Patient-Centered Care Practice Exam
Course Introduction
Patient-Centered Care is a comprehensive course designed to enhance students' understanding and application of care that prioritizes the preferences, needs, and values of patients in all aspects of healthcare delivery. The course explores strategies for effective communication, shared decision-making, and the integration of family and community perspectives into the care process. Emphasis is placed on cultural competence, respect for individual differences, and collaboration among interdisciplinary healthcare teams. Students will engage in case studies and practical scenarios to develop skills that foster empathy, trust, and holistic well-being, ultimately aiming to improve patient outcomes and satisfaction across diverse healthcare settings.
Recommended Textbook
Interpersonal Relationships Professional Communication Skills for Nurses 7th Edition by Arnold
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26 Chapters
424 Verified Questions
424 Flashcards
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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) The nurse performs a dressing change using sterile technique.This is an example of which pattern of knowledge?
A) Empirical
B) Personal
C) Aesthetic
D) Ethical
Answer: A
Q2) Today,professional nursing education begins at the
A) undergraduate level.
B) graduate level.
C) advanced practice level.
D) administrative level.
Answer: A
Q3) 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
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) 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
Q2) The nurse observes a client pacing the floor.The nurse validates an inference when speaking to the client by stating,
A) "You are anxious, so let's talk about it."
B) "Let's try some deep breathing to help you relax."
C) "You seem anxious. Will you tell me what is going on?"
D) "Clients who pace usually need to talk to a physician. Should I call yours?"
Answer: C
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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) The bioethical principle of autonomy refers to
A) the client's right to self-determination.
B) avoiding actions that bring harm to another person.
C) a decision resulting in the greatest good or least harm.
D) being fair or impartial.
Answer: A
Q2) Which of the following is true about critical thinkers? Critical thinkers
A) are open minded.
B) are able to consider alternatives.
C) use a purposeful reasoning process.
D) use a linear thinking process.
E) are able to recognize information gaps.
Answer: A,B,C,E
Q3) Which of the following personality characteristics is a barrier to critical thinking?
A) Accepting change
B) Being open minded
C) Stereotyping
D) Going with the flow
Answer: C
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Page 5
Chapter 4: Clarity and Safety in Communication
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) When educating a student nurse about safety communication improvement solutions,the nursing instructor recognizes that additional teaching is warranted when the student nurse lists which of the following as a safety communication improvement solution?
A) Adopting technology-oriented tools
B) Using standardized verbal and electronic communication tools
C) Disempowering clients to be partners in safer care
D) Participating in team training communication seminars
Q2) A nurse recognizes that strategies for clear,accurate communication to promote client safety include which of the following?
A) Establishing a safe environment
B) Maintaining a climate of closed communication
C) Using unique interdisciplinary communication tools
D) Using communication tools that promote vague communication
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6
Chapter 5: Developing Therapeutic Communication Skills
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A client is admitted to the hospital for unsteady gait resulting in frequent falls.Which of the following is a circular question that the nurse could ask this client?
A) "Tell me more about your falls at home."
B) "How will this hospitalization affect your family?"
C) "Have you experienced dizziness and imbalance before?"
D) "Can you tell me what brought you here?"
Q2) When conducting an assessment interview,which of the following is the best communication technique for the nurse to use?
A) Ask multiple questions at the same time
B) Offer limited time for the client to respond to each question that is asked
C) Use short, unambiguous listening responses focused on current health issues and client concerns
D) Ensure that all questions are answered immediately in order to avoid the need for related follow-up questions to clarify
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Chapter 6: Variation in Communication Styles
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18 Flashcards
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Sample Questions
Q1) The nurse is assigned to care for a client who has been diagnosed with multiple sclerosis.Which communication behavior will have the most impact on the client?
A) What is said
B) Tone of voice
C) Sense of confidence
D) Verbal message
Q2) Which of the following is true in relation to the context of the message?
A) It is shaped by the situation in which the interaction occurs.
B) Taking time to evaluate the time and space in which the contact takes place allows for flexibility in choosing the appropriate context.
C) Communication is shaped by the environment in which it takes place.
D) Evaluating the physical setting in which the contact takes place allows for flexibility in choosing the appropriate context.
E) The environment has little effect on communication.
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8
Chapter 7: Intercultural Communication
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When performing a newborn bath demonstration for the mother of a Native American infant,the nurse should
A) maintain constant eye contact with the mother.
B) anticipate answering many of the mother's questions.
C) ask the mother to stand next to the nurse.
D) deliver verbal instructions in a story-telling format.
Q2) When assessing a 5-year-old Asian client in the emergency department,the nurse observes welts on the client's body.The nurse's first course of action should be to
A) report child abuse to the authorities.
B) consult a traditional healer.
C) question the family about cultural practices.
D) ignore it because it is an imbalance between "yin and yang."
Q3) The nurse is caring for a postpartum client who is African American.The nurse recognizes that an essential component for successful communication when interacting with this client is the use of
A) clergy in treatment plans.
B) only simple language strategies.
C) folk-healing strategies.
D) trust development.
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Page 9
Chapter 8: Therapeutic Communication in Groups
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17 Verified Questions
17 Flashcards
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Sample Questions
Q1) When leading a group meeting,the nurse notices two group members talking.Which of the following represents the best intervention by the nurse?
A) Ask the group, "Have you noticed who is talking at this time?"
B) Tell the two group members, "I would like you to stop talking."
C) Provide the two group members with a verbal summary of what the group has been discussing.
D) Ask the two group members, "Would you share your comments with the group?"
Q2) A staff nurse is assigned to lead a community group meeting comprised mostly of psychotic clients.When setting up this type of group meeting,the nurse recognizes that A) refreshments should always be eliminated in order to keep the meeting room neat and orderly.
B) acutely psychotic clients generally can participate in community group meetings prior to being stabilized.
C) the group leader should take a passive role in order to avoid frightening the clients. D) choosing a fellow staff member to help co-lead the group is recommended.
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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) The nurse is caring for a client who is anxious about a new diagnosis of cancer.When discussing chemotherapy with the client,the nurse understands that
A) the client will need to be given instructions only once.
B) the client may only hear part of the instructions.
C) emotions obey the rules of logic.
D) a cognitive lack of understanding may occur.
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.
Q3) Which of the following statements about perception is true?
A) Perception is a function of the senses.
B) Perception is an interpersonal process.
C) Positive images are retained longer than negative ones.
D) Personal identity is constructed through cognitive processes of perception.
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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) 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
Q2) The student nurse has finished her rotation on the outpatient psychiatric unit.Her client,who was diagnosed with borderline personality disorder,suddenly displays superficial scratches to both forearms.Which of the following is a nursing diagnosis for the client related to losses and endings in the nurse-client relationship?
A) Noncompliance about impending termination of nurse-client relationship
B) Knowledge deficit about impending termination of nurse-client relationship
C) Self-care deficit related to impending termination of nurse-client relationship
D) Anxiety related to impending termination of nurse-client relationship
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Chapter 11: Bridges and Barriers in Therapeutic Relationships
16
Source URL: https://quizplus.com/quiz/25215
Sample Questions
Q1) Which of the following is true regarding personal space?
A) Individuals living in a Western culture need 40 square feet of personal space.
B) Direct eye contact causes a need for less space.
C) People need less space when they are anxious.
D) The elderly need more control over their personal space.
Q2) Which of the following demonstrates the use of the caring process?
A) Respecting the uniqueness of every client
B) Problem solving for the client
C) Performing tasks for the client
D) Communicating expectations of the health care team
Q3) Which of the following is true about trust?
A) The sender feels it.
B) It is difficult to demonstrate professionally.
C) It is an intuitive process.
D) The trusting client feels comfortable revealing needs.
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13
Chapter 12: Communicating With Families
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) The home health nurse is visiting a family who is having difficulty coping.The family has a 2-month-old malnourished child whom they are feeding diluted formula along with rice cereal.The parents of the child are unemployed and are unable to pay their monthly expenses.The father of the child complains of not being able to find a job,while the mother of the child accuses him of not even trying to find employment.Which of the following techniques would be most helpful for the nurse to use in this situation?
A) Linear questioning
B) Interventive questioning
C) Circular questioning
D) Encouraging their coping style
E) Identifying family strengths
Q2) When performing an assessment that focuses on a set of standardized connections to graphically record basic information about family members and their relationships over three generations,the nurse uses
A) an ecomap.
B) a gendergram.
C) family time lines.
D) a genogram.
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Chapter 13: Resolving Conflicts Between Nurse and Client
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) 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
Q2) A nurse manager is educating nurses about the risk of violence experienced by nurses and social workers in their workplace when compared to other professionals.The nurse manager states that nurses and social workers are at
A) three times greater risk to experience violence in their workplace than are other professionals.
B) four times greater risk to experience violence in their workplace than are other professionals.
C) no greater risk to experience violence in their workplace than are other professionals.
D) two times greater risk to experience violence in their workplace than are other professionals.
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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) A client requires teaching about a newly prescribed medication.The nurse recognizes that in order to support the learning process of the client,the teaching process should include
A) all parties needing information.
B) only immediate family members.
C) the preferred communication style of the nurse.
D) limited cultural recognition of learning needs.
Q2) A client visits the wound clinic for treatment of an infected nonhealing leg ulcer.The nurse recognizes the client is in the precontemplation stage of change.When interacting with this client,the nurse should
A) provide the client with informational feedback to raise awareness of the health problem and health risks involved.
B) allow open discussion related to the pros and cons of changing the client's current behavior.
C) assist the client in justifying a positive commitment toward making healthier lifestyle changes.
D) assist the client in choosing the best course of action to take in resolving the current problem.
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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) Which of the following statements is true related to home care?
A) The nurse should consider herself a member of the family when entering the client's home.
B) The nurse should arrive at the client's home unannounced to get an accurate picture of the client's situation.
C) Part of the teaching assessment includes appraisal of the home environment.
D) The nurse should wash her hands in the kitchen sink when visiting the client.
Q2) The nurse is teaching a support group about schizophrenia.The format includes a 20-minute video,a didactic portion,and a discussion period.The nurse recognizes that
A) establishment of rapport with the audience is unnecessary.
B) a humorous opening grabs the audience's attention.
C) minimal preparation is needed for this format.
D) it is important to refrain from making eye contact with the audience.
Q3) When initiating health teaching,the nurse recognizes that readiness to learn
A) is the same as the cognitive ability to learn.
B) involves a smooth and linear developmental process.
C) requires the nurse to consistently challenge the client's learning pattern.
D) involves incorporation of the client's learning pattern into new opportunities for learning.
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Page 17
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) The nurse is caring for a client who works as a boxer.The client states,"I was picked on a lot when I was little,so I got really angry and now I work through the anger by boxing." The nurse recognizes the client is demonstrating which ego defense mechanism?
A) Denial
B) Intellectualization
C) Sublimation
D) Repression
Q2) A nurse consistently works extra shifts in the hope of earning a promotion.The nurse is becoming increasingly fatigued and frustrated because the promotion has not occurred.The nurse is experiencing
A) distress.
B) burnout.
C) eustress.
D) primary appraisal.
Q3) 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.
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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 attempting to communicate a procedure to a Spanish-speaking client,a strategy that the nurse could use to facilitate understanding would be
A) speak distinctly while exaggerating words.
B) attempt to use sign language.
C) use pictographs.
D) explain what is happening in complex terms.
Q2) When communicating with a client diagnosed with a serious mental disorder,it is important for the nurse to recognize which of the following?
A) Clients with mental disorders never have intact sensory channels
B) Clients with a 'flat affect' are easier to understand
C) Clients with mental disorders are always very talkative
D) Clients with mental disorders may suffer from social isolation and impaired coping
Q3) When caring for a hearing-impaired client,the nurse should
A) face the interpreter when speaking to the client.
B) use gestures that reinforce verbal content.
C) speak distinctly while exaggerating words.
D) communicate in a dimly-lit room.
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Page 19
Chapter 18: Communicating With Children
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) When communicating with hospitalized infants and toddlers,the nurse knows
A) she should use long sentences with soothing words.
B) she cannot communicate with a preverbal infant.
C) moving to the child's eye level and maintaining eye contact are important.
D) she should pick up an 18-month-old infant immediately.
Q2) When caring for a preschooler,the nurse understands that this child tends to interpret language in a literal way and that the child will not ask for clarification,leading to a misunderstanding of messages.The nurse recognizes a preschooler is in which of Piaget's cognitive stages of development?
A) Concrete operations
B) Formal operations
C) Preoperational
D) Sensorimotor
Q3) 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.
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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) When assessing an older adult client,the nurse notes that the client demonstrates an inability to take purposeful action even when the muscles,senses,and vocabulary appear to be intact.The client appears to register on a command but acts in a way that suggests little understanding of what transpired verbally.The nurse recognizes these assessment findings as consistent with which of the following conditions?
A) Presbycusis
B) Somatization
C) Apraxia
D) Polypharmacy
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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Sample Questions
Q1) A client is admitted to a psychiatric unit with severe depression and thoughts of suicide.The client is placed on suicide precautions.When caring for this client,the nurse recognizes that
A) people who talk about harming themselves are at less risk.
B) clients who verbalize or behaviorally demonstrate "a weight being lifted off the shoulders" are no longer at risk.
C) once the acute crisis has subsided, the client is no longer at risk.
D) a major goal in evaluating suicidal risk is to assess for imminent danger of doing harm to self.
Q2) The nurse is caring for a client who is experiencing a crisis situation.The nurse recognizes that after feeling a sense of shock,the client will go through a period of recoil in which the client
A) behaviors can appear normal to outsiders.
B) takes constructive actions to face and resolve the reality issues present.
C) achieves at least precrisis functioning.
D) experiences variations in emotions.
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Chapter 21: Communicating With Clients and Families at the End of Life
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Sample Questions
Q1) A client's adult children call the nurse hourly with concerns about their mother's death and end-of-life care.The nurse's best response is to
A) provide detailed, scientific information.
B) discuss physical symptoms.
C) withhold information to avoid unnecessary fears.
D) provide frequent updates.
Q2) The nurse is caring for a client who is expected to die within a month.The client states,"I can't go on anymore,help me!" Which of the following best describes this client's stage of dying?
A) Anger
B) Denial
C) Acceptance
D) Depression
Q3) Which of the following is an inappropriate intervention for communicating with terminally ill clients?
A) Allowing the client to lead discussions about the future
B) Offering automatic responses and trite reassurances
C) Respecting the individual's pattern of communication
D) Maintaining a sense of calm
Page 23
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Chapter 22: Role Relationships and Interprofessional Communication
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15 Flashcards
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Sample Questions
Q1) The nurse contacts the client's case manager to provide information about the client's hospital treatment plan.This is an example of which type of advocacy?
A) Role modeling
B) Educational informing
C) Collaboration
D) Anticipatory guidance
Q2) 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."
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Chapter 23: Communicating With Other Health
Professionals
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Sample Questions
Q1) When involved in conflict,the nurse recognizes that
A) sharing feelings about the conflict with others will increase its intensity.
B) conflict generally decreases anxiety.
C) differences in age can cause friction and make relationships less collaborative.
D) it is always appropriate to seek peer negotiation when conflict is personal in nature.
Q2) The nurse manager recognizes a need to take steps to promote conflict resolution among health care team members on a nursing unit.In order to promote conflict resolution,the nurse manager should
A) solicit the perspectives of only the nurses.
B) encourage manipulation among group members.
C) promote criticism of individuals within the group.
D) depersonalize conflict situations.
Q3) When modifying barriers to professional communication,the nurse manager focuses on which of the following?
A) Collaboration and coordination
B) Negotiation and conflict resolution
C) Coordination and networking
D) Collaboration and negotiation
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Chapter 24: Communicating for Continuity of Care
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Sample Questions
Q1) 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.
Q2) The nurse is working within an interdisciplinary team.The nurse recognizes that interdisciplinary teams are characterized by
A) only formal interactions.
B) individual problem solving.
C) absence of overlapping of professional roles.
D) a common mission of working together to resolve complex clinical problems.
Q3) The nurse demonstrates understanding of continuity of care (COC)when doing which of the following?
A) Providing care in an untimely manner
B) Utilizing management plans that are inconsistent
C) Encouraging a longitudinal construct in health care
D) Demonstrating inflexibility when managing the client's care
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26
Chapter 25: Documentation in an Electronic Era
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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) Which classification system is a comprehensive practice,documentation,and information management tool?
A) NANDA
B) NIC
C) NOC
D) Omaha system
Q3) A client is 3 days postoperative from gallbladder surgery secondary to gallstones.Domain: Physiological.Class: Fluid and electrolyte balance.Activity: Check intravenous fluid rate intake every hour.Which of the following nursing coding systems is represented in this situation?
A) North American Nursing Diagnosis (NANDA)
B) Nursing intervention classification
C) Nursing outcome classification
D) Omaha system of client problems
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Chapter 26: Communicating at the Point of Care:
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Sample Questions
Q1) Major transformations occurring in use of Health Information Technology (HIT)that will greatly change traditional patterns of nursing communication include which of the following?
A) Electronic health record (EHR)
B) Centralized access to client information
C) Handheld wireless devices to provide continual information
D) Point of care information
E) Continual real time exchange of information
Q2) 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.
Q3) 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.
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D) computerized clinical decision support system.
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