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An older adult is unable to reach the telephone and is found dead at home several hours later.
The son of the deceased man arrives at the hospital and asks, " Can I just please stay and hold
my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
A. "You are just to late for that. Where were you when he needed you?"
B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
C. "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
D. "I lost my dad last year. He died alone. He was a police man. I am just like you. Let me stay
here and console you." - Answer C. "I'll close the door so you can spend time with your dad. I
will check back in a few minutes."
A nurse is listening to a patient's apical heart rate. The patient asks, "Is everything okay?" The
nurse says nothing and shrugs her shoulders. The nurse is demonstrating:
A. open communication.
B. filtration.
C. blocking.
D. false assurance - Answer C. Blocking
The nurse is seeking clarification of a statement that was made by a patient. What is the best
way for the nurse to seek clarification?
A. "What are the common elements here?"
B. "Tell me again about your experiences."
C. "Am I correct in understanding that..."
D. "Tell me everything from the beginning." - Answer C. "Am I correct in understanding
that..."
The nurse and the patient are conversing face to face. What communication technique is being
demonstrated?
A. Linguistic
B. Paralinguistic
C. Explicit
D. Metacommunication - Answer A. Linguistic
Which action should the nurse take when using critical thinking to make clinical decisions?
, A. Make decisions based on intuition.
B. Accept one established way to provide care.
C. Consider the priority in a given situation.
D. Read and follow the heath care provider's orders. - Answer C. Consider the priority in a
given situation.
The new nurse is caring for six patients in this shift. After completing their assessments, the
nurse asks where to begin in developing care plans for these patients. Which statement is an
appropriate suggestion by another nurse?
A. "Choose all the interventions and perform them in order of time needed for each one."
B. "Make sure you identify the scientific rationale for each intervention first."
C. "Decide on goals and outcomes you have chosen for the patients."
D. "Begin with the highest priority diagnoses, then select appropriate interventions." - Answer
D. "Begin with the highest priority diagnoses, then select appropriate interventions."
A nurse manager has recently overheard several negative comments made by nurses on the
unit about other nurses on the unit. The manager recognizes that the nurses are exhibiting what
type of behavior that is detrimental to collaboration?
A. Vertical violence
B. Lateral violence
C. Descending violence
D. Personal violence - Answer B. Lateral violence
The nurse is presenting an in-service on the importance of collaborative communication. The
nurse includes which critical event identified by the Joint Commission as an outcome of poor
communication among health care team members?
A. The occurrence of a patient event resulting in death or serious injury
B. Decreased ability to document expenses of care provided
C. Longer time to begin surgical cases
D. Increased time to discharge patients to outpatient care - Answer A. The occurrence of a
patient event resulting in death or serious injury
Which of the following communication terms can be applied to this statement: How messages
are received and interpreted would include personal states such as mood disturbance,
environmental stimuli related to the setting of the communication, and contextual variables?
A. Therapeutic communication
B. Metacommunication
C. Vigor communication