Exam 2 206 Chapter 14: Communication in
the Nurse-Patient Relationship
A client reports to the primary health care facility reporting chest pain. After the
investigations and initial treatment, the client anxiously inquires if he had a heart attack.
What should be the nurse's reply?
"No; we can assure you that you will not have a heart attack."
"The health care provider wants to monitor you and control your pain."
"Yes, you had a heart attack; this is why you are here with us."
"Yes, you had a heart attack, but the damage is very minimal." - ANS-"The health care
provider wants to monitor you and control your pain."
A family has lost a member who was treated for leukemia at a nursing unit. The nurse
provides emotional support to the family and counsels them to cope with their loss.
Which quality should the nurse use in this situation?
Pity
Indifference
Sympathy
Empathy - ANS-Empathy
A nurse caring for client who is unconscious knows that communication is important
even if the client does not respond. Which nonverbal action by the nurse would
communicate caring?
Sighing frequently while providing care
Waving to the client when entering the room
Making constant eye contact with the client
Holding the client's hand while talking - ANS-Holding the client's hand while talking
A nurse is caring for an older adult client. Which strategy should the nurse utilize to
confirm the client's understanding of instructions?
Ask the client to repeat the instructions.
Use active listening during communication.
Ask open-ended questions.
Provide written instructions. - ANS-Ask the client to repeat the instructions.
A nurse is communicating the plan of care to a client who is cognitively impaired. Which
nursing actions facilitate this process? Select all that apply.
If there is no response, the nurse does not repeat what is said and takes a break.
, The nurse keeps communication simple and concrete.
The nurse maintains eye contact with the client.
The nurse shows patience with the client and gives the client time to respond.
The nurse gives lengthy explanations of the care that will be given.
The nurse communicates in a busy environment to hold the client's attention. - ANS-The
nurse maintains eye contact with the client.
The nurse shows patience with the client and gives the client time to respond.
The nurse keeps communication simple and concrete.
A nurse is completing a health history with a newly admitted client. During the interview,
the client presents with an angry affect and states, "If my doctor did a good job, I would
not be here right now!" What is the nurse's best response?
Smile and say, "Don't worry, I am sure the health care provider is doing a good job."
Be silent and allow the client to continue speaking when ready.
Nod and say, "I agree. If I were you, I would get a new doctor."
Stand and say, "I can see this interview is making you uncomfortable, so we can
continue later." - ANS-Be silent and allow the client to continue speaking when ready.
A nurse is conducting a health history. The client's spouse is answering the interview
questions. What question would be appropriate to ask the client before proceeding with
the remainder of the interview?
"Do you have a hearing impairment preventing you from hearing the questions?"
"Can you ask your spouse to leave the room?"
"Who manages health care-related issues in your family?"
"Why is your spouse answering the questions?" - ANS-"Who manages health
care-related issues in your family?"
A nurse is discharging a client and thus terminating the nurse-client relationship. Which
action should the nurse perform in this phase?
Examine goals of the relationship to determine whether they were achieved
Provide assistance to achieve goals
Make formal introductions
Create a contract regarding the relationship - ANS-Examine goals of the relationship to
determine whether they were achieved
A nurse who has been caring for a client for the past few days is preparing the client for
discharge and termination of the nurse-client relationship. Which activity would the
nurse be carrying out during this phase of the relationship?
Attending to physical health care needs
Reviewing health changes
the Nurse-Patient Relationship
A client reports to the primary health care facility reporting chest pain. After the
investigations and initial treatment, the client anxiously inquires if he had a heart attack.
What should be the nurse's reply?
"No; we can assure you that you will not have a heart attack."
"The health care provider wants to monitor you and control your pain."
"Yes, you had a heart attack; this is why you are here with us."
"Yes, you had a heart attack, but the damage is very minimal." - ANS-"The health care
provider wants to monitor you and control your pain."
A family has lost a member who was treated for leukemia at a nursing unit. The nurse
provides emotional support to the family and counsels them to cope with their loss.
Which quality should the nurse use in this situation?
Pity
Indifference
Sympathy
Empathy - ANS-Empathy
A nurse caring for client who is unconscious knows that communication is important
even if the client does not respond. Which nonverbal action by the nurse would
communicate caring?
Sighing frequently while providing care
Waving to the client when entering the room
Making constant eye contact with the client
Holding the client's hand while talking - ANS-Holding the client's hand while talking
A nurse is caring for an older adult client. Which strategy should the nurse utilize to
confirm the client's understanding of instructions?
Ask the client to repeat the instructions.
Use active listening during communication.
Ask open-ended questions.
Provide written instructions. - ANS-Ask the client to repeat the instructions.
A nurse is communicating the plan of care to a client who is cognitively impaired. Which
nursing actions facilitate this process? Select all that apply.
If there is no response, the nurse does not repeat what is said and takes a break.
, The nurse keeps communication simple and concrete.
The nurse maintains eye contact with the client.
The nurse shows patience with the client and gives the client time to respond.
The nurse gives lengthy explanations of the care that will be given.
The nurse communicates in a busy environment to hold the client's attention. - ANS-The
nurse maintains eye contact with the client.
The nurse shows patience with the client and gives the client time to respond.
The nurse keeps communication simple and concrete.
A nurse is completing a health history with a newly admitted client. During the interview,
the client presents with an angry affect and states, "If my doctor did a good job, I would
not be here right now!" What is the nurse's best response?
Smile and say, "Don't worry, I am sure the health care provider is doing a good job."
Be silent and allow the client to continue speaking when ready.
Nod and say, "I agree. If I were you, I would get a new doctor."
Stand and say, "I can see this interview is making you uncomfortable, so we can
continue later." - ANS-Be silent and allow the client to continue speaking when ready.
A nurse is conducting a health history. The client's spouse is answering the interview
questions. What question would be appropriate to ask the client before proceeding with
the remainder of the interview?
"Do you have a hearing impairment preventing you from hearing the questions?"
"Can you ask your spouse to leave the room?"
"Who manages health care-related issues in your family?"
"Why is your spouse answering the questions?" - ANS-"Who manages health
care-related issues in your family?"
A nurse is discharging a client and thus terminating the nurse-client relationship. Which
action should the nurse perform in this phase?
Examine goals of the relationship to determine whether they were achieved
Provide assistance to achieve goals
Make formal introductions
Create a contract regarding the relationship - ANS-Examine goals of the relationship to
determine whether they were achieved
A nurse who has been caring for a client for the past few days is preparing the client for
discharge and termination of the nurse-client relationship. Which activity would the
nurse be carrying out during this phase of the relationship?
Attending to physical health care needs
Reviewing health changes
