ATI PN PEDIATRICS PROCTORED EXAM
v v v v
1. Avnursevbelievesvthatvthevnurse-
patientvrelationshipvisvavpartnershipvandvthatvbothvarevequalvparticipants.vWhichvtermvshouldvt
hevnursevusevtovdescribevthisvbelief?
a. Criticalvthinking
b. Authentic
c. Mutuality
d. Attend
ANS:vC
Effectivevinterpersonalvcommunicationvrequiresvavsensevofvmutuality,vavbeliefvthatvthevnurse-
vpatientvrelationshipvisvavpartnershipvandvthatvboth varevequalvparticipants.vCriticalvthinkingvi
nvnursing,vbasedvonvestablishedvstandardsvofvnursingvcarevandvethicalvstandards,vpromotesv
effectivevcommunicationvandvusesvstandardsvsuchvasvhumility,vself-
confidence,vindependentvattitude,vandvfairness.vTovbevauthenticv(one’svself)vandvtovrespond
vappropriatelyvtovthevothervpersonvarevimportant vforvinterpersonal vrelationshipsvbutvdovnotv
meanvmutuality.vAttendingvisvgivingvallvofvyourvattentionvtovthevpatient.
2. Avnursevwantsvtovpresentvinformationvaboutvfluvimmunizationsvtovthevoldervadultsvinvthevcommunity.v
Whichvtypevofvcommunicationvshouldvthevnursevuse?
a. Public
b. Smallvgroup
c. Interpersonal
d. Intrapersonal
ANS:vA
Publicvcommunicationvisvinteractionvwithvanvaudience.vNursesvhavevopportunitiesvtovspeakv
withvgroupsvofvconsumersvaboutvhealth-
relatedvtopics,vpresentvscholarlyvworkvtovcolleaguesvatvconferences,vorvleadvclassroomvdi
scussionsvwithvpeersvorvstudents.vWhenvnursesvworkvonvcommitteesvorvparticipatevinvpati
entvcarevconferences,vtheyvusevavsmallvgroupvcommunicationvprocess.vInterpersonalvcom
municationvisvone-on-
onevinteractionvbetweenvavnursevandvanothervpersonvthatvoftenvoccursvfacevtovface.vIntrap
ersonalvcommunicationvisvavpowerfulvformvofvcommunicationvthatvyouvusevasvavprofessi
onalvnurse.vThisvlevelvofvcommunicationvisvalsovcalledvself-vtalk.
3. Avnursevisvusingvtherapeuticvcommunicationvwithvavpatient.vWhichvtechniquevwillvthevnursevusevtov
ensureveffectivevcommunication?
Interpersonalvcommunicationvtovchangevnegativevself-talkvtovpositive
a. self-talk
b. Smallvgroupvcommunicationvtovpresentvinformationvtovanvaudience
c. Electronicvcommunicationvtovassessvavpatientvinvanothervcity
d. Intrapersonalvcommunicationvtovbuildvstrongvteams
24
,ANS:vC
25
, A&EvIvComprehensivevTestbank
Electronicvcommunicationvisvthevusevofvtechnologyvtovcreatevongoingvrelationshipsvwith
vpatients vandvtheirvhealthvcarevteam.vIntrapersonal vcommunicationvisvself-
talk.vInterpersonalvcommunicationvisvone-on-
onevinteractionvbetweenvavnursevandvanothervpersonvthatvoftenvoccursvfacevtovface.vP
ublicvcommunicationvisvusedvtovpresentvinformationvtovanvaudience.vSmallvgroupvco
mmunicationvisvinteractionvthatvoccursvwhenvavsmallvnumbervofvpersonsvmeet.vWhen
vnursesvworkvonvcommittees vorvparticipatevinvpatientvcarevconferences,vtheyvusevavs
mallvgroupvcommunicationvprocess.
4. Avnursevisvstandingvbesidevthevpatient’svbed.
Nurse:vHowvarevyouvdoing?
Patient:vIvdon’tvfeelvgood.
Whichvelementvwillvthevnursevidentifyvasvfeedback?
a. Nurse
b. Patient
c. Howvarevyouvdoing?
d. Ivdon’tvfeelvgood.
ANS:vD
“Ivdon’tvfeelvgood”visvthevfeedbackvbecausevthevfeedbackvisvthevmessagevthevreceivervr
eturns.vThevsendervisvthevpersonvwhovencodesvandvdeliversvthevmessage,vandvthevre
ceivervisvthevpersonvwhovreceivesvandvdecodesvthevmessage.vThevnursevisvthevsend
er.vThevpatientvisvthevreceiver.v“Howvarevyouvdoing?”visvthevmessage.
5. Avnursevisvsittingvatvthevpatient’svbedsidevtakingvavnursingvhistory.vWhichvzonevofvpersonalvspacevisv
thevnursevusing?
a. Socio-consultative
b. Personal
c. Intimate
d. Public
ANS:vB
Personalvspacevisv18vinchesvtov4vfeetvandvinvolvesvthingsvsuchvasvsittingvatvavpatient’svbedsi
de,vtakingvavpatient’svnursingvhistory,vorvteachingvanvindividualvpatient.
Intimatevspacevisv0vtov18vinchesvandvinvolvesvthingsvsuchvasvperformingvavphysicalvas
sessment,vbathing,vgrooming,vdressing,vfeeding,vandvtoiletingvavpatient.vThevsocio-
vconsultativevzonevisv9vtov12vfeet vandvinvolvesvthings vsuchvasvgivingvdirectionsvtovvisit
orsvinvthevhallwayvandvgivingvverbalvreportvtovavgroupvofvnurses.vThevpublicvzonevisv1
2vfeetvandvgreatervandvinvolvesvthingsvsuchvasvspeakingvatvavcommunityvforum,vtestify
ingvatvavlegislativevhearing,vorvlecturing.
6. Avsmilingvpatientvangrilyvstates,v“Ivwillvnotvcoughvandvdeepvbreathe.”vHowvwillvthevnursevi
nterpretvthisvfinding?
a. Thevpatient’svdenotativevmeaningvisv wrong. 26
b. Thevpatient’svpersonalvspacevwasvviolated.
v v v v
1. Avnursevbelievesvthatvthevnurse-
patientvrelationshipvisvavpartnershipvandvthatvbothvarevequalvparticipants.vWhichvtermvshouldvt
hevnursevusevtovdescribevthisvbelief?
a. Criticalvthinking
b. Authentic
c. Mutuality
d. Attend
ANS:vC
Effectivevinterpersonalvcommunicationvrequiresvavsensevofvmutuality,vavbeliefvthatvthevnurse-
vpatientvrelationshipvisvavpartnershipvandvthatvboth varevequalvparticipants.vCriticalvthinkingvi
nvnursing,vbasedvonvestablishedvstandardsvofvnursingvcarevandvethicalvstandards,vpromotesv
effectivevcommunicationvandvusesvstandardsvsuchvasvhumility,vself-
confidence,vindependentvattitude,vandvfairness.vTovbevauthenticv(one’svself)vandvtovrespond
vappropriatelyvtovthevothervpersonvarevimportant vforvinterpersonal vrelationshipsvbutvdovnotv
meanvmutuality.vAttendingvisvgivingvallvofvyourvattentionvtovthevpatient.
2. Avnursevwantsvtovpresentvinformationvaboutvfluvimmunizationsvtovthevoldervadultsvinvthevcommunity.v
Whichvtypevofvcommunicationvshouldvthevnursevuse?
a. Public
b. Smallvgroup
c. Interpersonal
d. Intrapersonal
ANS:vA
Publicvcommunicationvisvinteractionvwithvanvaudience.vNursesvhavevopportunitiesvtovspeakv
withvgroupsvofvconsumersvaboutvhealth-
relatedvtopics,vpresentvscholarlyvworkvtovcolleaguesvatvconferences,vorvleadvclassroomvdi
scussionsvwithvpeersvorvstudents.vWhenvnursesvworkvonvcommitteesvorvparticipatevinvpati
entvcarevconferences,vtheyvusevavsmallvgroupvcommunicationvprocess.vInterpersonalvcom
municationvisvone-on-
onevinteractionvbetweenvavnursevandvanothervpersonvthatvoftenvoccursvfacevtovface.vIntrap
ersonalvcommunicationvisvavpowerfulvformvofvcommunicationvthatvyouvusevasvavprofessi
onalvnurse.vThisvlevelvofvcommunicationvisvalsovcalledvself-vtalk.
3. Avnursevisvusingvtherapeuticvcommunicationvwithvavpatient.vWhichvtechniquevwillvthevnursevusevtov
ensureveffectivevcommunication?
Interpersonalvcommunicationvtovchangevnegativevself-talkvtovpositive
a. self-talk
b. Smallvgroupvcommunicationvtovpresentvinformationvtovanvaudience
c. Electronicvcommunicationvtovassessvavpatientvinvanothervcity
d. Intrapersonalvcommunicationvtovbuildvstrongvteams
24
,ANS:vC
25
, A&EvIvComprehensivevTestbank
Electronicvcommunicationvisvthevusevofvtechnologyvtovcreatevongoingvrelationshipsvwith
vpatients vandvtheirvhealthvcarevteam.vIntrapersonal vcommunicationvisvself-
talk.vInterpersonalvcommunicationvisvone-on-
onevinteractionvbetweenvavnursevandvanothervpersonvthatvoftenvoccursvfacevtovface.vP
ublicvcommunicationvisvusedvtovpresentvinformationvtovanvaudience.vSmallvgroupvco
mmunicationvisvinteractionvthatvoccursvwhenvavsmallvnumbervofvpersonsvmeet.vWhen
vnursesvworkvonvcommittees vorvparticipatevinvpatientvcarevconferences,vtheyvusevavs
mallvgroupvcommunicationvprocess.
4. Avnursevisvstandingvbesidevthevpatient’svbed.
Nurse:vHowvarevyouvdoing?
Patient:vIvdon’tvfeelvgood.
Whichvelementvwillvthevnursevidentifyvasvfeedback?
a. Nurse
b. Patient
c. Howvarevyouvdoing?
d. Ivdon’tvfeelvgood.
ANS:vD
“Ivdon’tvfeelvgood”visvthevfeedbackvbecausevthevfeedbackvisvthevmessagevthevreceivervr
eturns.vThevsendervisvthevpersonvwhovencodesvandvdeliversvthevmessage,vandvthevre
ceivervisvthevpersonvwhovreceivesvandvdecodesvthevmessage.vThevnursevisvthevsend
er.vThevpatientvisvthevreceiver.v“Howvarevyouvdoing?”visvthevmessage.
5. Avnursevisvsittingvatvthevpatient’svbedsidevtakingvavnursingvhistory.vWhichvzonevofvpersonalvspacevisv
thevnursevusing?
a. Socio-consultative
b. Personal
c. Intimate
d. Public
ANS:vB
Personalvspacevisv18vinchesvtov4vfeetvandvinvolvesvthingsvsuchvasvsittingvatvavpatient’svbedsi
de,vtakingvavpatient’svnursingvhistory,vorvteachingvanvindividualvpatient.
Intimatevspacevisv0vtov18vinchesvandvinvolvesvthingsvsuchvasvperformingvavphysicalvas
sessment,vbathing,vgrooming,vdressing,vfeeding,vandvtoiletingvavpatient.vThevsocio-
vconsultativevzonevisv9vtov12vfeet vandvinvolvesvthings vsuchvasvgivingvdirectionsvtovvisit
orsvinvthevhallwayvandvgivingvverbalvreportvtovavgroupvofvnurses.vThevpublicvzonevisv1
2vfeetvandvgreatervandvinvolvesvthingsvsuchvasvspeakingvatvavcommunityvforum,vtestify
ingvatvavlegislativevhearing,vorvlecturing.
6. Avsmilingvpatientvangrilyvstates,v“Ivwillvnotvcoughvandvdeepvbreathe.”vHowvwillvthevnursevi
nterpretvthisvfinding?
a. Thevpatient’svdenotativevmeaningvisv wrong. 26
b. Thevpatient’svpersonalvspacevwasvviolated.