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Question 1
Free
Multiple Choice

A trusting relationship with a patient can be fostered by

Choose correct answer/s
A

introducing oneself and stating one's role.

B

identifying the patient by room number.

C

seeing the patient every 5 to 7 minutes.

D

making up answers when one does not know the answer.

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Question 2
Free
Multiple Choice

A patient is crying. The nurse can correctly conclude from this type of nonverbal communication that

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A

the patient is sad.

B

the tears reflect happiness.

C

the patient is in pain.

D

the situation needs clarification.

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Question 3
Free
Multiple Choice

The nurse who demonstrates empathy

Choose correct answer/s
A

feels sorry for the patient's situation.

B

understands the patient's thoughts but is unaware of his or her feelings and emotions.

C

understands and appreciates the patient's feelings while remaining objective.

D

attempts to remove physical and emotional pain and fix all of the patient's problems.

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Question 4
Free
Multiple Choice

The nurse demonstrates commitment to the patient by

Choose correct answer/s
A

delivering nursing care skillfully.

B

using humor to poke fun at the patient.

C

giving advice to solve the patient's problems.

D

talking about what the nurse plans to do after work.

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Question 5
Free
Multiple Choice

To communicate interest and caring to a patient of the majority culture, the nurse should

Choose correct answer/s
A

call the patient on days off.

B

keep conversation on a social level.

C

direct the patient to make a list of all problems.

D

make eye contact and encourage the patient to communicate.

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Question 6
Multiple Choice

A patient states, "I'm really turned off when the doctor hurries out of here." The nurse responds, "You're feeling upset with your doctor because he doesn't spend enough time with you." This interaction demonstrates

Choose correct answer/s
A
summarizing.
B
validating.
C
clarifying.
D
reflecting.
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Question 7
Multiple Choice

The patient states, "My pain is awful!" The response that illustrates the use of focusing is

Choose correct answer/s
A
"On a scale of 1 to 10, tell me the number that represents your level of pain."
B
"I am not sure I understand what you're telling me."
C
"You seem to be in considerable pain."
D
"Can you handle the pain you're having?"
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Question 8
Multiple Choice

A patient states, "This is my fourth miscarriage." A response by the nurse that demonstrates active listening would be

Choose correct answer/s
A
"Having another miscarriage must be hard to accept."
B
"This is nature's way. You can be glad it happened."
C
"How lucky to have lost the baby so early in your pregnancy."
D
"I've had two miscarriages, so I know how you must feel."
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Question 9
Multiple Choice

The patient asks, "What is an IVAC thermometer?" The nurse replies, "It is a heat-sensitive probe inserted into the sublingual area or rectal orifice. Heat transmission proceeds via an electrical system to a control center that interprets the temperature and displays it." This reply can be analyzed as

Choose correct answer/s
A
one-way communication.
B
active listening.
C
unnecessary use of jargon.
D
displaying sensitivity.
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Question 10
Multiple Choice

A patient states, "I don't seem to be getting my strength back." The nurse replies, "Don't worry. You are coming along just fine." This response is an example of

Choose correct answer/s
A
probing.
B
false reassurance.
C
disagreeing.
D
active listening.
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Question 11
Multiple Choice

The nurse enters a patient's room and asks, "How are things today?" The nurse has used

Choose correct answer/s
A
an open-ended question.
B
a focused question.
C
probing.
D
paraphrasing.
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Question 12
Multiple Choice

Characteristics of one-way communication include all of the following except

Choose correct answer/s
A
it is sender controlled.
B
receiver feedback is not expected.
C
it always has negative value.
D
it is useful to give commands.
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Question 13
Multiple Choice

Two-way communication differs from one-way communication because with one-way communication

Choose correct answer/s
A
the impact is positive.
B
the receiver contributes as much as the sender.
C
no feedback is expected.
D
body language does not affect the receiver.
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Question 14
Multiple Choice

A patient asks a practical/vocational nursing student the following questions. To which option should the nurse respond, "I don't know the answer to your question, but I'll find someone who will discuss it with you"?

Choose correct answer/s
A
"What do you mean when you say 'vital signs'?"
B
"May I get out of bed?"
C
"How do I call a nurse when I need one?"
D
"How much longer do I have to live?"
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Question 15
Multiple Choice

A patient who has had knee surgery tells the nursing student that he is "doing fine" and "doesn't need anything." The student observes that he winces when moving in bed and that he has a worried frown. The student asks him to rate his pain on a numerical scale and then encourages him to take his prn analgesic. Which is true of this interaction?

Choose correct answer/s
A
The nursing student recognized that the patient's verbal and nonverbal messages were incongruent.
B
The nursing student understood that verbal messages outrank nonverbal messages in importance.
C
The nursing student realized that affective communication is of lesser importance.
D
The nursing student used one-way communication effectively.
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Question 16
Multiple Choice

Which option provides information that allows an individual to identify the patient's affective state?

Choose correct answer/s
A
Mr. B states that he is in considerable pain, about 8 on a scale of 1 to 10. He characterizes the pain as stabbing.
B
Mrs. T's facial expression looks sad. Tears well up in her eyes, and the corners of her mouth droop.
C
Miss L lies still with her eyes shut, her arms held rigidly at her side, and her fists clenched.
D
Mr. A listens carefully to the directions for blood glucose monitoring and then asks several relevant questions.
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Question 17
Multiple Choice

Which statement is true regarding open-ended, closed-ended, and focused questions?

Choose correct answer/s
A
Open-ended questions always achieve their purpose.
B
Closed-ended and focused questions are used to get specific information.
C
Closed-ended questions are used primarily with children and older adults.
D
Focused questions are more useful when communicating with men.
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Question 18
Multiple Choice

On which statement about life span communication differences can the nurse rely when implementing patient care?

Choose correct answer/s
A
Children from birth to age 2 are most soothed by a high-pitched tone of voice.
B
Preschool children tend to respond well to a reasoning approach.
C
It is important to try to communicate with teens using their slang.
D
Older adults hear lower frequency sounds more easily than high-pitched sounds.
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Question 19
Multiple Choice

A patient tells the nurse, "I don't know what to expect in the hospital. Everybody speaks medical-talk. Nobody tells me if I'm getting better or worse. Doctors march in and poke and prod me without asking my permission. And another thing, I can't stay here forever; I have to look after my elderly mother." From these data the nurse can correctly determine that the patient is

Choose correct answer/s
A
experiencing a difficult transition to the patient role.
B
unnecessarily sensitive to loss of independence.
C
excessively fearful of unknown aspects of hospitalization.
D
suffering from sensory overload.
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Question 20
Multiple Choice

A patient states, "My chest incision hurts. I can't walk because of the pain." The nurse responds, "You've been unable to walk because of incisional pain." The nurse's response is an example of which active listening behavior?

Choose correct answer/s
A
Restating
B
Reflection
C
Clarification
D
Paraphrasing
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