Chapter 26 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 26 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy. On what should the nurse focus to improve communication skills?

1. Pace
2. Intonation
3. Simplicity
4. Clarity

Correct Answer: 3

Rationale 1: Pace helps indicate interest, anxiety, boredom, or fear—all of which modify the feeling and impact of the message.

Rationale 2: Intonation helps indicate interest, anxiety, boredom, or fear—all of which modify the feeling and impact of the message.

Rationale 3: Simplicity includes the use of commonly understood words, brevity, and completeness. A “bowel prep” may be completely meaningless to a client, but telling him that he needs to drink a gallon of laxative-like medication gets the point across better. Esophagogastroscopy is a complicated word. Using words like “small camera looking down your throat into your stomach” will make much more sense to the client.

Rationale 4: Clarity and brevity imply that the message is direct and simple—saying precisely what is meant and using the fewest words necessary.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 13. Assess own level of communication skill in encounters with patients and families

AACN Essentials Competencies: IX. 4. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network

NLN Competencies:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Discuss the various aspects that nurses need to consider when using the different forms of communication.

MNL Learning Outcome: 1.3.1. Apply appropriate communication skills required to conduct the health history interview of a client.

Page Number: 413

Question 2

Type: MCSA

The nurse observes during a dressing change that the client’s wound has become infected. When asked by the client how the wound looks, the nurse says “it looks fine” but the nurse’s facial expression doesn’t support the response. Which aspect of communication should this nurse improve?

1. Adaptability
2. Credibility
3. Timing and relevance
4. Clarity and brevity

Correct Answer: 1

Rationale 1: Adaptability is adjusting tone of speech and facial expression to match the spoken message. Clearly, if the nurse’s face doesn’t match his words, the client will identify a problem with the situation.

Rationale 2: Credibility means worthiness of belief, trustworthiness, and reliability.

Rationale 3: Timing and relevance affect how the message is taken or heard.

Rationale 4: Clarity and is preciseness and brevity is use of few words.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 13. Assess own level of communication skill in encounters with patients and families

AACN Essentials Competencies: IX. 4. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network

NLN Competencies:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 1. Describe the components of the communication process.

Outcome: 1.3.1. Apply appropriate communication skills required to conduct the health history interview of a client.

Page Number: 413

Question 3

Type: MCSA

A nurse is working on a telemetry unit when one of the clients has a cardiac arrest. The client’s spouse is in the room when the code team arrives. Which statement by the nurse to the spouse is the best in this situation?

1. “I know you’re worried about your loved one. I’m sure this is a difficult situation for you. Do you have any questions right now?”
2. “Your spouse’s heart stopped. All these people are here to help get it started.”
3. “Your spouse’s physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now.”
4. “Is there someone you would like to call? I’m sure this is a scary situation and you may feel more comfortable if someone were with you during this time.”

Correct Answer: 2

Rationale 1: Dealing with the spouse’s fears and concerns right now is not the priority need—the client’s emergency situation is.

Rationale 2: Clarity and brevity provide a message that is simple and clear.

Rationale 3: In this situation, taking time to explain and/or address all of the spouse’s needs and concerns is inappropriate. Not only will the client be unable to process extra information, but the nurse doesn’t have time to give long, drawn-out explanations about the situation.

Rationale 4: In this situation, taking time to explain and/or address all of the spouse’s needs and concerns is inappropriate. Not only will the client be unable to process extra information, but the nurse doesn’t have time to give long, drawn-out explanations about the situation.

Global Rationale:

Cognitive Level: Applying

Client Need: Psychosocial Integrity

Client Need Sub:

QSEN Competencies: I.B. 13. Assess own level of communication skill in encounters with patients and families

AACN Essentials Competencies: IX. 4. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network

NLN Competencies:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 2. Discuss the various aspects that nurses need to consider when using the different forms of communication.

Outcome: 1.3.1. Apply appropriate communication skills required to conduct the health history interview of a client.

Page Number: 413