Test Bank: Principles of Epidemiology for Advanced Nursing
Practice 1st Edition by Beth - Ch. 1-11, 9781284154948, with
Rationales
When working with an older adult who is hearing-impaired, the use of which techniques would
improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient lip read.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point.
5. Communicate only through written information. - ANSWER: 1. Check for needed adaptive
equipment.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point
Nurses must communicate effectively with the health care team for which of the following reasons?
(Select all that apply.)
1. Improve the nurse's status with the health team members
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
5. Prevent issues that need to be reported to outside agencies - ANSWER: 2. Reduce the risk of errors
to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
A new nurse complains to her preceptor that she has no time for therapeutic communication with her
patients. Which of the following is the best strategy to help the nurse find more time for this
communication?
1. Include communication while performing tasks such as changing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up remaining time for communication. -
ANSWER: 1. Include communication while performing tasks such as changing dressings and checking
vital signs.
Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals
in helping the patient make behavior changes. What are other benefits of using MI techniques?
(Select all that apply.)
,1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to promote change
5. Identifying differences in patient's health goals and current behaviors - ANSWER: 1. Gaining an
understanding of patient's motivations
3. Recognizing patient's strengths and supporting their efforts
5. Identifying differences in patient's health goals and current behaviors
A nurse is talking with a young-adult patient about the purpose of a new medication. The nurse says,
"I want to be clear. Can you tell me in your words the purpose of this medicine?" This exchange 334is
an example of which element of the transactional communication process?
1. Message
2. Obtaining feedback
3. Channel
4. Referent - ANSWER: 2. Obtaining feedback
A patient who is Spanish-speaking does not appear to understand the nurse's information on wound
care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the procedure
2. Ask a fellow Spanish-speaking patient to help explain the procedure
3. Use a professional interpreter to provide wound care education in Spanish
4. Ask the patient to write down questions that he or she has for the nurse - ANSWER: 3. Use a
professional interpreter to provide wound care education in Spanish
A nurse prepares to contact a patient's physician about a change in the patient's condition. Put the
following statements in the correct order using SBAR (Situation, Background, Assessment, and
Recommendation) communication.
1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on
Levaquin at 5 PM yesterday. She complains of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago."
3. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement
before her medication?"
4. "The patient started complaining of nausea yesterday evening and has vomited several times
during the night." - ANSWER: 4. (S) "The patient started complaining of nausea yesterday evening and
has vomited several times during the night."
1. (B) "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on
Levaquin at 5 PM yesterday. She complains of a poor appetite."
, 2. (A) "The patient reported feeling very nauseated after her dose of Levaquin an hour ago."
3. (R) "Would you like to make a change in antibiotics, or could we give her a nutritional supplement
before her medication?"
A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your
culture and want to learn how to better meet your health care needs." Which therapeutic
communication technique did the nurse use in this situation?
1. Validation
2. Empathy
3. Sarcasm
4. Humility - ANSWER: 4. Humility
A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this
problem?
1. Challenge the nurses in a public forum to embarrass them and change their behavior
2. Talk with the department secretary and ask if this has been a problem for other nurses
3. Talk with the preceptor or manager and ask for assistance in handling this issue
4. Say nothing and hope things get better - ANSWER: 3. Talk with the preceptor or manager and ask
for assistance in handling this issue
A nurse has been gathering physical assessment data on a patient and is now listening to the patient's
concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment
decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship?
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase - ANSWER: 1. Working phase
A patient is evaluated in the emergency department after causing an automobile accident while being
under the influence of alcohol. While assessing the patient, which statement would be the most
therapeutic?
1. "Why did you drive after you had been drinking?"
2. "We have multiple patients to see tonight as a result of this accident."
3. "Tell me what happened before, during, and after the automobile accident tonight."
4. "It will be okay. No one was seriously hurt in the accident." - ANSWER: 3. "Tell me what happened
before, during, and after the automobile accident tonight."
A nursing student is reviewing a process recording with the instructor. The student engaged the
patient in a discussion about availability of family members to provide support at home once the
Practice 1st Edition by Beth - Ch. 1-11, 9781284154948, with
Rationales
When working with an older adult who is hearing-impaired, the use of which techniques would
improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient lip read.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point.
5. Communicate only through written information. - ANSWER: 1. Check for needed adaptive
equipment.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point
Nurses must communicate effectively with the health care team for which of the following reasons?
(Select all that apply.)
1. Improve the nurse's status with the health team members
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
5. Prevent issues that need to be reported to outside agencies - ANSWER: 2. Reduce the risk of errors
to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
A new nurse complains to her preceptor that she has no time for therapeutic communication with her
patients. Which of the following is the best strategy to help the nurse find more time for this
communication?
1. Include communication while performing tasks such as changing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up remaining time for communication. -
ANSWER: 1. Include communication while performing tasks such as changing dressings and checking
vital signs.
Motivational interviewing (MI) is a technique that applies understanding a patient's values and goals
in helping the patient make behavior changes. What are other benefits of using MI techniques?
(Select all that apply.)
,1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to promote change
5. Identifying differences in patient's health goals and current behaviors - ANSWER: 1. Gaining an
understanding of patient's motivations
3. Recognizing patient's strengths and supporting their efforts
5. Identifying differences in patient's health goals and current behaviors
A nurse is talking with a young-adult patient about the purpose of a new medication. The nurse says,
"I want to be clear. Can you tell me in your words the purpose of this medicine?" This exchange 334is
an example of which element of the transactional communication process?
1. Message
2. Obtaining feedback
3. Channel
4. Referent - ANSWER: 2. Obtaining feedback
A patient who is Spanish-speaking does not appear to understand the nurse's information on wound
care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the procedure
2. Ask a fellow Spanish-speaking patient to help explain the procedure
3. Use a professional interpreter to provide wound care education in Spanish
4. Ask the patient to write down questions that he or she has for the nurse - ANSWER: 3. Use a
professional interpreter to provide wound care education in Spanish
A nurse prepares to contact a patient's physician about a change in the patient's condition. Put the
following statements in the correct order using SBAR (Situation, Background, Assessment, and
Recommendation) communication.
1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on
Levaquin at 5 PM yesterday. She complains of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago."
3. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement
before her medication?"
4. "The patient started complaining of nausea yesterday evening and has vomited several times
during the night." - ANSWER: 4. (S) "The patient started complaining of nausea yesterday evening and
has vomited several times during the night."
1. (B) "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on
Levaquin at 5 PM yesterday. She complains of a poor appetite."
, 2. (A) "The patient reported feeling very nauseated after her dose of Levaquin an hour ago."
3. (R) "Would you like to make a change in antibiotics, or could we give her a nutritional supplement
before her medication?"
A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your
culture and want to learn how to better meet your health care needs." Which therapeutic
communication technique did the nurse use in this situation?
1. Validation
2. Empathy
3. Sarcasm
4. Humility - ANSWER: 4. Humility
A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this
problem?
1. Challenge the nurses in a public forum to embarrass them and change their behavior
2. Talk with the department secretary and ask if this has been a problem for other nurses
3. Talk with the preceptor or manager and ask for assistance in handling this issue
4. Say nothing and hope things get better - ANSWER: 3. Talk with the preceptor or manager and ask
for assistance in handling this issue
A nurse has been gathering physical assessment data on a patient and is now listening to the patient's
concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment
decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship?
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase - ANSWER: 1. Working phase
A patient is evaluated in the emergency department after causing an automobile accident while being
under the influence of alcohol. While assessing the patient, which statement would be the most
therapeutic?
1. "Why did you drive after you had been drinking?"
2. "We have multiple patients to see tonight as a result of this accident."
3. "Tell me what happened before, during, and after the automobile accident tonight."
4. "It will be okay. No one was seriously hurt in the accident." - ANSWER: 3. "Tell me what happened
before, during, and after the automobile accident tonight."
A nursing student is reviewing a process recording with the instructor. The student engaged the
patient in a discussion about availability of family members to provide support at home once the
