Chapter 4- Communication With and About Families

Chapter 4- Communication With and About Families

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which of the following is the best rationale for a nurse to spend time communicating with a family member of a hospitalized patient?

1.	The nurse often has information that needs to be shared with a family member who is a primary social structure caring for an individual.
2.	A nurse’s communication can supports the nurse’s position of power in the health-care system caring for an individual.
3.	Communication with family members is critical to increase a nurse’s satisfaction with the role.
4.	Nurses use communication to develop an efficient interprofessional team that exchanges information.

 

 

ANS:  1

 

	Feedback
1	The family is the primary social structure that cares for family members and will be involved in caregiving when the individual returns home.
2	Nurses maintaining power over a family does not support a partnership.
3	Satisfaction with nurse’s role does not offer the best rationale for communicating with families. Family satisfaction and family care are optimal goals.
4	The interprofessional team communication does not fully address the family role in caring for an individual. The efficiency of the team is not the best rationale for family communication.

 

 

PTS:   1

KEY:  Content Area: Providing effective communication | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

 

2. Effective communication can assist a nurse to achieve which of the following desired health outcomes?

1.	Readmissions with chronic disease exacerbations.
2.	A nurse-individual-family relationship that supports quality nursing care.
3.	Improved written documentation of errors in nursing.
4.	Decrease in time spent communicating with difficult families.

 

 

ANS:  2

 

	Feedback
1	Readmissions are not a desired health outcome.
2	Nurses who practice family-focused care recognize the importance of a relationship in providing quality nursing care for the individual and family.
3	Improved documentation of errors is not the highest priority for health outcomes.
4	Decreasing time communicating with families is not a goal of family-focused care.

 

 

PTS:   1

KEY:  Content Area: Communication and nursing practice | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice

 

3. The nurse is beginning a shift caring for a 26-year-old adult female who has just been admitted to the critical care area of a hospital with a pneumonia and respiratory failure. The nurse is told that the patient’s parents are anxiously sitting in the waiting room. Which of the following statements best reflect a nurse’s understanding of the communication needs of the parents?

1.	“I will hurry with my assessment of your daughter so you can spend time with her after I leave.”
2.	“Why don’t you go have a cup of coffee while I assess your daughter?”
3.	“Since your daughter is an adult, I really can’t share any information with you about her condition.”
4.	“All of this is probably frightening for you. Would you like to come with me into the room so I can explain equipment and information to you while I care for your daughter?”

 

 

ANS:  4

 

	Feedback
1	Leaving the family alone in the room with a newly admitted patient fails to take advantage of the opportunity to build a family partnership and nurse-family relationship.
2	Suggesting a family leave during a time when they are anxious does not minimize their uncertainty or address their concerns.
3	Confidentiality can be maintained while informing family members and exchanging information.
4	A nurse can anticipate distress in family members when there is an acute illness. The nurse can plan to include the family, invite the family, and explain the environment to minimize the anxiety.

 

 

PTS:   1

KEY:  Content Area: Communication and nursing practice | Integrated Process: Nursing Process | Client Need: Safe and Effective Care Environment | Cognitive Level: Application | Question Type: Multiple Choice

 

4. Which of the following factors of a health-care system foster effective family-focused communication?

1.	An environment that uses complex technology.
2.	A nurse’s stance that health-care providers maintain power in a relationship.
3.	Educational materials that consider the health literacy of families.
4.	A family’s fears and anxiety about an individual member’s illness.

 

 

ANS:  3

Rationale:

A technological environment, a nurse’s stance of power, and family’s concerns in a health-care system introduce possible barriers to communication. Written documents and education materials that consider health literacy have the opportunity to provide information and reduce anxiety.

 

PTS:   1

KEY:   Content Area: Communication: A basic tool | Integrated Process: Communication and Documentation | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension | Question Type: Multiple Choice