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Question 1
Free
Multiple Choice

A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I hadn't rested well." Which response by the nurse would be an example of interpersonal therapeutic communication?

Choose correct answer/s
A

"It sounds as though you were uncomfortable with the content of your dream."

B

"I understand what you're saying. Bad dreams leave me feeling tired, too."

C

"So, all in all, you feel as though you had a rather poor night's sleep?"

D

"Can you give me an example of what you mean by a 'bad nightmare'?"

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Question 2
Free
Multiple Choice

The nurse is admitting a patient to the medical/surgical unit. Which communication technique would be considered appropriate for this interaction?

Choose correct answer/s
A

"I've also had traumatic life experiences. Maybe it would help if I told you about them."

B

"Why do you think you had so much difficulty adjusting to this change in your life?"

C

"You will feel better after getting accustomed to how this unit operates."

D

"I'd like to sit with you for a while to help you get comfortable talking to me."

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Question 3
Free
Multiple Choice

The nurse is seeking clarification of a statement that was made by a patient. What is the best way for the nurse to seek clarification?

Choose correct answer/s
A

"What are the common elements here?"

B

"Tell me again about your experiences."

C

"Am I correct in understanding that…"

D

"Tell me everything from the beginning."

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Question 4
Free
Multiple Choice

A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric facility. Which remark by the nurse would be an appropriate way to begin an interview session?

Choose correct answer/s
A

"How shall we start today?"

B

"Shall we talk about losing your privileges yesterday?"

C

"Let's get started discussing your marital relationship."

D

"What happened when your family visited yesterday?"

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Question 5
Free
Multiple Choice

The nurse and the patient are conversing face to face. What communication technique is being demonstrated?

Choose correct answer/s
A

Linguistic

B

Paralinguistic

C

Explicit

D

Metacommunication

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Question 6
Multiple Choice

The nurse is working with a patient diagnosed with posttraumatic stress disorder related to childhood sexual abuse. The patient is crying and states, "I should be over this by now; this happened years ago." Which response(s) by the nurse will facilitate communication? (Select all that apply.)

Choose correct answer/s
A
"Why do you think you are so upset?"
B
"I can see that this situation really bothers you."
C
"The abuse you endured is very painful for you."
D
"Crying is a way of expressing the hurt you're experiencing."
E
"Let's talk about something else, since this subject is upsetting you."
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Question 7
Multiple Choice

A patient is admitted to the intensive care unit for congestive heart failure. Using the situation-background-assessment-recommendation (SBAR) format, put the following statements in the order in which the nurse should report changes to the health care team.

Choose correct answer/s
A
Our patient was admitted 2 days ago with heart failure and has been receiving furosemide (Lasix) for diuresis, but his urine output has been low.
B
I think that our patient needs to be evaluated immediately and may need intubation and mechanical ventilation.
C
This is the nurse on the surgical unit. I am calling about our patient in room 3. After assessing him, I am very concerned about his shortness of breath.
D
Today, our patient has crackles audible throughout the posterior chest and his O2 saturation is 89%. His condition is very unstable.
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