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Communication

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Question 1
Free
Multiple Choice

The nurse is caring for an adult patient with a recent below-the-knee amputation. During shift report, the nurse reports that the patient has urinated in the bed multiple times since the surgery. Which defense mechanism best describes this behavior?

Choose correct answer/s
A

compensation

B

denial

C

rationalization

D

regression

Check answer
Question 2
Free
Multiple Choice

A female patient is admitted to the emergency department after being raped by a neighbor. The patient refuses to discuss the circumstances surrounding the event with the sexual assault nurse examiner. This patient is most likely using the defense mechanism of:

Choose correct answer/s
A

suppression

B

sublimation

C

displacement

D

rationalization

Check answer
Question 3
Free
Multiple Choice

A patient calls the nurse to report the smell of cigarette smoke in the bathroom. The event which triggers this communication process is referred to as the:

Choose correct answer/s
A

channel.

B

referent.

C

message.

D

feedback.

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Question 4
Free
Multiple Choice

The nurse manager sends an e-mail to the nursing staff as a reminder for a scheduled monthly meeting. In doing so, the nurse manager understands that e-mail:

Choose correct answer/s
A

is usually slower than other methods to disseminate knowledge.

B

has the potential for miscommunication.

C

cannot be used to deliver vital information.

D

is especially effective because of the use of nonverbal cues.

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Question 5
Free
Multiple Choice

The nursing student has been assigned to help feed patients at lunch time. Which of these nursing interventions would be most effective when assisting a blind patient to eat a meal?

Choose correct answer/s
A

Speak loudly to ensure that the patient understands.

B

Describe the food arrangement using the numbers on a clock.

C

Tell the patient what is on the plate, assuming he has lost the sense of smell.

D

Encourage the patient to eat faster so that the task will be done.

Check answer
Question 6
Multiple Choice

The nurse observes a confused patient pacing back and forth in the dining room. The patient yells, "The doctor is going to make us all drink poison!" The most appropriate intervention at this time would be to:

Choose correct answer/s
A
ask the patient why he would say something like that.
B
change the subject to disrupt the patient's thought process.
C
tell the patient that he should probably think of something else.
D
quietly ask the patient to explain the statement.
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Question 7
Multiple Choice

A patient with an inoperable brain tumor says to the nurse, "I just want to die now. It's going to happen soon anyway." Which of the following would be the most appropriate response?

Choose correct answer/s
A
"Don't worry about that right now. It'll be OK."
B
"I disagree with what you just said!"
C
"Honey, now don't you talk like that."
D
"Tell me why you are saying that."
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Question 8
Multiple Choice

The nurse is caring for a patient with chronic lung disease. The patient demands a cigarette after eating breakfast. The nurse responds, "If that was me, I wouldn't be asking for a cigarette. That is what has made you so sick in the first place." This nontherapeutic communication response is an example of:

Choose correct answer/s
A
changing the subject.
B
giving advice.
C
a stereotypical response.
D
defensiveness.
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Question 9
Multiple Choice

What would be an acceptable personal space distance for most English-speaking persons?

Choose correct answer/s
A
14 inches
B
18 inches
C
21 inches
D
24 inches
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Question 10
Multiple Choice

Based on a patient's perception of professional competence and caring, the nurse should wear:

Choose correct answer/s
A
large, dangling, hoop earrings
B
bright red, acrylic fingernails
C
a clean, neatly pressed uniform
D
offensive tattoos that cannot be covered
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Question 11
Multiple Choice

The nurse is admitting a patient with a foul smelling leg wound. Which behavior by the nurse indicates an understanding of appropriate body language?

Choose correct answer/s
A
Using hand gestures to enhance verbal communication
B
Standing at the end of the bed with arms crossed
C
Facial grimacing at the sight of the wound
D
Gentle touching of the patient's shoulder
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Question 12
Multiple Choice

Several nurses on a medical-surgical unit have been asked by the nurse manager to form a group and gather data regarding patient complaints of late meals. The nurses meet and establish ground rules. This phase of group development is called:

Choose correct answer/s
A
forming.
B
storming.
C
norming.
D
performing.
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Question 13
Multiple Choice

A nurse has been working with a patient for the entire shift. Which action by the nurse is unacceptable?

Choose correct answer/s
A
Sharing a personal mobile phone number
B
Touching the patient's hand during a painful procedure
C
Standing 6 feet away from the patient when conversing
D
Using the SBAR method of hand-off communication
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Question 14
Multiple Choice

During a shift report, a staff member briefly describes the history of a patient admitted with chronic gastrointestinal bleeding. In which SBAR topical area would this information be presented?

Choose correct answer/s
A
Situation
B
Background
C
Assessment
D
Recommendation
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Question 15
Multiple Choice

The nurse is performing an abdominal assessment on a postoperative surgical patient. The nurse notes that the dressing needs to be changed twice a day and discusses when the patient would like to have it done. The nurse then plans to change the dressing at that time. In which phase of the nurse-patient helping relationship would this process occur?

Choose correct answer/s
A
Introductory phase
B
Orientation phase
C
Working phase
D
Termination phase
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Question 16
Multiple Choice

The nurse is collaborating with a patient to determine interventions to ensure compliance with medication administration after his pending discharge. The goals and nursing interventions would be agreed upon in the:

Choose correct answer/s
A
Preinteraction phase.
B
Orientation phase.
C
Working phase.
D
Termination phase.
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Question 17
Multiple Choice

A patient complains that several staff members entered the room during the morning bath without knocking. Which component of professional nursing communication has been violated in this scenario?

Choose correct answer/s
A
Collaboration
B
Advocacy
C
Assertiveness
D
Respect
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Question 18
Multiple Choice

The nurse is caring for a patient who is unable to take oral medications because of persistent nausea and vomiting. The nurse decides to call the primary care physician and ask for a different medication administration route. This demonstrates the act of:

Choose correct answer/s
A
collaboration.
B
delegation.
C
assertiveness.
D
advocacy.
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Question 19
Multiple Choice

The nurse is assisting a co-worker who is preparing to change a deep wound dressing on a patient's abdomen. Several of the patient's out-of-town friends are at the bedside watching a football game. Which action is most appropriate for the nurse to consider prior to the dressing change?

Choose correct answer/s
A
Ask the friends to leave the room.
B
Pull the curtain around the bed.
C
Allow visitors to stay in the room during the procedure.
D
Ask the patient to turn up the volume on the television.
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Question 20
Multiple Choice

The nurse is conducting a presurgical screening interview with a patient at a local surgical center. When performing a health assessment, the primary source of information should be:

Choose correct answer/s
A
the spouse.
B
the medical record.
C
a close relative.
D
the patient.
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