Nurse114 Final Exam questions and answers well elaborated

If communication is viewed as a transfer of information between a message sender and a message receiver, who is the sender? -Both the nurse and the patient - The nurse - The patient - Neither the nurse nor the patient - correct answers Both the nurse and the patient Communication is a process of - one-sided influence - one-sided influence - mutual influence - establishing a relationship with the patient if time permits - information flow from the nurse to the patient - correct answers mutual influence Cues to action and demographic characteristics are emphasized in - the Rogerian model - Health Belief Model - Orlando's theory of the deliberative nursing process - Crick and Dodge model - correct answers Health Belief Model The projection of one's attitudes or feelings from the past onto people in the present is known as - Transference - Rationalization - Genuineness - Rumination - correct answers Transference To experience true empathy, compassion, and caring, it is necessary to accept - both oneself and others - Others - Oneself - correct answers both oneself and others An area that the nurse should inquire about when collecting subjective data is - the patient's family perspective - dietary customs - Sexual behavior - All of the answers - correct answers all of the answers In the LEARN mnemonic, the "A" refers to - assert - acknowledge - assume - alter - correct answers acknowledge What is the primary focus of communication during the nurse-client relationship? - Client and client needs - Time available to the nurse - Nursing activity to be performed - Environment of the client - correct answers Client and client needs The nurse has entered a client's room after receiving a morning report. The nurse rapidly assessed the client's airway, breathing, and circulation and greeted the client by saying "Good morning." The client has made no reciprocal response to the nurse. How should the nurse best respond to the client's silence? - The nurse should document the client's withdrawal and diminished mood in the nurse's notes. - The nurse should ask appropriate questions to understand the reasons for the client's silence. - The nurse should apologize for bothering the client, perform necessary assessments efficiently, and leave the room. - The nurse should ask the client if he feels afraid or angry. - correct answers The nurse should ask appropriate questions to understand the reasons for the client's silence. What is an example of nonverbal communication? - A nurse says "I am going to help you walk now." - A client asks the nurse for a pain shot. - A client's face is contorted with pain. - A nurse presents information to a group of clients. - correct answers A client's face is contorted with pain. The Health Belief Model - correct answers Explains how a patient's belief may predict the adoption of health behaviors. Orlando's Theory of the Deliberative Nursing Process - correct answers Describes nurses' reactions to patients' behavior as generating a perception, thought and feelings in the nurse and then action by the nurse. It is a deliberative fluid process and is reciprocal between the nurse and the patient. The Rogerian Model - correct answers Relationship between healthcare providers and patients. (Therapeutic communication basis in nurse-patient relationships) Crick and Dodge model - correct answers This social information processing model is a circular depiction of the emotional cognitive processes involved in learning to respond to social cues. The acronym LEARN means - correct answers Listen, Explain, Acknowledge, Recommend, Negotiate Subjective data - correct answers things a person tells you about that you cannot observe through your senses; symptoms Objective data - correct answers what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination The purpose of communication between nurses and patients - correct answers to assure quality nursing care of the patient An initial response that involves paraphrasing what was said is - Goal Setting - Reflection - All the answers - Restatement - correct answers Restatement Which is an example of a closed-ended question or statement? "What medications do you take at home?" "Describe the type of pain you have." "Did you take those drugs?" "How did that make you feel?" - correct answers "Did you take those drugs?" The nurse has entered a client's room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first implement in this interaction? - A yes/no question - A directing question - An open-ended question - A reflective question - correct answers A yes/no question A barrier to active listening is: - All of the answers - setting - timing - anxiety - correct answers All of the answers Student nurses should: - identify themselves and their role to clients. - have the answer to any question that a patient asks. - not reveal to clients that they are students - correct answers identify themselves and their role to clients. ISBAR stands for: - Introduction-stated name-background-advice-repeat - Introduction-situation-background-assessment-recommendation - Introduction-situation-background-assessment-response - Introduction-situation-background-answer-recommendation - correct answers Introduction-situation-background-assessment-recommendation Select all that apply. In which nurse interaction can the SBAR model be used? - Medic to Nurse - Nursing Students to friends - Nurse to Doctor - Nurse to Social Worker - correct answers - Medic to Nurse - Nurse to Doctor - Nurse to Social Worker Which of the following is not a part of the four key principles of motivational interviewing? - Empowering your patient - Listening to your patient - Designing goals for your patient - Resist the righting reflex - correct answers Designing goals for your patient Patient-centered care is all of the following EXCEPT: - It asks the question: What is the matter with you? - Full transparency and fast delivery of information - Physical comfort and emotional well-being are top priorities - Family is welcome in care setting - correct answers It asks the question: What is the matter with you? The highest form of humor is - the ability to laugh at oneself - the ability to laugh at others - making people uncomfortable - negative humor or sarcasm - correct answers the ability to laugh at oneself ________ communication is essential for patient transfers which happen often both within the hospital setting, from the ER to the floor, or from the floor to the OR, etc. - correct answers Quality when ISBAR is used effectively, it helps to reduce ___________ in patient communication. - correct answers misunderstandings ____________ interviewing is a method often used to get patients to move the needle on a destructive or unhealthful behavior. - correct answers Motivational The work where motivational interviewing has been used the most and there is good evidence-based practice guidelines is in _________ __________. - correct answers smoking cessation For health communication, the use of paper is - increasing. - diminishing. - encouraged by the U.S. government. - the same as ever. - correct answers diminishing Care transitions are very - Rare - both common and complicated - not something nurses are involved in - somewhat common - correct answers both common and complicated A common hospital discharge instruction might concern the following - follow-up care. - All of the answers are correct - dietary restrictions. - symptom management. - correct answers All of the answers are correct An advantage of the EHR includes all the following EXCEPT... - Allows lab results, imaging results and physician and nursing notes to be seen by all who need to know. - Allows notes to be easily understood and legible. - A tendency to check several boxes indicating an action took place even if it hasn't been done. - Serves as an organization wide communication tool about patient care. - correct answers A tendency to check several boxes indicating an action took place even if it hasn't been done. A trend in the future use of EHR technology may be.... - Use of voice text to improve charting time - Improved security of health records. - All the answers are correct - Increased use of Artificial Intelligence to interpret results. - correct answers All of these answers are correct Which of the following statements is true about hearing loss? - Hearing loss poses communication problems but no safety concerns - Hearing loss always results from trauma