Chapter 03: Communication

Chapter 03: Communication

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Although the patient denies pain, the nurse observes the patient breathing rapidly with clenched fists and facial grimacing. The nurse’s best response to these observations is:

a.	“I am glad you are feeling better and have no discomfort.”
b.	“Where do you hurt?”
c.	“What you are saying and what I am observing don’t seem to match.”
d.	“It makes me uncomfortable when you are not honest with me.”

 

ANS:   C

The nonverbal communication should be clarified to prevent miscommunication.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 45           OBJ:    2

TOP:    Communication                                  KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

2. The nurse considers the feelings and needs of a patient by stating, “I know you are concerned about your surgery tomorrow. How can I help you?” This type of communication is:

a.	intrusive.
b.	aggressive.
c.	closed.
d.	assertive.

 

ANS:   D

Assertive communication takes a patient’s feelings and needs into account, yet honors the patient’s rights as an individual.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 39           OBJ:    4

TOP:    Communication                                  KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

3. If the nurse aggressively says to a patient, “Why couldn’t you have asked me to give you your pain medication when I was in here earlier?” the patient is most likely to feel:

a.	angry.
b.	that his needs are met.
c.	humiliated and unworthy.
d.	that his request will be granted.

 

ANS:   C

Aggressive communication is highly destructive. Although anger may eventually come, the patient most likely feels humiliated first.

 

DIF:    Cognitive Level: Application             REF:    Page 39           OBJ:    7

TOP:    Communication                                  KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Psychosocial Integrity

 

4. Therapeutic communication:

a.	facilitates the formation of a positive nurse-patient relationship.
b.	manipulates the patient.
c.	assigns the patient a passive role.
d.	requires the patient to accept what the nurse says.

 

ANS:   A

A positive nurse-patient relationship is facilitated by therapeutic communication.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 40           OBJ:    10

TOP:    Communication                                  KEY:   Nursing Process Step: N/A

MSC:   NCLEX: N/A

 

5. If a nurse sits in a chair near the patient’s bed, leans forward to hear what the patient is saying, and does not interrupt, the nurse is demonstrating:

a.	support.
b.	caring.
c.	active listening.
d.	interest.

 

ANS:   C

When demonstrating active listening, the nurse must give his or her full attention and make an effort to understand both the verbal and nonverbal message.

 

DIF:    Cognitive Level: Application             REF:    Page 41           OBJ:    5

TOP:    Communication                                  KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity