Communications Exam 2 Test Bank Sets
- ANS -The nurse recruiter recognizes that collegial relationships are an important determinant
of success as professionals enter nursing practice. When interviewing candidates for nursing
careers, the nurse recruiter focuses on communication qualities that are important in developing
a support system. Which of the following attributes best demonstrate desirable communication
qualities? (Select all that apply.)
a.
Integrity
b.
Internalizing
c.
Respect for others
d.
Dependence
e.
A good sense of humor
\A - ANS -A client has just completed an alcohol detoxification program. The client has recently
experienced the loss of his wife and has been having difficulties at work. The client has some
serious health effects from long-term alcohol abuse, including elevated serum liver enzymes.
The client states, "Alcohol is ruining my life; I will do anything to quit drinking." The nurse should
a.
ask the client what kinds of changes will be needed in order to stop drinking.
b.
discuss the client's elevated serum liver enzymes and the predictive consequences of serious
health problems, including premature death.
c.
ask the client what life would be like without alcohol.
d.
remind the client that he or she has been abstinent from drinking, allowing liver tests to
significantly improve.
\A - ANS -A client visits the wound clinic for treatment of an infected nonhealing leg ulcer. The
nurse recognizes the client is in the precontemplation stage of change. When interacting with
this client, the nurse should
a.
provide the client with informational feedback to raise awareness of the health problem and
health risks involved.
b.
allow open discussion related to the pros and cons of changing the client's current behavior.
c.
assist the client in justifying a positive commitment toward making healthier lifestyle changes.
d.
,assist the client in choosing the best course of action to take in resolving the current problem.
\A - ANS -A nurse manager is educating nurses about the risk of violence experienced by
nurses and social workers in their workplace when compared to other professionals. The nurse
manager states that nurses and social workers are at
a.
three times greater risk to experience violence in their workplace than are other professionals.
b.
four times greater risk to experience violence in their workplace than are other professionals.
c.
no greater risk to experience violence in their workplace than are other professionals.
d.
two times greater risk to experience violence in their workplace than are other professionals.
\A - ANS -An older adult client is admitted to the hospital with terminal cancer. The client
expresses acceptance of impending death and states, "I am very satisfied with the life I had."
The nurse recognizes the client is in Erikson's stage of psychosocial development known as
which of the following?
a.
Integrity vs. Despair
b.
Autonomy vs. Shame and Doubt
c.
Intimacy vs. Isolation
d.
Identity vs. Identity Diffusion
\A - ANS -he nurse is teaching a class on stroke prevention. Which of the following statements
is accurate about studies conducted on telehealth decision-making and diagnosing of strokes?
a.
Several studies show telehealth decision making and diagnosing of strokes are just as effective
and may be more cost effective.
b.
Studies conducted on telehealth decision making and diagnosing of strokes have been
inconclusive.
c.
Studies show telehealth decision making and diagnosing of strokes are less effective and less
cost effective.
d.
Several studies show telehealth decision making and diagnosing of strokes are just as effective
but less cost effective.
\A - ANS -The client states, "I have emphysema, so I have enrolled in a smoking cessation
program." According to Prochaska's stages of change, the client is in which of the following
stages?
a.
Action
b.
, Determination
c.
Precontemplation
d.
Contemplation
\A - ANS -The nurse is caring for a client who has a history of alcohol abuse. When formulating
a goal that "the client will be able to identify three physical effects of alcohol abuse," the nurse
recognizes this goal as referring primarily to health teaching in which domain?
a.
Cognitive
b.
Affective
c.
Psychomotor
d.
Promoting acceptance
\A - ANS -The nurse is teaching an unlicensed assistive personnel (UAP) on potential
approaches for dealing with difficult clients. The nurse recognizes that additional teaching is
required when the UAP states
a.
"I will be assertive by conveying my irritation toward the client's behavior."
b.
"I will collaborate with staff so we all use the same uniform approach when responding to the
client's demands."
c.
"I will promote trust in the client by providing immediate feedback."
d.
"I will explain to the client the limits of my role as an UAP."
\A - ANS -When documenting client care, the nurse recognizes that which of the following is true
about documentation of care?
a.
Every nurse should anticipate having clients' records subpoenaed at some time during his or her
nursing career.
b.
There is a need for quicker documentation that does not reflect the nursing process.
c.
The legal assumption is that care was given even if it is not documented.
d.
Any method of documentation that provides comprehensive, factual information is legally
unacceptable.
\A - ANS -Which of the following is true about assertion communication?
a.
Components include the ability to say no and to ask for what you want.
b.
- ANS -The nurse recruiter recognizes that collegial relationships are an important determinant
of success as professionals enter nursing practice. When interviewing candidates for nursing
careers, the nurse recruiter focuses on communication qualities that are important in developing
a support system. Which of the following attributes best demonstrate desirable communication
qualities? (Select all that apply.)
a.
Integrity
b.
Internalizing
c.
Respect for others
d.
Dependence
e.
A good sense of humor
\A - ANS -A client has just completed an alcohol detoxification program. The client has recently
experienced the loss of his wife and has been having difficulties at work. The client has some
serious health effects from long-term alcohol abuse, including elevated serum liver enzymes.
The client states, "Alcohol is ruining my life; I will do anything to quit drinking." The nurse should
a.
ask the client what kinds of changes will be needed in order to stop drinking.
b.
discuss the client's elevated serum liver enzymes and the predictive consequences of serious
health problems, including premature death.
c.
ask the client what life would be like without alcohol.
d.
remind the client that he or she has been abstinent from drinking, allowing liver tests to
significantly improve.
\A - ANS -A client visits the wound clinic for treatment of an infected nonhealing leg ulcer. The
nurse recognizes the client is in the precontemplation stage of change. When interacting with
this client, the nurse should
a.
provide the client with informational feedback to raise awareness of the health problem and
health risks involved.
b.
allow open discussion related to the pros and cons of changing the client's current behavior.
c.
assist the client in justifying a positive commitment toward making healthier lifestyle changes.
d.
,assist the client in choosing the best course of action to take in resolving the current problem.
\A - ANS -A nurse manager is educating nurses about the risk of violence experienced by
nurses and social workers in their workplace when compared to other professionals. The nurse
manager states that nurses and social workers are at
a.
three times greater risk to experience violence in their workplace than are other professionals.
b.
four times greater risk to experience violence in their workplace than are other professionals.
c.
no greater risk to experience violence in their workplace than are other professionals.
d.
two times greater risk to experience violence in their workplace than are other professionals.
\A - ANS -An older adult client is admitted to the hospital with terminal cancer. The client
expresses acceptance of impending death and states, "I am very satisfied with the life I had."
The nurse recognizes the client is in Erikson's stage of psychosocial development known as
which of the following?
a.
Integrity vs. Despair
b.
Autonomy vs. Shame and Doubt
c.
Intimacy vs. Isolation
d.
Identity vs. Identity Diffusion
\A - ANS -he nurse is teaching a class on stroke prevention. Which of the following statements
is accurate about studies conducted on telehealth decision-making and diagnosing of strokes?
a.
Several studies show telehealth decision making and diagnosing of strokes are just as effective
and may be more cost effective.
b.
Studies conducted on telehealth decision making and diagnosing of strokes have been
inconclusive.
c.
Studies show telehealth decision making and diagnosing of strokes are less effective and less
cost effective.
d.
Several studies show telehealth decision making and diagnosing of strokes are just as effective
but less cost effective.
\A - ANS -The client states, "I have emphysema, so I have enrolled in a smoking cessation
program." According to Prochaska's stages of change, the client is in which of the following
stages?
a.
Action
b.
, Determination
c.
Precontemplation
d.
Contemplation
\A - ANS -The nurse is caring for a client who has a history of alcohol abuse. When formulating
a goal that "the client will be able to identify three physical effects of alcohol abuse," the nurse
recognizes this goal as referring primarily to health teaching in which domain?
a.
Cognitive
b.
Affective
c.
Psychomotor
d.
Promoting acceptance
\A - ANS -The nurse is teaching an unlicensed assistive personnel (UAP) on potential
approaches for dealing with difficult clients. The nurse recognizes that additional teaching is
required when the UAP states
a.
"I will be assertive by conveying my irritation toward the client's behavior."
b.
"I will collaborate with staff so we all use the same uniform approach when responding to the
client's demands."
c.
"I will promote trust in the client by providing immediate feedback."
d.
"I will explain to the client the limits of my role as an UAP."
\A - ANS -When documenting client care, the nurse recognizes that which of the following is true
about documentation of care?
a.
Every nurse should anticipate having clients' records subpoenaed at some time during his or her
nursing career.
b.
There is a need for quicker documentation that does not reflect the nursing process.
c.
The legal assumption is that care was given even if it is not documented.
d.
Any method of documentation that provides comprehensive, factual information is legally
unacceptable.
\A - ANS -Which of the following is true about assertion communication?
a.
Components include the ability to say no and to ask for what you want.
b.
