Communication & Therapeutic
Relationships Practice Questions And
Answers
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 ...ANSWER...2
During admission to the unit, a patient states, "I'm not worried about the results of my tests. I'm sure I'll
be all right." As the nurse observes the patient, the nurse notes that the patient is shaky, tearful, and
does not make eye contact. Unfortunately, the nurse is called away to an emergency before completing
this discussion. Which goal is most appropriate for the nurse to establish when returning to the patient?
The patient will:
1.
Explain the reason for the incongruent statements
2.
Engage in diversional activities to cope with stress
3.
Express concerns to the primary care provider
4.
Discuss concerns and fears with the nurse ...ANSWER...4
,The nurse is preparing a patient for a computed tomography (CT) scan of the abdomen. Patients must
be NPO (nothing by mouth) for 8 hours and void several minutes before the test. Which statement by
the nurse is best to help prepare the patient?
1.
"You are to remain NPO for the 8 hours prior to your CT scan."
2.
"You cannot have anything to eat or drink for 8 hours before your test."
3.
"You will need to be NPO and drink this contrast medium before your test."
4.
"You may need to void before you go to the department for your CT scan." ...ANSWER...2
The nurse is assigned to care for the following patients. In planning nursing care, the nurse knows touch
should be used cautiously when communicating with which patient?
1.
A middle-aged woman just diagnosed with terminal lung cancer
2.
A middle-aged man experiencing the acute phase of myocardial infarction
3.
An older adult admitted with dehydration with a history of dementia
4.
A young adult recovering from surgery for a ruptured appendix who will be discharged
tomorrow ...ANSWER...3
The nurse manager of the medical intensive care unit formed a group to help the staff cope with stress
more effectively. Which comment by a group member will lead the manager to evaluate the group as
successful?
1.
"This was a good idea to form a group; I've been wanting to get to know some of the people from 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 at home causing personal
stress."
4.
"It's nice to have a chance to get away from the unit and talk on a regular basis." ...ANSWER...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 ...ANSWER...1
A young adult with a severe episode of asthma-related bronchoconstriction comes to the emergency
department with signs of respiratory distress. When the nurse performs the orientation assessment, the
nurse notes that the patient cannot identify the place/location or the time. Which nursing diagnosis is
most suitable for this patient?
1.
Chronic Confusion
2.
Acute Confusion
3.
Impaired Verbal Communication
4.
Readiness for Enhanced Communication ...ANSWER...2
Relationships Practice Questions And
Answers
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 ...ANSWER...2
During admission to the unit, a patient states, "I'm not worried about the results of my tests. I'm sure I'll
be all right." As the nurse observes the patient, the nurse notes that the patient is shaky, tearful, and
does not make eye contact. Unfortunately, the nurse is called away to an emergency before completing
this discussion. Which goal is most appropriate for the nurse to establish when returning to the patient?
The patient will:
1.
Explain the reason for the incongruent statements
2.
Engage in diversional activities to cope with stress
3.
Express concerns to the primary care provider
4.
Discuss concerns and fears with the nurse ...ANSWER...4
,The nurse is preparing a patient for a computed tomography (CT) scan of the abdomen. Patients must
be NPO (nothing by mouth) for 8 hours and void several minutes before the test. Which statement by
the nurse is best to help prepare the patient?
1.
"You are to remain NPO for the 8 hours prior to your CT scan."
2.
"You cannot have anything to eat or drink for 8 hours before your test."
3.
"You will need to be NPO and drink this contrast medium before your test."
4.
"You may need to void before you go to the department for your CT scan." ...ANSWER...2
The nurse is assigned to care for the following patients. In planning nursing care, the nurse knows touch
should be used cautiously when communicating with which patient?
1.
A middle-aged woman just diagnosed with terminal lung cancer
2.
A middle-aged man experiencing the acute phase of myocardial infarction
3.
An older adult admitted with dehydration with a history of dementia
4.
A young adult recovering from surgery for a ruptured appendix who will be discharged
tomorrow ...ANSWER...3
The nurse manager of the medical intensive care unit formed a group to help the staff cope with stress
more effectively. Which comment by a group member will lead the manager to evaluate the group as
successful?
1.
"This was a good idea to form a group; I've been wanting to get to know some of the people from 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 at home causing personal
stress."
4.
"It's nice to have a chance to get away from the unit and talk on a regular basis." ...ANSWER...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 ...ANSWER...1
A young adult with a severe episode of asthma-related bronchoconstriction comes to the emergency
department with signs of respiratory distress. When the nurse performs the orientation assessment, the
nurse notes that the patient cannot identify the place/location or the time. Which nursing diagnosis is
most suitable for this patient?
1.
Chronic Confusion
2.
Acute Confusion
3.
Impaired Verbal Communication
4.
Readiness for Enhanced Communication ...ANSWER...2
