Nurse-Patient Relationship Test Preparation
Course Introduction
The Nurse-Patient Relationship course explores the interpersonal and professional dynamics between nurses and patients within healthcare settings. Emphasizing the importance of communication, empathy, trust, and ethical boundaries, this course equips students with the knowledge and skills required to build therapeutic relationships that promote patient well-being, dignity, and autonomy. Students will learn about stages of the nurse-patient relationship, factors influencing interaction, and strategies to overcome barriers such as cultural differences or emotional distress. The course integrates theoretical foundations with practical scenarios, preparing future nurses to foster holistic and patient-centered care through effective relationship-building.
Recommended Textbook
Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition by Arnold
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26 Chapters
424 Verified Questions
424 Flashcards
Source URL: https://quizplus.com/study-set/1276 Page 2
Chapter 1: Theory Based Perspectives and Contemporary Dynamics
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25205
Sample Questions
Q1) A young mother tells the nurse,"I'm worried because my son needs a blood transfusion.I don't know what to do,because blood transfusions cause AIDS." Which central nursing construct is represented in this situation?
A) Environment
B) Caring
C) Health
D) Person
Answer: D
Q2) Abraham Maslow's needs theory is a framework that A) begins with meeting basic psychosocial needs first.
B) ensures essential needs are satisfied, then people move into higher physiological areas of development.
C) proposes that people are motivated to meet their needs in a descending order.
D) nurses use to prioritize client needs and develop relevant nursing approaches.
Answer: D
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Chapter 2: Professional Guides for Nursing Communication
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25206
Sample Questions
Q1) When evaluating the client's progress toward goal achievement,the nurse should ask which of the following questions?
A) "Did the client tell the truth?"
B) "Were the goals realistic?"
C) "Did the physician diagnose the client's condition correctly?"
D) "Was the length of stay too short?"
Answer: B
Q2) The client has a living will in which he states he does not want to be kept alive by artificial means.The client's family wants to disregard the client's wishes and have him maintained on artificial life support.The most appropriate initial course of action for the nurse would be to
A) tell the family that they have no legal rights.
B) tell the family that they have the right to override the living will because the patient cannot speak.
C) report the situation to the hospital ethics committee.
D) allow the family to verbalize their feelings and concerns, while maintaining the role of client advocate.
Answer: D
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Chapter 3: Clinical Judgment and Ethical Decision Making
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25207
Sample Questions
Q1) Which of the following describes the first step in acquisition of a value?
A) There must be pride in and happiness with the choice.
B) The value must be acted upon in a pattern of behavior consistent with the choice.
C) The value should be the result of conscious choice.
D) The value must be chosen after careful consideration of each alternative.
Answer: C
Q2) Which of the following best describes the critical thinking skills of a novice nurse and an expert nurse?
A) The expert nurse is able to diagnose faster than the novice nurse.
B) The expert nurse does not need to question and reassess like the novice nurse.
C) The novice nurse uses past knowledge, whereas the expert nurse stays in the here and now.
D) The expert nurse organizes data more efficiently than the novice nurse.
Answer: D
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5
Chapter 4: Clarity and Safety in Communication
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25208
Sample Questions
Q1) The nurse is caring for a client who is becoming increasingly short of breath.The nurse decides to call the physician.Which of the following should the nurse initially do when speaking with the physician?
A) State the problem
B) Tell what is needed
C) State the client's allergies
D) Relate the client's background
Q2) When educating staff about how to reduce errors and increase safety,the nurse manager emphasizes the importance of communication that is A) clear.
B) vague.
C) timely.
D) accurate.
E) unambiguous.
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6
Chapter 5: Developing Therapeutic Communication Skills
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25209
Sample Questions
Q1) The student nurse is working on an assignment in which she has to interview a fellow student nurse for 30 minutes.The fellow student nurse talks about career plans,possible jobs after graduation,and her part-time work.After 10 minutes,she has stopped talking and both student nurses sit in silence.Which of the following is the best response by the interviewing student nurse?
A) "Tell me more about how you selected your career goals."
B) "Who is the most significant person in your life?"
C) "What impact will these plans have on your life?"
D) Remain silent until the fellow student nurse breaks the silence.
Q2) When communicating with clients,the nurse actively uses listening responses.Which of the following types of listening response should the nurse use?
A) Moralizing
B) Giving advice
C) False reassurance
D) Paraphrasing
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7
Chapter 6: Variation in Communication Styles
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25210
Sample Questions
Q1) The nurse is assessing a newly admitted Native American client.When assessing the client's perception of touch,the nurse should
A) casually touch the client.
B) use timing with touch.
C) ask the client for permission to touch.
D) shake the client's hand.
Q2) Which of the following messages would validate the worth of the individual?
A) The nurse says, "Take that tray to room 6 bed 2."
B) "I want to know about your physical symptoms following the chemotherapy."
C) "Now dear, we are going to have a nice bath."
D) "I would like to meet your family and we could talk to them about your aftercare."
Q3) An adult client responds to questions inappropriately.The nurse should do which of the following?
A) Assume that the client is depressed and seek further information.
B) Ask other staff members whether the client is sick.
C) Leave the client alone for now and return to reassess.
D) Observe the client's nonverbal behavior.
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Chapter 7: Intercultural Communication
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25211
Sample Questions
Q1) When caring for the poor client,a major component of care is
A) ignoring personal biases.
B) allowing stereotypes to distort nursing interventions.
C) maintaining respect for human dignity.
D) treating all clients exactly the same.
Q2) A nursing instructor is teaching a group of student nurses about culture.When teaching the students nurses about the concept of ethnocentrism,the student nurses demonstrate cultural sensitivity when they state that their culture
A) is superior to others.
B) has the right to impose its standards of "correct" behavior and values on another.
C) is a culture that warrants a sense of pride.
D) should be the norm because it is considered better or more enlightened than others.
Q3) Which of the following statements is true?
A) A Muslim client may refuse to take insulin if it contains beef.
B) African American males have a lower chance of developing cancer.
C) Hispanic clients make small talk before discussing their health problems.
D) Asian clients frequently challenge health care workers.
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Chapter 8: Therapeutic Communication in Groups
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/25212
Sample Questions
Q1) Which of the following describes group think?
A) A member of a corporate executive committee states, "You could be making a big mistake."
B) Members of a corporate executive committee fail to inform the chairperson that some middle managers do not support the decision.
C) A corporate executive committee cancels a press conference in light of poor market survey results.
D) Members demonstrate a willingness to take interpersonal risks
Q2) The group leader states,"Today we discussed some of the issues about taking medications,and each one of you developed a goal in relation to some of the problems you were experiencing.I think it was helpful that some of you were able to share your experiences with other group members." The leader is using the technique of A) harmonizing.
B) summarizing.
C) encouraging.
D) compromising.
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Chapter 9: Self Concept in Professional Interpersonal
Relationships
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/25213
Sample Questions
Q1) Identify the type of perceptual alteration represented in the following example: Jim,a 12-year-old,states,"I am different from others in my physical education class because I am the class dunce."
A) Distorted reality
B) Selective attention
C) Self-fulfilling prophecy
D) Cognitive distortion
Q2) Which of the following represents the role of the nurse in helping a client reframe a potentially incapacitating sense of self into one with more hope and broader options when faced with a health-related difficulty?
A) They can take a passive approach.
B) They can negate potential possibilities.
C) They can focus on personal weaknesses.
D) They can reframe the client's sense of self.
Q3) Which of the following statements is true about self-esteem?
A) It is an objective emotional process.
B) Achievements lead to high self-esteem.
C) It is the emotional value a person places on his or her self-concept.
D) It is a concept that becomes fixed.
Page 11
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Chapter 10: Developing Therapeutic Relationships
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/25214
Sample Questions
Q1) A nurse whose father was an alcoholic is assigned to care for a client who is in alcohol withdrawal.The nurse's best therapeutic action would be to A) request another assignment.
B) deliver care in short intervals to avoid projecting negativity.
C) examine personal vulnerabilities, strengths, and limitations.
D) monitor the client's physical status closely.
Q2) Which of the following examples indicates adherence to client confidentiality?
A) Talking about the client's symptoms in front of family members
B) Using the client's name in a social conversation
C) Sharing client information with other members of the health care team as needed
D) Reading a friend's chart on another hospital unit
Q3) A client has been informed by her physician that she requires emergency surgery.The client tells the nurse,"I will have the surgery after I attend my family vacation." Which of the following is the most appropriate mutual goal for the client?
A) The client will accept the recommended medical regimen.
B) The client will alternate activity with rest throughout the day.
C) The client will take a leave of absence from her work schedule.
D) The client will check her blood pressure four times a day.
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Chapter 11: Bridges and Barriers in Therapeutic Relationships
16
16
Source URL: https://quizplus.com/quiz/25215
Sample Questions
Q1) Which of the following should be achieved first in establishing the nurse-client relationship?
A) Trust
B) Empathy
C) Mutuality
D) Empowerment
Q2) The nurse demonstrates an understanding of mutuality when stating to the client,
A) "Mr. Jones, I think you should go to bed now."
B) "Mr. Jones, I would like you to go to bed now."
C) "Mr. Jones, I don't think you should sit in the chair."
D) "Mr. Jones, I thought we agreed that you would return to bed at this time."
Q3) When entering a client's room,the nurse notices the client standing while wringing her hands and wearing street clothes over pajamas.On further examination,it is noted that the client is hyperventilating with elevated vital signs.Which level of anxiety is the client experiencing?
A) Mild
B) Moderate
C) Severe
D) Panic
Page 13
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Chapter 12: Communicating With Families
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25216
Sample Questions
Q1) When interviewing the family of a client who is suffering from alcoholism,the communication technique used by the nurse is called circular questioning.The advantage of this technique is that it
A) examines relationships.
B) aids the nurse in establishing a diagnosis.
C) focuses on the equilibrium of the family system.
D) helps the nurse gain specific information.
Q2) The nurse-family relationship in client care depends on what type of relationship between the nurse and the family?
A) A dependent relationship
B) A relationship that begins informally
C) A reciprocal relationship
D) A relationship that promotes inequality between the nurse and family
Q3) Which of the following is a true statement when comparing biological and blended families?
A) In biological families, rules are varied and complicated.
B) A blended family is born of loss.
C) In biological families, there are multiple sets of rules.
D) In blended families, traditions are shared.
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Chapter 13: Resolving Conflicts Between Nurse and Client
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25217
Sample Questions
Q1) The most effective problem-solving style for genuine resolution that creates a win-win situation is
A) accommodation.
B) avoidance.
C) competition.
D) collaboration.
Q2) When working in situations that involve conflict,the nurse recognizes that which of the following is true in relation to conflict?
A) Conflict always leads to impaired relationships.
B) Conflict arises from compatible goals and needs.
C) Most people experience conflict as a lack of discomfort.
D) Conflict serves as a warning that something in the relationship needs closer attention.
Q3) Which of the following best describes the goal of assertiveness?
A) Offering responses that contain "you" statements
B) Indirect communication
C) Standing up for one's personal rights
D) Ignoring the rights of others
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15
Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of Disease
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25218
Sample Questions
Q1) The personal values and beliefs in one's ability to achieve health behavior changes is known as
A) social incentive.
B) self-efficacy.
C) cognitive motivator.
D) physical motivator.
Q2) The concept of well-being consists entirely of the ability to
A) work at producing an income.
B) perform activities of daily living.
C) define one's subjective experience of life satisfaction.
D) partner with a health professional.
Q3) The client states,"I have emphysema,so I have enrolled in a smoking cessation program." According to Prochaska's stages of change,the client is in which of the following stages?
A) Action
B) Determination
C) Precontemplation
D) Contemplation
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Chapter 15: Health Teaching and Coaching
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25219
Sample Questions
Q1) Accurate documentation of client health teaching is a critical component of quality care.When documenting in the client's chart about health teaching for a client admitted for alcoholism,the nurse should write
A) "Client was educated on the physical complications of alcoholism."
B) "Client received written and verbal instructions on diet and vitamin therapy."
C) "Client was educated on the signs and symptoms of alcohol withdrawal and when to seek medical assistance."
D) "Client was able to identify five triggers for relapse and was assisted to develop a relapse prevention plan."
Q2) An older adult client is hospitalized after a fall.The client states,"I want to return home because I like to be independent." The nurse notes that the client lives alone and will be required to attend physical therapy three times a week.Which of the following nursing diagnoses is appropriate for this client?
A) Anxiety
B) Ineffective coping
C) Self-care deficit
D) Impaired home maintenance
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Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/25220
Sample Questions
Q1) A client is experiencing anxiety related to hospitalization.When assessing this client,the nurse anticipates which assessment finding?
A) Increased socialization
B) Improved sleep
C) Greater recall ability
D) Disengagement from the stressor
Q2) Current research suggests that men and women respond to stress in which of the following ways?
A) Men use nurturing activities to reduce stress.
B) Women use a "tend and befriend" approach to stress.
C) Men and women respond to stress in a similar manner.
D) Women respond to stress with patterns of "fight or flight."
Q3) Which of the following interventions would be classified as secondary prevention for stress?
A) Classify stressor
B) Mobilize resources
C) Educate client and family
D) Coordinate resources
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Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/25221
Sample Questions
Q1) Which of the following clients with a communication deficit requires the use of touch during a therapeutic encounter?
A) Vision-impaired client
B) Client with a hearing loss
C) Mentally ill client
D) Client with schizophrenia
Q2) The nurse is caring for an older adult client who has recently withdrawn from relationships,appears depressed,and appears reluctant to seek information from the nurse.The nurse suspects the client is experiencing hearing loss.The nurse recognizes that
A) the client will readily acknowledge that this is the problem if asked.
B) the client may try to hide deficits and withdraw from relationships.
C) decreased hearing ability is not related to conversational style.
D) older adults, as a group, have better consonant discrimination.
Q3) When caring for the client with macular degeneration,the nurse should
A) face the client directly.
B) stand to the client's side.
C) hold the client's arm when walking.
D) refrain from touching the client.
Page 19
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Chapter 18: Communicating With Children
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25222
Sample Questions
Q1) The pediatric nurse is working on an oncology unit with a terminally ill child.The nurse conveys respect to the child by
A) interacting as a buddy to the child.
B) protecting the child from the truth about the terminal illness.
C) using the concept of mutuality.
D) being emotionally unavailable.
Q2) When communicating with a preschooler who is admitted to the hospital for a fractured arm,which is the best method for the nurse to describe the preschooler's impending surgery?
A) Encourage the preschooler to put a bandage on a teddy bear's arm.
B) Explain what surgery will be like, using abstract terminology.
C) Explain to the preschooler how long the surgery will take and that it will be done by noon.
D) Inform the preschooler that fixing the fractured arm will make it possible to play sports in the future.
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20
Chapter 19: Communicating With Older Adults
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/25223
Sample Questions
Q1) When assessing an older adult client,the nurse recognizes the client has a significant hearing loss.The most appropriate intervention by the nurse is to
A) introduce herself first.
B) shout into the client's good ear.
C) repeat words the client doesn't understand.
D) check the hearing aid batteries.
Q2) The nurse is caring for an older adult client who has recently experienced losses associated with deaths of important people in her life.The nurse recognizes that this type of problem challenges which of Maslow's hierarchy of needs?
A) Physiological integrity
B) Love and belonging
C) Self-actualization
D) Safety and security
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Chapter 20: Communicating With Clients in Crisis
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25224
Sample Questions
Q1) A model of psychosocial development in which each stage is associated with a psychosocial crisis to be resolved was developed by which theorist?
A) Caplan
B) Erikson
C) Aguilera
D) Roberts
Q2) The nurse is caring for a family that is experiencing a crisis.The nurse recognizes that interventions for initial family responses to crisis include
A) minimizing the family's sense of control within the hospital environment.
B) prohibiting extreme expression of feelings.
C) providing the family with information that is lengthy and abstract.
D) repeating and frequently reinforcing information.
Q3) A client experiences an unusually stressful life event that exceeds their resources and coping skills.The nurse recognizes the client is experiencing which type of crisis?
A) Developmental
B) Private
C) Adventitious
D) Situational
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22
Chapter 21: Communicating With Clients and Families at the End of Life
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25225
Sample Questions
Q1) When evaluating care of dying clients,the nurse recognizes that interventions have been unsuccessful if the
A) client does not get past the stage of denial.
B) client dies in peace surrounded by loved ones.
C) client dies while experiencing pain.
D) nurse refuses to allow the client to be sad.
Q2) Which of the following is a dimension of palliative care?
A) It involves only care of the client.
B) It provides grief support for family only while the client is alive.
C) It bears no resemblance to hospice care.
D) It intends neither to hasten nor postpone death.
Q3) An 89-year-old client recently lost his wife of 69 years to cancer.He reports "I had the strangest thing happen to me last night.I woke up and saw my wife sitting in her chair."
The nurse's best response would be:
A) "How long have you been hallucinating?"
B) "Hallucinations are often caused by disturbance in brain chemicals."
C) "Hearing or seeing things that are not real can be a normal response to extreme stress."
D) "I recommend you speak to your doctor to review your medications."
Page 23
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Chapter 22: Role Relationships and Interprofessional Communication
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/25226
Sample Questions
Q1) Which of the following is a nursing diagnosis associated with the effects of alteration in role relationships within the family and work environment?
A) Sleep pattern disturbance
B) Ineffective role performance
C) Altered thought processes
D) Impaired communication
Q2) When documenting nursing care in the client's chart,the nurse does so accurately and honestly.The nurse is demonstrating which essential value of professionalism in nursing?
A) Altruism
B) Integrity
C) Human dignity
D) Asepsis
Q3) Essential components of interprofessional professionalism are clear communication,caring,professional ethics,and
A) aesthetics.
B) altruism.
C) justice.
D) truth.
Page 24
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Chapter 23: Communicating With Other Health Professionals
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12 Verified Questions
12 Flashcards
Source URL: https://quizplus.com/quiz/25227
Sample Questions
Q1) The nurse manager is working on strategies to turn conflict into collaboration by creating a climate in which participants view negotiation as a collaborative effort.In order to accomplish this goal,the nurse manager works to promote
A) offering of feedback on an infrequent basis.
B) clarification of role expectations.
C) minimal participation in organizational interdisciplinary groups.
D) absence of role-modeling behaviors related to communication.
Q2) A student nurse is learning about strategies to remove barriers to communication with other professionals and how to deal with disrespectful or disruptive behaviors.The nursing instructor recognizes that additional instruction is needed when the student nurse states which of the following?
A) "I will learn conflict resolution skills."
B) "I will establish common communication expectations and skills."
C) "I will work toward creating a culture of mutual respect when working within the health care system."
D) "I will engage in distorted, rather than open, communication to avoid offending others."
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Chapter 24: Communicating for Continuity of Care
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/25228
Sample Questions
Q1) Which of the following best describes continuity of care?
A) It involves only clients with acute physical conditions.
B) It involves client-centered high-quality care across clinical settings.
C) It should focus on episodic hospital care of seriously ill clients.
D) Relational, informational, and functional are its key components.
Q2) The nurse recognizes that a characteristic of effective team collaboration includes which of the following?
A) It promotes inclusion of the client and family.
B) It increases fragmentation of client care.
C) It discourages synergistic creativity among professionals.
D) Its goal is to duplicate efforts to promote safe, high-quality care.
Q3) When working on a hospital unit,the nurse should begin the discharge planning process at which time?
A) With a careful review of initial admission data.
B) Within 24 hours of the hospital admission.
C) Just prior to the client's hospital admission.
D) Immediately before the client is discharged.
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Chapter 25: Documentation in an Electronic Era
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/25229
Sample Questions
Q1) All of the following are true about electronic records except A) they are portable.
B) they are less durable than paper charting.
C) they are easily transferable.
D) they are more durable than paper charting.
Q2) When documenting client care,the nurse recognizes that which of the following is true about documentation of care?
A) Every nurse should anticipate having clients' records subpoenaed at some time during his or her nursing career.
B) There is a need for quicker documentation that does not reflect the nursing process.
C) The legal assumption is that care was given even if it is not documented.
D) Any method of documentation that provides comprehensive, factual information is legally unacceptable.
Q3) Which of the following is a disadvantage of computerized charting?
A) Ability to aggregate data
B) Improved access to health record
C) Standardized charting
D) Preset activities that can be coded
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Chapter 26: Communicating at the Point of Care:
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15 Verified Questions
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Sample Questions
Q1) The nurse is using a personal digital assistant (PDA)to store client assessment data.When using a PDA,the nurse recognizes that the PDA
A) is unable to recognize the nurse's handwriting.
B) can provide language translation.
C) stores only references for nursing and drug information. D) cannot be used in client's rooms due to HIPPA regulations.
Q2) The nurse uses an electronic information technology-based system that is designed to improve clinical decision making to enhance client care and safety.This system is referred to as a
A) personal digital assistant.
B) handheld wireless device.
C) point of care information and documentation system.
D) computerized clinical decision support system.
Q3) Which of the following best describes a laptop computer?
A) It is less powerful than a tablet.
B) It should not be taken into a client's home.
C) It is used to chart and transmit a client's care.
D) It does not allow for information to be transmitted in a wireless fashion.
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