C HAPTER 04: C OMMUNICATION
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A nurse tells a patient, “This PM you are going for an abdominal A&P, an
H&H, as well as an IV pyelogram. Please sign these consent forms.” What
may this use of medical jargon cause?
a. Understanding
b. Speed in communication
c. Misinterpretation
d. Clarit y in the message
ANS: C
Jargon is terminology unique to people in a special t ype of work and is
not understood by everyone. Although jargon does speed
communication and is clear to those who k now it, it may be
misinterpreted and not understood by all people.
DIF: Cognitive Level: Comprehension REF: p. 61 OBJ: 7
TOP: Communication KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
2. During a complete assessment, w hich t ype of questioning is not usuall y
conducive to fostering communication?
a. Open-ended
b. Focused
, c. Closed
d. Clarifying
ANS: C
Closed questions are t ypes of questions that the nurse may choose to
use that are not usuall y conducive to fostering communication.
DIF: Cognitive Level: Comprehension REF: p. 67 OBJ: 7
TOP: Communication KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
3. A patient states, “My husband has told me how he feels about my having a
mastectom y.” The nurse no ds and says, “Go on.” This is an example of:
a. clarifying.
b. restating.
c. focusing.
d. minimal encouraging.
ANS: D
The nurse uses minimal encouragement to lead the patient to provide
more information.
DIF: Cognitive Level: Application REF: p. 66 OBJ: 5
TOP: Communication KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
, 4. A nurse is communicating with an older adult. How might the nurse
enhance communication?
a. Speak in a rapid manner to accommodate the patient’s short
attention span.
b. Speak in a lower voice tone to accommodate hearing loss.
c. Speak in a simple manner as if speaking to a child.
d. Speak in a loud voice directl y at ear level.
ANS: B
Older adults lose their abilit y to hear higher frequency sound. Speaking
in a lower tone en hances communication. Speaking overl y loud and as
if to a child may be irritating and demeaning. Rapid speech may be
difficult for older adults to understand.
DIF: Cognitive Level: Application REF: p. 73 OBJ: 6
TOP: Physiologic factors affecting commun ication
KEY: Nursing Process Step: Implementation
MSC: NC LEX: Psychosocial Integrit y
5. What does maintaining eye contact for 2 to 6 seconds during
communication with a patient do?
a. Keeps the nurse’s attention on the conversation
b. Counteracts shyness in the patient
c. Indicates continuous focused attention
d. Assesses if the patient is involved in the conversation
ANS: C
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. A nurse tells a patient, “This PM you are going for an abdominal A&P, an
H&H, as well as an IV pyelogram. Please sign these consent forms.” What
may this use of medical jargon cause?
a. Understanding
b. Speed in communication
c. Misinterpretation
d. Clarit y in the message
ANS: C
Jargon is terminology unique to people in a special t ype of work and is
not understood by everyone. Although jargon does speed
communication and is clear to those who k now it, it may be
misinterpreted and not understood by all people.
DIF: Cognitive Level: Comprehension REF: p. 61 OBJ: 7
TOP: Communication KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
2. During a complete assessment, w hich t ype of questioning is not usuall y
conducive to fostering communication?
a. Open-ended
b. Focused
, c. Closed
d. Clarifying
ANS: C
Closed questions are t ypes of questions that the nurse may choose to
use that are not usuall y conducive to fostering communication.
DIF: Cognitive Level: Comprehension REF: p. 67 OBJ: 7
TOP: Communication KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
3. A patient states, “My husband has told me how he feels about my having a
mastectom y.” The nurse no ds and says, “Go on.” This is an example of:
a. clarifying.
b. restating.
c. focusing.
d. minimal encouraging.
ANS: D
The nurse uses minimal encouragement to lead the patient to provide
more information.
DIF: Cognitive Level: Application REF: p. 66 OBJ: 5
TOP: Communication KEY: Nursing Process Step:
Implementation MSC: NC LEX: Psychosocial Integrit y
, 4. A nurse is communicating with an older adult. How might the nurse
enhance communication?
a. Speak in a rapid manner to accommodate the patient’s short
attention span.
b. Speak in a lower voice tone to accommodate hearing loss.
c. Speak in a simple manner as if speaking to a child.
d. Speak in a loud voice directl y at ear level.
ANS: B
Older adults lose their abilit y to hear higher frequency sound. Speaking
in a lower tone en hances communication. Speaking overl y loud and as
if to a child may be irritating and demeaning. Rapid speech may be
difficult for older adults to understand.
DIF: Cognitive Level: Application REF: p. 73 OBJ: 6
TOP: Physiologic factors affecting commun ication
KEY: Nursing Process Step: Implementation
MSC: NC LEX: Psychosocial Integrit y
5. What does maintaining eye contact for 2 to 6 seconds during
communication with a patient do?
a. Keeps the nurse’s attention on the conversation
b. Counteracts shyness in the patient
c. Indicates continuous focused attention
d. Assesses if the patient is involved in the conversation
ANS: C
