RNSG 1126 FINAL practice questions...
work in progress Questions and Correct
Answers
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." Ans: 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
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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." Ans: 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
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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?" Ans: 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?
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a. Linguistic
b. Paralinguistic
c. Explicit
d. Metacommunication Ans: 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
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