A staff nurse in the ICU explains to the pt's wife the type of monitoring devices
they will be using for her husband, and then there is silence. The nurse uses
silence as a communication technique to:
a) give both communicators time to relax
b) allow time for reorganization of thoughts
c) allow the pt's wife to have time for herself
d) build up emotional tension Right Ans - b)
Which of the following statements by a nurse best conveys empathy?
a) I can appreciate your desire to not use any form of blood products
b) Do you mean you would like to talk to the new family nurse practitioner?
c) Good morning. How did you sleep last night?
d) Can you describe what the pain in your abdomen feels like? Right Ans -
a)
Which of the following is the greatest barrier to effective communication?
a) Giving an opinion when asked
b) Being defensive
c) Using assertiveness techniques
d) Using too much nonverbal language Right Ans - b)
What is the most common cause of communication breakdown in a nurse-
client relationship?
a) Timing
b) Changing the subject
c) Interrupting
d) Listening skills Right Ans - c)
Rational:others could be used to facilitate communication but interrupting is
always negative
Which of the following statements regarding nonverbal communication is
correct?
a) Gestures alone are meaningless
b) The nurse's appearance can influence interactions
c) Personal space needs are predictable for adult pts
d) Eye contact should be maintained w all clients Right Ans - b)
Rational
,a) false bc might only use gestures w a pt with certain hearing
impairments/doesn't speak English
c) false bc its always have individual needs - NEVER make assumptions
d) false bc some pts might not want eye contact (ex. mental health issue) or w
visual impairment
In using communication skills with pts, the nurse evaluates which response as
being therapeutic?
a) why don't you stick to the special diet?
b) We can't continue talking about your financial problems right now. It's time
for your bath
c) I noticed that you didn't eat lunch. Is something wrong?
d) I think you need to find another physician that you'll like more than this
one Right Ans - c)
Rational:
a) judgmental
b) assertiveness
c) therapeutic bc 'I' statement and demonstrating caring - trying to
understand pt behaviours
d) opinion
What is nursing research?
a) discovery of new knowledge
b) understanding and describing pt groups
c) validation of practice
d) all of the above
e) none of the above Right Ans - d)
All nurses should use research findings in practice. Sources of nursing
research useful to clinicians include:
a) conferences
b) clinical journals
c) practice guidelines
d) systematic reviews
e) all of the above Right Ans - e)
Ethics is
a) a system of legal parameters for care
b) the systematic examination of power
, c) required to provide safe nursing care
d) the philosophical study of morality Right Ans - d)
A nurse believes that the primary consideration in working w a group of pts is
that any decision must be fair to all. This attitude represents support of the
concept of
a) Beneficence
b) Autonomy
c) Justice
d) Utility Right Ans - a)
rational: this situation is talking about achieving good care delivery -->
beneficence
A nurse believes that it is important to let the pt make his or her own
decisions. This attitude represents support of the concept of
a) Beneficence
b) Autonomy
c) Justice
d) Utility Right Ans - b)
One of the major bio-ethical issues for facing Canadians today is:
a) where to invest research dollars
b) the feasibility of germ welfare
c) The acquisition and allocation of scare medical resources
d) The rising cost of health insurance Right Ans - c)
(that's the only one we talked about)
Health Care Ethics is defined as:
a) The moral questions within the sphere of nursing practice
b) The application of ethical principles to health care situations
c) The philosophical study of morality
d) Rules established in the RHPA that govern decisions Right Ans - b)
The College of Nurses has 7 defined values as being most important in
providing nursing care in Ontario, of which include:
a) Truthfulness, respect for life, client choice
b) Thriftiness, confidentiality, fairness
c) Client choice, judging, privacy
d) Maintaining commitments, rationing care, truthfulness Right Ans - a)