Fundamentals ch. 21 Davis Plus TestBank
Questions Correctly Verified
You enter a patient's room at the beginning of your shift in the early morning. You ask the patient, "How
did you sleep last night?" He replies, "Terrible." You say, "I'm sorry to hear that. I'll ask your doctor to
write you a prescription for some sleeping pills." Which barrier to communication have you just
committed?
1) Fire-hosing information
2) Offering advice
3) Providing false reassurance
4) Failing to probe - Answer Failing to Probe
Feedback:
Failing to probe can result in incomplete assessment and affect the quality of your care. A thorough
assessment requires you to explore issues in detail. In this case, you should have probed as to the cause
of the client's poor sleep instead of immediately recommending a sleeping pill. It could be that the client
slept poorly because of pain and needs a pain medication instead of a sleep medication.
A client informs you that her physical therapist recently told her that she has a suspicious-looking lesion
on her leg that she should have checked out. You inspect the lesion and record comments about it in the
client's SOAP note. Later, the physician examines the client, includes comments in the patient's health
record, and provides a referral to a dermatologist. You explain the referral to the patient. This series of
interactions may best be characterized as which of the following?
1) Interpersonal communication
2) Small-group communication
3) Public communication
4) Intrapersonal communication - Answer Interpersonal Communication
Feedback:
Interpersonal communication occurs between two or more people. Face-to-face conversation between
two people is the most frequent form of interpersonal communication. Nurses use interpersonal
communication to gather information during assessment, to teach about health issues, to explain care,
and to provide comfort and support. In addition to communicating directly with clients, professional
, nurses communicate with other nurses and healthcare team members to provide comprehensive care
for clients.
3.During a physical examination of a client, you tell her in a moderate pitch, volume, and pace, "I need
to auscultate your thoracic region for signs of rhonchi and stridor now." The client stares back at you
blankly. Which of the following factors most likely prevented effective communication in this case?
1) Vocabulary
2) Denotative and connotative meaning
3) Pacing
4) Intonation - Answer Vocabulary
Feedback:
Healthcare workers have a large vocabulary of technical terms and jargon. However, laypersons are
often unfamiliar with healthcare language and find its use intimidating, or at best puzzling. In this case,
the terms auscultate, thoracic region, rhonchi, and stridor are likely to trip the client up.
You have been talking with a client about her struggle with depression. She says, "I worry sometimes for
my son." You reply, "When you say you worry for your son, do you mean that you worry that he might
inherit your depression?" Which communication technique are you using in this case?
1) Restating
2) Clarifying
3) Validating
4) Summarizing - Answer Validating
Feedback:
To validate the message, instead of just requesting further explanation from the client regarding a
statement, go ahead and suggest your interpretation and ask whether it is correct.
Which of the following are examples of communication?
SELECT ALL THAT APPLY.
1) Talking
Questions Correctly Verified
You enter a patient's room at the beginning of your shift in the early morning. You ask the patient, "How
did you sleep last night?" He replies, "Terrible." You say, "I'm sorry to hear that. I'll ask your doctor to
write you a prescription for some sleeping pills." Which barrier to communication have you just
committed?
1) Fire-hosing information
2) Offering advice
3) Providing false reassurance
4) Failing to probe - Answer Failing to Probe
Feedback:
Failing to probe can result in incomplete assessment and affect the quality of your care. A thorough
assessment requires you to explore issues in detail. In this case, you should have probed as to the cause
of the client's poor sleep instead of immediately recommending a sleeping pill. It could be that the client
slept poorly because of pain and needs a pain medication instead of a sleep medication.
A client informs you that her physical therapist recently told her that she has a suspicious-looking lesion
on her leg that she should have checked out. You inspect the lesion and record comments about it in the
client's SOAP note. Later, the physician examines the client, includes comments in the patient's health
record, and provides a referral to a dermatologist. You explain the referral to the patient. This series of
interactions may best be characterized as which of the following?
1) Interpersonal communication
2) Small-group communication
3) Public communication
4) Intrapersonal communication - Answer Interpersonal Communication
Feedback:
Interpersonal communication occurs between two or more people. Face-to-face conversation between
two people is the most frequent form of interpersonal communication. Nurses use interpersonal
communication to gather information during assessment, to teach about health issues, to explain care,
and to provide comfort and support. In addition to communicating directly with clients, professional
, nurses communicate with other nurses and healthcare team members to provide comprehensive care
for clients.
3.During a physical examination of a client, you tell her in a moderate pitch, volume, and pace, "I need
to auscultate your thoracic region for signs of rhonchi and stridor now." The client stares back at you
blankly. Which of the following factors most likely prevented effective communication in this case?
1) Vocabulary
2) Denotative and connotative meaning
3) Pacing
4) Intonation - Answer Vocabulary
Feedback:
Healthcare workers have a large vocabulary of technical terms and jargon. However, laypersons are
often unfamiliar with healthcare language and find its use intimidating, or at best puzzling. In this case,
the terms auscultate, thoracic region, rhonchi, and stridor are likely to trip the client up.
You have been talking with a client about her struggle with depression. She says, "I worry sometimes for
my son." You reply, "When you say you worry for your son, do you mean that you worry that he might
inherit your depression?" Which communication technique are you using in this case?
1) Restating
2) Clarifying
3) Validating
4) Summarizing - Answer Validating
Feedback:
To validate the message, instead of just requesting further explanation from the client regarding a
statement, go ahead and suggest your interpretation and ask whether it is correct.
Which of the following are examples of communication?
SELECT ALL THAT APPLY.
1) Talking
