Question 1.
The wife of an elderly patient begins crying after she is informed that he has a terminal illness. Which inter-vention by the nurse is
best?
ANSWER
Sit quietly with the patient 's wife while she composes her thoughts
Question 2.
A patient is aphasic, and the nurse notices that the patient's hands shake intermittently. Which nursing action is most appropriate to
facilitate communication?
ANSWER
Use a picture board
Question 3.
Which statement by the nurse demonstrates that active listening has occurred? 1. "I find the best time to talk with my patient is during
the morning bath" 2. "I listened to my patient while I was changing his IV site" 3. "I took notes when I listened to my patient describe
his symptoms" 4. "I sat with my patient and his wife to talk about their fears before the surgery"
ANSWER
"I sat with my patient and his wife to talk about their fears before the surgery"
Question 4.
A middle-aged Chinese American client, who is self-employed without health insurance, is recovering from heart surgery. Each day
family members spend hours at the client's bedside. Which is the most important factor for the nurse to focus on when planning the
client's discharge?
ANSWER
Family support
Question 5.
The nurse is caring for a patient of Japanese heritage who refuses pain medication despite the nurse's explaining its importance in
the healing process. Which intervention by the nurse is appropriate for this patient?
ANSWER
Utilize non pharmacological measures to help control the patient's pain
Question 6.
The nurse is providing diabetic diet teaching to a Hispanic man and his wife. When the nurse is discussing foods that are acceptable,
the wife continues to inter-rupt with statements like, "Oh, he doesn't eat that," or "All he eats is rice and beans." What should the
nurse do?
ANSWER
Refer the patient and his wife to a dietitian familiar with Spanish food choices
, Question 7.
A client from a non-American culture says that to maintain health there needs to be a balance between the body and nature. Which
health belief system does this client follow?
ANSWER
Holistic
Question 8.
An elderly patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?
ANSWER
Turn off the television
Question 9.
The nurse assess a client from a non-English-speaking culture. Why should the nurse avoid using the term minority when asking this
client about ethnicity and race?
ANSWER
It suggests inferiority
Question 10.
A patient had surgery 6 hours ago. When the nurse enters the room to turn him, she notes that he is restless and grimacing.
Considering the patient's nonverbal communication, what action should the nurse take first?
ANSWER
Assess to determine the cause of the grimacing
Question 11.
A newly admitted patient states not being concerned about diagnostic tests but is shaky and tearful and does not maintain eye
contact. When conducting a conversation with the client, what should the nurse encourage the client to do?
ANSWER
Discuss concerns and fears with the nurse
Question 12.
Which term of communication is the nurse using when interviewing the patient during the admission health history and physical
assessment?
ANSWER
Interpersonal
Question 13.
A nurse uses SBAR during handoffs. The purpose of SBAR is to:
ANSWER
Standardize communication
, Question 14.
A patient who speaks only French was admitted to the hospital after a motor vehicle accident. Assuming that the nurse does not
speak French, what is the best way to communicate with this patient?
ANSWER
Request the services of a hospital interpreter
Question 15.
The nurse is caring for a patient who does not speak English. She decides to use an interpreter to explain procedures and to answer
questions that the patient may have. In performing the interview, what should the nurse do?
ANSWER
Direct the questions to the patient
Question 16.
A patient who has not voided for several hours is prescribed an indwelling urinary catheter. How should the nurse explain the
procedure to the patient?
ANSWER
"I need to insert a tube into your bladder to drain the urine because you haven't urinated since surgery."
Question 17.
Which intervention by the nurse first helps to establish a trusting nurse-patient relationship?
ANSWER
Greeting the patient by name whenever entering the patient's room
Question 18.
The nurse is caring for a patient of Japanese heritage who refuses pain medication despite the nurse's explaining its importance in
the healing process. Which intervention by the nurse is appropriate for this patient?
ANSWER
- Document in the patient 's record that the patient does not want to take pain medication.
- Utilize non pharmacological measures to help control the patient's pain.
- Notify the primary care provider of the patient's noncompliance.
Question 19.
The staff development trainer creates a program on culture for a group of new nurses. What should be included about vulnerable
populations?
ANSWER
- People in a vulnerable population have limited access to healthcare
- Individuals in vulnerable groups are more likely to have health problems
- A person in a vulnerable population is more prone to engage in high-risk behaviors
- Examples of vulnerable populations include the poor, very young, and very old