NR222- HEALTH & WELLNESS- WEEK 5 STUDY GUIDE
UPDATED ACTUAL QUESTIONS WITH CORRECT ANSWERS
Question 1.
What is the most important characteristic of small group communication?
-Positive self-talk -Express feelings and exchange ideas -Organized and concise -Secure messaging
technology
ANSWER
-Organized and concise
RATIONALE: Small group communication occurs when a small group collaborates. Regardless
of the topic, communication should be organized, concise, and complete. Positive self-talk
refers to internal communication, increases confidence, and helps with difficult tasks.
Electronic communication is the use of technology to create ongoing relationships with
clients or an interprofessional team. Secure messaging may provide timely communication
with a healthcare provider. One-on-one interactions occur between a nurse and another
person in a face-to-face manner. The most valuable interactions exchange ideas, problem
solve, express feelings, make decisions, accomplish goals, build teams, and encourage
personal growth.
Question 2.
Which are aspects of nonverbal communication? Select all that apply.
-Gestures -Intonation -Relevance -Timing -Sounds -Eye contact -Appearance -Personal space
ANSWER
-Gestures -Sounds -Eye contact -Appearance -Personal space
RATIONALE: Nonverbal communication includes our five senses and does not involve written
or spoken words. The most important aspects of nonverbal communication are: eye contact
personal space posture and gait appearance facial expression gestures sounds Intonation,
timing, and relevance are aspects of verbal communication.
Question 3.
What are the reasons for effective communication in healthcare? Select all that apply.
-Meets legal standards -Increases client satisfaction -Meets clinical standards of care -Reduces
errors -Improves client outcomes
ANSWER
, -Meets legal standards -Increases client satisfaction -Meets clinical standards of care
-Reduces errors -Improves client outcomes
RATIONALE: Good communication skills reduce errors, improve outcomes, and increase
client satisfaction. Through competent communication, we meet legal, ethical, and clinical
standards of care .
Question 4.
Nurses use communication throughout the nursing process. Place the communication statements in
the correct order based on the nursing process. -The nurse analyzes the client's responses and
determines that the client is afraid to have surgery. -The nurse asks the client if they have any
questions. -The nurse asks the client if they have had any past surgeries. -The nurse talks with the
client to establish mutual goals. -The nurse teaches the client about the pain management plan after
surgery.
ANSWER
-Assessment: The nurse asks the client if they have had any past surgeries.
-Diagnosis/Analysis: The nurse analyzes the client's responses and determines that the client
is afraid to have surgery.
-Planning: The nurse talks with the client to establish mutual goals.
-Implementation: The nurse teaches the client about the pain management plan after
surgery.
-Evaluation: The nurse asks the client if they have any questions.
Question 5.
The nurse is caring for a client who only speaks and reads Spanish. What action should the nurse
take when communicating with this client?
-Use an authorized interpreter to provide translation for the education. -Arrange for a family
member to provide translation. -Ask a colleague who speaks Spanish for assistance. -Ask the client
to write down any questions.
ANSWER
-Use an authorized interpreter to provide translation for the education.
RATIONALE: The best answer is to always use a professional interpreter. They have been
trained in advanced communication skills to ensure the information is delivered accurately,
questions are answered appropriately, and communication is consistent with a set of
standards. Neither unauthorized personnel (a colleague) nor family members should be used
as translators.
Question 6.
,identify whether each component of communication is verbal or nonverbal.
-Posture and gait -Clarity and brevity -Gestures -Pacing -Personal space -Intonation -Eye contact
-Appearance -Meaning
ANSWER
Nonverbal: -posture and gait -gestures -personal space -eye contact -appearance
Verbal: -clarity and brevity -pacing -intonation -meaning
Question 7.
Based on the client's facial expression, select the corresponding communication barrier. (see image)
ANSWER
SEE IMAGE
Question 8.
When caring for a client who is hearing-impaired, which techniques may improve communication?
Select all that apply.
-Keep communication short, simple, and direct. -Exaggerate lip movements to improve lip reading.
-Assess the need for adaptive equipment, such as a hearing device. -Speak loudly to improve
understanding. -Communicate only through written material. -Allow the client time to process the
information and respond.
, ANSWER
-Keep communication short, simple, and direct. -Assess the need for adaptive equipment,
such as a hearing device. -Allow the client time to process the information and respond.
RATIONALE: Many hearing-impaired clients have adaptive equipment (hearing aids,
amplifiers, etc.). Be sure the device is working and in use during communication. Keep your
communication short, simple, and direct and be sure to give the client an opportunity to
respond with questions before moving on to the next topic. Lip reading may or may not be
used by the client; however, exaggerated lip movements and speaking loudly are not helpful.
Communicating only through written information assumes the client has a high level of
health literacy. It is best to use multiple forms of communication.
Question 9.
Highlight all the cues that alert the nurse to be aware of communication needs.
Rachel Montgomery (preferred pronouns she, her), a nurse in an inpatient rehabilitation unit, is
caring for Ms. Simpson, aged 69 years, who speaks Polish. Ms. Simpson understands some English
but speaks very little. Ms. Simpson is recovering from a broken hip and has been deaf since
childhood. Her vision has deteriorated some with age. Today, Rachel is preparing to discharge Ms.
Simpson to home, whose daughter will be arriving soon.
ANSWER
Rachel Montgomery (preferred pronouns she, her), a nurse in an inpatient rehabilitation unit,
is caring for Ms. Simpson, aged 69 years, who speaks Polish. Ms. Simpson understands some
English but speaks very little. Ms. Simpson is recovering from a broken hip and has been deaf
since childhood. Her vision has deteriorated some with age. Today, Rachel is preparing to
discharge Ms. Simpson to home, whose daughter will be arriving soon.
RATIONALE: The nurse should be alert to the following cues for communication needs: Ms.
Simpson speaks Polish. Ms. Simpson understands some English but speaks very little. Ms.
Simpson has been deaf since childhood. Ms. Simpson's vision has deteriorated. Cues that are
not concerning include Ms. Simpson's age, her diagnosis, and that her daughter will be
arriving soon to assist with discharge.
Question 10.
Rachel Montgomery (preferred pronouns she, her), a nurse in an inpatient rehabilitation unit, is
caring for Ms. Simpson, aged 69 years, who speaks Polish. Ms. Simpson understands some English
but speaks very little. Ms. Simpson is recovering from a broken hip and has been deaf since
childhood. Her vision has deteriorated some with age. Today, Rachel is preparing to discharge Ms.
Simpson to home, whose daughter will be arriving soon.
As Rachel prepares to provide discharge teaching, which level of communication is most
appropriate?
-One-on-one -Electronic -Small group -Public
UPDATED ACTUAL QUESTIONS WITH CORRECT ANSWERS
Question 1.
What is the most important characteristic of small group communication?
-Positive self-talk -Express feelings and exchange ideas -Organized and concise -Secure messaging
technology
ANSWER
-Organized and concise
RATIONALE: Small group communication occurs when a small group collaborates. Regardless
of the topic, communication should be organized, concise, and complete. Positive self-talk
refers to internal communication, increases confidence, and helps with difficult tasks.
Electronic communication is the use of technology to create ongoing relationships with
clients or an interprofessional team. Secure messaging may provide timely communication
with a healthcare provider. One-on-one interactions occur between a nurse and another
person in a face-to-face manner. The most valuable interactions exchange ideas, problem
solve, express feelings, make decisions, accomplish goals, build teams, and encourage
personal growth.
Question 2.
Which are aspects of nonverbal communication? Select all that apply.
-Gestures -Intonation -Relevance -Timing -Sounds -Eye contact -Appearance -Personal space
ANSWER
-Gestures -Sounds -Eye contact -Appearance -Personal space
RATIONALE: Nonverbal communication includes our five senses and does not involve written
or spoken words. The most important aspects of nonverbal communication are: eye contact
personal space posture and gait appearance facial expression gestures sounds Intonation,
timing, and relevance are aspects of verbal communication.
Question 3.
What are the reasons for effective communication in healthcare? Select all that apply.
-Meets legal standards -Increases client satisfaction -Meets clinical standards of care -Reduces
errors -Improves client outcomes
ANSWER
, -Meets legal standards -Increases client satisfaction -Meets clinical standards of care
-Reduces errors -Improves client outcomes
RATIONALE: Good communication skills reduce errors, improve outcomes, and increase
client satisfaction. Through competent communication, we meet legal, ethical, and clinical
standards of care .
Question 4.
Nurses use communication throughout the nursing process. Place the communication statements in
the correct order based on the nursing process. -The nurse analyzes the client's responses and
determines that the client is afraid to have surgery. -The nurse asks the client if they have any
questions. -The nurse asks the client if they have had any past surgeries. -The nurse talks with the
client to establish mutual goals. -The nurse teaches the client about the pain management plan after
surgery.
ANSWER
-Assessment: The nurse asks the client if they have had any past surgeries.
-Diagnosis/Analysis: The nurse analyzes the client's responses and determines that the client
is afraid to have surgery.
-Planning: The nurse talks with the client to establish mutual goals.
-Implementation: The nurse teaches the client about the pain management plan after
surgery.
-Evaluation: The nurse asks the client if they have any questions.
Question 5.
The nurse is caring for a client who only speaks and reads Spanish. What action should the nurse
take when communicating with this client?
-Use an authorized interpreter to provide translation for the education. -Arrange for a family
member to provide translation. -Ask a colleague who speaks Spanish for assistance. -Ask the client
to write down any questions.
ANSWER
-Use an authorized interpreter to provide translation for the education.
RATIONALE: The best answer is to always use a professional interpreter. They have been
trained in advanced communication skills to ensure the information is delivered accurately,
questions are answered appropriately, and communication is consistent with a set of
standards. Neither unauthorized personnel (a colleague) nor family members should be used
as translators.
Question 6.
,identify whether each component of communication is verbal or nonverbal.
-Posture and gait -Clarity and brevity -Gestures -Pacing -Personal space -Intonation -Eye contact
-Appearance -Meaning
ANSWER
Nonverbal: -posture and gait -gestures -personal space -eye contact -appearance
Verbal: -clarity and brevity -pacing -intonation -meaning
Question 7.
Based on the client's facial expression, select the corresponding communication barrier. (see image)
ANSWER
SEE IMAGE
Question 8.
When caring for a client who is hearing-impaired, which techniques may improve communication?
Select all that apply.
-Keep communication short, simple, and direct. -Exaggerate lip movements to improve lip reading.
-Assess the need for adaptive equipment, such as a hearing device. -Speak loudly to improve
understanding. -Communicate only through written material. -Allow the client time to process the
information and respond.
, ANSWER
-Keep communication short, simple, and direct. -Assess the need for adaptive equipment,
such as a hearing device. -Allow the client time to process the information and respond.
RATIONALE: Many hearing-impaired clients have adaptive equipment (hearing aids,
amplifiers, etc.). Be sure the device is working and in use during communication. Keep your
communication short, simple, and direct and be sure to give the client an opportunity to
respond with questions before moving on to the next topic. Lip reading may or may not be
used by the client; however, exaggerated lip movements and speaking loudly are not helpful.
Communicating only through written information assumes the client has a high level of
health literacy. It is best to use multiple forms of communication.
Question 9.
Highlight all the cues that alert the nurse to be aware of communication needs.
Rachel Montgomery (preferred pronouns she, her), a nurse in an inpatient rehabilitation unit, is
caring for Ms. Simpson, aged 69 years, who speaks Polish. Ms. Simpson understands some English
but speaks very little. Ms. Simpson is recovering from a broken hip and has been deaf since
childhood. Her vision has deteriorated some with age. Today, Rachel is preparing to discharge Ms.
Simpson to home, whose daughter will be arriving soon.
ANSWER
Rachel Montgomery (preferred pronouns she, her), a nurse in an inpatient rehabilitation unit,
is caring for Ms. Simpson, aged 69 years, who speaks Polish. Ms. Simpson understands some
English but speaks very little. Ms. Simpson is recovering from a broken hip and has been deaf
since childhood. Her vision has deteriorated some with age. Today, Rachel is preparing to
discharge Ms. Simpson to home, whose daughter will be arriving soon.
RATIONALE: The nurse should be alert to the following cues for communication needs: Ms.
Simpson speaks Polish. Ms. Simpson understands some English but speaks very little. Ms.
Simpson has been deaf since childhood. Ms. Simpson's vision has deteriorated. Cues that are
not concerning include Ms. Simpson's age, her diagnosis, and that her daughter will be
arriving soon to assist with discharge.
Question 10.
Rachel Montgomery (preferred pronouns she, her), a nurse in an inpatient rehabilitation unit, is
caring for Ms. Simpson, aged 69 years, who speaks Polish. Ms. Simpson understands some English
but speaks very little. Ms. Simpson is recovering from a broken hip and has been deaf since
childhood. Her vision has deteriorated some with age. Today, Rachel is preparing to discharge Ms.
Simpson to home, whose daughter will be arriving soon.
As Rachel prepares to provide discharge teaching, which level of communication is most
appropriate?
-One-on-one -Electronic -Small group -Public
