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Ch.8+9 fundamentals
| Question | Answer |
|---|---|
| Verbal communication includes:A.body language.B.spoken words.C.intonation.D. gesture. | B. Spoken Words:Verbal communication includes spoken or written words. |
| Active listening includes:A.three senses: sight, hearing, and touch.B.closed body posture.C.only verbal messages.D.focused energy. | D. focused energy: Active listening requires concentration and focused energy. |
| Which of the following is true re:theuse of silence in communication?A.The nurse passively waits for patient to speakB. Silenceis a difficult technique to developC.Silencecauses uneasiness in the patientD.Silenceis nota therapeutic communication technique | B.Silence is a difficult technique to develop. |
| Which technique is used when a nurse says to a patient, "Tell me how your night was"?A.ClarifyingB.Offering of selfC.SummarizingD.General lead | D. General Lead: General leads are used to get the interaction under way and require more than a few words in response. |
| A nurse tells a patient, "Don't worry; everything will be fine." This is an example of what type of blocked communication?A.Inattentive listeningB.Changing the subjectC.Offering false reassuranceD.Giving information | C. Offering false reassurance:Offering false reassurance is damaging because it discounts the patient's concern and destroys trust. |
| When communicating with a hearing-impaired patient, a nurse should:A.stand or sit 3 feet from the patient.B.shout at the patient.C.speak directly into the patient’s ear.D.speak in a low pitch. | A. stand or sit 3 feet from the pt.:The best distance for speaking to a hearing-impaired patient is 2½ to 4 feet. |
| A nurse uses the SBAR format for end-of-shift report. SBAR stands for:? | situation, background, assessment, and recommendation. |
| A nurse is communicating with an aphasic patient. The nurse should:A.use open-ended questions.B.ask one question at a time.C.speak to the patient as if the patient had no new learning ability.D.not assume the patient can understand what is heard. | B. Ask only one question at a time, be patient, and wait for an answer. |
| Whichof thefollowing isa true cultural statement?A.Touch iscommon inJapanese cultureB.Jamaicans expect directeyecontact with interactionC.African Americans believe silencein aconversation means,no. D.NativeAmericans may uselong pausesin conversation. | D.Native Americans may use long pauses in conversation. |
| _______ is the recognition and interpretation of sensory stimuli. | PERCEPTION: It is important to validate perception of nonverbal communication with the patient. |
| One goal of Healthy People 2010 is to:A.reduce health disparities among different populations.B.increase the life span.C.establish cost-effective health care.D.prevent illness. | B.The goals of Healthy People 2010 are to increase the life span and quality of life and eliminate health disparities among different populations. |
| A student nurse learns to change a wound dressing by performing the task with supervision of an RN. This is an example of which domain of learning?A. Behavioral domainB.Cognitive domainC.Psychomotor domainD.Affective domain | C.In the psychomotor domain the learner processes the information by performing an action or carrying out a task. |
| Which of the following factors would affect the learning process the most?A. DementiaB.FeverC.AnxietyD.Age | A. A patient with dementia or any condition with impaired cognition will have more difficulty with the learning process. |
| When assessing learning needs of a patient, a nurse should:A.work within the patient’s values and cultural system.B.recognize that aging changes do not affect learning.C.assume the patient is literate.D.always accomplish all teaching before discharge. | A.Cultural values and expectations can interfere with a patient's ability to cooperate and learn. |
| Teaching is most effective when:A.the nurse develops the teaching plan.B. information is offered in a patient's native language.C.teaching sessions are 60 minutes in duration.D.using idioms while teaching a child. | B.Offering information in a patient's native language will facilitate the learning process |
| Which of the following statements is true regarding teaching plans?A.Teaching plans include long-term goals.B.The nurse is responsible for overseeing the plan specifics.C.The nurse develops the plans.D.The teaching plan is separate from the care plan. | B.Even when another person is doing the teaching, the nurse reinforces it. |
| A nurse is teaching a patient woundcare/ dressing changes.The teaching should:A.only occur oneonone withthe patient B.be long enoughto complete allteaching needs C. require feedback only attheend ofthe session.D.include areturn demonstrationbythe patient. | D. A return demonstration of a skill is a way of evaluating the learning that has occurred. |
| A nurse isteaching anelderly patientto take his bloodsugar.The nurse should include :A.written materialoncolored paper. B.long sentences for better comprehension.C. askingquestions frequently tocheckfor comprehension.Dfrequent medicalterms during theteach | C.Asking questions at frequent intervals is recommended with the elderly. |
| Which of the following are modes of learning? (Select all that apply.)A.Visual B.TactileC.AuditoryD.Kinesthetic | A, C, D -Visual is one mode of learning. Auditory is one mode of learning. Kinesthetic is one mode of learning. |
| ________ objectives represent the desired changes or additions to current behaviors and attitudes. | Behavioral: Behavioral objectives state what a nurse is trying to teach the patient to do. |
| mind and senses are are focused on what is being said | active listening |
| difficulty expressing or understanding language | aphasia |
| nonverbal communication | body language |
| occurs when one person send a message to another person who recieves it | communication |
| in agreement | congruent |
| What is an example of incongruent communication?A. Answering yes while nodding head. B. Saying I agree while frowning.C. Responding with thats great while smiling. D. Saying i'm not in favor of that while crossing your arms | B. Saying I agree while frowning |
| Greater comprehension of what a person is saying occurs if the nurse also pays attention to?A. timbre of voice.B. level of vocabulary used.C. body language displayed.D. degree of enthusiasm expressed. | c. Body language displayed |
| the ability to place oneself in anothers'position, or the ability to understand by seeing it from anothers' perspective | empathy |
| recognition and interpretation of sensory stimuli | perception |
| effective or curative | therapeutic |
| a verbal communication on the details of a patient's condition and treatment | end of shift report |
| The "active listener" (AA)A. maintains eye contact(if appropriate).B. Gives cues that shows interest.C. Blocks out distractions.D. Doesn't interrupt | A, B, C, D |
| The use of silence in therapeutic communication is to encourage verbalization of ________ or____________. | feelings or thoughts |
| Nurses do a lot of patient teaching, but giving advice is considered a _______ to therapeutic communication. | barrier |
| An attitude of acceptance by the patient is displayed by ________, ________ body language | open, attentive |
| the purpose of communication is: | to establish and maintain meaningful relationships |
| is a characteristic of effective feedback:1.general vs specific,2.independant of time,3.best delivered in small groups,4.clear and unambiguous | clear and unambiguous |
| what does congruence mean? | the verbal and nonverbal messages match |
| Giving a thorough shift report on an average patient should take how long? | 1-3 min. |
| "I don't know but i'll find out and be right back" is an example of offering of? | self |
| Saying "i'm not certain i follow what you mean" is a statement that will encourage your patient to? | elaborate |
| Telling your patient "i'm sure your pathology report will be just fine" is offering your patient? | false reassurance |
| The definition of empathy is? | placing oneself in anothers position to understand how he or she feels |
| when communicationg with an elderly person who is slightly hard of hearing it is important to?(AA)A.speak normally but distinctly.B.Eliminate other noise in the room.C.Speak in low tones.D. Face the listener | A, B, D |
| One action that enhances communication success with a hearing-impaired person is to?A. sit within 5' of the person.B.Be sure area is well lit. C. Face the person when speaking.D. use higher tones while speaking | C. Face the person when speaking |
| Which of the following is a non-verbal communication? A. Giggle. B. Shouting. C. Smiling. D. "yes" | C. Smiling |
| When obtaining a history from an elderly patient you should?A. Allow time to answer questions.B. Anticipate the answer and fill it in for them.C. Quickly ask another question to keep them on topic. D. Tell the person"just answer the question" | A. Allow sufficient time to answer the question |
| "....won't do it?" is an example of? | reflection |
| "...go on...." is an ex of | general lead |
| "He said you couldn't go home until Saturday" is an ex of? | summarizing |
| "i'll check on it and be right back" is an ex of? | offering self |
| "So you have pain if you move, but it isn't very bad" is an ex of? | clarifying |
| leaning forward, nodding head. is an ex of? | using silence |
| "how was your night last night?" is an ex of? | open ended question |
| "tell me what the dr. said" is an ex of? | seeking information |
| "you think it was the coffee that kept you awake?" is an ex of? | restatement |
| "your surgery is scheduled for 10:00am" is an ex of? | giving information |
| The person who learns best by practicing a skill like drawing up medication for injection is a __________ learner | kinestheetic |
| When considering a teaching plan, the knowledge base is what the patient?A.needs to knowB. is taught aboutC. expresses the desire to learnD. already knows | D. already knows about a subject |
| Which of the following would be considered a "situational" block to learning?(AA) A.Pain B. Blindness C. Fatigue D. Illiteracy E. deafness | A,C |
| What is the best feedback that the patient has mastered the material taught? | return demonstration |
| an appropriate behavioral objective for a teching plan to have the patient give his own insulin is?A. explain purpose of insulinB.identify signs of hypoglycemiaC.draw up correct dose for each injectionD. identify complications of diabetes | C. Draw up correct dose each injection |
| When printed materials are use din teaching you should (AA)A.go over with patientB.have pt. read them out loudC.ask questions to determine understandingD.read them to patientE.leave printed materials with pt. if possible | A,C,E |
| Learning will be enhanced by?(AA)A.very specific teaching planB. relaxed quiet atmosphereC. teaching aids appropriate to pts learning styleD. use of one mode of learning? | B,C |
| After initial teaching is complete, a very important part of the teaching process is______________? | Reinforcement |
| A pt. ability to learn would most likely be enhanced by his/her? A. illness B. anxiety C. readiness D. knowledge | readiness |
| One way to increase motivation to learn is to explain ________ __ _________. | advantage of learning |
| A learning objective should contain performance ___________ and _____________. | criteria and conditions |
| Affective learning is directed at a change in? A. knowledge B. Skills C. Values D. Practices | C. Values |
| Place the following aspects of a teaching session in order of priority. A.enviroment is comfortable B. Gather materials C. Determine pt is ready to be taught D. Pt. has eyeglasses or hearing aid turned on. E. eliminate distraction | C,B,A,D,E |
| A female is readmitted with a foot ulcer, a complication of diabetes. She received diabetic teaching in the past. When formulating teaching plan you should first?A.tell her what shes doing is wrongB.assess knowledge baseC.Determine insulin requirements | B. Assess her present knowledge base |
| A factor in the failure of a pt not to carry out the foot care teaching she had before might be?A. sedentary lifestyle B.poor eyesightC.family responsibilitiesD. financial difficulties | B. Poor eyesight |
| The pt. is a visual learner besides attending lecture what was are best for her to learn material?(AA)A.read chaptersB.listen to lecture on tapeC.use flashcards to memorize factsD. practice steps of skills in laboratoryE. Play videotapes of content. | A, C, E |
| Which non-verbal behavior by the nurse is congruent with verbal question?"How are you feeling this morning" A.looks at pt, stands with relaxed position B.Nods while arms folded C.Smiles and makes bed while pt. answers D.Adjusts IV and evaluates enviroment | A |
| The pt. is expressing concern over sx. which of the following shows active listening by the nurse?A.Says don't worryB.Aks pt. to take med before continuingC.Asks why pt. is afraidD.Nurse nods his head | D |
| The patient says I don't know if chemo or radiation would be the best therapy. Correct restatement is?A.you think radiation is bestB.You prefer chemoC.Your wondering which brings best survival results.D.Tell me what you think about each of the treatments | C. Your wondering if chemotherapy or radiation brings the best survival results |
| The pt. says,"I don't know what to do about the problem"The therapeutic response would be?A. You should define the problem and make a planB.What options are you considering?C.Thats not a big problem, you can handle that.D.Have you considered your options? | B. What options are you considering? |
| The pt. is aphasic. Which of the following would be appropriate in working with this pt.(AA)A.lean forward and say,go on.B.Face pt,eyecontact,speak slowlyC.use pantomimeD.Give timeto respondE.Talk to family member not pt.F.Use short phrases ,simple terms | B,C,D,F |
| The pt. is to undergo sx. "You'll come through this procedure just fine" is an example of? | false reassurance |
| When there is focus on the pts. needs an dthere are specific goals these elements characterize an ___________ relationship bet. the nurse and pt. | therapeutic |
| When you are conducting a home care admission interview time can be saved by asking the pt to make a _______ OF _________ ahead of time | list of medications |
| By following through when you say you will do something establishes _______ with the patient | trust |
| You say to an assistant, "Please do v/s on Mrs. Hondo at 8am and Mr. Takedo, and if the pulse is more than 85bpm, let me know." Why is this a good example of how to communicate the task to the assistant? | It has specific task and perimeters. |
| The primary purpose of pt. teaching is to assure that patients?A.can share with others what they learnedB.Reduce time they are hospitalizedC.follow tx plan prescribedD.Can provide correct and safe self-care after discharge | D |
| A pt. newly diagnosed with diabetes says he doesn't understand why he needs insulin. His statement indictates a learning need regarding? | the disease process of diabetes |
| When starting a second teaching session with a pt. you should first? | Review what was taught in the first teaching session |
| When teaching a young child it is appropriate to use _______ in the teching process | play |
| when teaching elderly about the need of a diet change its best to leave? | written materials after teaching |
| An appropriate pt. teaching plan:A.is prepared by nurse based on pt, diagnosisB.designates 15 min.segment teaching timesC.includes input from all disciplines involved in care as well as pt.D.must be approved by family members | C. |
Created by:
mallen412