CHAPTER 6 TEST BANK
Which form of communication is the nurse using when interviewing the patient during the
admission health history and physical assessment?
1)Small group
2)Interpersonal
3)Group
4)Intrapersonal - ANS 2
During admission to the unit, a patient states, Im not worried about the results of my tests. Im
sure Ill be all right. As he observes the patient, the nurse notes that the patient is shaky and
tearful and does not make eye contact. Unfortunately, the nurse is called away to an emergency
before he has time to complete this discussion. Which of the following actions is most
appropriate for the nurse to establish when returning to the patient? Patient will
1)Explain the reason for his incongruent statements
2)Engage in diversional activities to cope with stress
3)Express his concerns to his primary care provider
4)Discuss his concerns and fears with the nurse - ANS 4
The nurse is preparing a patient for a computed tomography (CT) scan of the abdomen. Which
statement by the nurse is best (all contain correct information)?
1)You will need to remain NPO for the 4 hours prior to your CT scan.
2)You cannot have anything to eat or drink for 4 hours before your test.
3)You will need to be NPO and drink this contrast media before your test.
4)You may need to void before you go down to the department for your CT scan. - ANS 2
The nurse is assigned to the care of the following patients. In planning nursing care, the nurse
knows she should use touch cautiously, especially when communicating with which patient?
1)Middle-aged woman just diagnosed with terminal lung cancer
, 2)Middle-aged man experiencing the acute phase of myocardial infarction
3)Older adult with a history of dementia admitted for dehydration
4)Young adult in the rehabilitative phase after arthroscopic surgery - ANS 3
The nurse manager of the medical intensive care unit formed a group to help her staff cope with
stress more effectively. Which of the comments by group members will lead the manager to
evaluate the group as successful?
1)This was a good idea to form a group; Ive been wanting to get to know some of
the people working the other shifts.
2)It really helps me to share feelings about how hard it is to see pain and suffering every day.
3)I now have a group to help me when I need to work through situations in my own life causing
me stress.
4)It feels good to have a chance to get away from the unit and talk on a regular basis. - ANS 2
A patient who speaks little English is admitted to the hospital after experiencing severe
abdominal pain. Which nursing diagnosis is preferred for this patient?
1)Impaired Communication
2)Readiness for Enhanced Communication
3)Impaired Verbal Communication
4)Sensory Alteration - ANS 1
A young adult with a severe episode of asthma bronchoconstriction comes to the emergency
department with signs of respiratory distress. When the nurse performs the admission
assessment, she notes that the patient is not able to say where she is or the time. Which
nursing diagnosis is probably most suitable for this patient?
1)Chronic Confusion
2)Acute Confusion
3)Impaired Verbal Communication
Which form of communication is the nurse using when interviewing the patient during the
admission health history and physical assessment?
1)Small group
2)Interpersonal
3)Group
4)Intrapersonal - ANS 2
During admission to the unit, a patient states, Im not worried about the results of my tests. Im
sure Ill be all right. As he observes the patient, the nurse notes that the patient is shaky and
tearful and does not make eye contact. Unfortunately, the nurse is called away to an emergency
before he has time to complete this discussion. Which of the following actions is most
appropriate for the nurse to establish when returning to the patient? Patient will
1)Explain the reason for his incongruent statements
2)Engage in diversional activities to cope with stress
3)Express his concerns to his primary care provider
4)Discuss his concerns and fears with the nurse - ANS 4
The nurse is preparing a patient for a computed tomography (CT) scan of the abdomen. Which
statement by the nurse is best (all contain correct information)?
1)You will need to remain NPO for the 4 hours prior to your CT scan.
2)You cannot have anything to eat or drink for 4 hours before your test.
3)You will need to be NPO and drink this contrast media before your test.
4)You may need to void before you go down to the department for your CT scan. - ANS 2
The nurse is assigned to the care of the following patients. In planning nursing care, the nurse
knows she should use touch cautiously, especially when communicating with which patient?
1)Middle-aged woman just diagnosed with terminal lung cancer
, 2)Middle-aged man experiencing the acute phase of myocardial infarction
3)Older adult with a history of dementia admitted for dehydration
4)Young adult in the rehabilitative phase after arthroscopic surgery - ANS 3
The nurse manager of the medical intensive care unit formed a group to help her staff cope with
stress more effectively. Which of the comments by group members will lead the manager to
evaluate the group as successful?
1)This was a good idea to form a group; Ive been wanting to get to know some of
the people working the other shifts.
2)It really helps me to share feelings about how hard it is to see pain and suffering every day.
3)I now have a group to help me when I need to work through situations in my own life causing
me stress.
4)It feels good to have a chance to get away from the unit and talk on a regular basis. - ANS 2
A patient who speaks little English is admitted to the hospital after experiencing severe
abdominal pain. Which nursing diagnosis is preferred for this patient?
1)Impaired Communication
2)Readiness for Enhanced Communication
3)Impaired Verbal Communication
4)Sensory Alteration - ANS 1
A young adult with a severe episode of asthma bronchoconstriction comes to the emergency
department with signs of respiratory distress. When the nurse performs the admission
assessment, she notes that the patient is not able to say where she is or the time. Which
nursing diagnosis is probably most suitable for this patient?
1)Chronic Confusion
2)Acute Confusion
3)Impaired Verbal Communication
