Chapter 21: Communication & Therapeutic Relationships (NCLEX QUESTIONS)

Chapter 21: Communication & Therapeutic Relationships

(NCLEX QUESTIONS)

5.0 (4 reviews) Students also studied Terms in this set (33) Science MedicineNursing Save Psychiatric Mental Health Nursing N...50 terms schwabaccaPreview Chapter 5 Therapeutic Relationships...49 terms NurseMorrzPreview Med Surg Gastrointestinal NCLEX Q...86 terms Jasmine_Lawson4 Preview Skin Int 21 terms P45 Which form of communication is the nurse using when interviewing the patient during the admission health history and physical assessment?1) Small group 2) Interpersonal 3) Group 4) Intrapersonal

ANS: 2

During admission to the unit, a patient states, "I'm not worried about the results of my tests. I'm sure I'll be all right." As he observes the patient, the nurse notes that the patient is shaky and tearful and does not make eye contact. Unfortunately, the nurse is called away to an emergency before he has time to complete this discussion. Which of the following actions is most appropriate for the nurse to establish when returning to the patient? Patient will 1) Explain the reason for his incongruent statements 2) Engage in diversional activities to cope with stress 3) Express his concerns to his primary care provider 4)Discuss his concerns and fears with the nurse

ANS: 4

The nurse is preparing a patient for a computed tomography (CT) scan of the abdomen. Which statement by the nurse is best (all contain correct information)?1) "You will need to remain NPO for the 4 hours prior to your CT scan." 2) "You cannot have anything to eat or drink for 4 hours before your test." 3) "You will need to be NPO and drink this contrast media before your test." 4) "You may need to void before you go down to the department for your CT scan

ANS: 2

The nurse is assigned to the care of the following patients. In planning nursing care, the nurse knows she should use touch cautiously, especially when communicating with which patient?1) Middle-aged woman just diagnosed with terminal lung cancer 2) Middle-aged man experiencing the acute phase of myocardial infarction 3) Older adult with a history of dementia admitted for dehydration 4) Young adult in the rehabilitative phase after arthroscopic surgery

ANS: 3

The nurse manager of the medical intensive care unit formed a group to help her staff cope with stress more effectively. Which of the comments by group members will lead the manager to evaluate the group as successful?1) "This was a good idea to form a group; I've been wanting to get to know some of the people working the other shifts." 2) "It really helps me to share feelings about how hard it is to see pain and suffering every day." 3) "I now have a group to help me when I need to work through situations in my own life causing me stress." 4) "It feels good to have a chance to get away from the unit and talk on a regular basis."

ANS: 2

A patient who speaks little English is admitted to the hospital after experiencing severe abdominal pain. Which nursing diagnosis is preferred for this patient?1) Impaired Communication 2) Readiness for Enhanced Communication 3) Impaired Verbal Communication 4) Sensory Alteration

ANS: 1

A young adult with a severe episode of asthma bronchoconstriction comes to the emergency department with signs of respiratory distress. When the nurse performs the admission assessment, she notes that the patient is not able to say where she is or the time.Which nursing diagnosis is probably most suitable for this patient?1) Chronic Confusion 2) Acute Confusion 3) Impaired Verbal Communication 4) Readiness for Enhanced Communication

ANS: 2

A patient experiences expressive aphasia after a stroke.Which expected outcome is appropriate for this patient?1) Uses alternative methods of communication 2) Communicates effectively using a translator 3) Interprets messages accurately 4) Follows commands when asked

ANS: 1

Which intervention by the nurse first helps to establish a trusting nurse-patient relationship?1) Avoiding topics that may provoke emotional responses from the patient 2) Listening to the patient while performing care activities 3) Performing care interventions quietly and respectfully 4) Greeting the patient by name whenever entering the patient's room

ANS: 4

A physician tells a patient that she has cancer and that she should have surgery as soon as possible. The patient is not certain she wants to pursue this treatment approach but responds by saying, "I'll do whatever you think I should do." Which communication style is this patient using?1) Assertive 2) Aggressive 3) Passive aggressive 2 4)Passive

ANS: 4

Which statement by the nurse manager demonstrates an assertive approach when communicating with the staff nurse about a patient care issue?1) "You must assess and document pain status for every patient." 2) "Why haven't you been assessing and documenting pain for every patient?" 3) "Will you please assess and document pain status for every patient?" 4) "Explain why you haven't been assessing and documenting pain for every patient."

ANS: 1

A patient comes to the emergency department complaining of severe, substernal chest pain. He is restless and anxious. Which statement by the nurse appropriately offers reassurance?1) "I'll give you some medication to help relieve the pain." 2) "If you lie still and relax, you'll be fine in a little while." 3) "Please try not to think about the pain as best as you can." 4) "Don't worry; we're going to take good care of you."

ANS: 1