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1. When working with an older adult who is hearing-impaired, the use of which
techniques would improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient lip read.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point.
5. Communicate only through written information.: 1. Check for needed adaptive equip-
ment.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point
2. Nurses must communicate effectively with the health care team for which of
the following reasons? (Select all that apply.)
1. Improve the nurse's status with the health team members
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
5. Prevent issues that need to be reported to outside agencies: 2. Reduce the risk of
errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
3. A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the following is the best strategy
to help the nurse find more time for this communication?
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1. Include communication while performing tasks such as changing dressings
and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up remaining time
for communication.: 1. Include communication while performing tasks such as changing dressings and
checking vital signs.
4. Motivational interviewing (MI) is a technique that applies understanding a
patient's values and goals in helping the patient make behavior changes. What
are other benefits of using MI techniques? (Select all that apply.)
1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to promote
change
5. Identifying differences in patient's health goals and current behaviors: 1.
Gaining an understanding of patient's motivations
3. Recognizing patient's strengths and supporting their efforts
5. Identifying differences in patient's health goals and current behaviors
5. A nurse is talking with a young-adult patient about the purpose of a new med-
ication. The nurse says, "I want to be clear. Can you tell me in your words the
purpose of this medicine?" This exchange 334is an example of which element
of the transactional communication process?
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1. Message
2. Obtaining feedback
3. Channel
4. Referent: 2. Obtaining feedback
6. A patient who is Spanish-speaking does not appear to understand the nurse's
information on wound care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the procedure
2. Ask a fellow Spanish-speaking patient to help explain the procedure
3. Use a professional interpreter to provide wound care education in Spanish
4. Ask the patient to write down questions that he or she has for the nurse: 3.
Use a professional interpreter to provide wound care education in Spanish
7. A nurse prepares to contact a patient's physician about a change in the pa-
tient's condition. Put the following statements in the correct order using SBAR
(Situation, Background, Assessment, and Recommendation) communication.
1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia
and was started on Levaquin at 5 PM yesterday. She complains of a poor
appetite."
2. "The patient reported feeling very nauseated after her dose of Levaquin an
hour ago."
3. "Would you like to make a change in antibiotics, or could we give her a
nutritional supplement before her medication?"
4. "The patient started complaining of nausea yesterday evening and has
vomited several times during the night.": 4. (S) "The patient started complaining of nausea
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yesterday evening and has vomited several times during the night."
1. (B) "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5
PM yesterday. She complains of a poor appetite."
2. (A) "The patient reported feeling very nauseated after her dose of Levaquin an hour ago."
3. (R) "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her
medication?"
8. A nurse is assigned to care for a patient for the first time and states, "I don't
know a lot about your culture and want to learn how to better meet your health
care needs." Which therapeutic communication technique did the nurse use in
this situation?
1. Validation
2. Empathy
3. Sarcasm
4. Humility: 4. Humility
9. A new nurse is experiencing lateral violence at work. Which steps could the
nurse take to address this problem?
1. Challenge the nurses in a public forum to embarrass them and change their
behavior
2. Talk with the department secretary and ask if this has been a problem for
other nurses
3. Talk with the preceptor or manager and ask for assistance in handling this
issue