Quiz 53: Communication and Collaboration
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
Instructor Verified Answers Included
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1. The patient is a 54-year-old man who has made a living as a construction worker. He dropped out of high school at age 16 and has been a laborer ever since. He never saw any need for “book learning,” and has lived his life “my way” since he was a teenager. He has smoked a pack of cigarettes a day for 40 years and follows no special diet, eating a lot of “fast food” while on the job. He now is admitted to the coronary care unit for complaints of chest pain and is scheduled for a cardiac catheterization in the morning. Which of the following would be the best way for the nurse to explain why he needs the procedure?
a. “The doctor believes that you have atherosclerotic plaques occluding the major arteries in your heart, causing ischemia and possible necrosis of heart tissue.”
b. “There may be a blockage of one of the arteries in your heart, causing the chest discomfort. He needs to know where it is to see how he can treat it.”
c. “We have pamphlets here that can explain everything. Let me get you one.”
d. “It’s just like a clogged pipe. All the doctor has to do is ‘Roto-Rooter’ it to get it cleaned out.”
2. The nurse is assessing a patient who says that she is feeling fine. The patient, however, is wringing her hands and is teary eyed. The nurse should respond to the patient in which of the following ways?
a. “You seem anxious today. Is there anything on your mind?”
b. “I’m glad you’re feeling better. I’ll be back later to help you with your bath.”
c. “I can see you’re upset. Let me get you some tissue.”
d. “It looks to me like you’re in pain. I’ll get you some medication.”
3. Nonverbal communication incorporates messages conveyed by:
c. tone quality.
d. use of jargon.
4. The patient is an elderly male who had hip surgery 3 days ago. He states that his hip hurts, but he does not like how the medicine makes him feel. He believes that he can tolerate the pain better than he can tolerate the medication. What would be the best response from the nurse?
a. Explain the need for the pain medication using a slower rate of speech.
b. Explain the need for the pain medication using a simpler vocabulary.
c. Explain the need for the pain medication, but ask the patient if he would like the doctor called and the medication changed.
d. Explain in a loud manner the need for the pain medication.
5. When comparing therapeutic communication versus social communication, the professional nurse realizes that therapeutic communication:
a. allows equal opportunity for personal disclosure.
b. allows both participants to have personal needs met.
c. is goal directed and patient centered.
d. provides an opportunity to compare intimate details.
6. The nurse is explaining a procedure to a 2-year-old child. Which is the best approach to use?
a. Showing the needles and bandages in advance
b. Telling the patient exactly what discomfort to expect
c. Using dolls and stories to demonstrate what will be done
d. Asking the child to draw pictures of what he or she thinks will happen
7. The nurse is about to go over the patient’s preoperative teaching per hospital protocol. She finds the patient sitting in bed wringing her hands, which are sweaty, and acting slightly agitated. The patient states, “I’m scared that something will go wrong tomorrow.” How should the nurse respond?
a. Redirect her focus to dealing with the patient’s anxiety.
b. Tell the patient that everything will be all right and continue teaching.
c. Tell the patient that she will return later to do the teaching.
d. Give the patient antianxiety medication.
8. The nurse is attempting to teach the patient and his family about his care after discharge. The patient and the family demonstrate signs of anxiety during the teaching session. The nurse should consider doing what?
a. Using more gestures or pictures
b. Focusing on the physical complaints
c. Getting another staff member to speak to the patient
d. Repeating information to the patient and the family at a later time
9. The patient is an elderly man who was brought to the hospital from an assisted-living community with complaints of anorexia and general malaise. The nurse at the assisted-living community reported that the patient was very ritualistic in his behavior and fastidious in his dress and always took a shower in the evening before bed. The patient became very angry and upset when the patient care technician asked him to take his bath in the morning. What does this behavior tell the nurse?
a. The patient is exhibiting anxiety because of a change in his rituals.
b. The patient is suffering from sensory overstimulation.
c. The patient is basically an angry person.
d. The patient has to follow hospital protocol.
10. The nurse is preparing to give an intramuscular injection to the patient in room 320. The patient care technician comes to the medication room and tells the nurse that the patient in room 316 is very angry with his roommate and is threatening to hit him. How should the nurse respond?
a. Tell the patient care technician to calm the patient down until she can get there.
b. Have the angry patient’s roommate moved to another location.
c. Tell the angry patient to calm down until she can get there.
d. Tell the angry patient that he has to act civilized in the hospital, and that’s that.
11. Which behavior should the nurse who is communicating with a potentially violent patient employ?
a. Sit closer to the patient.
b. Speak loudly and firmly.
c. Use slow, deliberate gestures.
d. Always block the door to prevent escape.
12. The patient is sitting at the bedside. He has not been eating and is just staring out of the window. The nurse approaches the patient and asks, “What are you thinking about?” What type of communication technique is this?
c. Broad openings
13. A patient tells the nurse, “I want to die.” Which response is the most appropriate for the nurse to make?
a. “Why would you say that?”
b. “Tell me more about how you are feeling.”
c. “The doctor should be told how you feel.”
d. “You have too much to live for to think that way.”
14. The patient states, “I don’t know what my family will think about this.” The nurse wishes to use the communication technique of clarification. Which of the following statements would fit that need best?
a. “You don’t know what your family will think?”
b. “I’m not sure that I understand what you mean.”
c. “I think it would be helpful if we talk more about your family.”
d. “I sense that you may be anxious about something.”
15. A patient tells the nurse, “I think that I must be really sick. All of these tests are being done.” Which response by the nurse uses the specific communication technique of reflection?
a. “I sense that you are worried.”
b. “I think that we should talk about this more.”
c. “You think that you must be very sick because of all the tests.”
d. “I’ve noticed that this is an underlying issue whenever we talk.”
16. The patient is admitted to the hospital with complaints of headache, nausea, and dizziness. She states that she has a final exam in the morning and needs to do well on it to pass the course, but she can’t seem to get into it. She appears nervous and distracted, and is unable to recall details. She most likely is showing manifestations of _____ anxiety.
d. panic state of
17. The patient is admitted to the emergency department for trauma received in a fist fight. He states that he could not control himself. He says that his wife left him for another man. He thinks it was because he was always too tired after working to do things. He says he has to work, and there is nothing he could do to change things. He says that he feels trapped in his job, but he knows nothing else. What was the altercation with the other man probably a manifestation of?
a. Mild anxiety
c. Severe anxiety
d. Moderate anxiety
1. Verbal communication includes which of the following? (Select all that apply.)
b. Personal space
c. Body movement
2. In caring for patients of different cultures, it is important for the nurse to: (Select all that apply.)
a. use appropriate linguistic services.
b. display empathy and respect.
c. use accurate health history-taking techniques.
d. use patient-centered communication.
3. In establishing the nurse-patient relationship, personal self-disclosure by the nurse is useful for which of the following goals? (Select all that apply.)
a. To educate the patient
b. To build the therapeutic alliance
c. To encourage the patient’s independence
d. To offer opinions that may influence the patient’s decisions
4. In dealing with angry patients, the nurse realizes that anger: (Select all that apply.)
a. may be important to recovery.
b. may be a means to cope with grief.
c. often hides a specific problem.
d. should not be allowed to compromise care.
5. The nurse observes that the patient is pacing in his room with clenched fists. When asked “What’s wrong?” the patient states, “There’s nothing wrong. I just want out of here.” He then bangs his fist on the table and yells, “I’ve had it!” How should the nurse respond? (Select all that apply.)
a. Tell the patient that he needs to calm down.
b. Pause to collect her own thoughts.
c. Block the doorway.
d. Notify the proper authorities.
1. The nurse is starting her first set of morning rounds. As she interacts with the patient, her questions revolve around his reactions to his disease process. She also asks if there is anything that she can do to make him more comfortable. This type of interaction is known as _______________.
2. An active process of receiving information that nonverbally communicates to the patient the nurse’s interest and acceptance is classified as _____________.
3. The patient is talking about his fear of having surgery but is being vague and is using a lot of jargon. The nurse states, “I’m not sure what you mean. Could you tell me again?” This is an example of __________________.
4. Directing the conversation back to patient ideas, feelings, questions, or content is known as ___________________.
5. The patient tells the nurse that his mother left him when he was 5 years old. The nurse responds by saying, “You say that your mother left you when you were 5 years old?” This is an example of _______________.
6. The patient has been agitated for the entire morning but refuses to say why he is angry. Instead, whenever the nurse speaks to him, he smiles at her while clenching his fist at the same time. The nurse states, “I can see that you’re smiling, but I sense that you are really very angry.” This is an example of ___________________.
7. Lack of verbal communication for a therapeutic reason is known as ___________________.
8. Anxiety that is the source of inattention, decreased perceptual field, and diaphoresis is classified as ____________________.