Chapter 11: Communication

Chapter 11: Communication

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A nurse who works for an oncology unit is preparing to bathe a patient who recently underwent surgery to remove an abdominal tumor. Before beginning the bath, the nurse explains the procedure. Which of the following best describes the nurse’s communication role?

ANS:   D

The nurse is the sender in this scenario. The sender is the person who delivers the message. The roles of sender and receiver change back and forth as two persons interact. The message is sent to a receiver, in this case the patient. The message is the content of the conversation; in this scenario explaining what will happen is the message. The channel is the means of conveying and receiving messages through visual, auditory, and tactile senses, the nurse’s spoken words in this scenario.

PTS:    1                      DIF:    Cognitive Level: Analyzing (Analysis)

REF:    185                  OBJ:    Describe the elements of the communication process.

TOP:    Nursing Process: Evaluation              MSC:   NCLEX: Psychosocial Integrity

2. A patient is being cared for by a nurse. The patient has questions regarding what time the surgery is scheduled. When the nurse responds to the question, the nurse is assuming which communication role?

ANS:   D

The nurse is the sender in this scenario because the nurse responds by speaking and sending a message, rather than just receiving the message. The sender is the person who delivers the message. The roles of sender and receiver change back and forth as two persons interact. The message is sent to a receiver, in this case the patient. The message is the content of the conversation; in this scenario the time of the surgery is the message. The channel is the means of conveying and receiving messages through visual, auditory, and tactile senses, the nurse’s spoken words in this scenario.

PTS:    1                      DIF:    Cognitive Level: Analyzing (Analysis)

REF:    185                  OBJ:    Describe the elements of the communication process.

TOP:    Nursing Process: Evaluation              MSC:   NCLEX: Psychosocial Integrity

3. A registered nurse is a new nurse manager who needs to council an employee regarding attendance. Because the nurse manager is new to the position, the nurse is rehearsing what is planning to say to the employee before the meeting. The nurse is using which form of communication?

ANS:   B

Intrapersonal communication, also called self-talk, is a powerful form of communication that occurs within an individual. People “talk to themselves” by forming thoughts internally that strongly influence perceptions, feelings, behavior, self-concept, and performance. Self-talk is a mental rehearsal for difficult tasks or situations so that individuals deal with them more effectively. Interpersonal communication is interaction that occurs between two people or within a small group. When the nurse actually talks to the employee, it is called interpersonal communication. Public communication is the interaction of one individual with large groups of people. Private is not a level of communication.

PTS:    1                      DIF:    Cognitive Level: Analyzing (Analysis)

REF:    186

OBJ:    Describe the levels of communication and their uses in nursing.

TOP:    Nursing Process: Implementation      MSC:   NCLEX: Management of Care

4. A nurse is working in a busy emergency department of an urban hospital. The family of a patient brought in by ambulance asks the nurse what the doctor meant when he or she said that the patient was coding. In this situation, the word coding is an example of which of the following?

ANS:   A

Coding in this instance is a denotative meaning. A single word sometimes has several meanings. Individuals who use a common language share the denotative meaning of a word. The word baseball has the same meaning for all individuals who speak English, but the word code denotes cardiac arrest primarily to health care providers. The connotative meaning is the shade or interpretation of the meaning of a word, which is influenced by the thoughts, feelings, or ideas that people have about the word. Tone of voice and volume dramatically affect the meaning of a message, and emotions directly influence tone of voice, which is intonation. Pacing can involve talking rapidly, using awkward pauses, or speaking extremely slowly and deliberately, conveying different meanings.

PTS:    1                      DIF:    Cognitive Level: Applying (Application)

REF:    186

OBJ:    Describe the levels of communication and their uses in nursing.

TOP:    Nursing Process: Assessment            MSC:   NCLEX: Psychosocial Integrity