Chapter 4 Communication NCLEX questions

Chapter 4 Communication NCLEX questions Leave the first rating Students also studied Terms in this set (20) Science MedicineNursing Save chapter 26 multiple choice 19 terms beccagalanPreview chapter 4 - communication 48 terms clucio12Preview Alzheimer's Disease, Dementia, and ...95 terms S582643Preview Pharma 45 terms Daw What is true about the use of silence in therapeutic communication? (Select all that apply.)

• Maintaining silence is an effective therapeutic

communication technique.

• Maintaining silence is generally overused in

therapeutic communication.

• The sender often becomes uncomfortable when using

silence.

• The ability to use silence effectively requires skill and

timing.

• Prolonged periods of misunderstood silence can

cause tension.

• Purposeful use of silence often conveys lack of respect.

A, C, D, E

Which defining characteristics support the nursing diagnosis of impaired verbal communication? (Select all that apply.)

• Aphasia
• Geriatric patients
• Profoundly deaf
• Legally blind
• Severe COPD

A, C, D, E

A nurse is caring for a patient experiencing respiratory distress. The physician places an endotracheal tube. What is the most appropriate nursing diagnosis for this patient?

• Ineffective coping
• Risk for infection

c. Altered nutrition: less than body requirements

• Impaired verbal communication
• Impaired verbal communication

A nurse is caring for a newly admitted diabetic patient and is performing the initial assessment. What statement made by the nurse demonstrates use of a closed question?

• What time do you take your insulin?
• How do you feel about taking insulin?
• Tell me about your support system.
• How do you feel about having diabetes?
• What time do you take your insulin?

A nurse is caring for a patient who is experiencing excruciating pain and requires frequent administration of analgesics. What statement would be an example of the nurse demonstrating aggressive communication?

• Please let me know when you start to have pain.
• Lets practice some guided imagery.
• Lets try repositioning you.
• I will only medicate you every 4 hours.
• I will only medicate you every 4 hours

How may a nurse caring for a pediatric patient best be perceived as nonthreatening?

• Tightly crossing her arms
• Maintaining an open posture
• Maintaining a tense posture
• Standing at the bedside
• Maintaining an open posture

How can the nurse demonstrate warmth and acceptance when listening to a patient?

• Tightly crossing her arms
• Uncrossing her arms
• Tightly crossing her legs
• Facing away from the patient
• Uncrossing her arms

When listening to a patient, what action by the nurse demonstrates disinterest and coldness?

• Tightly crossing her arms
• Uncrossing her arms
• Uncrossing her legs
• Facing the patient
• Tightly crossing her arms

A nurse frequently looks at her watch when giving a patient a bed bath. What message is most likely conveyed to the patient from the nurse?

• She desires to spend more time with the patient.
• She is anxious to listen to the patients concerns.
• She is feeling hurried.
• She likes her watch.
• She is feeling hurried.

Which defining characteristics support the nursing diagnosis of impaired verbal communication? (Select all that apply.)

• Aphasia
• Geriatric patients
• Profoundly deaf
• Legally blind
• Severe COPD

A, C, D, E

A nurse communicates with a patient by maintaining eye contact and through the use of touch. What type of communication technique is the nurse demonstrating?

• Verbal
• Persuasive
• Directive
• Nonverbal
• Nonverbal

The nurse recognizes that a patient experiencing stress feels vulnerable. What would be the most appropriate way for the nurse to intervene?

• Use technical language
• Direct the conversation
• Modify communication methods
• Offer all the information
• Modify communication methods

The nurse recognizes that a patient experiencing stress feels vulnerable. What would be the most appropriate way for the nurse to intervene?

• Use technical language
• Direct the conversation
• Modify communication methods
• Offer all the information
• Modify communication methods

What does maintaining eye contact for 2 to 6 seconds during communication with a patient do?

• Keeps the nurses attention on the conversation
• Counteracts shyness in the patient
• Indicates continuous focused attention
• Assesses if the patient is involved in the conversation
• Indicates continuous focused attention

A nurse is communicating with an older adult. How might the nurse enhance communication?

• Speak in a rapid manner to accommodate the patients

short attention span.

• Speak in a lower voice tone to accommodate hearing

loss.

• Speak in a simple manner as if speaking to a child.
• Speak in a loud voice directly at ear level.
• Speak in a lower voice tone to accommodate hearing loss.

A patient states, My husband has told me how he feels about my having a mastectomy. The nurse nods and says,

Go on. This is an example of:

• clarifying.
• restating.
• focusing.
• minimal encouraging.
• minimal encouraging.

What is true about the use of touch in therapeutic communication? (Select all that apply.)

• Touch is a form of nonverbal communication.
• Touch is a form of verbal communication.
• Touch should be used with indiscretion.
• Touch can convey warmth and caring.
• Touch can convey support and understanding.
• Touch should be used sincerely and genuinely.

A, D, E, F

Which are examples of passive listening? (Select all that apply.)

• The nurse nods frequently while the patient speaks.
• The nurse maintains eye contact while listening to the

patient.

• The nurse occasionally interjects, I see, when listening

to the patient.

• The nurse gives verbal feedback to the patient.
• The nurse verbally interprets the meaning of what the

patient has said.

A, B, C, D

The nurse is sitting in a chair near the patients bed, leaning forward to hear what the patient is saying, and does not interrupt. What is the nurse demonstrating?

• Support
• Caring
• Active listening
• Interest
• Active listening