RNSG 1126 Final Practice Questions... Work In
Progress Exam Study Set
The nurse is admitting a patient to the medical/surgical unit. Which communication
technique would be considered appropriate for this interaction?
a. "I've also had traumatic life experiences. Maybe it would help if I told you about
them."
b. "Why do you think you had so much difficulty adjusting to this change in your
life?"
c. "You will feel better after getting accustomed to how this unit operates."
d. "I'd like to sit with you for a while to help you get comfortable talking to me." -
ANSWER ANS: D
Because the patient is newly admitted to the unit, allowing the patient to become
comfortable with the setting is a technique that can assist in establishing the
nurse-patient
relationship. It helps build trust and conveys that the nurse cares about the patient. The
nurse
should not reveal their life experiences as this is not therapeutic. Asking why the patient
is
having difficulty may provide insight; however, this would be best saved for an
established
relationship with the patient. Assuring the patient that they will feel better may not be
true
depending on the reason for the admission.
The nurse is seeking clarification of a statement that was made by a patient. What is the
best
way for the nurse to seek clarification?
a. "What are the common elements here?"
,b. "Tell me again about your experiences."
c. "Am I correct in understanding that ..."
d. "Tell me everything from the beginning." - ANSWER ANS: C
Clarification ensures that both the nurse and the patient share mutual understanding of
the
communication. The distracters encourage comparison rather than clarification and
present
implied questions that suggest the nurse was not listening.
A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric
facility. Which remark by the nurse would be an appropriate way to begin an interview
session?
a. "How shall we start today?"
b. "Shall we talk about losing your privileges yesterday?"
c. "Let's get started discussing your marital relationship."
d. "What happened when your family visited yesterday?" - ANSWER ANS: A
The interview is patient centered; thus, the patient chooses issues. The nurse assists
the
patient by using communication skills and actively listening to provide opportunities for
the
patient to reach goals. In the distracters, the nurse selects the topic.
The nurse and the patient are conversing face to face. What communication technique
is
being demonstrated?
a. Linguistic
b. Paralinguistic
c. Explicit
d. Metacommunication - ANSWER ANS: A
,Conversing face to face, reading newspapers and books, and even texting are all
common
forms of linguistic communication. Paralinguistics include less recognizable but
important
means of transmitting messages such as the use of gestures, eye contact, and facial
expressions. Explicit communication is not a therapeutic communication technique.
Metacommunication factors that affect how messages are received and interpreted
would
include internal personal states (such as disturbances in mood), environmental stimuli
related to the setting of the communication, and contextual variables (such as the
relationship between the people in the communication episode).
The nurse is working with a patient diagnosed with posttraumatic stress disorder
related to
childhood sexual abuse. The patient is crying and states, "I should be over this by now;
this
happened years ago." Which response(s) by the nurse will facilitate communication?
(Select
all that apply.)
a. "Why do you think you are so upset?"
b. "I can see that this situation really bothers you."
c. "The abuse you endured is very painful for you.
d. "Crying is a way of expressing the hurt you're experiencing."
e. "Let's talk about something else, since this subject is upsetting you." - ANSWER ANS:
B, C, D
Reflecting and giving information are therapeutic techniques. "Why" questions often
imply
criticism or seem intrusive or judgmental. They are difficult to answer. Changing the
subject
is a barrier to communication.
, Which key element is included in the scope of professional practice identity?
a. Adhering to a fixed level of practice
b. Finding out ways to get done faster with assigned tasks as the key focus of care
c. Maintaining professional boundaries
d. Remaining at the level of practice upon graduating from nursing school - ANSWER
ANS: C
The scope of professional identity includes five attributes, doing, and being, acting
ethically,
flourishing and changing identities. By maintaining professional boundaries, the nurse
would be acting ethically. Adhering to a fixed level of practice would not be prudent for
it
would not allow the nurse to achieve attributes. Finding out ways to get done faster with
assigned tasks would be in opposition to the attribute of "being" as the key focus is to
do the
right thing even when no one is looking. A nurse who remains at the level of practice
upon
graduation from nursing school would be in opposition to the attribute of flourishing.
A new registered nurse asks the registered nurse (RN) preceptor what could be done to
become more professional. What is the preceptor's best response?
a. "Attend nursing educational meetings."
b. "Listen to other nurses."
c. "Read the agency newsletter."
d. "Pass the licensing exam." - ANSWER ANS: A
Knowledge and commitment are essential components of professionalism. Attending
nursing educational meetings can promote collaborative learning with peers and
maintenance of competence in an ever-changing healthcare environment. Listening can
promote professionalism, and communication is certainly a component of
professionalism;
Progress Exam Study Set
The nurse is admitting a patient to the medical/surgical unit. Which communication
technique would be considered appropriate for this interaction?
a. "I've also had traumatic life experiences. Maybe it would help if I told you about
them."
b. "Why do you think you had so much difficulty adjusting to this change in your
life?"
c. "You will feel better after getting accustomed to how this unit operates."
d. "I'd like to sit with you for a while to help you get comfortable talking to me." -
ANSWER ANS: D
Because the patient is newly admitted to the unit, allowing the patient to become
comfortable with the setting is a technique that can assist in establishing the
nurse-patient
relationship. It helps build trust and conveys that the nurse cares about the patient. The
nurse
should not reveal their life experiences as this is not therapeutic. Asking why the patient
is
having difficulty may provide insight; however, this would be best saved for an
established
relationship with the patient. Assuring the patient that they will feel better may not be
true
depending on the reason for the admission.
The nurse is seeking clarification of a statement that was made by a patient. What is the
best
way for the nurse to seek clarification?
a. "What are the common elements here?"
,b. "Tell me again about your experiences."
c. "Am I correct in understanding that ..."
d. "Tell me everything from the beginning." - ANSWER ANS: C
Clarification ensures that both the nurse and the patient share mutual understanding of
the
communication. The distracters encourage comparison rather than clarification and
present
implied questions that suggest the nurse was not listening.
A nurse is conducting a therapeutic session with a patient in the inpatient psychiatric
facility. Which remark by the nurse would be an appropriate way to begin an interview
session?
a. "How shall we start today?"
b. "Shall we talk about losing your privileges yesterday?"
c. "Let's get started discussing your marital relationship."
d. "What happened when your family visited yesterday?" - ANSWER ANS: A
The interview is patient centered; thus, the patient chooses issues. The nurse assists
the
patient by using communication skills and actively listening to provide opportunities for
the
patient to reach goals. In the distracters, the nurse selects the topic.
The nurse and the patient are conversing face to face. What communication technique
is
being demonstrated?
a. Linguistic
b. Paralinguistic
c. Explicit
d. Metacommunication - ANSWER ANS: A
,Conversing face to face, reading newspapers and books, and even texting are all
common
forms of linguistic communication. Paralinguistics include less recognizable but
important
means of transmitting messages such as the use of gestures, eye contact, and facial
expressions. Explicit communication is not a therapeutic communication technique.
Metacommunication factors that affect how messages are received and interpreted
would
include internal personal states (such as disturbances in mood), environmental stimuli
related to the setting of the communication, and contextual variables (such as the
relationship between the people in the communication episode).
The nurse is working with a patient diagnosed with posttraumatic stress disorder
related to
childhood sexual abuse. The patient is crying and states, "I should be over this by now;
this
happened years ago." Which response(s) by the nurse will facilitate communication?
(Select
all that apply.)
a. "Why do you think you are so upset?"
b. "I can see that this situation really bothers you."
c. "The abuse you endured is very painful for you.
d. "Crying is a way of expressing the hurt you're experiencing."
e. "Let's talk about something else, since this subject is upsetting you." - ANSWER ANS:
B, C, D
Reflecting and giving information are therapeutic techniques. "Why" questions often
imply
criticism or seem intrusive or judgmental. They are difficult to answer. Changing the
subject
is a barrier to communication.
, Which key element is included in the scope of professional practice identity?
a. Adhering to a fixed level of practice
b. Finding out ways to get done faster with assigned tasks as the key focus of care
c. Maintaining professional boundaries
d. Remaining at the level of practice upon graduating from nursing school - ANSWER
ANS: C
The scope of professional identity includes five attributes, doing, and being, acting
ethically,
flourishing and changing identities. By maintaining professional boundaries, the nurse
would be acting ethically. Adhering to a fixed level of practice would not be prudent for
it
would not allow the nurse to achieve attributes. Finding out ways to get done faster with
assigned tasks would be in opposition to the attribute of "being" as the key focus is to
do the
right thing even when no one is looking. A nurse who remains at the level of practice
upon
graduation from nursing school would be in opposition to the attribute of flourishing.
A new registered nurse asks the registered nurse (RN) preceptor what could be done to
become more professional. What is the preceptor's best response?
a. "Attend nursing educational meetings."
b. "Listen to other nurses."
c. "Read the agency newsletter."
d. "Pass the licensing exam." - ANSWER ANS: A
Knowledge and commitment are essential components of professionalism. Attending
nursing educational meetings can promote collaborative learning with peers and
maintenance of competence in an ever-changing healthcare environment. Listening can
promote professionalism, and communication is certainly a component of
professionalism;
