NUR 3119 Professional Nursing: Concepts and Issues
What is the best definition of communication?
The verbal message transmitted between two people
Nonverbal interactions between two or more people
Any means of exchanging information between two or more people
Any means of exchanging information or feelings between two or more people
According to Ratzan, what is included in health communication? (Select all that apply.)
Any health message
The business of health care
What is included in intrapersonal communication?
Exchange of information
Two or more people
The nurse sends an e-mail to the unit manager requesting a vacation day. The manager does not answer the e-mail and schedules the wrong day. Has a response to the original message occurred?
Yes; when the day was scheduled, the response occurred.
Yes; the action of not sending a reply to the e-mail was the response.
No; this scenario required an e-mail reply as a response.
No; the action taken has to be correct in order for a response to occur.
What does the term channel mean when associated with the communication process?
The method selected to convey the message
The information or feelings to be transmitted
The aural message
The originator of the message
How should the nurse communicate with a toddler?
Talk to the child as an adult so as not to baby the child.
Speak only to the parents because small children are not capable of communicating their needs.
Use both verbal and nonverbal techniques to adequately assess the child.
Allow the parents to communicate for the child.
The nurse frequently discusses personal, sensitive topics with clients of both genders. How should the nurse proceed in these conversations?
Understand that females use communication to establish independence and status.
Be assured that there is no difference between men and women in communication.
Women are always more emotional in such conversations than are men.
Males and females tend to communicate differently.
Question 8The nurse enters the client’s room and asks the client a question from the doorway. What distance is this considered?
What is the denotative meaning of a word?
The meaning of the word, regardless of language
The way a word is generally used by people who share a common language
The definition of the word as listed in a commonly referenced dictionary
The meaning of the word as derived from one’s personal experience
During a customer service meeting, a nurse says, “There are many connotations to the word customer.” What does this statement mean?
The word is spelled differently in countries such as England and Australia.
The word has different dictionary definitions.
The word has different meanings depending upon personal experience.
The word is used in different ways by people of different cultures.
The nurse is attempting to encourage the client to verbalize concerns. What would be an appropriate opening statement?
“Please tell me more about your family’s health history.”
“Where would you like to begin?”
“I’m curious to know more about your feelings.”
“Why do you feel that way?”
A client has just been told that her breast biopsy was positive for cancer. The client is crying when the nurse enters the room. What is the nurse’s best response?
“Why are you crying?”
“We can sit here quietly. You don’t need to talk unless you want to.”
“I’m so sorry about your diagnosis.”
“Everything will be okay. Treatments today are very successful.”
When the nurse enters the room, the adult client is agitated and cursing. How should the nurse respond to this situation?
Ignore the behavior and don’t speak to the client.
Address the client by name and state, “You must stop behaving in this way.”
Leave the room as the client may be dangerous.
Address the client by name, stating, “You seem upset. Would you like to talk?”
Question 14The nurse has completed giving client education regarding cardiac risk factors to a client who is to be discharged today. At the end of the instruction, what should the nurse say?
“Tell me everything we have talked about during the last few minutes.”
“What do you think about what we have discussed?”
“You must remember everything we have discussed in the last few minutes. It is all very important.”
“We have just discussed risk factors for heart disease. What questions do you have about this information?”
The client complains that it took the nurse 20 minutes to answer the call light. The nurse says, “We are so busy. A nurse called in sick tonight. None of us has even had supper.” What does this response reflect?
An honest answer to the client’s complaint
Putting the nurse’s needs above the client’s needs
A breach of unit confidentiality
A good excuse for why it took so long to answer the call light
A client was admitted after being injured in a fight outside a bar. The nurse asks, “Why were you in a bar?” This is an example of which barrier to therapeutic communication?
The nurse is caring for a client who took a drug overdose. The client complains about discomfort from the insertion of a nasogastric tube. The nurse says, “That is what you get for taking those pills.” This statement is an example of which communication barrier?
Giving common advice
Question 18In order for the healthcare provider to receive payment from Medicare, the client’s medical record must include which documentation?
An evaluation of the quality of care
Permission from the client to use health data in governmental research
Correct diagnosis-related group
A discussion of the pathophysiology of the client’s major medical diagnosis
Which type of documentation makes the strongest use of flow sheets?
Source-oriented narrative record
The nurse is replying to a group e-mail that contains a thread of previous e-mails regarding the topic. How should the nurse respond to this e-mail?
Include the message thread with the response.
Include all pertinent client data in the message for clarity.
Mark the message as confidential.
Use abbreviations when possible to shorten transmission time.