NUFT 204 EXAM 1 REVIEW QUESTIONS & ANSWERS
RATED 100% CORRECT.
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
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 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
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
RATED 100% CORRECT.
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
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 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
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
