NUFT 204 Exam 1 Review Questions
With Rational Solutions Rated A+
When working with an older adult who is hearing-impaired, the use of which techniques
would improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient lip read.
3. Give the patient time to respond to questions
.4. Keep communication short and to the point.
5. Communicate only through written information. - ANSWER-1,3,4
A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the fol- lowing is the best strategy to help the
nurse find more time for this communication?
1. Include communication while performing tasks such as chang- ing dressings and
checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up
remaining time for communication. - ANSWER-1
Motivational interviewing (MI) is a technique that applies under-
standing a patient's values and goals in helping the patient make behavior changes.
What are other benefits of using MI techniques? (Select all that apply.)
1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
,3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to
promote change
5. Identifying differences in patient's health goals and current
behaviors - ANSWER-1,3,5
A nurse is talking with a young-adult patient about the purpose
of a new medication. The nurse says, "I want to be clear. Can you tell me in your words
the purpose of this medicine?" This exchange is an example of which element of the
transactional communica- tion process?
1. Message
2. Obtaining feedback
3. Channel
4. Referent - ANSWER-ans: 2
Nurses must communicate effectively with the health care team for which of the
following reasons? (Select all that apply.)
1. Improve the nurse's status with the health team members
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
5. Prevent issues that need to be reported to outside agencies - ANSWER-2,3,4
A patient who is Spanish-speaking does not appear to understand
the nurse's information on wound care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the
,procedure
2. Ask a fellow Spanish-speaking patient to help explain the
procedure
3. Use a professional interpreter to provide wound care education
in Spanish
4. Ask the patient to write down questions that he or she has for
the nurse - ANSWER-ans: 3
A nurse prepares to contact a patient's physician about a change
in the patient's condition. Put the following statements in the correct order using SBAR
(Situation, Background, Assessment, and Recommendation) communication.
1. "She is a 53-year-old female who was admitted 2 days ago
with pneumonia and was started on Levaquin at 5 PM yester-
day. She complains of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of
Levaquin an hour ago."
3. "Would you like to make a change in antibiotics, or could we
give her a nutritional supplement before her medication?"
4. "The patient started complaining of nausea yesterday evening
and has vomited several times during the night." - ANSWER-Ans: 4S, 1B, 2A, 3R
A nurse is assigned to care for a patient for the first time and states, "I don't know a lot
about your culture and want to learn how to better meet your health care needs." Which
therapeutic commu-
nication technique did the nurse use in this situation?
1. Validation
, 2. Empathy
3. Sarcasm
4. Humility - ANSWER-Ans: 4
A new nurse is experiencing lateral violence at work. Which steps
could the nurse take to address this problem?
1. Challenge the nurses in a public forum to embarrass them and
change their behavior
2. Talk with the department secretary and ask if this has been a
problem for other nurses
3. Talk with the preceptor or manager and ask for assistance in
handling this issue
4. Say nothing and hope things get better - ANSWER-ans: 3
A nurse has been gathering physical assessment data on a patient and is now listening
to the patient's concerns. The nurse sets a goal of care that incorporates the patient's
desire to make treatment decisions. This is an example of the nurse engaged in which
phase of the nurse-patient relationship?
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase - ANSWER-Ans: 1
A patient is evaluated in the emergency department after causing an automobile
accident while being under the influence of alcohol. While assessing the patient, which
statement would be the most therapeutic?
1. "Why did you drive after you had been drinking?"
With Rational Solutions Rated A+
When working with an older adult who is hearing-impaired, the use of which techniques
would improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient lip read.
3. Give the patient time to respond to questions
.4. Keep communication short and to the point.
5. Communicate only through written information. - ANSWER-1,3,4
A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the fol- lowing is the best strategy to help the
nurse find more time for this communication?
1. Include communication while performing tasks such as chang- ing dressings and
checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up
remaining time for communication. - ANSWER-1
Motivational interviewing (MI) is a technique that applies under-
standing a patient's values and goals in helping the patient make behavior changes.
What are other benefits of using MI techniques? (Select all that apply.)
1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
,3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to
promote change
5. Identifying differences in patient's health goals and current
behaviors - ANSWER-1,3,5
A nurse is talking with a young-adult patient about the purpose
of a new medication. The nurse says, "I want to be clear. Can you tell me in your words
the purpose of this medicine?" This exchange is an example of which element of the
transactional communica- tion process?
1. Message
2. Obtaining feedback
3. Channel
4. Referent - ANSWER-ans: 2
Nurses must communicate effectively with the health care team for which of the
following reasons? (Select all that apply.)
1. Improve the nurse's status with the health team members
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
5. Prevent issues that need to be reported to outside agencies - ANSWER-2,3,4
A patient who is Spanish-speaking does not appear to understand
the nurse's information on wound care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the
,procedure
2. Ask a fellow Spanish-speaking patient to help explain the
procedure
3. Use a professional interpreter to provide wound care education
in Spanish
4. Ask the patient to write down questions that he or she has for
the nurse - ANSWER-ans: 3
A nurse prepares to contact a patient's physician about a change
in the patient's condition. Put the following statements in the correct order using SBAR
(Situation, Background, Assessment, and Recommendation) communication.
1. "She is a 53-year-old female who was admitted 2 days ago
with pneumonia and was started on Levaquin at 5 PM yester-
day. She complains of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of
Levaquin an hour ago."
3. "Would you like to make a change in antibiotics, or could we
give her a nutritional supplement before her medication?"
4. "The patient started complaining of nausea yesterday evening
and has vomited several times during the night." - ANSWER-Ans: 4S, 1B, 2A, 3R
A nurse is assigned to care for a patient for the first time and states, "I don't know a lot
about your culture and want to learn how to better meet your health care needs." Which
therapeutic commu-
nication technique did the nurse use in this situation?
1. Validation
, 2. Empathy
3. Sarcasm
4. Humility - ANSWER-Ans: 4
A new nurse is experiencing lateral violence at work. Which steps
could the nurse take to address this problem?
1. Challenge the nurses in a public forum to embarrass them and
change their behavior
2. Talk with the department secretary and ask if this has been a
problem for other nurses
3. Talk with the preceptor or manager and ask for assistance in
handling this issue
4. Say nothing and hope things get better - ANSWER-ans: 3
A nurse has been gathering physical assessment data on a patient and is now listening
to the patient's concerns. The nurse sets a goal of care that incorporates the patient's
desire to make treatment decisions. This is an example of the nurse engaged in which
phase of the nurse-patient relationship?
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase - ANSWER-Ans: 1
A patient is evaluated in the emergency department after causing an automobile
accident while being under the influence of alcohol. While assessing the patient, which
statement would be the most therapeutic?
1. "Why did you drive after you had been drinking?"
