Chapter 03: Communication

Chapter 03: Communication

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse is caring for an adult patient with a recent below-the-knee amputation. During shift report, the nurse reports that the patient has urinated in the bed multiple times since the surgery. Which defense mechanism best describes this behavior?

ANS:  D

Regression is the return to an earlier developmental stage as a means of avoiding unpleasant or unacceptable thoughts. The adult patient recently lost a limb and reverted to bedwetting as a coping mechanism. Compensation refers to a strategy that uses a personal strength to counterbalance a weakness or a feeling of inadequacy. Refusing to accept a fact or reality as truth is termed denial. Rationalization is the act of suggesting a different explanation for one that is painful, negative, or unacceptable.

DIF:    Understanding                                 REF:   p. 51               OBJ:   3.8

TOP:   Assessment    MSC:  NCLEX Client Needs Category: Psychosocial Integrity

NOT:  Concepts: Coping

2. A female patient is admitted to the emergency department after being raped by a neighbor. The patient refuses to discuss the circumstances surrounding the event with the sexual assault nurse examiner. This patient is most likely using the defense mechanism of:

ANS:  A

Suppression is the conscious decision to conceal unacceptable or painful thoughts. The patient refuses to talk about the rape possibly because of the emotional and physical pain associated with the act. Sublimation is the rechanneling of unacceptable impulses into socially acceptable activities. Displacement is an unconscious defense mechanism used to avoid conflict and anxiety by transferring emotions from one object to another object that produces less anxiety.  Rationalization is the act of suggesting a different explanation for one that is painful, negative, or unacceptable.

DIF:    Understanding                                 REF:   p. 51               OBJ:   3.8

TOP:   Assessment    MSC:  NCLEX Client Needs Category: Psychosocial Integrity

NOT:  Concepts: Coping

3. A patient calls the nurse to report the smell of cigarette smoke in the bathroom. The event which triggers this communication process is referred to as the:

ANS:  B

The elements of the communication process include a referent (i.e., event or thought initiating the communication), a sender (i.e., person who initiates and encodes the communication), a receiver (i.e., person who receives and decodes, or interprets, the communication), the message (i.e., information that is communicated), the channel (i.e., method of communication), and feedback (i.e. response of the receiver).

DIF:    Understanding                                 REF:   pp. 38-39        OBJ:   3.1

TOP:   Assessment    MSC:  NCLEX Client Needs Category: Psychosocial Integrity

NOT:  Concepts: Communication

4. The nurse manager sends an e-mail to the nursing staff as a reminder for a scheduled monthly meeting. In doing so, the nurse manager understands that e-mail:

ANS:  B

A message is the content transmitted during communication. Messages are transmitted through all forms of communication, including spoken, written, and nonverbal modalities. Electronic communication in the form of information referencing, e-mail, social networking, and blogging can quickly contribute to a person’s knowledge, providing patients and health care professionals with vital information. However, the potential for miscommunication exists, in part because nonverbal cues are not apparent.

DIF:    Understanding                                 REF:   p. 39 | p. 42     OBJ:   3.1

TOP:   Assessment    MSC:  NCLEX Client Needs Category: Psychosocial Integrity

NOT:  Concepts: Communication