NRSG 110 Module 4 Exam

A group of nursing students is working together on a presentation for their clinical instructor. One student in the group participates by arguing and attempting to block each step of the process of this presentation. The student's behavior is causing frustration for the others and slowing their progress. What best describes the role this individual student is playing in relationship to the group dynamics? - Self-serving The student's behavior is best described as self-serving. Self-servng roles advance the needs of individual members at the group's expense. Task-oriented roles focus on the work to be completed Group-building or maintenance roles focus on the well-being of the people doing the work The nurse is caring for a client who speaks Chinese, and the nurse does not speak Chinese. An appropriate approach for communication with this client includes what? - Using a caring voice and repeating messages frequently. Approaches to use when a client speaks a diflerent language include speaking slowly and distinetly, and avoiding loud voices Use a caring voice, keeping messages simple. and repeat messages frequently. The use of a language dictionary by the nurse is appropriate, but writing messages and asking the client to translate is not an appropriateapproach. Gestures, pictures, and play-acting help the client understand, A nurse has drafted an SBAR communication before contacting the primary care provider of a client whose condition has worsened suddenly. How should the nurse best conclude this communication? - Ask the care provider to come and assess the client. The final phase of an SBAR communication involves making a recommendation. In the case of a client whose condition is worsening, this may entail recommending that the primary care provider come to assess the client. Asking the care provider if he or she is familiar with the client should be done carly in the communication. Providing assessment data and possible diagnoses are addressed in the background and assessmentr sections of the tool. The nurse has entered a client's room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first implement in this interaction? - A yes/no question There are times when yes/no questions are appropriate. In this case, the nurse may want to ask, "Do you feel short of breath?" or something similar. Directing questions and reflective questions follow up on earlier communication. An open-ended question may elicit the necessary assessment data, but a yes/no question accomplishes this goal more directly. The nurse has entered a client's room after receiving a morning report. The nurse rapidly assessed the client's airway, breathing, and circulation and greeted the client by saying "Good morning." The client has made no reciprocal response to the nurse. How should the nurse best respond to the client's silence? - The nurse should ask appropriate questions to understand the reasons for the client's silence. Silence can have many meanings, and the murse should attempt to identifv the meaning of the client's silence in a tactlul manner, Direetly asking if the client is angry or tearful is lkely presumptuous and may haron rapport. The nurse should not make assumptions around the client's mood nor should the nurse ccase fo engage with the client A nurse touches a client's hand to indicate caring and support. What channel of communication is the nurse using? - Kinesthetic The channel of communication is the medium the sender has selected to send the message. The channel might target any of the receiver's senses. The channels are auditory (spoken words and cues), visual (sight, observations, and perceptions), and kinesthetic (touch). A nurse is educating a home care client on how to administer a topical medication. The client is watching television while the nurse is talking. What might be the result of this interaction? - The message will likely be misunderstood. Noise, which is a factor that distorts the quality of a message, can interfere with communication at any point in the process. If the client is watching television, it is likely that the message from the nurse will be misunderstood. The family of a client in a burn unit asks the nurse for information. The nurse sits with the family and discusses their concerns. What type of communication is this? - Interpersonal Interpersonal communication occurs among two or more people with a goal to exchange messages. Nurses spend most of their day communicating with clients, family members, and health care team members. Which of the following is an example of nonverbal communication? A) A nurse says, "I am going to help you walk now." B) A nurse presents information to a group of clients. C) A client's face is contorted with pain. D) A client asks the nurse for a pain shot. - C) A client's face is contorted with pain. Nonverbal communication is the transmission of information without the use of words. In this situation, the facial contortion is a nonverbal message of pain A nursing student caring for an unconscious client knows that communication is important even if the client does not respond. Which nonverbal action by the nursing student would communicate caring? A) Making constant eye contact with the client B) Waving to the client when entering the room C) Sighing frequently while providing care D) Holding the client's hand while talking - D) Holding the client's hand while talking Tactile sense is a form of nonverbal communication and is viewed as one of the most effective nonverbal ways to express feelings of comfort. Which of the following statements is true of factors that influence communication? A) Nurses provide the same information to all clients, regardless of age. B) Men and women have similar communication styles. C) Culture and lifestyle influence the communication process. D) Distance from a client has little effect on a nurse's message. - C) Culture and lifestyle influence the communication process. Culture and lifestyle do influence the communication process; understanding a client's culture assists nurses in understanding nonverbal communication and enables the nurse to deliver accurate care. A nurse is sitting near a client while conducting a health history. The client keeps edging away from the nurse. What might this mean in terms of personal space? - The nurse is in the client's personal space. Each person has a sense of how much personal or private space is needed and what distance between individuals is optimum. It is best to take cues from the client; a slient moving backward indicates discomfort with invasion of his or her personal space. Why is communication important to the "assessing" step of the nursing process? - The major focus of assessing is to gather information. The major focus of assessment is to gather information using both verbal and nonverbal communication forms. Nurses use the written word, the spoken word, and one-to-one communication with clients. Effective communication techniques, as well as observational skills, are used extensively during assessment. A nurse uses the SBAR method to hand off the communication to the health care team. Which of the following might be listed under the "B" of the acronym? A) Vital signs B) Mental status C) Client request D) Further testing - B) Mental status SBAR stands for Situation, Background, Assessment, and Recommendations, and provides a consistent method for hand-off communication that is clear, structured, and easy to use. Vital signs would fall under the category of situation: mental status: background: client request: assessment: further testing. recommendations. What is the goal of the nurse in a helping relationship with a client? - To assist the client to identify and achieve goals A helping relationship exists among people who provide and receive assistance in meeting human needs. When a nurse and a client are involved in a helping relationship, the nurse assists the client to identify and achieve goals that allow the client's human needs to be met. What action by the nurse will facilitate the helping relationship during the orientation phase? A) Providing assistance to meet activities of daily living B) Introducing oneself to the client by name C) Designing a specific teaching plan of care D) Preparing for termination of the relationship - B) Introducing oneself to the client by name In the orientation phase of the helping relationship. the nurse and patient meet and learn to identify each other by name It is especially important that the nurse introduce herself or himself to the patient during this phase. Which of the nursing roles is primarily performed during the working phase of the helping relationship? A) Educator and counselor B) Provider of care C) Leader and manager D) Researcher - A) Educator and counselor The nursing roles of educator and counselor are primarily performed during the working phase of the helping relationship. This is where the nurse's interpersonal skills are used to the fullest. What term describes a nurse who is sensitive to the client's feelings, but remains objective enough to help the client achieve positive outcomes? - Empathic Empathy is identifying with the way another person feels. An empathic nurse is sensitive to the client's feelings and problems, but remains objective enough to help the client work to attain positive outcomes. What is the primary focus of communication during the nurse-client relationship? - Client and client needs Communication in the nurse-client relationship should focus on the client and patient needs, not on the nurse or an activity in which the nurse is engaged. Which of the following is an example of a closed-ended question or statement? A) "How did that make you feel?" B) "Did you take those drugs?" C) "What medications do you take at home?" D) "Describe the type of pain you have." - B) "Did you take those drugs?" The closed-ended question or statement provides the receiver with limited choices of possible responses and might often be answered by one or two words, such as "yes" or "no." When not used appropriately, closed-ended questions are a barrier to effective communication. A client tells the nurse that he is very worried about his surgery. Which of the following responses by the nurse is a cliché? A) "Tell me what you are worried about." B) "Have you spoken to your family about your concerns?" C) "Do you want to cancel your surgery?" D) "Don't worry, everything will be fine." - D) "Don't worry, everything will be fine." A cliché is a stereotypical, trite, or pat answer. Most health care clichés suggest there is no cause for concern, or they often offer false assurance. Their use tends to be interpreted as a lack of real interest in what has been said. A nurse tells a client, "Aren't you going to get out of bed or are you just going to sleep all day and night?" This is an example of what barrier to communication? - Using judgmental or belittling language. Using judgmental comments tends to impose the nurse's standards on the client. In this case, the nurse judges the client as being lazy and the nurse's apparent hostility could end effective communication. A nurse is caring for a client who is visually impaired. Which of the following is a recommended guideline for communication with this client? A) Ease into the room without acknowledging presence until the client can be touched. B) Speak in a louder tone of voice to make up for lack of visual cues. C) Explain reason for touching client before doing so. D) Keep communication simple and concrete. - C) Explain reason for touching client before doing so. For clients who are visually impaired, the nurse should acknowledge his or her presence in the client's room, identify self by name speak in a normal tone of voice, explain the reason tor touching the client before doing so, and indicate to the client when the conversation has ended and when leaving the room A client has been recently diagnosed with diabetes. He is seen in the emergency room every day with high blood sugar. The client apologizes to the nurse for bothering them every day, but he cannot give himself insulin injections. What question should the nurse ask? - "Has someone taught you how to take them?" The nurse should assess whether the client has a knowledge deficit regarding selfinjection. If there is a knowledge deficit, the nurse should educate the client in the correct method of taking insulin injections. A nurse pays a house visit to a client who is on total parenteral nutrition. The client expresses that he misses enjoying food with his family. What is the most appropriate response by the nurse? - Tell me more about how it feels to eat with your family. The nurse should help the client to verbalize his feelings and cope with aspects of illness and treatment. Asking open- ended questions is most appropriate as the nurse encourages the client to exprèss his feelings. A nurse is caring for a client with myasthenia gravis. The client is having difficulty forming words and his tone is nasal. What is an effective communication strategy for this client? - Repeat what the client has said to verify the meaning. The client is having a problem forming words and has a nasal tone due to a nerve involvement that controls speech. For effective communication, the nurse should repeat and verify whatever the client says. The nurse should ask those questions which can be answered in a yes or no form.