Therapeutic Communication for Nurses Exam Solutions
Course Introduction
Therapeutic Communication for Nurses explores the essential skills and techniques that enable nurses to build trust, foster healing relationships, and facilitate effective interactions with patients, families, and multidisciplinary healthcare teams. This course focuses on the principles of verbal and nonverbal communication, active listening, empathy, respect for diversity, and strategies for overcoming barriers to communication in various clinical settings. Through case studies, role-playing, and reflective practice, students will learn to apply therapeutic communication methods to support patient-centered care, manage challenging situations, and enhance patient 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
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Chapter 1: Theory Based Perspectives and Contemporary Dynamics
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16 Verified Questions
16 Flashcards
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Sample Questions
Q1) 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
Q2) The identification phase of the nurse-client relationship
A) sets the stage for the rest of the relationship.
B) correlates with the assessment phase of the nursing process.
C) focuses on therapeutic goals to enhance client and family well-being.
D) uses community resources to help resolve health care issues.
Answer: C
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
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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 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
Q2) The nurse collects both objective and subjective data.An example of subjective data is
A) BP 140/80.
B) skin color jaundiced.
C) "I have a headache."
D) history of seizures.
Answer: C
Q3) 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
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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) Personal values are defined as
A) values shaped by family, religious beliefs, and years of experience.
B) altruism.
C) two values that are in conflict.
D) values determined by commitment.
Answer: A
Q2) A client with schizophrenia has been stabilized on long-acting haloperidol,an antipsychotic medication that is administered by injection every 3 weeks.The physician switches the medication to Seroquel,a new antipsychotic oral medication that is administered twice a day.The client complains that he cannot afford the new medication and will not be able to remember to take it.The physician replies,"I can't help that; I have to treat you the way I think is best." The client's nurse may experience
A) paternalism.
B) cognitive dissonance.
C) nonmaleficence.
D) moral distress.
Answer: D
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5
Chapter 4: Clarity and Safety in Communication
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18 Flashcards
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Sample Questions
Q1) 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.
Q2) The nurse manager sets a goal to establish a new safety culture on a hospital unit.The nurse manager recognizes that basic components in establishing a new safety culture include
A) support of effective health care teamwork.
B) encouragement of individualism.
C) discouragement of new concepts.
D) promotion of a hierarchical system.
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Chapter 5: Developing Therapeutic Communication Skills
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18 Flashcards
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Sample Questions
Q1) When therapeutically communicating with a client who has just found out he is HIVpositive,the nurse should focus on
A) professional needs.
B) an unlimited time frame for communication.
C) verbal communication only between the client and the nurse.
D) achieving identified health-related goals.
Q2) The nurse demonstrates understanding of the concept of metacommunication through
A) recognizing the impact of communication on others.
B) actively listening with good eye contact.
C) implementing barriers to effective communication.
D) ensuring that verbal and nonverbal messages are incongruent.
Q3) 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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Sample Questions
Q1) A description of denotation is
A) a personalized meaning of a word or phrase.
B) a generalized meaning assigned to a word.
C) a meaning shared by families.
D) a meaning generally shared within a specific culture.
Q2) Social cognitive competency refers to
A) the ability to use verbal and nonverbal interventions.
B) understanding the relationships between the roles of the sender and receiver.
C) the ability to interpret message content within interactions from the point of view of each participant.
D) interpreting emotional content by observing body language.
Q3) When the nurse asks a client,"How are you?" the client states,"I am fine." As the client turns away,she is crying.This is an example of
A) nonverbal communication.
B) incongruence.
C) proxemics.
D) congruence.
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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) 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) 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.
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Chapter 8: Therapeutic Communication in Groups
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17 Verified Questions
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Sample Questions
Q1) When a group leader encourages the group members to express their feelings about one another with the stipulation that any concerns the group may have about an individual member or suggestions for future growth should be stated in a constructive way and the group leader summarizes goal achievement,the group has reached which phase of group development?
A) Formative phase
B) Engagement
C) Active intervention
D) Termination
Q2) A member of a support group is concerned that the group has not been ending on time and that some members have been pairing off to discuss group issues after the meetings.The concerned group member expresses these concerns during a group meeting.This is an example of which maintenance function?
A) Setting standards
B) Consensus taking
C) Seeking information
D) Initiating discussion
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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) An appreciative client offers the nurse a box of chocolates.The nurse should
A) accept all gifts offered by the client.
B) refuse to accept the chocolates in a gentle, tactful manner.
C) accept or refuse based on the uniqueness of the relationship.
D) accept the gift but also remind the client of intangible gifts.
Q2) Which of the following is true about the helping relationship?
A) The health care provider takes responsibility for maintaining appropriate boundaries.
B) Both the health care provider and the client have equal responsibility for the relationship.
C) Self-disclosure for both the health care provider and the client is expected.
D) Understanding does not always have to be put into words.
Q3) 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
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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 describes mutual goals?
A) Mutuality is based on client goals.
B) Mutuality is based on interdisciplinary health team goals.
C) Mutuality is based on the nurse's goals.
D) Mutuality is based on the physician's goals.
Q2) 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.
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) 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
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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) The nurse is caring for an intoxicated client who has been admitted to the emergency department.The client appears very angry and frequently shouts at the nurse and demands to see the physician.The best response by the nurse is to use
A) blaming.
B) empathy.
C) competition.
D) "I" statements.
Q3) 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
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Page 15
Chapter 14: Communicating to Encourage Health Literacy, health
Promotion, and Prevention of Disease
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Sample Questions
Q1) A client has just completed an alcohol detoxification program.The client has recently experienced the loss of his wife and has been having difficulties at work.The client has some serious health effects from long-term alcohol abuse,including elevated serum liver enzymes.The client states,"Alcohol is ruining my life; I will do anything to quit drinking." The nurse should
A) ask the client what kinds of changes will be needed in order to stop drinking.
B) discuss the client's elevated serum liver enzymes and the predictive consequences of serious health problems, including premature death.
C) ask the client what life would be like without alcohol.
D) remind the client that he or she has been abstinent from drinking, allowing liver tests to significantly improve.
Q2) When caring for clients,the nurse recognizes that which of the following statements is true related to developmental level?
A) Developmental level affects only teaching strategies.
B) All clients are at the beginning level of the learning spectrum.
C) Developmental learning capacity is always age related.
D) Social and emotional development does not always parallel cognitive maturity.
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Chapter 15: Health Teaching and Coaching
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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) When assessing teaching and learning needs at discharge,the nurse should focus on which of the following?
A) What potential problems are likely to prevent a safe discharge
B) The client's ability to pay for his or her hospitalization
C) What potential problems are likely to cause complications or readmission
D) What prior knowledge or experience the client and family has with the current problem
E) What skills and equipment are needed to manage the problem at home
F) Who or what agency will assume responsibility for continuing care
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Chapter 16: Empowerment-Oriented Communication
Strategies to Reduce Stress
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12 Verified Questions
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Sample Questions
Q1) A short-term mild level of stress that acts as a positive stress response with protective and adaptive functions and is perceived as being within the person's ability to manage is known as
A) stress.
B) eustress.
C) stressor.
D) distress.
Q2) 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
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.
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D) Stress can have protective and adaptive functions.
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Chapter 17: Communicating With Clients Experiencing
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Sample Questions
Q1) The nurse is caring for a client who is hearing-impaired and legally blind in his right eye.The client has just returned from cataract surgery on his left eye.The nurse recognizes that
A) the client's arm should be held when walking.
B) verbal speech is useless in this situation.
C) signals should be developed to indicate changes in pace or direction while walking. D) the client should be discouraged from reading lips.
Q2) The nurse is caring for an older adult client who is recovering from a stroke.When the nurse speaks to the client,the client nods her head and responds using incoherent words.Which type of aphasia does this client exhibit?
A) Expressive
B) Receptive
C) Global
D) Cognitive
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19
Chapter 18: Communicating With Children
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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) The nurse is caring for a 2-year-old child on a pediatric unit.The child's parents have just left the unit for the night.The child is standing at the edge of the crib and crying.Which of the following interventions is most appropriate for the nurse to use?
A) Limit the use of kinesthetic approaches when caring for the child.
B) Talk to the child about Mommy and Daddy and how much the child cares for them.
C) Maintain a flat affect when interacting with the child.
D) At first maintain a distance of 8 feet from the child.
Q3) 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.
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Page 20
Chapter 19: Communicating With Older Adults
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Sample Questions
Q1) When visiting a client in his or her home,the home health nurse notes that the client frequently shifts the conversation to reminisce.Which of the following communication techniques would be most effective for the nurse to use with this client?
A) Restating
B) Changing the subject
C) Providing information
D) Asking about the client's life history
Q2) When performing a mental status examination on an older adult client,the nurse discovers that the client is illiterate and only has a third-grade education.How should the nurse assess the client's cognition?
A) Have the client spell the word "world" backwards.
B) Have the client spell the word "world" forwards.
C) Ask the client to perform serial 7s.
D) Instruct the client to state the days of the week backwards.
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Chapter 20: Communicating With Clients in Crisis
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Sample Questions
Q1) 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.
Q2) When a disaster strikes within a community,the shock of the disaster pulls people together and outside resources are brought in.This is known as which phase of the community response to disaster?
A) Reconstruction
B) Honeymoon
C) Heroic
D) Disillusionment
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Chapter 21: Communicating With Clients and Families at the End of Life
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Sample Questions
Q1) The nurse is caring for a client who has just received biopsy reports that indicate recurrence of metastatic stage IV breast cancer.The client's statement that indicates the acceptance stage of death and dying is,
A) "The test results are incredible."
B) "The test results are positive."
C) "The test results are negative."
D) "The test results will be repeated next week."
Q2) 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.
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
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Chapter 22: Role Relationships and Interprofessional Communication
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Sample Questions
Q1) 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."
Q2) 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
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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) Which of the following is true about the relationship between physicians and nurses?
A) Only the physician is responsible for fostering good physician-client communication.
B) The physician and nurse should not engage in open dialogue.
C) The relationship between the physician and the nurse remains an evolving process.
D) Few nurses encounter problems in the physician-nurse relationship.
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25
Chapter 24: Communicating for Continuity of Care
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Sample Questions
Q1) The nurse recognizes that a potential barrier to effective team communication includes which of the following?
A) Team role clarity
B) Lack of territoriality
C) Professional rivalries
D) Transparent job responsibilities
Q2) 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.
Q3) A client asks a nurse to explain the Affordable Care Act.When explaining it to the client,the nurse tells the client
A) it will begin in the year 2018.
B) it is state legislation for health care.
C) it emphasizes disease promotion and health prevention.
D) it provides new consumer protections.
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Chapter 25: Documentation in an Electronic Era
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Sample Questions
Q1) A client slipped and fell in the bathroom.When filling out an incident report,the nurse should
A) record complete, pertinent health information.
B) write about the incident report in the client record.
C) store the incident report in the client record.
D) make untimely entries.
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) Which classification system is a comprehensive practice,documentation,and information management tool?
A) NANDA
B) NIC
C) NOC
D) Omaha system
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Chapter 26: Communicating at the Point of Care: Application of Ehealth Information Technologies
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Sample Questions
Q1) AHRQ's analysis of 146 studies of the impact of computer health modules on client outcomes found that these programs
A) failed to engage client attention.
B) succeeded in engaging client attention.
C) caused a decline in client clinical health.
D) had no significant impact on client outcomes.
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) 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.
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