    Patient: "I think I am dying." Nurse: "You feel as though you are dying?" What interviewing approach did the nurse use? 
    • A. 

      Focusing

    • B. 

      Reflecting

    • C. 

      Validating

    • D. 

      Paraphrasing

  • 7. 
    Which is the best intervention for a patient who is having problems with speaking?
    • A. 

      Limit the number of visitors at one time

    • B. 

      Use visual cues when communicating

    • C. 

      Correct errors as they occur gently

    • D. 

      Allow adequate time to respond

  • 8. 
    The most important thing the nurse can do to foster a therapeutic relationship with a patient is to:
    • A. 

      Work on establishing a friendship with the patient

    • B. 

      Use humor to defuse emotionally charged topics of discussion

    • C. 

      Demonstrate respect that is not based on the patient's behavior

    • D. 

      Sympathize with the patient when the patient shares sad feelings.

  • 9. 
    A patient who is NPO preparing for a bronchoscopy says, "I'm worried about the test and I can't even have a drink of water." What is the best response by the nurse? 
    • A. 

      Let us talk about your concern regarding the test

    • B. 

      I'll see if the doctor will let you have some ice chips

    • C. 

      The doctor will review the results of the test as soon as possible

    • D. 

      As soon as the test is over I'll get you whatever you like to drink

  • 10. 
    What is the first  thing the nurse should do to confirm the meaning of a patient's nonverbal behavior?
    • A. 

      Look for similarity in meaning between the patient's verbal and nonverbal behavior

    • B. 

      Ask family members to help you interpret the patient's behavior

    • C. 

      Validate your inferences by asking the patient direct questions

    • D. 

      Recognize that what the patient says is most important

  • 11. 
    The patient is tearful, quiet and withdrawn. The nurse says, "You seem very sad today." What interviewing approach did the nurse use? 
    • A. 

      Examining

    • B. 

      Reflecting

    • C. 

      Clarifying

    • D. 

      Orienting

  • 12. 
    Which action best reflects the concept of therapeutic communication?
    • A. 

      Using interview skills to discuss the patient's concerns

    • B. 

      Letting the patient control the focus of conversation

    • C. 

      Setting time aside to interact with the patient

    • D. 

      Agreeing with a patient's statements

  • 13. 
    A factor that is unique to a helping relationship is that it is:
    • A. 

      Patient assumes the dominant role

    • B. 

      Equal sharing of information

    • C. 

      Specific to a person and guided by a purpose

    • D. 

      Based on the needs of both participants

  • 14. 
    An agitated patient says: I am not sure if I want this surgery". Which response is considered "paraphrasing"?
    • A. 

      Are you saying that you want to postpone the surgery?

    • B. 

      You are undecided about having this surgery?

    • C. 

      You seem upset about this surgery.

    • D. 

      Tell me more about your concerns.

  • 15. 
    Most important part of the orientation phase of the assessment interview
    • A. 

      Collect data

    • B. 

      Build rapport

    • C. 

      Identify problems

    • D. 

      Establish priorities

  • 16. 
    When collecting data for an admission nursing history, which would be best to open the discussion?
    • A. 

      What brought you to the hospital?

    • B. 

      Would it help to discuss your feelings?

    • C. 

      We don't need to talk unless you want to

    • D. 

      Perhaps you would like to talk about why you are here?

  • 17. 
    Which interviewing technique is used primarily in a focused interview?
    • A. 

      Probing

    • B. 

      Clarification

    • C. 

      Direct questions

    • D. 

      Paraphrasing statements

  • 18. 
    An 80-year old agitated patient: "I'm having trouble with my bowels." Which response uses reflection?
    • A. 

      You seem distressed about your bowels.

    • B. 

      You're having trouble with your bowels?

    • C. 

      It's common to have problems with the bowels at your age.

    • D. 

      When did you first notice having trouble with your bowels?

  • 19. 
    What is the best response when a patient says, "I have something important to tell you but you have to promise me that you will not tell anyone." 
    • A. 

      Anything you tell me I will share with the health team because we are here to help you

    • B. 

      Something is clearly upsetting you for you to place such a restriction on our interaction.

    • C. 

      Whatever you tell me is between us because your personal information is confidential.

    • D. 

      You will have to trust me that I will maintain your confidentiality as long as it will not harm yourself or others.

  • 20. 
    The statement that is most accurate about communication is:
    • A. 

      Communication is inevitable

    • B. 

      Behavior clearly reflects feelings

    • C. 

      The hands are the most expressive parts of the body

    • D. 

      Verbal communication is essential for human relationships

  • 21. 
    The patient is upset, crying and mentions something about her job that he nurse cannot understand. The nurse's best response would be:
    • A. 

      It's natural to be worried about your job

    • B. 

      Your job must be very important to you

    • C. 

      Calm down so that I can understand what you are saying

    • D. 

      I'm not quite sure I heard what you were saying about your work

  • 22. 
    When providing nursing care, humor should be used to:
    • A. 

      Diminish feelings of anger

    • B. 

      Refocus the patient's attention

    • C. 

      Maintain a balanced perspective

    • D. 

      Delay dealing with the inevitable

  • 23. 
    Therapeutic communications is evaluated as being effective when:
    • A. 

      Verbal and nonverbal communication is congruent

    • B. 

      Interaction is conducted in a professional manner

    • C. 

      Common understanding is achieved

    • D. 

      Thoughts can be put into words

  • 24. 
    A patient comes to the Emergency Room with multiple trauma from a suspected assault by a boyfriend. When the patient seems reluctant to talk with the nurse, an appropriate leading statement would be: 
    • A. 

      Did your boyfriend do this to you?

    • B. 

      You really got beat up pretty badly this time

    • C. 

      Would you like to talk about how this happened to you?

    • D. 

      Sometimes people are embarrassed to share information about their situation

  • 25. 
    A patient suffering from cirrhosis says: "I really do not believe that my drinking a couple of beers a day has anything to do with my liver problems". As a nurse, what would be your best response?
    • A. 

      You find it hard to believe that beer can damage the liver?

    • B. 

      How long have you been drinking a couple of beers a day?

    • C. 

      You may believe that beer is not harmful but research shows that it is just as bad for you as hard liquor.

    • D. 

      Are you aware that each beer is equivalent to one shot of liquor so it's just as damaging to the liver as hard liquor?

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