NUFT 204 Exam 1 Review Questions When working with an older adult who is hearing impaired the use of which techniques would improve communication Select all that apply 1 Check for needed adaptive equipment 2 Exaggerate lip movements to help the patient lip read 3 Give the patient time to respond to questions 4 Keep communication short and to the point 5 Communicate only through written information correct answer 1 3 4 Nurses must communicate effectively with the health care team for which of the following reasons Select all that apply 1 Improve the nurse s status with the health team members 2 Reduce the risk of errors to the patient 3 Provide optimum level of patient care 4 Improve patient outcomes 5 Prevent issues that need to be reported to outside agencies correct answer 2 3 4 A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients Which of the fol lowing is the best strategy to help the nurse find more time for this communication 1 Include communication while performing tasks such as chang ing dressings and checking vital signs 2 Ask the patient if you can talk during the last few minutes of visiting hours 3 Ask Pastoral care to come back a little later in the day 4 Remind the nurse to complete all her tasks and then set up remaining time for communication correct answer 1 Motivational interviewing MI is a technique that applies under standing a patient s values and goals in helping the patient make behavior changes What are other benefits of using MI techniques Select all that apply 1 Gaining an understanding of patient s motivations 2 Focusing on opportunities to avoid poor health choices 3 Recognizing patient s strengths and supporting their efforts 4 Providing assessment data that can be shared with families to promote change 5 Identifying differences in patient s health goals and current behaviors correct answer 1 3 5 A nurse is talking with a young adult patient about the purpose of a new medication The nurse says I want to be clear Can you tell me in your words the purpose of this medicine This exchange is an example of which element of the transactional communica tion process 1 Message 2 Obtaining feedback 3 Channel 4 Referent correct answer ans 2 A patient who is Spanish speaking does not appear to understand the nurse s information on wound care Which action should the nurse take 1 Arrange for a Spanish speaking social worker to explain the procedure procedure in Spanish 2 Ask a fellow Spanish speaking patient to help explain the 3 Use a professional interpreter to provide wound care education 4 Ask the patient to write down questions that he or she has for the nurse correct answer ans 3 A nurse prepares to contact a patient s physician about a change in the patient s condition Put the following statements in the correct order using SBAR Situation Background Assessment and Recommendation communication 1 She is a 53 year old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 PM yester day She complains of a poor appetite 2 The patient reported feeling very nauseated after her dose of Levaquin an hour ago 3 Would you like to make a change in antibiotics or could we give her a nutritional supplement before her medication 4 The patient started complaining of nausea yesterday evening and has vomited several times during the night correct answer Ans 4S 1B 2A 3R A nurse is assigned to care for a patient for the first time and states I don t know a lot about your culture and want to learn how to better meet your health care needs Which therapeutic commu nication technique did the nurse use in this situation 1 Validation 2 Empathy 3 Sarcasm 4 Humility correct answer Ans 4 A new nurse is experiencing lateral violence at work Which steps could the nurse take to address this problem 1 Challenge the nurses in a public forum to embarrass them and 2 Talk with the department secretary and ask if this has been a 3 Talk with the preceptor or manager and ask for assistance in change their behavior problem for other nurses handling this issue 4 Say nothing and hope things get better correct answer ans 3 A nurse has been gathering physical assessment data on a patient and is now listening to the patient s concerns The nurse sets a goal of care that incorporates the patient s desire to make treatment decisions This is an example of the nurse engaged in which phase of the nurse patient relationship 1 Working phase 2 Preinteraction phase 3 Termination phase 4 Orientation phase correct answer Ans 1 A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol While assessing the patient which statement would be the most therapeutic 1 Why did you drive after you had been drinking 2 We have multiple patients to see tonight as a result of this accident bile accident tonight 3 Tell me what happened before during and after the automo 4 It will be okay No one was seriously hurt in the accident correct answer Ans 3 A nursing student is reviewing a process recording with the instructor The student engaged the patient in a discussion about availability of family members to provide support at home once the patient is discharged The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to tell his story This is an example of which step of the nursing process 1 Planning 2 Assessment 3 Intervention 4 Evaluation correct answer ANS 4 Which strategies should a nurse use to facilitate a safe transition of care during a patient s transfer from the hospital to a skilled nursing facility Select all that apply 1 Collaboration between staff members from sending and receiving departments arranged 2 Requiring that the patient visit the facility before a transfer is 3 Using a standardized transfer policy and transfer tool 4 Arranging all patient transfers during the same time each day 5 Relying on family members to share information with the new facility correct answer ans 1 3 1 Prevent the nurse from saying the wrong thing 2 Prompt the patient to talk when he or she is ready 3 Allow the patient time to think and gain insight 4 Allow time for the patient to drift off to sleep 5 Determine if the patient would prefer to talk with another staff member correct answer ans 2 3 The nurse uses silence as a therapeutic communication tech nique What is the purpose of the nurse s silence Select all that apply A manager is