Fundamentals ch. 21 Davis Plus TestBank 2024
1. You enter a patient's room at the beginning of your shift in the early
morning. You ask the patient, "How did you sleep last night?" He replies,
"Terrible." You say, "I'm sorry to hear that. I'll ask your doctor to write you a
prescription for some sleeping pills." Which barrier to communication have
you just committed?
1) Fire-hosing information
2) Offering advice
3) Providing false reassurance
4) Failing to probe: Failing to Probe
Feedback:
Failing to probe can result in incomplete assessment and affect the quality of
your care. A thorough assessment requires you to explore issues in detail. In this
case, you should have probed as to the cause of the client's poor sleep instead
of immediately recommending a sleeping pill. It could be that the client slept
poorly because of pain and needs a pain medication instead of a sleep
medication.
2. A client informs you that her physical therapist recently told her that she
has a suspicious-looking lesion on her leg that she should have checked out.
You inspect the lesion and record comments about it in the client's SOAP
note. Later, the physician examines the client, includes comments in the
patient's health record, and provides a referral to a dermatologist. You explain
the referral to the patient. This series of interactions may best be
characterized as which of the following?
1) Interpersonal communication
2) Small-group communication
3) Public communication
4) Intrapersonal communication: Interpersonal Communication
Feedback:
Interpersonal communication occurs between two or more people. Face-to-face
conversation between two people is the most frequent form of interpersonal
communication. Nurses use interpersonal communication to gather information
during assessment, to teach about health issues, to explain care, and to provide
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, Fundamentals ch. 21 Davis Plus TestBank 2024
comfort and support. In addition to communicating directly with clients,
professional nurses communicate with other nurses and healthcare team
members to provide comprehensive care for clients.
3. 3.During a physical examination of a client, you tell her in a moderate pitch,
volume, and pace, "I need to auscultate your thoracic region for signs of
rhonchi and stridor now." The client stares back at you blankly. Which of the
following factors most likely prevented effective communication in this case?
1) Vocabulary
2) Denotative and connotative meaning
3) Pacing
4) Intonation: Vocabulary
Feedback:
Healthcare workers have a large vocabulary of technical terms and jargon.
However, laypersons are often unfamiliar with healthcare language and find its use
intimidating, or at best puzzling. In this case, the terms auscultate, thoracic region,
rhonchi, and stridor are likely to trip the client up.
4. You have been talking with a client about her struggle with depression. She
says, "I worry sometimes for my son." You reply, "When you say you worry
for your son, do you mean that you worry that he might inherit your
depression?" Which communication technique are you using in this case?
1) Restating
2) Clarifying
3) Validating
4) Summarizing: Validating
Feedback:
To validate the message, instead of just requesting further explanation from the
client regarding a statement, go ahead and suggest your interpretation and ask
whether it is correct.
5. Which of the following are examples of communication?
SELECT ALL THAT APPLY.
1) Talking
2/8
1. You enter a patient's room at the beginning of your shift in the early
morning. You ask the patient, "How did you sleep last night?" He replies,
"Terrible." You say, "I'm sorry to hear that. I'll ask your doctor to write you a
prescription for some sleeping pills." Which barrier to communication have
you just committed?
1) Fire-hosing information
2) Offering advice
3) Providing false reassurance
4) Failing to probe: Failing to Probe
Feedback:
Failing to probe can result in incomplete assessment and affect the quality of
your care. A thorough assessment requires you to explore issues in detail. In this
case, you should have probed as to the cause of the client's poor sleep instead
of immediately recommending a sleeping pill. It could be that the client slept
poorly because of pain and needs a pain medication instead of a sleep
medication.
2. A client informs you that her physical therapist recently told her that she
has a suspicious-looking lesion on her leg that she should have checked out.
You inspect the lesion and record comments about it in the client's SOAP
note. Later, the physician examines the client, includes comments in the
patient's health record, and provides a referral to a dermatologist. You explain
the referral to the patient. This series of interactions may best be
characterized as which of the following?
1) Interpersonal communication
2) Small-group communication
3) Public communication
4) Intrapersonal communication: Interpersonal Communication
Feedback:
Interpersonal communication occurs between two or more people. Face-to-face
conversation between two people is the most frequent form of interpersonal
communication. Nurses use interpersonal communication to gather information
during assessment, to teach about health issues, to explain care, and to provide
1/8
, Fundamentals ch. 21 Davis Plus TestBank 2024
comfort and support. In addition to communicating directly with clients,
professional nurses communicate with other nurses and healthcare team
members to provide comprehensive care for clients.
3. 3.During a physical examination of a client, you tell her in a moderate pitch,
volume, and pace, "I need to auscultate your thoracic region for signs of
rhonchi and stridor now." The client stares back at you blankly. Which of the
following factors most likely prevented effective communication in this case?
1) Vocabulary
2) Denotative and connotative meaning
3) Pacing
4) Intonation: Vocabulary
Feedback:
Healthcare workers have a large vocabulary of technical terms and jargon.
However, laypersons are often unfamiliar with healthcare language and find its use
intimidating, or at best puzzling. In this case, the terms auscultate, thoracic region,
rhonchi, and stridor are likely to trip the client up.
4. You have been talking with a client about her struggle with depression. She
says, "I worry sometimes for my son." You reply, "When you say you worry
for your son, do you mean that you worry that he might inherit your
depression?" Which communication technique are you using in this case?
1) Restating
2) Clarifying
3) Validating
4) Summarizing: Validating
Feedback:
To validate the message, instead of just requesting further explanation from the
client regarding a statement, go ahead and suggest your interpretation and ask
whether it is correct.
5. Which of the following are examples of communication?
SELECT ALL THAT APPLY.
1) Talking
2/8
