TEST BANK - Gray & Grove, Burns and Groves The
Practice of Nursing Research 9th Edition
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 patient is discharged. The student reviews with the
instructor whether the comments used encouraged openness and allowed the
patient to "tell his story." This is an example of which step of the nursing process?
1. Planning
2. Assessment
Practice of Nursing Research 9th Edition
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 patient is discharged. The student reviews with the
instructor whether the comments used encouraged openness and allowed the
patient to "tell his story." This is an example of which step of the nursing process?
1. Planning
2. Assessment
