Chapter 12 Client Communication

Chapter 12 Client Communication

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A resident has been in a long-term care facility for two months. One day the resident says to thenurse, “You have been mispronouncing my name since I came here.” What is an appropriateresponse by the nurse to the client’s comment?1)A)”Maybe it would be better if I call you by your first name. Would that be okay?”B)”Let’s practice right now so I can say your name correctly.”C)”People often mispronounce my name also.”D)”Why didn’t you tell me earlier?”Answer:BExplanation:A)Offering to practice now immediately addresses the client’s statement and suggestsa way of resolving the client’s stated concern. It focuses on the client’s concerns,rather than the nurse’s convenience or personal experience. It does not cause theclient to defend the statement.ImplementationPsychosocial IntegrityApplicationB)Offering to practice now immediately addresses the client’s statement and suggestsa way of resolving the client’s stated concern. It focuses on the client’s concerns,rather than the nurse’s convenience or personal experience. It does not cause theclient to defend the statement.ImplementationPsychosocial IntegrityApplicationC)Offering to practice now immediately addresses the client’s statement and suggestsa way of resolving the client’s stated concern. It focuses on the client’s concerns,rather than the nurse’s convenience or personal experience. It does not cause theclient to defend the statement.ImplementationPsychosocial IntegrityApplicationD)Offering to practice now immediately addresses the client’s statement and suggestsa way of resolving the client’s stated concern. It focuses on the client’s concerns,rather than the nurse’s convenience or personal experience. It does not cause theclient to defend the statement.ImplementationPsychosocial IntegrityApplication2)A nurse and a client’s adult children are discussing the removal of life support from the client. Theclient has no advance directive and is now unable to independently make this decision. Which ofthe following statements, if made by the nurse, best supports the family in this decision-makingprocess?2)A)”Take all of the time you need to decide what you want to do for your father.”B)”Whatever you decide, your father will be well taken care of.”C)”What does your religion allow?”D)”I know that it is difficult to make this decision.”Answer:B1
Explanation:A)The client’s family is in the process of making a difficult decision with no writtenguidelines from their father. Reassuring the family that whether or not they decideto remove life support, their parent will receive quality nursing care, will resolvethis potential concern. The family may or may not identify with a religiouspractice. Some religions may not allow removal of life support systems. Regardlessof the religious practices of the family, this is not the best supportive statement thatcan be made by the nurse. To reiterate the difficulty of the decision or suggest thatthe decision can be put off for an indefinite time does not help the family moveahead with the decision.ImplementationPsychosocial IntegrityAnalysisB)The client’s family is in the process of making a difficult decision with no writtenguidelines from their father. Reassuring the family that whether or not they decideto remove life support, their parent will receive quality nursing care, will resolvethis potential concern. The family may or may not identify with a religiouspractice. Some religions may not allow removal of life support systems. Regardlessof the religious practices of the family, this is not the best supportive statement thatcan be made by the nurse. To reiterate the difficulty of the decision or suggest thatthe decision can be put off for an indefinite time does not help the family moveahead with the decision.ImplementationPsychosocial IntegrityAnalysisC)The client’s family is in the process of making a difficult decision with no writtenguidelines from their father. Reassuring the family that whether or not they decideto remove life support, their parent will receive quality nursing care, will resolvethis potential concern. The family may or may not identify with a religiouspractice. Some religions may not allow removal of life support systems. Regardlessof the religious practices of the family, this is not the best supportive statement thatcan be made by the nurse. To reiterate the difficulty of the decision or suggest thatthe decision can be put off for an indefinite time does not help the family moveahead with the decision.ImplementationPsychosocial IntegrityAnalysisD)The client’s family is in the process of making a difficult decision with no writtenguidelines from their father. Reassuring the family that whether or not they decideto remove life support, their parent will receive quality nursing care, will resolvethis potential concern. The family may or may not identify with a religiouspractice. Some religions may not allow removal of life support systems. Regardlessof the religious practices of the family, this is not the best supportive statement thatcan be made by the nurse. To reiterate the difficulty of the decision or suggest thatthe decision can be put off for an indefinite time does not help the family moveahead with the decision.ImplementationPsychosocial IntegrityAnalysis2
3)A nurse is determining criteria for evaluating the effectiveness of teaching for clients with gout. Theteaching is focused on decreasing acute episodes and reducing the number of clinic visits. Which ofthe following best indicates effective client teaching?3)A)The client provides a positive written evaluation of the teaching.B)There is a decrease in the number of clinic visits by a client.C)At each visit, the client identifies foods to be avoided from a list of his or her usual foodintake.D)The client states that he or she understands the information and asks two or three questions.Answer:CExplanation:A)Client teaching must be evaluated in both the short-and long-term to determineeffectiveness and client compliance. An evaluation tool with measurable resultsthat relate to client behavior is best. Verbal and written positive comments do notprovide the most objective feedback.EvaluationHealth Promotion and MaintenanceApplicationB)Client teaching must be evaluated in both the short-and long-term to determineeffectiveness and client compliance. An evaluation tool with measurable resultsthat relate to client behavior is best. Verbal and written positive comments do notprovide the most objective feedback.EvaluationHealth Promotion and MaintenanceApplicationC)Client teaching must be evaluated in both the short-and long-term to determineeffectiveness and client compliance. An evaluation tool with measurable resultsthat relate to client behavior is best. Verbal and written positive comments do notprovide the most objective feedback.EvaluationHealth Promotion and MaintenanceApplicationD)Client teaching must be evaluated in both the short-and long-term to determineeffectiveness and client compliance. An evaluation tool with measurable resultsthat relate to client behavior is best. Verbal and written positive comments do notprovide the most objective feedback.EvaluationHealth Promotion and MaintenanceApplication