Care Management Test 2 Dr. Nelson
Keiser Chapter 8,28,32,36 Questions
Fully Solved.
The nurse is caring for a client at the end stage of life. The client is crying and states to the
nurse, "I just cannot believe I am going to be leaving my children without a parent. I am not
ready to go." What response by the nurse demonstrates the expression of empathy to the
client?
a) "I am so sorry that I am crying with you when you need my support the most."
b) "It sounds as though you are most concerned about how your children will feel."
c) "This just is not fair at all and I do not understand why this is happening to you."
d) "This is so sad and I feel so bad that you are in this situation." - Answer b) "It sounds as
though you are most concerned about how your children will feel."
The nurse is demonstrating empathy when reiterating what the client is saying. This helps the
nurse become effective at providing for the client's emotional needs while maintaining
detachment. The other responses indicate that the nurse is feeling sympathy for the client,
which includes feeling as emotionally distraught as the client. While this may be an unavoidable
response, it may not help the client move through the grieving process as effectively.
The nurse observing an interaction between a mother and her child appropriately identifies the
interaction as which communication zone?
a) Intimate
b) Public
c) Personal
d) Social - Answer a)intimate
The interaction between parents and children is likely to occur in the intimate zone. The
distance between close friends who are interacting is the personal zone. The distance when
interacting with acquaintances is the social zone. The public zone occurs when communicating
with an audience or small group.
A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea.
The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous
fluids. In an attempt to foster communication, the nurse should:
,d) involve the child's stuffed animal in the educational session. - Answer d) involve the child's
stuffed animal in the educational session.
Communication happens best when the environment facilitates an easy exchange of needed
information. The environment most conducive to communication is one that is calm and
nonthreatening. The goal is to minimize distractions and ensure privacy. The use of music, art,
and interior decorations might help put the client at ease. A client with newly diagnosed human
immunodeficiency virus (HIV) infection will find it difficult to discuss sexual history or genital
warts in an area that lacks privacy. A toddler might find it easier to communicate if a parent,
favorite stuffed animal, or blanket is nearby. The parent should not be asked to leave the room
and this may cause panic or anxiety in the child. A 3-year-old child will not be able to read
written materials. Showing the child the catheter may frighten the child.
Each facilitates a therapeutic nurse-client relationship except:
a) reflection.
b) closed-ended questions.
c) rephrasing.
d) active listening. - Answer b) closed-ended questions.
What communication zone is the Interaction between parents and children? - Answer Intimate
What communication zone is close friends who are interacting? - Answer Personal
What communication zone is acquaintances who are interacting? - Answer social
What communication zone is communicating with a audience or small group? - Answer public
nurses interacting with two or more people
The nurse is collecting health data and avoids using closed-ended questions. Which are
examples of closed-ended questions? Select all that apply.
a) "Are you ready to get out of bed?"
b) "What sorts of things do you do for fun?"
c) "What plans do you have after you are discharged?"
,e) "Is there any chance you might be pregnant?"
The closed-ended question provides the receiver with limited choices of possible responses and
might often be answered by one or two words: "yes" or "no." Closed-ended questions are used
to gather specific information from a client and to allow the nurse and client to focus on a
particular area. Closed-ended questions are often a barrier to effective communication. Asking
what the client does for fun or what the client's future plans are facilitates communication
between the client and the nurse.
A nurse is obtaining a history from an adult female client. When the nurse asks how many times
the client has been pregnant, the client answers, "I have four kids." Which statement, made by
the nurse, seeks clarification of the original question?
a)"How old are your children?"
b) "Were these term births?"
c) "All right, you have four children, is that correct?"
d) "I understand you have four kids; how many times have you actually been pregnant?" -
Answer d) "I understand you have four kids; how many times have you actually been
pregnant?"
The use of the clarifying question or comment allows the nurse to gain an understanding of a
client's comment. In this scenario, the nurse is asking how many times the client has been
pregnant. Gravida refers to the number of pregnancies, whereas para refers to the total number
of live births. Confirming the client has four children is a form of validating what the client said.
The age and/or term of the children does not clarify the original question asked by the nurse.
The nurse should consider which client aspect as nonverbal communication?
a) The client's accent
b) The client's religious practices
c) The client's tone of voice
d) The client's values and beliefs - Answer c) The client's tone of voice
A person communicates by gestures, facial expressions, posture, space, appearance, body
movement, touch, vocal tone, volume, and rate of speech. All are examples of nonverbal
communication. A client's accent, religious practices, values, and beliefs pertain to the client's
culture, ethnicity, country of origin, and personal experience. They are not elements of
nonverbal communication.
, a) "Do you check your blood pressure and pulse before you take your medication?"
b) "Have you tried exercising at all in the last week or two?"
c) "Tell me about the foods you are eating."
d) "Were you tired and depressed before starting the new medication?" - Answer d) "Were
you tired and depressed before starting the new medication?"
Sequencing is used to place events in a chronologic order or to investigate a possible cause-and-
effect relationship between events. Nursing assessment is facilitated when events leading to a
problem are placed in sequence. The symptoms the client is complaining of are common
adverse effects of this drug. Sequencing can determine the cause and effect in this scenario.
Clients taking metoprolol should check their blood pressure and pulse before taking their
medication. Asking about the current diet or exercise regimen does not uncover the cause and
effect.
A unit-based infection control task force was developed in an attempt to reduce catheter-
acquired infections. The group consists of 10 team members. During the past three meetings,
one person dominated the meeting and did not allow other members ample time to speak. The
best way to address the team dysfunction is to:
a) have group members issue a written warning to the dominant member.
b) plan a meeting where the dominant person cannot attend.
c) have group members confront the dominant member to promote the needed team work.
d) pick a team leader who is not the dominant member. - Answer c) have group members
confront the dominant member to promote the needed team work.
Effective groups have members who are mutually respectful. If a group member dominates or
thwarts the group process, then the leader or other group members must confront the member
to promote the needed collegial relationship. Planning a secret meeting does not solve the
underlying issue. Picking a team leader who is not the dominant member will not address the
dominance issue. A written warning would be inappropriate; a verbal communication is what is
required among the team.
A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides
emotional support to the family and counsels them to cope with their loss. Which quality
should the nurse use in this situation?
Keiser Chapter 8,28,32,36 Questions
Fully Solved.
The nurse is caring for a client at the end stage of life. The client is crying and states to the
nurse, "I just cannot believe I am going to be leaving my children without a parent. I am not
ready to go." What response by the nurse demonstrates the expression of empathy to the
client?
a) "I am so sorry that I am crying with you when you need my support the most."
b) "It sounds as though you are most concerned about how your children will feel."
c) "This just is not fair at all and I do not understand why this is happening to you."
d) "This is so sad and I feel so bad that you are in this situation." - Answer b) "It sounds as
though you are most concerned about how your children will feel."
The nurse is demonstrating empathy when reiterating what the client is saying. This helps the
nurse become effective at providing for the client's emotional needs while maintaining
detachment. The other responses indicate that the nurse is feeling sympathy for the client,
which includes feeling as emotionally distraught as the client. While this may be an unavoidable
response, it may not help the client move through the grieving process as effectively.
The nurse observing an interaction between a mother and her child appropriately identifies the
interaction as which communication zone?
a) Intimate
b) Public
c) Personal
d) Social - Answer a)intimate
The interaction between parents and children is likely to occur in the intimate zone. The
distance between close friends who are interacting is the personal zone. The distance when
interacting with acquaintances is the social zone. The public zone occurs when communicating
with an audience or small group.
A nurse is providing care to a 3-year-old child admitted with a diagnosis of infectious diarrhea.
The nurse needs to insert an intravenous catheter in order to administer prescribed intravenous
fluids. In an attempt to foster communication, the nurse should:
,d) involve the child's stuffed animal in the educational session. - Answer d) involve the child's
stuffed animal in the educational session.
Communication happens best when the environment facilitates an easy exchange of needed
information. The environment most conducive to communication is one that is calm and
nonthreatening. The goal is to minimize distractions and ensure privacy. The use of music, art,
and interior decorations might help put the client at ease. A client with newly diagnosed human
immunodeficiency virus (HIV) infection will find it difficult to discuss sexual history or genital
warts in an area that lacks privacy. A toddler might find it easier to communicate if a parent,
favorite stuffed animal, or blanket is nearby. The parent should not be asked to leave the room
and this may cause panic or anxiety in the child. A 3-year-old child will not be able to read
written materials. Showing the child the catheter may frighten the child.
Each facilitates a therapeutic nurse-client relationship except:
a) reflection.
b) closed-ended questions.
c) rephrasing.
d) active listening. - Answer b) closed-ended questions.
What communication zone is the Interaction between parents and children? - Answer Intimate
What communication zone is close friends who are interacting? - Answer Personal
What communication zone is acquaintances who are interacting? - Answer social
What communication zone is communicating with a audience or small group? - Answer public
nurses interacting with two or more people
The nurse is collecting health data and avoids using closed-ended questions. Which are
examples of closed-ended questions? Select all that apply.
a) "Are you ready to get out of bed?"
b) "What sorts of things do you do for fun?"
c) "What plans do you have after you are discharged?"
,e) "Is there any chance you might be pregnant?"
The closed-ended question provides the receiver with limited choices of possible responses and
might often be answered by one or two words: "yes" or "no." Closed-ended questions are used
to gather specific information from a client and to allow the nurse and client to focus on a
particular area. Closed-ended questions are often a barrier to effective communication. Asking
what the client does for fun or what the client's future plans are facilitates communication
between the client and the nurse.
A nurse is obtaining a history from an adult female client. When the nurse asks how many times
the client has been pregnant, the client answers, "I have four kids." Which statement, made by
the nurse, seeks clarification of the original question?
a)"How old are your children?"
b) "Were these term births?"
c) "All right, you have four children, is that correct?"
d) "I understand you have four kids; how many times have you actually been pregnant?" -
Answer d) "I understand you have four kids; how many times have you actually been
pregnant?"
The use of the clarifying question or comment allows the nurse to gain an understanding of a
client's comment. In this scenario, the nurse is asking how many times the client has been
pregnant. Gravida refers to the number of pregnancies, whereas para refers to the total number
of live births. Confirming the client has four children is a form of validating what the client said.
The age and/or term of the children does not clarify the original question asked by the nurse.
The nurse should consider which client aspect as nonverbal communication?
a) The client's accent
b) The client's religious practices
c) The client's tone of voice
d) The client's values and beliefs - Answer c) The client's tone of voice
A person communicates by gestures, facial expressions, posture, space, appearance, body
movement, touch, vocal tone, volume, and rate of speech. All are examples of nonverbal
communication. A client's accent, religious practices, values, and beliefs pertain to the client's
culture, ethnicity, country of origin, and personal experience. They are not elements of
nonverbal communication.
, a) "Do you check your blood pressure and pulse before you take your medication?"
b) "Have you tried exercising at all in the last week or two?"
c) "Tell me about the foods you are eating."
d) "Were you tired and depressed before starting the new medication?" - Answer d) "Were
you tired and depressed before starting the new medication?"
Sequencing is used to place events in a chronologic order or to investigate a possible cause-and-
effect relationship between events. Nursing assessment is facilitated when events leading to a
problem are placed in sequence. The symptoms the client is complaining of are common
adverse effects of this drug. Sequencing can determine the cause and effect in this scenario.
Clients taking metoprolol should check their blood pressure and pulse before taking their
medication. Asking about the current diet or exercise regimen does not uncover the cause and
effect.
A unit-based infection control task force was developed in an attempt to reduce catheter-
acquired infections. The group consists of 10 team members. During the past three meetings,
one person dominated the meeting and did not allow other members ample time to speak. The
best way to address the team dysfunction is to:
a) have group members issue a written warning to the dominant member.
b) plan a meeting where the dominant person cannot attend.
c) have group members confront the dominant member to promote the needed team work.
d) pick a team leader who is not the dominant member. - Answer c) have group members
confront the dominant member to promote the needed team work.
Effective groups have members who are mutually respectful. If a group member dominates or
thwarts the group process, then the leader or other group members must confront the member
to promote the needed collegial relationship. Planning a secret meeting does not solve the
underlying issue. Picking a team leader who is not the dominant member will not address the
dominance issue. A written warning would be inappropriate; a verbal communication is what is
required among the team.
A family has lost a member who was treated for leukemia at a nursing unit. The nurse provides
emotional support to the family and counsels them to cope with their loss. Which quality
should the nurse use in this situation?
