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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? - (answer)Include
communication while performing tasks such as changing dressings and checking vital signs.
A nurse is talking with a young-adult patient about the purpose of a new medication. The nurse says, "I want to be clear.
Can you tell me in your words the purpose of this medicine?" This exchange is an example of which element of the
transactional communication process? - (answer)Obtaining feedback
A patient who is Spanish-speaking does not appear to understand the nurse's information on wound care. Which action
should the nurse take? - (answer)Use a professional interpreter to provide wound care education in Spanish
A nurse prepares to contact a patient's physician about a change in the patient's condition. Using SBAR (Situation,
Background, Assessment, and Recommendation) communication, which of the following is the correct order?
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." -
(answer)B. 4, 1, 2, 3
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? - (answer)D. Humility
A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this problem? -
(answer)Talk with the preceptor or manager and ask for assistance in handling this issue
A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse
sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse
engaged in which phase of the nurse-patient relationship? - (answer)Working phase
A patient is evaluated in the emergency department after causing an automobile accident while being under the influence
of alcohol. While assessing the patient, which statement would be the most therapeutic? - (answer)Tell me what
happened before, during, and after the automobile accident tonight."
,A nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion
about availability of family members to provide support at home once the patient is discharged. The student reviews with
the instructor whether the comments used encouraged openness and allowed the patient to "tell his story." This is an
example of which step of the nursing process? - (answer)Evaluation
When working with an older adult who is hearing-impaired, the use of which techniques would improve communication?
(Select all that apply.) - (answer)Check for needed adaptive equipment.
Give the patient time to respond to questions
Keep communication short and to the point.
Nurses must communicate effectively with the health care team for which of the following reasons? (Select all that
apply.) - (answer)Reduce the risk of errors to the patient
Provide optimum level of patient care
Improve patient outcomes
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.) -
(answer)Gaining an understanding of patient's motivations
Recognizing patient's strengths and supporting their efforts
Identifying differences in patient's health goals and current behaviors
, Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a
skilled nursing facility? (Select all that apply.) - (answer)Collaboration between staff members from sending and
receiving departments
Using a standardized transfer policy and transfer tool
The nurse uses silence as a therapeutic communication technique. What is the purpose of the nurse's silence? (Select all
that apply.) - (answer)Prompt the patient to talk when he or she is ready
Allow the patient time to think and gain insight
A patient needs to learn to use a walker. Which domain is required for learning this skill? - (answer)Psychomotor domain
A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and
postoperative orders. What is the nurse's best plan in teaching this patient? - (answer)Provide only the information that
the patient needs to go home
When planning for instruction on cardiac diets to a patient with heart failure, which of the following instructional
methods would be the most appropriate for someone identified as a visual/spatial learner? - (answer)Colored visual
diagrams that categorize foods according to fat and sodium content