PNC Exam 2 (12,13) Complete
Solutions
During report a nurse complains about a 3 year old boy, saying "He sure knows
when to pour on the tears. There's nothing wrong until he sees you; then the tears
start but they stop as soon as you leaver or his mother comes. He's just spoiled
because they have a nanny at home who wait on him hand and foot. This is an
example of..? - ANSWER-Stereotyping because the child has a nanny
A nurse comments in private about a patient: "That lady with six kids is pregnant
again! It makes me sick to see these people on welfare taking away from our tax
dollars. I don't know how she can continue to do this." The best response by a nurse
peer is to..? - ANSWER-Convey acceptance of the patient
Which of the following best illustrates nonjudgemental acceptance by the nurse? -
ANSWER-Demonstrating caring behavior in spite of negative feelings
Using Hagerty and Patuskys theory of human relatedness (2003), the nurse-patient
relationship has been reconceptualized by approaching..? - ANSWER-Patients with
a sense of the patients autonomy, choice, and participation
Which is true of verbal and nonverbal communication? - ANSWER-The nonverbal
communication may be a more reliable message
Which of the following could be considered congruent communication? - ANSWER-
The nurse manager sits with you in the nurses lounge and asks, Is there anything
you would like to talk about?
A nurse is irrigating pressure ulcers on a patients coccyx. When the patient asks how
they are healing, the nurse grimaces and says, Oh, they're doing just fine. This is? -
ANSWER-Incongruence between verbal and nonverbal messages
Context is one of the five major elements of communication identified by Ruesch.
Which of the following is part of the context of communication? - ANSWER-Attitude
of the receiver
A new mother says to the nurse, It really hurts me to breastfeed. I think I should
wean my baby. The most appropriate response by the nurse is? - ANSWER-If I
understand you, it hurts when you breastfeed. Tell me how and when it hurts.
A new mother says to the nurse, It really hurts me to breastfeed. I think I should
wean my baby. The nurse responds, If I understand you, it hurts when you
breastfeed. Tell me how and when it hurts. This response best represents which
criterion of successful communication? - ANSWER-feedback
, When a coworker tells the nurse, I am not sure i will be able to give the right answers
in the job interview, the nurse replies, I know what you mean. Interviews have always
been a problem for me, too. This response can be evaluated as lacking...? -
ANSWER-Appropriateness
A new mother says, "My baby is being kept in the nursery. I'm really worried about
him. I'm also worried that the separation will interfere with breastfeeding." The most
appropriate response by the nurse is, - ANSWER-I can see this is a problem for you.
I will go to the nursery and see if I can get some answers for you.
Using simple, clear words to explain the details of a colonoscopy procedure shows
sensitivity to which successful communication criterion? - ANSWER-efficiency
A 4 year old child is going to have an abdominal X-ray examination. The child asks,
Why do they have to do this? Will it hurt? Which of the following is the most
appropriate response by the nurse? - ANSWER-"You will go to the x-ray department
so they can take pictures of your tummy to find out why you have a tummy ache. The
bed you lie on may be cool, but you will have a blanket to keep you warm. The test
will not hurt."
Which of the following examples illustrates the nurses failure to use flexibility
effectively in professional communication? - ANSWER-Continuing to follow the
agenda in a staff meeting when people are obviously upset by a recent death on the
unit
The nurse plans to teach a patient about the care of her mastectomy site. The nurse
finds the patient crying. The best response by the nurse is? - ANSWER-I see you are
upset. Is there something on your mind you'd like to talk about?
The patient says to the nurse, "The staff treats me like I'm a child. Everyone tells me
what to do. No one ever asks my opinion. After all, it is my body. Which response by
the nurse indicates active listening? - ANSWER-Let me see if I understand. It
bothers you not to be recognized for your abilities to handle your life. I can discuss
this with the staff if you wish so that everyone involves you in planning your care.
In which of the following examples is the nurse demonstrating empathy for the
postoperative mastectomy patient? - ANSWER-"This must be a very difficult time for
you."
Which of the following demonstrates giving information versus opinion? - ANSWER-
Mrs. Khan, lets practice together the breathing techniques you learned in Lamaze
classes. That will help us to work together more effectively later when your labor is
stronger
How would a nurses use of the technique of reflection help a person? - ANSWER-
Encouraging the person to think through problems for himself or herself
Within nurse-patient communication, the use of silence can - ANSWER-Allow the
patient to not feel pressured to provide information
Solutions
During report a nurse complains about a 3 year old boy, saying "He sure knows
when to pour on the tears. There's nothing wrong until he sees you; then the tears
start but they stop as soon as you leaver or his mother comes. He's just spoiled
because they have a nanny at home who wait on him hand and foot. This is an
example of..? - ANSWER-Stereotyping because the child has a nanny
A nurse comments in private about a patient: "That lady with six kids is pregnant
again! It makes me sick to see these people on welfare taking away from our tax
dollars. I don't know how she can continue to do this." The best response by a nurse
peer is to..? - ANSWER-Convey acceptance of the patient
Which of the following best illustrates nonjudgemental acceptance by the nurse? -
ANSWER-Demonstrating caring behavior in spite of negative feelings
Using Hagerty and Patuskys theory of human relatedness (2003), the nurse-patient
relationship has been reconceptualized by approaching..? - ANSWER-Patients with
a sense of the patients autonomy, choice, and participation
Which is true of verbal and nonverbal communication? - ANSWER-The nonverbal
communication may be a more reliable message
Which of the following could be considered congruent communication? - ANSWER-
The nurse manager sits with you in the nurses lounge and asks, Is there anything
you would like to talk about?
A nurse is irrigating pressure ulcers on a patients coccyx. When the patient asks how
they are healing, the nurse grimaces and says, Oh, they're doing just fine. This is? -
ANSWER-Incongruence between verbal and nonverbal messages
Context is one of the five major elements of communication identified by Ruesch.
Which of the following is part of the context of communication? - ANSWER-Attitude
of the receiver
A new mother says to the nurse, It really hurts me to breastfeed. I think I should
wean my baby. The most appropriate response by the nurse is? - ANSWER-If I
understand you, it hurts when you breastfeed. Tell me how and when it hurts.
A new mother says to the nurse, It really hurts me to breastfeed. I think I should
wean my baby. The nurse responds, If I understand you, it hurts when you
breastfeed. Tell me how and when it hurts. This response best represents which
criterion of successful communication? - ANSWER-feedback
, When a coworker tells the nurse, I am not sure i will be able to give the right answers
in the job interview, the nurse replies, I know what you mean. Interviews have always
been a problem for me, too. This response can be evaluated as lacking...? -
ANSWER-Appropriateness
A new mother says, "My baby is being kept in the nursery. I'm really worried about
him. I'm also worried that the separation will interfere with breastfeeding." The most
appropriate response by the nurse is, - ANSWER-I can see this is a problem for you.
I will go to the nursery and see if I can get some answers for you.
Using simple, clear words to explain the details of a colonoscopy procedure shows
sensitivity to which successful communication criterion? - ANSWER-efficiency
A 4 year old child is going to have an abdominal X-ray examination. The child asks,
Why do they have to do this? Will it hurt? Which of the following is the most
appropriate response by the nurse? - ANSWER-"You will go to the x-ray department
so they can take pictures of your tummy to find out why you have a tummy ache. The
bed you lie on may be cool, but you will have a blanket to keep you warm. The test
will not hurt."
Which of the following examples illustrates the nurses failure to use flexibility
effectively in professional communication? - ANSWER-Continuing to follow the
agenda in a staff meeting when people are obviously upset by a recent death on the
unit
The nurse plans to teach a patient about the care of her mastectomy site. The nurse
finds the patient crying. The best response by the nurse is? - ANSWER-I see you are
upset. Is there something on your mind you'd like to talk about?
The patient says to the nurse, "The staff treats me like I'm a child. Everyone tells me
what to do. No one ever asks my opinion. After all, it is my body. Which response by
the nurse indicates active listening? - ANSWER-Let me see if I understand. It
bothers you not to be recognized for your abilities to handle your life. I can discuss
this with the staff if you wish so that everyone involves you in planning your care.
In which of the following examples is the nurse demonstrating empathy for the
postoperative mastectomy patient? - ANSWER-"This must be a very difficult time for
you."
Which of the following demonstrates giving information versus opinion? - ANSWER-
Mrs. Khan, lets practice together the breathing techniques you learned in Lamaze
classes. That will help us to work together more effectively later when your labor is
stronger
How would a nurses use of the technique of reflection help a person? - ANSWER-
Encouraging the person to think through problems for himself or herself
Within nurse-patient communication, the use of silence can - ANSWER-Allow the
patient to not feel pressured to provide information
