Nursing Practice and Communication Skills
Mock Exam
Course Introduction
This course provides nursing students with foundational knowledge and practical skills essential for effective communication and professional nursing practice. Emphasizing the importance of patient-centered care, the course explores therapeutic communication techniques, documentation standards, and interdisciplinary collaboration within healthcare teams. Through interactive scenarios and skill-building exercises, students learn to apply empathy, cultural sensitivity, and critical listening in diverse clinical settings. The development of clear, concise, and compassionate communication strategies prepares students to address the complex needs of patients and their families, fostering trust and promoting positive health outcomes.
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) The nurse recognizes that feedback loops
A) do not allow for correction of original information.
B) are solely based on the General Systems Theory.
C) do not allow for validation of information.
D) allow the human system to correct its original information.
Answer: D
Q3) The nurse-client relationship as described by Hildegard Peplau
A) would not be useful in a short-stay unit.
B) allows personal and social growth to occur only for the client.
C) facilitates the identification and accomplishment of therapeutic goals.
D) focuses on maintaining a personal relationship between the nurse and client.
Answer: C
Page 3
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Chapter 2: Professional Guides for Nursing Communication
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18 Verified Questions
18 Flashcards
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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) Which of the following is a violation of client confidentiality? Reporting
A) certain communicable diseases.
B) child abuse.
C) gunshot wounds.
D) client data to a colleague in a nonprofessional setting.
Answer: D
Q3) When setting goals with a client,the nurse demonstrates which step of the nursing process?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Answer: B
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Chapter 3: Clinical Judgment and Ethical Decision Making
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which of the following case examples represents the ethical concept of distributive justice?
A) A famous baseball player receives a heart transplant.
B) An older adult who has government insurance is denied standard cancer treatment.
C) During a visit to his physician's office, a client demands antibiotics for his cold and is given a prescription.
D) A client suffering from cirrhosis of the liver is placed on a transplant list.
Answer: B
Q2) Which of the following statements is true about the critical thinking process?
A) It is a linear process.
B) The skills are inborn.
C) It is goal directed.
D) It assists nurses to criticize the health care system.
Answer: C
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Chapter 4: Clarity and Safety in Communication
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A nurse manager encourages staff to improve error and near miss event reporting.The nurse manager recognizes that as error reporting improves,
A) the severity of errors increases.
B) better, safer systems can be developed.
C) the likelihood of other errors increases.
D) error detection rates and severity remain unchanged.
Q2) When calling a physician,the nurse tells the physician her name,what unit and what hospital she is calling from,the client's name,and that the client is having trouble breathing.The nurse is demonstrating which step in the SBAR format for communicating with a client's physician?
A) Situation
B) Assessment
C) Background
D) Recommendation
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Chapter 5: Developing Therapeutic Communication Skills
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) When teaching a client how to administer insulin,the nurse recognizes that the best method of communicating therapeutically with the client is to
A) talk to the client in the visitors' lounge.
B) talk to the client within his personal space.
C) communicate with the client using touch.
D) face the client while leaning slightly forward.
Q2) When communicating with a client,the nurse recognizes that a barrier to effective communication is
A) cultural sensitivity.
B) thinking ahead to the next question.
C) completion of physical care in a nonhurried manner.
D) focusing on the current questions asked by the client.
Q3) When caring for a hospitalized client,the nurse demonstrates effective communication when
A) presenting several ideas at a time.
B) using vocabulary that is unfamiliar to the client.
C) stating key ideas only once.
D) putting ideas in a logical sequence of related material.
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Chapter 6: Variation in Communication Styles
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Message competency refers to which phase of the nursing process?
A) Assessment
B) Planning
C) Intervention
D) Evaluation
Q2) The nurse puts his arm around an older adult client when assisting her to transfer to a chair.The client could interpret the nurse's touch as A) a positive gesture only.
B) a threat.
C) denotation.
D) paralanguage.
Q3) Communication is a combination of
A) verbal and nonverbal behaviors.
B) pitch, tone, and paralanguage.
C) proxemics, touch, and kinesics.
D) eye contact, facial expressions, and nonverbal messages.
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Chapter 7: Intercultural Communication
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) Which of the following is a true statement in relation to the concept of poverty?
A) Poverty affects only a small segment of the population.
B) Poor people expect others to work with them in making things better.
C) Communication strategies that empower the poor to take small steps toward dependence are most effective.
D) Lack of essential resources is associated with political and personal powerlessness.
Q2) 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.
Q3) The nurse is performing an admission assessment on an Asian client.The intake includes a cultural assessment.The nurse should ask the client,
A) "Does a minister, priest, or rabbi visit you?"
B) "Do you feel understood and loved?"
C) "What language do you prefer to speak?"
D) "Does life have meaning and value for you?"
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Chapter 8: Therapeutic Communication in Groups
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) The nurse recognizes an effective group includes which of the following characteristics?
A) Power resides in the leader and is not shared.
B) Communication is guarded and feelings are not always given attention.
C) Goals are vague or imposed on the group without discussion.
D) Goals are clearly identified and collaboratively developed.
Q2) Which of the following statements is true in relation to task functions?
A) When task functions predominate, member satisfaction increases.
B) When maintenance functions predominate, goals are achieved.
C) They are behaviors used to move toward goal achievement.
D) They are behaviors designed to ensure personal satisfaction.
Q3) The nurse notices that a group member is quiet during support group meetings.What is the best intervention by the nurse for involving the quiet group member in the group process?
A) Ask the group if they have noticed that a group member never talks.
B) Ask the group what can be done to involve the quiet group member more.
C) Set up a private meeting with the quiet group member to discuss group participation.
D) Ask the quiet group member if he or she would like to comment on what another group member has just said.
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Page 10
Chapter 9: Self Concept in Professional Interpersonal
Relationships
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) An older adult client is admitted to the hospital with terminal cancer.The client expresses acceptance of impending death and states,"I am very satisfied with the life I had." The nurse recognizes the client is in Erikson's stage of psychosocial development known as which of the following?
A) Integrity vs. Despair
B) Autonomy vs. Shame and Doubt
C) Intimacy vs. Isolation
D) Identity vs. Identity Diffusion
Q2) After receiving her morning assignment,the nurse realizes that she will be caring for a client with Alzheimer disease.The nurse understands that when communicating with this client,it will be important to
A) avoid touch because this may be misinterpreted by the client.
B) shorten processing time before the client becomes distracted.
C) break instructions down into small, sequential steps.
D) present ideas all at once before the client's attention wanders.
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11
Chapter 10: Developing Therapeutic Relationships
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Which of the following is a nontherapeutic statement during the orientation phase of a relationship?
A) "I am the nurse who will be caring for you today."
B) "My job is to make you better."
C) "I will be talking with you while I provide care."
D) "You will be receiving care from an assistant and myself."
Q2) Which of the following personality characteristics can affect the nurse's ability to function in a therapeutic manner,if disclosed to the client?
A) The nurse is shy.
B) The nurse becomes angry when criticized.
C) The nurse has difficulty handling conflict.
D) The nurse struggles with getting up in the morning.
Q3) Which stage of the nursing process corresponds to the exploitation part of the working phase of the therapeutic relationship?
A) Diagnosis
B) Assessment
C) Implementation
D) Planning
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12
Chapter 11: Bridges and Barriers in Therapeutic Relationships
16 Flashcards
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Sample Questions
Q1) 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."
Q2) The nurse knocks on the client's door and waits for the client to answer before entering the room.The nurse is demonstrating
A) nonverbal communication skills.
B) respect for the client's personal space.
C) respect for the client's confidentiality.
D) respect for the client's gender difference.
Q3) In order to reduce clinical bias in nursing practice,the nurse should
A) memorize beliefs held by different cultures.
B) generalize beliefs based on ethnic membership.
C) develop a nonjudgmental, neutral attitude.
D) recognize that individuals of the same religion share the same characteristics.
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Page 13
Chapter 12: Communicating With Families
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) 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.
Q2) When interviewing the family of a client newly diagnosed with Alzheimer disease,the nurse's primary goal is to help the family members sort out their personal fears and identify family strengths through the use of
A) interventive questioning.
B) genogram.
C) ecomap.
D) offering commendations.
Q3) When the nurse cares for a client with a terminal illness,a question that the nurse can ask the client's family to elicit information about family strengths is
A) "Who best understands what the doctors have told you?"
B) "What has the family been doing so far that is helpful?"
C) "Who is most uncomfortable at the bedside?"
D) "Who is now taking care of the house?"
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Page 14
Chapter 13: Resolving Conflicts Between Nurse and Client
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A client yells at the nurse frequently and uses profane language.Which of the following is the most appropriate response by the nurse?
A) Remain silent and do not respond
B) Use an "I" statement when speaking to the client
C) Tell the client, "You make me angry."
D) Ignore the behavior and walk away
Q2) Which of the following are strategies the nurse should use when dealing with an angry client?
A) Defuse hostility
B) Avoid responding to a client's anger by getting angry
C) Speak quickly and use a higher tone of voice
D) Use empathy when communicating with the client
E) Remain with the client
Q3) The most effective problem-solving style for genuine resolution that creates a win-win situation is
A) accommodation.
B) avoidance.
C) competition.
D) collaboration.
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Page 15
Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of Disease
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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
Q2) A client who has an elevation in serum cholesterol continues to eat red meat and fried foods.Which stage of change is this client experiencing?
A) Determination
B) Action
C) Precontemplation
D) Contemplation
Q3) 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.
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Chapter 15: Health Teaching and Coaching
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Educational standards requiring health care agencies to provide systematic health education and training for clients were established by
A) American Nurses Association.
B) State Nurse Practice Acts.
C) The Joint Commission.
D) Medicare.
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
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Sample Questions
Q1) Which of the following is true in relation to stress?
A) Men and women respond to stress in the same fashion.
B) Culture does not affect the stress experience.
C) Stress is always a negative experience.
D) Stress can have protective and adaptive functions.
Q2) 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
Q3) A client's spouse becomes anxious and demonstrates hostility toward the nurse.The best response by the nurse is to
A) recognize the spouse feels a sense of control.
B) view the hostility as a personal attack.
C) become stoic and refrain from listening to the spouse.
D) respond empathetically to contributory themes and feelings.
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Page 18
Chapter 17: Communicating With Clients Experiencing
Communication Deficits
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse understands that as clients age,they are more likely to have vision problems that may interfere with the communication process,including the lens of the eyes becoming less flexible,making it difficult to accommodate shifts from far to near vision.The nurse recognizes that this condition is known as
A) receptive aphasia.
B) autism.
C) presbycusis.
D) presbyopia.
Q3) Which of the following is true in relation to communication deficits?
A) Communication deficits occur only as a result of physical disabilities.
B) Communication deficits can arise from sensory deprivation.
C) Individuals who are equally impaired are equally disabled.
D) The primary nursing goal is to minimize the client's independence.
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Chapter 18: Communicating With Children
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) In mastering QSEN competency of patient-centered care,effective tools need to be
A) cognitive, developmentally appropriate, and educational.
B) cultural, educational, interpersonal, and societal.
C) attitudinal, cognitive, and developmentally appropriate.
D) attitudinal, cultural, and developmentally appropriate.
Q2) When admitting an adolescent to a hospital unit,the nurse knows she should keep in mind which of the following?
A) The nurse should use the "three wishes" question to assess cognitive level.
B) When a teen asks a direct question, the teen does not really want the answer.
C) Teens recognize that life is a roller-coaster ride with ups and downs.
D) Teens are able to self-assess competency.
Q3) The nurse recognizes that guidelines for developing a workable limit-setting plan include having consequences that are
A) applied after a detailed verbal exchange with the client.
B) person centered, not situation centered.
C) applied in a matter-of-fact manner, without lengthy discussion.
D) applied at a time negotiated between the nurse and client.
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Page 20
Chapter 19: Communicating With Older Adults
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) An older adult client tells the nurse,"My life has been a waste." The nurse recognizes this statement as demonstrating which aspect of psychosocial development?
A) Ego integrity
B) Ego despair
C) Lack of generativity
D) Isolation
Q2) A client has an order for a new medication.When preparing to administer the medication to the client for the first time,the nurse gets ready to educate the client and the client's daughter about the medication.When educating the client and the daughter,the nurse should do all of the following except
A) observe the client before implementing teaching and gear teaching strategies to meet the individual needs of the client.
B) direct instructions to the client's daughter.
C) draw on the client's experiences and interests in planning teaching.
D) make the teaching session short enough to avoid tiring the client.
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Chapter 20: Communicating With Clients in Crisis
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18 Flashcards
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Sample Questions
Q1) When educating a student nurse about the definition of a crisis state,the nurse recognizes that additional instruction is needed when the student nurse states,
A) "A crisis state is an acute normal human response."
B) "A crisis state is a mental illness."
C) "A crisis state represents a personal response."
D) "A crisis state creates a temporary disconnect from attachment to others."
Q2) 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
Q3) 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.
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Chapter 21: Communicating With Clients and Families at the End of Life
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18 Verified Questions
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Sample Questions
Q1) The nurse is caring for a client who has just experienced the death of her mother.The nurse best demonstrates support for the client by
A) sitting quietly with the client and not discussing the loss.
B) reminding the client that her mother lived a long life.
C) changing the subject so the client won't get upset.
D) offering spiritual support for the client and family.
Q2) The nurse is caring for an 8-year-old child in the school nurse's office because the child received a bloody nose in a scuffle with another child during recess.The nurse discovers that the child's parents have recently divorced.The nurse recognizes that the child
A) still has both parents and should not be experiencing a sense of loss.
B) has gotten over his grief because he is able to play outside.
C) needs to be referred for grief counseling.
D) demonstrates behavior that is a common response when grieving.
Q3) 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.
Page 23
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Chapter 22: Role Relationships and Interprofessional Communication
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) The nurse is caring for a client on a rehabilitation unit who sustained a back injury in an auto accident,resulting in disability status from his job as a truck driver.The nurse should help the client to identify skills transferable to a future position by stating which of the following?
A) "I am sorry to learn about your job loss."
B) "Your wife stated you were a reliable, trustworthy worker."
C) "Think of your strengths associated with your previous job position."
D) "The career office really considers you employable."
Q2) The nurse is caring for an older client with a fractured hip.The client asks the nurse about the nature of her condition.The nurse's response should be,
A) "You have a fractured femur," stated in a loud voice.
B) "You will have to speak to your physician about your diagnosis."
C) "Do you wish to call your son to discuss it with him because he talked with the MD?"
D) "When you fell at home, you broke your hip."
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Chapter 23: Communicating With Other Health
Professionals
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) When supervising an unlicensed assistive personnel (UAP),the nurse offers unwarranted criticism that causes the UAP to feel defensive.The initial response by the UAP should be to
A) verbally defend against the unwarranted criticism.
B) allow the nurse to continue to project unwarranted criticism.
C) recognize the unwarranted criticism.
D) recognize that the unwarranted criticism must be directly related to the actual behavior that is being criticized.
Q2) 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.
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25
Chapter 24: Communicating for Continuity of Care
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Sample Questions
Q1) A nurse manager educates a group of staff nurses about primary care.Which of the following should the nurse manager list as a key feature of primary care?
A) It lacks the characteristic of person centeredness.
B) It functions as the final contact point for common health care problems.
C) The focus is on comprehensive care, which can meet many client needs without referral.
D) The underlying goal is to offer a highly depersonalized form of care related to a stronger knowledge about individual health care needs and responses over time.
Q2) The nurse manager conducts an in-service for staff nurses about the importance of client-centered care.When educating staff nurses about characteristics of client-centered care,the nurse manager lists which of the following characteristics?
A) It promotes dependence within clients.
B) It supports allowing the client time for questions.
C) It considers whom information should be provided to.
D) It respects the amount of information desired by clients.
E) It encourages providing clients with sufficient information.
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Chapter 25: Documentation in an Electronic Era
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14 Flashcards
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Sample Questions
Q1) Which classification system is a comprehensive practice,documentation,and information management tool?
A) NANDA
B) NIC
C) NOC
D) Omaha system
Q2) 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.
Q3) The nursing diagnosis for a client is immobility related to a stroke.Which classification system can be readily used with this diagnosis?
A) Omaha system of client problems
B) Clinical pathways
C) Nursing intervention classification
D) International classification of disease (ICD)
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27
Chapter 26: Communicating at the Point of Care:
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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) When working on a hospital unit,the nurse uses a wireless handheld computer.The nurse recognizes that an advantage of using a wireless handheld computer is A) the nurse cannot view the entire page of client information.
B) it can be used at the point of care.
C) it has a long learning curve.
D) it poses potential threats to the client's legal privacy rights.
Q3) Which of the following is true about electronic mail communication?
A) Most physicians use e-mail to schedule appointments.
B) E-mail is a means of ensuring confidentiality.
C) Physicians expressed concerns about lack of income generation.
D) Paper copies can be eliminated.
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Page 28