NS 104 Communications midterm
Questions with Correct Answers
Scenario 2 Ch.4 RILEY BOOK
Jim goes on to run the marathon and on this very hot day 80°F collapses on the eighth
mile and is brought to the local ER for evaluation. The ER pages you to see him and
suggest a plan of care. You walk into his room and find him staring out the window.
Question:
a. "Jim, are you okay? That heat with all your running could have killed you, you are
lucky to be alive!!"
b. "Jim, how are you doing? Tell me what happened"
c. "Jim, I think we should have held your insulin this am despite the carb load you had
the night before. I think we made a mistake".
d. "Jim, didn't you follow the recommendations I gave you on Friday?" -
ANSWERSANS: B
Scenario 1 Ch.4 RILEY BOOK
You are working with Jim, a 17-year-old male, who has just been diagnosed with
diabetes. He has been coming to the ambulatory clinic where you work for the past
week trying to regulate his blood sugar and receiving training for self-management of
his disease. The patient enjoys exercising, and you have been working with him
diligently to get his blood sugar under control while doing this. During his Friday
appointment, the patient announces to you that he is running the 26-mile Boston
Marathon on Monday and needs your help to make sure he "makes it to the finish line."
You are concerned that his health is not yet stable enough to participate in this taxing
activity.
What is your best response?
a. "Jim, I am concerned that this may not be the time to do this. Why not wait until next
year's marathon when you'll be in much better control?"
b. "Jim, this is the craziest idea I have ever hear - ANSWERSANS: C
Scenario Ch.2 RILEY BOOK
Your clinical group is working on an Alzheimer's unit for the next 4 weeks. You find it
sad and disheartening to see some of the patients and how poorly they are doing.
Nurse Susan has been employed on this unit for the past 20 years. It is quite noticeable
just how rewarding her job is to her by how kind and enthusiastic she is and how much
,she enjoys the patients and students. You wonder how she does it and find yourself
wanting to be like her. You share your observations with your classmates and instructor,
and they suggest you speak to her about her experiences and philosophies.
1. What would you like to know about her?
2. How would you approach her?
3. What other questions would you ask her that would be helpful to you and the other
students?
4. How can this information be helpful to you and your fellow students?
Answer Options, Question 3: The best way to initially approach Susan:
a. - ANSWERSANS: B
Scenario Ch. 1 RILEY BOOK
The instructor asks students to sign up to let her know the topic they want to talk about
in post conference. You sign up to do "alcoholism" because the subject interests you a
great deal. When the instructor goes over the list, you see another student's name
under that topic instead of your own. Your name has been crossed out, and instead
"Brenda" is listed. You are quite angry and upset.
What should you do?
a. Say nothing. The last thing you need right now is conflict.
b. Ask around and see who might have erased your name.
c. Immediately confront Brenda and ask her why she scratched out your name; you
were there first.
d. Approach the instructor to see if she had changed this for any reason. If this was not
the case, approach Brenda letting her know you were first to sign and that the topic was
important to you. - ANSWERSANS: D
Scenario Ch. 5 RILEY BOOK
Ms. Nguyen is a 28-year-old Vietnamese patient who has just delivered a 6-pound baby
boy after a 24-hour labor. Her IV was accidentally pulled out while moving her from the
stretcher to the bed coming from labor and delivery. You assess her and find she has a
temperature of 100.8°F and seems flushed with dry mucous membranes. You tell Ms.
Nguyen it is important to drink fluids and leave her with a diet Coke and a glass of ice
water. You come back to the room an hour later and she has not touched either.
What is your best response?
a. "Ms. Nguyen, you really need to drink in order to keep the IV out; otherwise, I will
need to reinsert it."
b. "Ms. Nguyen, drinking is really important to keep you hydrated. Is there something
you'd prefer instead of the Coke and ice water?"
, c. "Ms. Nguyen, your body will not produce milk if you insist on not drinking."
d. "Ms. Nguyen, I have brought you a yu - ANSWERSANS: B
Scenario Ch.6 RILEY BOOK
You are working in the ER one evening when there is a motor vehicle accident (MVA)
with many casualties. Three teens were killed in the accident, and their parents, who
are on their way to the hospital, do not yet know the outcome. You dread what will take
place over the next few hours.
What type of actions could you, as the nurse take, to anticipate the needs of what is
about to take place?
a. Clear out a private area in which to receive and speak to the families.
b. Mobilize additional support staff to be involved, including nutritional services, social
work, and pastoral care.
c. Reassign current staff to better meet the needs of unit.
d. Utilize all of the above options. - ANSWERSANS: D
Showing respect involves more than doing the least required. The following are actions
that accomplish the task at hand but do not necessarily promote a strong relationship
and sense of warmth and respect. Look at the term in the left column, and in the right
column define and expand on the behavior to promote the recipient a strong sense of
feeling cared for and respected.
Introducing oneself
Greeting someone/shaking hands
Giving direct eye contact
Getting patient comfortable in the situation
Sitting across table to interview patient
Scenario CH.7 RILEY BOOK
You are 1 hour away from the end of your shift, and you find out you have an
admission. With eight patients already, you know you were running very behind on your
charting and procedures. With reluctance you go to the ER to get your patient, Mr. K,
and bring him to his room. The patient is upset over his care while in the ER. While you
are trying to inter - ANSWERSANS: B
Scenario CH.8 RILEY BOOK
Your 17-year-old patient Mary just came back from the OR the day before from having
facial surgery following a motor vehicle accident (MVA). She has many sutured
Questions with Correct Answers
Scenario 2 Ch.4 RILEY BOOK
Jim goes on to run the marathon and on this very hot day 80°F collapses on the eighth
mile and is brought to the local ER for evaluation. The ER pages you to see him and
suggest a plan of care. You walk into his room and find him staring out the window.
Question:
a. "Jim, are you okay? That heat with all your running could have killed you, you are
lucky to be alive!!"
b. "Jim, how are you doing? Tell me what happened"
c. "Jim, I think we should have held your insulin this am despite the carb load you had
the night before. I think we made a mistake".
d. "Jim, didn't you follow the recommendations I gave you on Friday?" -
ANSWERSANS: B
Scenario 1 Ch.4 RILEY BOOK
You are working with Jim, a 17-year-old male, who has just been diagnosed with
diabetes. He has been coming to the ambulatory clinic where you work for the past
week trying to regulate his blood sugar and receiving training for self-management of
his disease. The patient enjoys exercising, and you have been working with him
diligently to get his blood sugar under control while doing this. During his Friday
appointment, the patient announces to you that he is running the 26-mile Boston
Marathon on Monday and needs your help to make sure he "makes it to the finish line."
You are concerned that his health is not yet stable enough to participate in this taxing
activity.
What is your best response?
a. "Jim, I am concerned that this may not be the time to do this. Why not wait until next
year's marathon when you'll be in much better control?"
b. "Jim, this is the craziest idea I have ever hear - ANSWERSANS: C
Scenario Ch.2 RILEY BOOK
Your clinical group is working on an Alzheimer's unit for the next 4 weeks. You find it
sad and disheartening to see some of the patients and how poorly they are doing.
Nurse Susan has been employed on this unit for the past 20 years. It is quite noticeable
just how rewarding her job is to her by how kind and enthusiastic she is and how much
,she enjoys the patients and students. You wonder how she does it and find yourself
wanting to be like her. You share your observations with your classmates and instructor,
and they suggest you speak to her about her experiences and philosophies.
1. What would you like to know about her?
2. How would you approach her?
3. What other questions would you ask her that would be helpful to you and the other
students?
4. How can this information be helpful to you and your fellow students?
Answer Options, Question 3: The best way to initially approach Susan:
a. - ANSWERSANS: B
Scenario Ch. 1 RILEY BOOK
The instructor asks students to sign up to let her know the topic they want to talk about
in post conference. You sign up to do "alcoholism" because the subject interests you a
great deal. When the instructor goes over the list, you see another student's name
under that topic instead of your own. Your name has been crossed out, and instead
"Brenda" is listed. You are quite angry and upset.
What should you do?
a. Say nothing. The last thing you need right now is conflict.
b. Ask around and see who might have erased your name.
c. Immediately confront Brenda and ask her why she scratched out your name; you
were there first.
d. Approach the instructor to see if she had changed this for any reason. If this was not
the case, approach Brenda letting her know you were first to sign and that the topic was
important to you. - ANSWERSANS: D
Scenario Ch. 5 RILEY BOOK
Ms. Nguyen is a 28-year-old Vietnamese patient who has just delivered a 6-pound baby
boy after a 24-hour labor. Her IV was accidentally pulled out while moving her from the
stretcher to the bed coming from labor and delivery. You assess her and find she has a
temperature of 100.8°F and seems flushed with dry mucous membranes. You tell Ms.
Nguyen it is important to drink fluids and leave her with a diet Coke and a glass of ice
water. You come back to the room an hour later and she has not touched either.
What is your best response?
a. "Ms. Nguyen, you really need to drink in order to keep the IV out; otherwise, I will
need to reinsert it."
b. "Ms. Nguyen, drinking is really important to keep you hydrated. Is there something
you'd prefer instead of the Coke and ice water?"
, c. "Ms. Nguyen, your body will not produce milk if you insist on not drinking."
d. "Ms. Nguyen, I have brought you a yu - ANSWERSANS: B
Scenario Ch.6 RILEY BOOK
You are working in the ER one evening when there is a motor vehicle accident (MVA)
with many casualties. Three teens were killed in the accident, and their parents, who
are on their way to the hospital, do not yet know the outcome. You dread what will take
place over the next few hours.
What type of actions could you, as the nurse take, to anticipate the needs of what is
about to take place?
a. Clear out a private area in which to receive and speak to the families.
b. Mobilize additional support staff to be involved, including nutritional services, social
work, and pastoral care.
c. Reassign current staff to better meet the needs of unit.
d. Utilize all of the above options. - ANSWERSANS: D
Showing respect involves more than doing the least required. The following are actions
that accomplish the task at hand but do not necessarily promote a strong relationship
and sense of warmth and respect. Look at the term in the left column, and in the right
column define and expand on the behavior to promote the recipient a strong sense of
feeling cared for and respected.
Introducing oneself
Greeting someone/shaking hands
Giving direct eye contact
Getting patient comfortable in the situation
Sitting across table to interview patient
Scenario CH.7 RILEY BOOK
You are 1 hour away from the end of your shift, and you find out you have an
admission. With eight patients already, you know you were running very behind on your
charting and procedures. With reluctance you go to the ER to get your patient, Mr. K,
and bring him to his room. The patient is upset over his care while in the ER. While you
are trying to inter - ANSWERSANS: B
Scenario CH.8 RILEY BOOK
Your 17-year-old patient Mary just came back from the OR the day before from having
facial surgery following a motor vehicle accident (MVA). She has many sutured
