Chapter 4: Communication

Foundations of Nursing 7th Edition By Kim Cooper- Kelly Gosnell

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Chapter 4: 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. What is the nurse’s best response to these observations?
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: Application           REF:   Page               OBJ:   2| 3

TOP:   Communication                              KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

  1. 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?” What type of communication is this?
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: Comprehension     REF:   Page               OBJ:   4

TOP:   Communication                              KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity

 

  1. 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?” what feeling is the patient most likely to demonstrate?
a. Anger
b. Satisfaction that his needs are met
c. Humiliation and worthlessness
d. Confidence 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               OBJ:   7

TOP:   Communication                              KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Psychosocial Integrity

 

  1. What does therapeutic communication accomplish?
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               OBJ:   10

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

MSC:  NCLEX: N/A

 

  1. The nurse is sitting in a chair near the patient’s bed, leaning forward to hear what the patient is saying, and does not interrupt. What is the nurse 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: Comprehension     REF:   Page               OBJ:   5

TOP:   Communication                              KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity

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