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Chapter 024

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Potter & Perry: Fundamentals of Nursing, 7th Edition Test Bank Chapter 24: Communication MULTIPLE CHOICE 1. The client tells the nurse that he understands most of the information but still has questions concerning the medication after the nurse has provided the client with information regarding the treatment plan for the diagnosis the. This response is an example of: 1. Referent 2. Receiver 3. Channel 4. Feedback ANS: 4 This response is an example of feedback. Feedback is the message returned by
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  Potter & Perry: Fundamentals of Nursing, 7 th  Edition Test Bank Chapter 2: Communi!ation #$T%P$E C'%CE 1.The client tells the nurse that he understands most of the information but still has questions concerning the medication after the nurse has provided the client with information regarding the treatment plan for the diagnosis the. This response is an example of:1.Referent2.Receiver 3.Channel.!eedbac  #$%:This response is an example of feedbac . !eedbac is the message returned b& the receiver. The referent motivates one person to communicate with another' such as a time schedule. This is not an example of a referent. The receiver is the person who receives and decodes the message. This question is not as ing about the receiver' but rather the response. Channels are means of conve&ing and receiving messages through visual' auditor&' and tactile senses. This response is not an example of a channel.()!:#R*!:33+,-:ComprehensionT+:$ursing rocess: )mplementation/*valuation0%C:$C* test plan designation: %afe' *ffective Care *nvironment2.The nurse is in the process of conducting an admission interview with the client. #t one  point in the discussion' the client has provided information that the nurse would li e to clarif&. The nurse emplo&s the technique of clarification as indicated b& the response:1.4)5m not sure that ) understand what &ou mean b& that statement.62.4The *C7 records information about &our heart5s electrical activit&.63.4et5s loo at the problem &ou have had with &our medication when &ou were home.6.48hat5s &our biggest concern related to &our hospitali9ation at the moment6#$%:14)5m not sure that ) understand what &ou mean b& that statement6 is correct. Clarif&ing is when the nurse chec s whether understanding is accurate b& restating an unclear messageto clarif& the sender5s meaning' or b& as ing the other person to restate the message' explain further' or give an example of what the person means. This response indicates thenurse wants to clarif& what the client is sa&ing so he or she can have an accurate understanding of what the client means. 4The *C7 records information about &our heart5s electrical activit&6 is an example of providing information' not clarification. 4et5s loo at the problem &ou have had with &our medication when &ou were home6 is an example of focusing' not clarification. 48hat5s &our biggest concern related to &our hospitali9ation at the moment6 is an example of sharing empath&. 0osb& items and derived items ; 2<<=' 2<<> b& 0osb&' )nc.' an affiliate of *lsevier )nc.  Test ,an  ()!:#R*!:3>+,-:ComprehensionT+:$ursing rocess: *valuation0%C:$C* test plan designation: %afe' *ffective Care *nvironment3.The facult& member is reviewing a process recording with the student nurse. The student has been wor ing with a client who has had an amputation of the lower left leg and is emotionall& fragile. The student receives positive feedbac from the facult& member for the following response made to the client:1.48h& are &ou so upset toda&62.4)5m sure that ever&thing will be all right.63.4?ou shouldn5t cr&. The wound will heal soon.6.4)t must be ver& difficult to have this happen to &ou.6#$%:4)t must be ver& difficult to have this happen to &ou6 is an example of using the therapeutic communication technique of sharing empath&. 48h& are &ou so upset toda&6is an example of a nontherapeutic communication technique of as ing for explanations. 4)5m sure that ever&thing will be all right6 is an example of a nontherapeutic communication technique of giving false reassurance. 4?ou shouldn5t cr&. The wound will heal soon6 is an example of a nontherapeutic communication technique of giving disapproval.()!:#R*!:3>3+,-:ComprehensionT+:$ursing rocess: *valuation0%C:$C* test plan designation: %afe' *ffective Care *nvironment.8hen reaching over the side rails to ta e a client5s blood pressure' he draws bac . To  promote effective communication' the nurse should first:1.Tell the client that the blood pressure can be ta en at a later time2.Rotate the nurses who are assigned to ta e the client5s blood pressure3.Continue to perform the blood pressure assessment quic l& and quietl&.#pologi9e for startling the client and explain the need for touching the client#$%: $urses often have to enter a client5s personal space to provide care. The nurse should conve& confidence' gentleness' and respect for privac&. This response demonstrates respect and provides information so the client can understand the need for personal contact. Telling the client that the blood pressure can be ta en at a later time does not  promote effective communication. Rotating the nurses who are assigned to ta e the client5s blood pressure impedes the nurse5s abilit& to form a therapeutic' helping relationship. Continuing to perform the procedure quic l& and quietl& ma& send a negative nonverbal message. )t also does not promote effective communication.()!:#R*!:33+,-:ComprehensionT+:$ursing rocess: )mplementation0%C:$C* test plan designation: %afe' *ffective Care *nvironment 0osb& items and derived items ; 2<<=' 2<<> b& 0osb&' )nc.' an affiliate of *lsevier )nc. 2@2  Test ,an  >.Communication involves both active listening and bod& language wor ing together. The nurse activel& listens to the client and:1.%its facing the client2.Aeeps the arms and legs crossed3.eans bac in the chair awa& from the client.#voids e&e contact as much as is ph&sicall& possible#$%:1#ctive listening means to be attentive to what the client is sa&ing both verball& and nonverball&. # nonverbal s ill to facilitate attentive listening is to sit facing the client. This posture gives the message that the nurse is there to listen and is interested in what the client is sa&ing. !or active listening' the arms and legs should be uncrossed. This  posture suggests that the nurse is 4open6 to what the client sa&s. !or active listening' the nurse should lean toward the client. This posture conve&s that the nurse is involved and interested in the interaction. !or active listening' the nurse should establish and maintain intermittent e&e contact. This conve&s the nurse5s involvement in and willingness to listento what the client is sa&ing.()!:#R*!:3+,-:ComprehensionT+:$ursing rocess: )mplementation0%C:$C* test plan designation: %afe' *ffective Care *nvironmentB.(uring the assessment phase of the nursing process' the nurse ma& uncover data that helpto identif& communication problems. #n example of this information is:1.*xtreme d&spnea or shortness of breath2.rinar& frequenc& and pain3.Chronic stomach pain.ac of appetite#$%:1#n extremel& breathless person must use ox&gen to breathe rather than spea . rinar& frequenc& ma& interrupt conversation but is not a communication problem. Chronic stomach pain would not be a communication problem. The patient with chronic pain is' tosome degree' used to the pain. # lac of appetite is not a communication problem.()!:#R*!:3=+,-:ComprehensionT+:$ursing rocess: #ssessment0%C:$C* test plan designation: %afe' *ffective Care *nvironmentD.8hen a nurse tells an advanced nurse practitioner that her client is 4slipping a little6 in reference to hemod&namic pressures' The nurse is using:1.,revit&2.Relevance3.acing and control..Connotative meaning#$%: 0osb& items and derived items ; 2<<=' 2<<> b& 0osb&' )nc.' an affiliate of *lsevier )nc. 2@3  Test ,an  The connotative meaning is the shade or interpretation of a word5s meaning influenced b&the thoughts' feelings' or ideas people have about the word. 4%lipping a little6 in reference to hemod&namic pressures is an example of using connotative meaning. ,revit&means that communication is simple' brief' and direct. This is not an example of using  brevit&. Relevance means the message is relevant or important to the situation at hand. This is not an example of using relevance. acing and control mean spea ing slowl& enough to enunciate clearl& and not changing subEects rapidl&. This is not an example of using pacing and control.()!:#R*!:3+,-:ComprehensionT+:$ursing rocess: )mplementation0%C:$C* test plan designation: %afe' *ffective Care *nvironmentF.# client is admitted for a C#T scan Gdiagnostic testH of the cranium. #s the nurse explainsthis diagnostic test' the client moves awa& from the nurse. This is an example of what influencing factor in communication1.7ender 2.*nvironment3.%pace and territorialit&.%ociocultural bac ground#$%:3Territorialit& is the need to gain' maintain' and defend one5s right to space. The client who moves awa& from the nurse during a conversation is demonstrating the influence of space and territorialit& on communication. This not an example of gender influencing communication. This is not an example of environment influencing communication.  $oise' temperature extremes' distractions' and lac of privac& are examples of environmental factors that ma& influence communication. #lthough people do maintain var&ing distances between each other depending on their culture' this is not an example of sociocultural bac ground influencing communication' as cultural orientation is not mentioned in this situation.()!:#R*!:3>+,-:ComprehensionT+:$ursing rocess: *valuation0%C:$C* test plan designation: %afe' *ffective Care *nvironment=.The nurse will often displa& empath& in communication with clients. +f the following responses b& the nurse' which one best conve&s empath&1.47ood morning. Iow did &ou sleep last night62.4) can understand &our concern about learning to inEect &ourself.63. 4(o &ou mean &ou would li e to tal to the new famil& nurse practitioner6.4Can &ou describe to me what the pain in &our abdomen feels li e right now6#$%:2 0osb& items and derived items ; 2<<=' 2<<> b& 0osb&' )nc.' an affiliate of *lsevier )nc. 2@

Chapter 022

Jul 23, 2017
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