ECPI NUR168 CH8,9,10 EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS
"Please go on" is what type of communication technique?
seeking clarification
providing a general lead Correct Answers providing a general
lead
5 rights of delegation Correct Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
a committee determines that patients w/CHF have an average
stay of 5 days instead of the standard 3. What is the next step in
the quality-improvement process?
-educate staff to shorten these stays
-collect more data for these stays
-determine which actions can be instituted to address this
-research accuracy of the standard of care accepted Correct
Answers determine which actions can be instituted to address
this
A family lost a member who was treated for leukemia at a
nursing unit. Which quality would the nurse use in this
situation? (sympathy or empathy) Correct Answers empathy
A helping relationship is characterized by an ____ sharing of
information. Correct Answers unequal
,A N needs to access that a patient has an accurate understanding
of life-sustaining measures in order to make informed decisions
regarding advance directives. (T or F) Correct Answers True
A nurse is interviewing a client, asking questions regarding past
medical history, etc. What role in the process of communication
is the nurse playing? Correct Answers sender
A parent of a child w/a terminal illness states "this is all my
fault, I wish I could trade places" how should the N respond?
tell me more about what you are feeling
I understand how you are feeling, I would feel the same way
let's discuss hospice care for your child
Try to stay positive Correct Answers tell me more about what
you are feeling
A patient has their head buried in a pillow crying after news that
a grandparent died. What action should the N take?
sit quietly w/the patient for a short time
return in 15 minutes to see how the patient is doing
reassure the patient that they will feel better soon
offer sympathy related to a similar loss Correct Answers sit
quietly w/the patient for a short time
A patient in a weight-loss program gained weight since last
week. Which statement should the N make?
why do you think you gained 3 pounds last week?
were there any issues last week that kept you from focusing on
your diet?
, you should put last week behind you and adhere to your diet
from today forward. Correct Answers were there any issues last
week that kept you from focusing on your diet?
A patient indicates that they do not want to talk today. How
should the N respond?
Why not? We have talked several times before.
Take a moment to collect your thought, then you will need to
talk.
How about I spend some time w/you instead? We don't have to
talk.
I don't believe that, talking is helpful. Correct Answers How
about I spend some time w/you instead? We don't have to talk.
A patient newly diagnosed w/cancer states "I would rather die
than go through chemotherapy." What should the N respond?
that wouldn't be fair to your family
you have so much to live for
why don't we talk about how successful you are
what concerns you about chemotherapy? Correct Answers
what concerns you about chemotherapy?
A patient states "I just feel lost at work these days" and the N
replies "you must feel like you are not getting anything done" -
what therapeutic communication technique is the N using?
presenting reality
encouraging comparison
offering general leads
attempting to translate words to feelings Correct Answers
attempting to translate words to feelings (which encourages
patient to explain the nature of his feelings at work)
COMPLETE SOLUTIONS
"Please go on" is what type of communication technique?
seeking clarification
providing a general lead Correct Answers providing a general
lead
5 rights of delegation Correct Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
a committee determines that patients w/CHF have an average
stay of 5 days instead of the standard 3. What is the next step in
the quality-improvement process?
-educate staff to shorten these stays
-collect more data for these stays
-determine which actions can be instituted to address this
-research accuracy of the standard of care accepted Correct
Answers determine which actions can be instituted to address
this
A family lost a member who was treated for leukemia at a
nursing unit. Which quality would the nurse use in this
situation? (sympathy or empathy) Correct Answers empathy
A helping relationship is characterized by an ____ sharing of
information. Correct Answers unequal
,A N needs to access that a patient has an accurate understanding
of life-sustaining measures in order to make informed decisions
regarding advance directives. (T or F) Correct Answers True
A nurse is interviewing a client, asking questions regarding past
medical history, etc. What role in the process of communication
is the nurse playing? Correct Answers sender
A parent of a child w/a terminal illness states "this is all my
fault, I wish I could trade places" how should the N respond?
tell me more about what you are feeling
I understand how you are feeling, I would feel the same way
let's discuss hospice care for your child
Try to stay positive Correct Answers tell me more about what
you are feeling
A patient has their head buried in a pillow crying after news that
a grandparent died. What action should the N take?
sit quietly w/the patient for a short time
return in 15 minutes to see how the patient is doing
reassure the patient that they will feel better soon
offer sympathy related to a similar loss Correct Answers sit
quietly w/the patient for a short time
A patient in a weight-loss program gained weight since last
week. Which statement should the N make?
why do you think you gained 3 pounds last week?
were there any issues last week that kept you from focusing on
your diet?
, you should put last week behind you and adhere to your diet
from today forward. Correct Answers were there any issues last
week that kept you from focusing on your diet?
A patient indicates that they do not want to talk today. How
should the N respond?
Why not? We have talked several times before.
Take a moment to collect your thought, then you will need to
talk.
How about I spend some time w/you instead? We don't have to
talk.
I don't believe that, talking is helpful. Correct Answers How
about I spend some time w/you instead? We don't have to talk.
A patient newly diagnosed w/cancer states "I would rather die
than go through chemotherapy." What should the N respond?
that wouldn't be fair to your family
you have so much to live for
why don't we talk about how successful you are
what concerns you about chemotherapy? Correct Answers
what concerns you about chemotherapy?
A patient states "I just feel lost at work these days" and the N
replies "you must feel like you are not getting anything done" -
what therapeutic communication technique is the N using?
presenting reality
encouraging comparison
offering general leads
attempting to translate words to feelings Correct Answers
attempting to translate words to feelings (which encourages
patient to explain the nature of his feelings at work)
