NURS 170 Exam 2 Solved 100% Correct
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. - Answers-Answer: 1, 3, 4.
Communication techniques such as assessing the need for adaptive equipment,
keeping communication short and direct, and giving the patient time to respond assist
the nurse in providing clear, effective communication. Patients may have difficulty with
rapid or lengthy explanations.
Exaggerated lip movements may be difficult to interpret or demeaning to individuals
with hearing deficits.
10. The nurse uses silence as a therapeutic communication technique. What are the
purposes of the nurse's silence? (Select all that apply.)
1. Allows the nurse time to focus and avoid saying the wrong thing
2. Prompts the patient to talk when he or she is ready
3. Allows the patient time to think and gain insight
4. Allows time for the patient to drift off to sleep
5. Determines whether the patient would prefer to talk with another staff member -
Answers-10. Answer: 2, 3.
Silence can provide that patient an opportunity to
think and gain insight. Often the patient feels compelled to break
the silence and is prompted to talk.
2. Nurses must communicate effectively with the health care team for which of the
following reasons? (Select all that apply.)
1. To improve the nurse's status with the health team members
2. To reduce the risk of errors to the patient
3. To provide an optimum level of patient care
4. To improve patient outcomes
5. To prevent issues that need to be reported to outside agencies - Answers-2. Answer:
2, 3, 4.
,Effective communication in health care has been linked to a decrease in medical errors
and an improvement in quality of care and patient outcomes. The status of the nurse or
the prevention of reportable issues is not the focus of communication with patients.
3. Motivational interviewing (MI) is a technique that applies understanding a patient's
values and goals in helping the patient make behavioral changes. When using
motivational interviewing, what outcomes does the nurse expect? (Select all that apply.)
1. Gaining an understanding of the patient's motivations
2. Directing the patient to avoid poor health choices
3. Recognizing the patient's strengths and supporting his or her 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 - Answers-3.
Answer: 1, 3, 5.
Motivational interviewing is a technique used
to promote an understanding of the patient's motivations, health
goals, and current behaviors in a nonjudgmental environment
while focusing on the patient's strengths and efforts. The nurse
provides a supportive approach to assist the patient in establishing
and promoting positive health care changes.
4. The nurse therapeutically responds to an adult patient who is anxious by: (Select all
that apply.)
1. Matching the rate of speech to be the same as that of the patient
2. Providing good eye contact
3. Demonstrating a calm presence
4. Spending time attentively with the patient
5. Assuring the patient that all will be well - Answers-4. Answer: 2, 3, 4.
An adult patient who is anxious is reassured by
the nurse who demonstrates good eye contact and a calm presence. Also, when the
adult is anxious, remaining supportively
present and calm assists the patient to begin to experience less
anxiety. Telling the patient all will be well is false reassurance, and
the nurse may escalate the patient's anxiety if the nurse's speech is
speeded up to match the patient's speech.
5. A nurse prepares to contact a patient's physician about a change in the patient'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 levofloxacin at 5 PM yesterday. She states she has a poor appetite; her
weight has remained stable over the past 2 days."
, 2. "The patient reported feeling very nauseated after her dose of levofloxacin an hour
ago."
3. "Is it possible to make a change in antibiotics, or could we give her a nutritional
supplement before her medication?"
4. "The patient started to complain of nausea yesterday evening and has vomited
several times during the night." - Answers-5. Answer: 4S, 1B, 2A, 3R.
The nurse describes the patient's complaint of nausea and vomiting to the physician
(Situation). Specific
patient demographic information and reason for admission with
current symptomology are provided (Background). The physician
is informed of the patient's complaint of nausea after receiving levofloxacin
(Assessment). Physician is asked if he or she would like to
make a change in the antibiotic or provide a nutritional supplement
before medication administration (Recommendation).
6. The patient states, "I don't have confidence in my doctor. She looks so young." The
nurse therapeutically responds: (Select all that apply.)
1. Tell me more about your concern.
2. You have nothing to worry about. Your doctor is perfectly competent.
3. You are worried about your care?
4. You can go online and see how others have rated your doctor. I do that.
5. You should ask your doctor to tell you her background - Answers-6. Answer: 1, 3.
The nurse responding to the patient's concern about
the physician's age would not disagree with the patient by simply
claiming the doctor was competent but would rather ask questions to elicit more
information about the area of concern, such as
asking a broader question about concerns. Telling the patient to
look the physician up online or advising the patient to query the
physician directly are ways that the nurse unhelpfully gives advice
to the patient.
7. The nurse applying effective communication skills throughout the nursing process
should: (Place the following interventions in the correct order.)
1. Validate health care needs through verbal discussion with the patient.
2. Compare actual and expected patient care outcomes with the patient.
3. Provide support through therapeutic communication techniques.
4. Complete a nursing history using verbal communication techniques. - Answers-7.
Answer: 4, 1, 3, 2.
The correct order for the nurse to communicate with
the patient is to first complete the history (part of assessment),
then corroborate findings through a validation process. After this,
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. - Answers-Answer: 1, 3, 4.
Communication techniques such as assessing the need for adaptive equipment,
keeping communication short and direct, and giving the patient time to respond assist
the nurse in providing clear, effective communication. Patients may have difficulty with
rapid or lengthy explanations.
Exaggerated lip movements may be difficult to interpret or demeaning to individuals
with hearing deficits.
10. The nurse uses silence as a therapeutic communication technique. What are the
purposes of the nurse's silence? (Select all that apply.)
1. Allows the nurse time to focus and avoid saying the wrong thing
2. Prompts the patient to talk when he or she is ready
3. Allows the patient time to think and gain insight
4. Allows time for the patient to drift off to sleep
5. Determines whether the patient would prefer to talk with another staff member -
Answers-10. Answer: 2, 3.
Silence can provide that patient an opportunity to
think and gain insight. Often the patient feels compelled to break
the silence and is prompted to talk.
2. Nurses must communicate effectively with the health care team for which of the
following reasons? (Select all that apply.)
1. To improve the nurse's status with the health team members
2. To reduce the risk of errors to the patient
3. To provide an optimum level of patient care
4. To improve patient outcomes
5. To prevent issues that need to be reported to outside agencies - Answers-2. Answer:
2, 3, 4.
,Effective communication in health care has been linked to a decrease in medical errors
and an improvement in quality of care and patient outcomes. The status of the nurse or
the prevention of reportable issues is not the focus of communication with patients.
3. Motivational interviewing (MI) is a technique that applies understanding a patient's
values and goals in helping the patient make behavioral changes. When using
motivational interviewing, what outcomes does the nurse expect? (Select all that apply.)
1. Gaining an understanding of the patient's motivations
2. Directing the patient to avoid poor health choices
3. Recognizing the patient's strengths and supporting his or her 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 - Answers-3.
Answer: 1, 3, 5.
Motivational interviewing is a technique used
to promote an understanding of the patient's motivations, health
goals, and current behaviors in a nonjudgmental environment
while focusing on the patient's strengths and efforts. The nurse
provides a supportive approach to assist the patient in establishing
and promoting positive health care changes.
4. The nurse therapeutically responds to an adult patient who is anxious by: (Select all
that apply.)
1. Matching the rate of speech to be the same as that of the patient
2. Providing good eye contact
3. Demonstrating a calm presence
4. Spending time attentively with the patient
5. Assuring the patient that all will be well - Answers-4. Answer: 2, 3, 4.
An adult patient who is anxious is reassured by
the nurse who demonstrates good eye contact and a calm presence. Also, when the
adult is anxious, remaining supportively
present and calm assists the patient to begin to experience less
anxiety. Telling the patient all will be well is false reassurance, and
the nurse may escalate the patient's anxiety if the nurse's speech is
speeded up to match the patient's speech.
5. A nurse prepares to contact a patient's physician about a change in the patient'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 levofloxacin at 5 PM yesterday. She states she has a poor appetite; her
weight has remained stable over the past 2 days."
, 2. "The patient reported feeling very nauseated after her dose of levofloxacin an hour
ago."
3. "Is it possible to make a change in antibiotics, or could we give her a nutritional
supplement before her medication?"
4. "The patient started to complain of nausea yesterday evening and has vomited
several times during the night." - Answers-5. Answer: 4S, 1B, 2A, 3R.
The nurse describes the patient's complaint of nausea and vomiting to the physician
(Situation). Specific
patient demographic information and reason for admission with
current symptomology are provided (Background). The physician
is informed of the patient's complaint of nausea after receiving levofloxacin
(Assessment). Physician is asked if he or she would like to
make a change in the antibiotic or provide a nutritional supplement
before medication administration (Recommendation).
6. The patient states, "I don't have confidence in my doctor. She looks so young." The
nurse therapeutically responds: (Select all that apply.)
1. Tell me more about your concern.
2. You have nothing to worry about. Your doctor is perfectly competent.
3. You are worried about your care?
4. You can go online and see how others have rated your doctor. I do that.
5. You should ask your doctor to tell you her background - Answers-6. Answer: 1, 3.
The nurse responding to the patient's concern about
the physician's age would not disagree with the patient by simply
claiming the doctor was competent but would rather ask questions to elicit more
information about the area of concern, such as
asking a broader question about concerns. Telling the patient to
look the physician up online or advising the patient to query the
physician directly are ways that the nurse unhelpfully gives advice
to the patient.
7. The nurse applying effective communication skills throughout the nursing process
should: (Place the following interventions in the correct order.)
1. Validate health care needs through verbal discussion with the patient.
2. Compare actual and expected patient care outcomes with the patient.
3. Provide support through therapeutic communication techniques.
4. Complete a nursing history using verbal communication techniques. - Answers-7.
Answer: 4, 1, 3, 2.
The correct order for the nurse to communicate with
the patient is to first complete the history (part of assessment),
then corroborate findings through a validation process. After this,
