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- 1. Multiple ChoiceThe nurse demonstrates understanding of the concept of metacommunication throughrecognizing the impact of communication on othersactively listening with good-eye contactimplementing barriers to effective communicationensuring that verbal and non-verbal messages are incongruent
- 2. Multiple Choicewhen communicating with client, the nurse recognizes that a barrier to effective communication iscultural sensitivitythinking ahead to the next questioncompletion of physical care in a nonhurried mannerfocusing on the current questions asked by the client
- 3. Multiple Choicewhen communicating with client, the nurse actively uses listening responses. Which of the following types of listening response should the nurse use?moralizinggiving advicefalse reassuranceparaphrasing
- 4. Multiple Choicethe nurse enters a client room with the intent of allowing the client to express feelings in relation to her new tumour diagnosis. The nurse notices that the client is crying and guarding her incision site. After validating physical discomfort, the nurse shouldadministers an analgesic and postpone the interactionsit with the client and hold her handexplain that pain is expected following surgery but that is it important to increase activity to avoid complicationsacknowledge the physical pain but state that it is a priority to immediately address the emotional pain
- 5. Multiple Choicethe nurse asks a newly admitted client “can you tell me what brought you to the hospital today?” the purpose of an open-ended question is toinfluence the direction of an acceptable response.encourage the client to answer the question with a one-word responseallow client latitude in telling their storyallow the client to engage in a passive relationship with the nurse
- 6. Multiple ChoiceThe nurse is conducting a medication education group for mentally ill client. One of the clients states, “I think everyone needs medications. What about psychotherapy? Can you tell me about that? What is an appropriate response by the nurse?talk to the group about the benefits of psychotherapyTell the group that psychotherapy is ineffective and they need medicationAcknowledge the question, but explain the time limitations and focus of that particular groupExplain that it is physician’s decision what type of treatment modality is for each client
- 7. Multiple ChoiceWhich of the following is the best questioning sequence during a client interview in which the client is communicative and not in an emergency situation?begin with focused questions and proceed to open- ended questionsbegin with open – ended questions and proceed to focused questionsBegin with closed questions and proceed to open –ended questionsbegin with open-ended questions and proceed to closed questions.
- 8. Multiple ChoiceThe client states, “I can’t sleep all night because the nurses are noisy” which of the following responses by the nurse best represents the nurse’s recognition of the client’s theme?I will speak to the supervisor about your complaint.”You cannot sleep because of the noise level at night”?You need to understand that nurses communicate with other clients during the night.”“I will tell the night nurses that you complained.”
- 9. Multiple ChoiceWhat is nonverbal communication often referred to as?facial expressionnonverbalsafety and securityBody language
- 10. Multiple ChoiceWhen communicating with client, the client recognizes that a barrier to effective communication isculture sensitivityThinking ahead to the next questionCompletion of physical care in a nonhurried mannerFocusing on the current questions asked by the client
- 11. Multiple ChoiceA client struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client’s actions?“You seem to be motivated to change your behaviour"" How will these changes affect your family relationships.?”“Why don’t you make a list of the behavior you need to change.”The team recommends that you make only one behavioral change at a time.”
- 12. Multiple ChoiceA student nurse tells the instructor, “I’m concerned that when a client asks me for advice I won’t have a good solution. “Which should be the nursing instructor’s best response?“it’s scary to feel put on the spot by a client. Nurses don’t always have the answer.”‘Remember, clients, not nurses, are responsible for their own choices and decisions.”Just keep the client’s best interests in mind and do the best that you can.”“Set a goal to continue to work on this aspect of your practice.”
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