Test Bank For Interpersonal Relationships 6th Edition, Professional Communication Skills For Nurses By Elizabeth C. Arnold & Kathleen Boggs Complete Chapter 1-23 (2023/2024)

Test Bank For Interpersonal Relationships 6th Edition - Professional Communication Skills For Nurses By Elizabeth C. Arnold & Kathleen Boggs Complete Chapter 1-23 (2023/2024). Nurse Jones demonstrates the application of modern nursing theory when she: a. Administers insulin to a client with diabetes b. Assists a physician with a pelvic examination c. Teaches a client techniques of self breast examination d. Makes up a client’s bed ANS: C Modern nursing theory has broadened the definition of health with a strong emphasis on disease prevention and health promotion. Incorrect answers: 1,2,4. These are all nursing tasks, and modern nursing theory puts less emphasis on tasks and systems. DIF: Cognitive Level: Application REF: Text Page Reference: p. 22 TOP: Step of the Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 3. Nursing theory originated with which of the following nursing leaders? This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 a. Virginia Henderson b. Martha Rogers c. Dorothea Orem d. Florence Nightingale ANS: D Theory development began when Florence Nightingale published her notes on nursing in 1859. Incorrect answers: 1,2,3. These nursing theorists began their theory development from the 1940s onward. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 3 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 4. Virginia Henderson, Sister Callista Roy, Jean Watson, Dorothea Orem, and Rosemary Parse are best known for: a. Developing nursing theories b. Linking theory to practice c. Validating existing theory d. Measuring clinical outcomes ANS: A These are some of the nursing leaders who developed the original theories of nursing. Incorrect answers: 2,3,4. Linking theory to practice, validating existing theory, and measuring clinical outcomes are modern practice based theories. DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 3 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 5. Nursing’s metaparadigm: a. Helps bind nursing to other professions b. Consists of three elements—person, health, and nursing c. Makes nursing’s functions unique d. Is a view of the immediate environment ANS: C This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 Nursing’s metaparadigm is a worldwide view that makes its functions unique. Incorrect answers: 1. Nursing’s metaparadigm distinguishes nursing from other professions. 2. Nursing’s metaparadigm consists of four elements: person, environment, health, and nursing. 4. It is a worldview. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 4 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 6. Nurse Green, when admitting Mr. Brown to the medical-surgical unit, asks him about cultural issues. By doing this, Nurse Green is demonstrating use of the concept of: a. Person b. Environment c. Health d. Nursing ANS: B The concept of environment includes cultural and religious beliefs. Incorrect answers: 1. Person is the recipient of care. 3. Health emphasizes well-being. 4. Nursing empowers clients to achieve health. DIF: Cognitive Level: Application REF: Text Page Reference: p. 5 TOP: Step of the Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 7. Mary, a young mother, tells you “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 concept is represented in this situation? a. Environment b. Caring c. Health d. Person ANS: D With the concept of person, nurses provide educational and emotional support to families. Incorrect answers: 1. Environment refers to the internal and external context of the client. 2. Caring is an essential characteristic of the practice of nursing. 3. Health emphasizes the equilibrium of all elements. DIF: Cognitive Level: Application REF: Text Page Reference: p. 4 TOP: Step of the Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 8. Performing a dressing change using sterile technique is an example of which pattern of knowledge? a. Empirical b. Personal c. Aesthetic d. Ethical ANS: A Empirical knowledge is the scientific rationale for skilled nursing interventions. Incorrect answers: 2. Personal ways of knowing allow the nurse to understand and treat each individual as a unique person. 3. Aesthetic ways of knowing allow the nurse to connect in different and more meaningful ways. 4. Ethical ways of knowing refer to the moral aspects of nursing. DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 7 TOP: Step of the Nursing Process: Implementation MSC: Client Needs: Management of Care 9. The nurse-client relationship as described by Peplau: a. Would not be useful in a short-stay unit b. Allows personal and social growth to occur only for the client c. Leaves the client with a greater sense of well-being d. Describes phases of the relationship that are mutually exclusive ANS: C An important aspect of the nurse-client relationship is to leave the client with a greater sense of well-being than before the encounter. Incorrect answers: 1. The nurse-client relationship can be effective in even short interactions. 2. Growth occurs for both client and nurse. 4. Phases can overlap and build on one another. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 9 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 10. Which of the following is the purpose of the nurse-client relationship? a. Foster spiritual well-being of the client b. Foster understanding of the client’s health problem c. Foster physical health of the client d. Foster a partnership with the client This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 ANS: D The purpose of the nurse-client relationship is to have a meaningful shared experience in which personal/social growth occurs for both nurse and client. Incorrect answers: 1. Spiritual well-being can result from a nurse-client relationship, but is not the purpose. 2. This also can result from a successful nurse-client relationship, but it also is not the purpose. 3. The nurse-client relationship can foster changes in health status and wellbeing, but it is not the purpose. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 9 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 11. According to Peplau, which of the following represents “exploitation,” the third phase of the nurse-client relationship? a. John Adams, RN, meets with the client, Mr. Jones, to obtain data b. John Adams, RN, develops the nursing diagnosis, Anxiety about upcoming surgery c. John Adams, RN, develops the goal to decrease Mr. Jones’ anxiety within two sessions d. John Adams, RN, teaches Mr. Jones to perform relaxation techniques ANS: D The exploitation phase uses resources to help the client resolve issues and learn new coping strategies. Incorrect answers: 1. This is the orientation phase. 2. This is the working phase. 3. This is the working phase. DIF: Cognitive Level: Application REF: Text Page Reference: p. 9 TOP: Step of the Nursing Process: Implementation MSC: Client Needs: Management of Care 12. 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 mutual clarification of ideas and expectations d. Uses community resources to help resolve health care issues ANS: C The identification component of the working phase focuses on mutual clarification. Incorrect answers: 1. The orientation phase sets the stage for the rest of the relationship. 2. The orientation phase correlates with the assessment phase. 4. This is the termination phase. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 9 This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 TOP: Step of the Nursing Process: Planning MSC: Client Needs: Management of Care 13. Anger directed at the nurse by the family of a client newly diagnosed with cancer can best be understood in the context of: a. Martin Buber’s I-Thou relationship b. Abraham Maslow’s hierarchy of needs c. Carl Jung’s concepts of adult development d. Sigmund Freud’s ego defense mechanisms ANS: D Freud identified ego defense mechanisms that a person uses to protect the self from anxiety. One of these is the projection of anger. Incorrect answers: 1. In an I-Thou relationship individuals respond in a mutually respectful manner. 2. Maslow describes categories of needs that must be satisfied according to a hierarchy. 3. Jung’s concepts of adult development help nurses understand changes in values that are important to older adults. DIF: Cognitive Level: Application REF: Text Page Reference: p. 10 TOP: Step of the Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity 14. Which of the following theorists viewed the professional’s relationship with the client as a means to help the client grow and change? a. Maslow b. Rogers c. Erikson d. Beck ANS: B According to Carl Rogers, if the professional could provide a certain type of relationship, the client would find the capacity to grow and change. Incorrect answers: 1. Maslow focused on a hierarchy of needs. 3. Erickson talked about developmental stages. 4. Beck focuses on cognitive distortions. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 11 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 15. Nurse Smith wants to provide medication education to a group of clients diagnosed with schizophrenia. It would be most helpful for nurse Smith to keep in mind the concepts of: This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 a. Freud’s transference and counter-transference b. Rogers’ person-centered relationship c. Maslow’s self-actualization d. Erikson’s principles of personality development ANS: B Rogers’ concepts are applicable for nurse-client teaching formats. Incorrect answers: 1. Transference and counter-transference may occur, but in providing education the most helpful concepts are those of Rogers. 3. Self-actualization is the highest level of need satisfaction; it would not be useful in providing medication education. 4. Erikson describes four stages of the life cycle to help the person develop identity. These would not be useful in providing psychoeducation. DIF: Cognitive Level: Analysis REF: Text Page Reference: p. 12 TOP: Step of the Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 16. Which of the following statements about communication theory is true? a. Primates are able to learn new languages to share ideas and feelings b. Concepts include only verbal communication c. Perceptions are clarified through feedback d. Past experience does not influence communication ANS: C Feedback is necessary to confirm that participants have the same understanding of the message. Incorrect answers: 1. Only humans are capable of learning new languages to share ideas and feelings. 2. Both verbal and nonverbal concepts are important. 4. Past experiences do influence communication. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 17 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 17. In the circular transactional model of communication: a. Systems theory concepts are included b. People take only complementary roles in the communication c. The context of the communication is unimportant d. The purpose of communication is to influence the receiver ANS: A This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 Systems theory concepts of feedback and validation are included. Incorrect answers: 2. People take either symmetrical or complementary roles. 3. The context is very important. 4. This is the purpose in the linear model of communication. DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 17 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 18. Feedback: a. Occurs in some interactions b. Involves only verbal responses c. Does not include validation d. Can focus on the feelings generated ANS: D Feedback can focus on content, relationship, feelings, or events. Incorrect answers: 1. Feedback always occurs. 2. Feedback involves both verbal and nonverbal responses. 3. Validation is a form of feedback. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 17 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Psychosocial Integrity 19. As a nursing student you are expected to engage in therapeutic communication with clients. Which of the following statements represents therapeutic communication when a student discovers a client crying in bed? a. “Hi, Joe; I am the nurse who will be doing your treatments today.” b. “Hi, Joe; will you listen to me so I can help you get better?” c. “Hi, Joe; this is what is going to happen during surgery.” d. “Hi, Joe; can we talk about what seems to be bothering you?” ANS: D This statement is goal-directed. Its purpose is to promote client well-being. Incorrect answers: 1. This communication is a statement of fact and it ignores the client’s emotional needs. 2. This is not goal-directed and does not involve mutuality. 3. This communication is simply one-way. It does not engage the client in a therapeutic manner. DIF: Cognitive Level: Application REF: Text Page Reference: p. 18 TOP: Step of the Nursing Process: Assessment This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 MSC: Client Needs: Psychosocial Integrity 20. The current focus of the health care delivery system can be best described by: a. Telehealth b. The medical model c. Nursing’s metaparadigm d. Capitated health care ANS: C The current focus of health care delivery is on using a public health framework rather than a traditional model. Nursing’s metaparadigm, with the emphasis on the interrelationship between person and environment, stresses health promotion and disease prevention. Incorrect answers: 1. Tele-health is part of the current system, but not the focus. 2. The medical model treatment of disease was a past focus of health care. 4. Capitated health care focuses on resource allocation. DIF: Cognitive Level: Comprehension REF: Text Page Reference: p. 18 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Health Promotion and Maintenance This study source was downloaded by from CourseH on 12-18-2021 22:46:25 GMT -06:00 Powered by TCPDF () Arnold: Interpersonal Relationships, 6th Edition Test Bank Chapter 2: Professional Guides to Action in Interpersonal Relationships MULTIPLE CHOICE 1. Legal documents developed at the state level that govern the provision of professional nursing care are known as: a. NCLEX b. Nurse Practice Acts c. Professional standards of care d. Tort laws ANS: B Nurse Practice Acts define nursing’s scope of practice and outline nurses’ rights, responsibilities, and licensing requirements. Incorrect answers: 1. NCLEX is the National Council Licensure Examination. 3. Professional standards of care are statements that describe levels of care or performance common to the nursing profession. 4. Tort laws are legal tenets. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 29 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 2. A preoperative assessment shows that a client’s hemoglobin level is dropping. The anesthetist orders 3 units of blood to be administered. The nurse administers the first unit before discovering that the client is a Jehovah’s witness, as documented in the record. This is an example of: a. Professional conduct b. A negligent act c. Physical abuse d. Breaching client confidentiality ANS: B The nurse was negligent by not checking the record and by failure to inform and obtain verbal consent of the client for the procedure. Incorrect answers: 1. This is an example of misconduct. 3. The nurse did not intend to physically harm the patient. 4. The nurse did not breach client confidentiality. DIF: Cognitive Level: Application REF: Text Page Reference: p. 29 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care This study source was downloaded by from CourseH on 12-18-2021 22:44:42 GMT -06:00 3. 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 ANS: D Releasing information to people not directly involved in the client’s care is a breach of confidentiality. Incorrect answers: 1,2,3. These situations require mandatory reporting. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 30 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 4. A 16-year-old trauma victim arrives in the emergency department and requires emergency surgery. The nurse knows that: a. A parent/guardian must give consent b. The client can give consent if she provides proof of emancipation c. The client must first be evaluated for competency before obtaining consent d. Surgery can be performed without consent ANS: D Surgery can be performed without consent because it is a life-threatening emergency. Incorrect answers: 1. Normally this is true, but in a life-threatening emergency, medical care can be administered without consent. 2. This is not necessary in a life-threatening situation. 3. This is not needed in a life-threatening situation. DIF: Cognitive Level: Application REF: Text Page Reference: p. 30 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 5. In regard to informed consent, which of the following statements is true? a. Only legally incompetent adults can give consent. b. Only parents can give consent for minor children c. It is not required that the client be told about costs and alternatives to treatment. d. Consent must be voluntary. ANS: D For legal consent to be valid, it must be voluntary. Incorrect answers: 1. Only legally competent adults can give consent. 2. Parents or legal guardians can give consent for minor children. 3. Clients must have full disclosure about risks/benefits including costs and alternatives. This study source was downloaded by from CourseH on 12-18-2021 22:44:42 GMT -06:00 DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 30 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 6. Which of the following provides the health care team with information regarding the client’s wishes regarding life-prolonging treatment protocols? a. Advanced directive b. Informed consent c. Statement of clients’ rights d. Professional code of ethics ANS: A Clients can put individual preferences in writing that are recognized by law. An Advance directives is a legal document that must be voluntarily signed and witnessed. Incorrect answers: 2. Informed consent is made at or shortly before treatment. 3. This is a broad, general statement about clients’ rights. 4. The professional code of ethics outlines principled behaviors and values expected of professional nurses. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 32 TOP: Step of the Nursing Process: All phases MSC: Client Needs: Management of Care 7. 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 ventilate their feelings and concerns, while maintaining the role of client advocate ANS: D This is the most appropriate action at the time to assist the family to deal with their loss and come to terms with their family member’s wishes. Incorrect answers: 1. This statement would not be supportive and might create hostility. 2. The family does not have the right to override a living will. 3. This is not the most appropriate initial course of action. DIF: Cognitive Level: Analysis REF: Text Page Reference: p. 32 TOP: Step of the Nursing Process: Implementation MSC: Client Needs: Management of Care This study source was downloaded by from CourseH on 12-18-2021 22:44:42 GMT -06:00 8. 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 ANS: C Subjective refers to the client’s perception. Incorrect answers: 1. Blood pressure recording is objective. 2. This observation by the nurse is objective data. 4. This is objective data. DIF: Cognitive Level: Knowledge REF: Text Page Reference: p. 33 TOP: Step of the Nursing Process: Assessment MSC: Client Needs: Physiological Integrity