Chapter 24: Communication Test Bank ALL ANSWERS 100% CORRECT FALL-2021/2022 SOLUTION GUARANTEED GRADE A+

1. Nurses who make the best communicators a. Develop critical thinking skills. b. Like different kinds of people. c. Learn effective psychomotor skills. d. Maintain perceptual biases. ANS: A Nurses who develop critical thinking skills make the best communicators. Just liking people does not make an effective communicator because it is important to apply critical thinking standards to ensure sound effective communication. Just learning psychomotor skills does not ensure that the nurse will use those techniques and communication involves more than psy- chomotor skills. Critical thinking helps the nurse overcome perceptual biases or human ten- dencies that interfere with accurately perceiving and interpreting messages from others. Nurses who maintain perceptual biases do not make good communicators. DIF: Remember REF: 310 OBJ: Describe aspects of critical thinking that are important to the communication process. TOP: Implementation MSC: Communication and Documentation 2. A nurse believes that the nurse-patient relationship is a partnership, and that both are equal participants. Which term should the nurse use to describe this belief? a. Critical thinking b. Authentic c. Mutuality d. Attend ANS: C Effective interpersonal communication requires a sense of mutuality, a belief that the nurse- patient relationship is a partnership, and that both are equal participants. Critical thinking in nursing, based on established standards of nursing care and ethical standards, promotes effec- tive communication and uses such standards as humility, self-confidence, independent atti- tude, and fairness. To be authentic (one’s self) and to respond appropriately to the other person are important for interpersonal relationships but do not mean mutuality. Attending is giving all of your attention to the patient. DIF: Understand REF: 310 OBJ: Identify significant features and therapeutic outcomes of nurse-patient helping relationships. TOP: Planning MSC: Communication and Documentation 3. A nurse wants to present information about flu immunizations to the elderly in the community. Which type of communication should the nurse use? a. Interpersonal b. Public c. Transpersonal d. Small group ANS: B Public communication is interaction with an audience. Nurses have opportunities to speak with groups of consumers about health-related topics, present scholarly work to colleagues at conferences, or lead classroom discussions with peers or students. Intrapersonal communica- tion is a powerful form of communication that occurs within an individual. Transpersonal communication is interaction that occurs within a person’s spiritual domain. When nurses work on committees, lead patient support groups, form research teams, or participate in pa- tient care conferences, they use a small group communication process. DIF: Apply REF: 311 OBJ: Describe the five levels of communication and their uses in nursing. TOP: Planning MSC: Communication and Documentation 4. Which technique will be most successful in ensuring effective communication? The nurse uses a. Interpersonal communication to change negative self-talk to positive self-talk. b. Small group communication to present information to an audience. c. Intrapersonal communication to build strong teams. d. Transpersonal communication to enhance meditation. ANS: D Transpersonal communication is interaction that occurs within a person’s spiritual domain. Many people use prayer, meditation, guided reflection, religious rituals, or other means to communicate with their “higher power.” Interpersonal communication is one-on-one interac- tion between the nurse and another person that often occurs face to face. Meaningful interper- sonal communication results in exchange of ideas, problem solving, expression of feelings, decision making, goal accomplishment, team building, and personal growth. Small group communication is interaction that occurs when a small number of persons meet. This type of communication is usually goal directed and requires an understanding of group dynamics. When nurses work on committees, lead patient support groups, form research teams, or partic- ipate in patient care conferences, they use a small group communication process. Intraper- sonal communication is a powerful form of communication that occurs within an individual. For example, you improve your health and self-esteem through positive self-talk by replacing negative thoughts with positive assertions. DIF: Evaluate REF: 311 OBJ: Describe the five levels of communication and their uses in nursing. TOP: Evaluation MSC: Communication and Documentation 5. A nurse is standing beside the patient’s bed. Nurse: How are you doing? Patient: I don’t feel good. In this situation, which element is the feedback? a. Nurse b. Patient c. How are you doing? d. I don’t feel good. ANS: D “I don’t feel good” is the feedback because the feedback is the message the receiver returns. The sender is the person who encodes and delivers the message, and the receiver is the person who receives and decodes the message. The nurse is the sender. The patient is the receiver. “How are you doing?” is the message. DIF: Apply REF: 312 OBJ: Describe the basic elements of the communication process. TOP: Assessment MSC: Communication and Documentation 6. A nurse is sitting at the patient’s bedside taking a nursing history. Which zone of personal space is the nurse using? a. Intimate b. Personal c. Social d. Public ANS: B Personal space is 18 inches to 4 feet and involves such things as sitting at a patient’s bedside, taking a patient’s nursing history, or teaching an individual patient. Intimate space is 0 to 18 inches and involves such things as performing a physical assessment, bathing, grooming, dressing, feeding, and toileting a patient. Social zone is 4 to 12 feet and involves such things as making rounds with a physician, sitting at the head of a conference table, or teaching a class for patients with diabetes. Public zone is 12 feet and greater and involves such things as speaking at a community forum, testifying at a legislative hearing, or lecturing. DIF: Remember REF: 314 OBJ: Describe the basic elements of the communication process. TOP: Implementation MSC: Communication and Documentation 7. A smiling patient angrily states, “I will not cough and deep breathe.” How will the nurse inter- pret this finding? a. The patient’s personal space was violated. b. The patient’s affect is inappropriate. c. The patient’s vocabulary is poor. d. The patient’s denotative meaning is wrong. ANS: B An inappropriate affect is a facial expression that does not match the content of a verbal mes- sage (e.g., smiling when describing a sad situation). The patient is smiling but is angry, which indicates an inappropriate affect. The patient’s personal space was not violated. The patient’s vocabulary is not poor. Individuals who use a common language share denotative meaning: baseball has the same meaning for everyone who speaks English, but code denotes cardiac ar- rest primarily to health care providers. The patient’s denotative meaning is correct for cough and deep breathe. DIF: Evaluate REF: 313-314 OBJ: Describe the basic elements of the communication process. TOP: Evaluation MSC: Psychosocial Integrity 8. The nurse asks a patient where the pain is, and the patient responds by pointing to the area of pain. Which form of communication did the patient use? a. Verbal b. Nonverbal c. Intonation d. Vocabulary ANS: B The patient gestured (pointed), which is a type of nonverbal communication. Gestures empha- size, punctuate, and clarify the spoken word. Pointing to an area of pain is sometimes more accurate than describing its location. Verbal is the spoken word or message. Intonation or tone of voice dramatically affects the meaning of a message. Vocabulary consists of words used for verbal communication. DIF: Understand REF: 313-314 OBJ: Describe the basic elements of the communication process. TOP: Assessment MSC: Basic Care and Comfort 9. A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care that has been received. Which interaction is the nurse us- ing? a. Narrative b. Socializing c. Nonjudgmental d. SBAR ANS: A In a therapeutic relationship, nurses often encourage patients to share personal stories. Sharing stories is called narrative interaction. Socializing is an important initial component of inter- personal communication. It helps people get to know one another and relax. It is easy, superfi- cial, and not deeply personal. Nonjudgmental acceptance of the patient is an important charac- teristic of the relationship. Acceptance conveys a willingness to hear a message or acknowl- edge feelings; it is not a technique that involves personal stories. SBAR is a popular commu- nication tool that helps standardize communication among health care providers. SBAR stands for Situation, Background, Assessment, and Recommendation. DIF: Remember REF: 315-316 OBJ: Identify significant features and therapeutic outcomes of nurse-patient helping relationships. TOP: Assessment MSC: Psychosocial Integrity 10. Before meeting the patient, a nurse talks to other caregivers about the patient. The nurse is in which phase of the helping relationship? a. Pre-interaction b. Orientation c. Working d. Termination ANS: A The time before the nurse meets the patient is called the pre-interaction phase. This phase can involve such things as reviewing available data, including the medical and nursing history, talking to other caregivers who have information about the patient, or anticipating health con- cerns or issues that can arise. The orientation phase occurs when the nurse and the patient meet and get to know one another. This phase can involve such things as setting the tone for the relationship by adopting a warm, empathetic, caring manner; recognizing that the initial relationship is often superficial, uncertain, and tentative; or expecting the patient to test the nurse’s competence and commitment. The working phase occurs when the nurse and the pa- tient work together to solve problems and accomplish goals. This phase can involve such things as encouraging and helping the patient express feelings about his or her health, encour- aging and helping the patient with self-exploration, or providing information needed to under- stand and change behavior. The termination phase occurs during the ending of the relation- ship. This phase can involve such things as reminding the patient that termination is near, evaluating goal achievement with the patient, or reminiscing about the relationship with the patient. DIF: Understand REF: 315 OBJ: Identify a nurse’s communication approaches within the four phases of a nurse-patient helping relationship. TOP: Assessment MSC: Communication and Documentation 11. During the initial home visit, a home health nurse lets the patient know that the visits are ex- pected to end in about a month. The nurse is in which phase of the helping relationship? a. Pre-interaction