1. During rounds, a charge nurse hears the patient care technician yelling loudly to a patient
regarding a transfer from the bed to chair. Upon entering the room, what is the nurse’s BEST
response?
a. “You need to speak to the patient quietly so you don’t disturb the other patients.”
b. “Let me help you with your transfer technique.”
c. “When you are finished, be sure to apologize for your rough demeanor.”
d. “When your patient is safe and comfortable, meet me at the desk.”
2. A public health nurse is leaving the home of a young mother who has a special needs baby. The
neighbor states, “How is she doing, since the baby’s father is no help?” What is the nurse’s BEST
response to the neighbor?
a. “New mothers need support.”
b. “The lack of a father is difficult.”
c. “How are you today?”
d. “It is a very sad situation.”
3. A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and dehydration.
During the admission interview, the nurse should implement which communication techniques to
elicit the most information from the parents?
a. The use of reflective questions
b. The use of closed questions
c. The use of assertive questions
d. The use of clarifying questions
4. A nurse enters a patient’s room and examines the patient’s IV fluids and cardiac monitor. The
patient states, “Well, I haven’t seen you before. Who are you?” What is the nurse’s BEST response?
a. “I’m just the IV therapist checking your IV.”
b. “I’ve been transferred to this division and will be caring for you.”
c. “I’m sorry, my name is John Smith and I am your nurse.”
d. “My name is John Smith, I am your nurse and I’ll be caring for you until 11 PM.”
5. A nurse enters the room of a patient with cancer. The patient is crying and states, “I feel so alone.”
Which response by the nurse is the most therapeutic action?
a. The nurse stands at the patient’s bedside and states, “I understand how you feel. My mother
said the same thing when she was ill.”
b. The nurse places a hand on the patient’s arm and states, “You feel so alone.”
, c. The nurse stands in the patient’s room and asks, “Why do you feel so alone? Your wife has been
here every day.”
d. The nurse holds the patient’s hand and asks, “What makes you feel so alone?”
6. A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a
discharge plan for the patient. Which action should be the focus of this termination phase of the
helping relationship?
a. Determining the progress made in achieving established goals
b. Clarifying when the patient should take medications
c. Reporting the progress made in teaching to the staff
d. Including all family members in the teaching session
7. A nursing student is nervous and concerned about working at a clinical facility. Which action would
BEST decrease anxiety and ensure success in the student’s provision of patient care?
a. Determining the established goals of the institution
b. Ensuring that verbal and nonverbal communication is congruent
c. Engaging in self-talk to plan the day and decrease fear
d. Speaking with fellow colleagues about how they feel
8. A nurse in the rehabilitation division states to the head nurse: “I need the day off and you didn’t
give it to me!” The head nurse replies, “Well, I wasn’t aware you needed the day off, and it isn’t
possible since staffing is so inadequate.” Instead of this exchange, what communication by the
nurse would have been more effective?
a. “I placed a request to have 8th of August off, but I’m working and I have a doctor’s
appointment.”
b. “I would like to discuss my schedule with you. I requested the 8th of August off for a doctor’s
appointment. Could I make an appointment?”
c. “I will need to call in on the 8th of August because I have a doctor’s appointment.”
d. “Since you didn’t give me the 8th of August off, will I need to find someone to work for me?”
9. During a nursing staff meeting, the nurses resolve a problem of delayed documentation by
agreeing unanimously that they will make sure all vital signs are reported and charted within 15
minutes following assessment. This is an example of which characteristics of effective
communication? Select all that apply.
a. Group decision making
b. Group leadership
c. Group power
d. Group identity
e. Group patterns of interaction
f. Group cohesiveness
10. A nurse notices a patient is walking to the bathroom with a stooped gait, facial grimacing, and
gasping sounds. Based on these nonverbal clues, for which condition would the nurse assess?
a. Pain
b. Anxiety
c. Depression
d. Fluid volume deficit
11. A nursing student is preparing to administer morning care to a patient. What is the MOST
important question that the nursing student should ask the patient about personal hygiene?
, a. “Would you prefer a bath or a shower?”
b. “May I help you with a bed bath now or later this morning?”
c. “I will be giving you your bath. Do you use soap or shower gel?”
d. “I prefer a shower in the evening. When would you like your bath?”
12. A nurse is providing instruction to a patient regarding the procedure to change a colostomy bag.
During the teaching session, the patient asks, “What type of foods should I avoid to prevent gas?”
The patient’s question allows for what type of communication on the nurse’s part?
a. A closed-ended answer
b. Information clarification
c. The nurse to give advice
d. Assertive behavior
13. When interacting with a patient, the nurse answers, “I am sure everything will be fine. You have
nothing to worry about.” This is an example of what type of inappropriate communication
technique?
a. Cliché
b. Giving advice
c. Being judgmental
d. Changing the subject
14. A patient states, “I have been experiencing complications of diabetes.” The nurse needs to direct
the patient to gain more information. What is the MOST appropriate comment or question to elicit
additional information?
a. “Do you take two injections of insulin to decrease the complications?”
b. “Most health care providers recommend diet and exercise to regulate blood sugar.”
c. “Most complications of diabetes are related to neuropathy.”
d. “What specific complications have you experienced?”
15. During an interaction with a patient diagnosed with epilepsy, a nurse notes that the patient is
silent after communicating the nursing care plan. What would be appropriate nurse responses in
this situation? Select all that apply.
a. Fill the silence with lighter conversation directed at the patient.
b. Use the time to perform the care that is needed uninterrupted.
c. Discuss the silence with the patient to ascertain its meaning.
d. Allow the patient time to think and explore inner thoughts.
e. Determine if the patient’s culture requires pauses between conversation.
f. Arrange for a counselor to help the patient cope with emotional issues.
CH 23 - the aging adult
, 1. A nurse caring for adults in a provider’s office researches aging theories to
understand why some patients age more rapidly than others. Which statements
describe the immunity theory of the aging process? Select all that apply.
a. Chemical reactions in the body produce damage to the DNA.
b. Free radicals have adverse effects on adjacent molecules.
c. Decrease in size and function of the thymus results in more infections.
d. There is much interest in the role of vitamin supplementation.
e. Lifespan depends on a great extent to genetic factors.
f. Organisms wear out from increased metabolic functioning.
2. A nurse caring for older adults in a skilled nursing home observes physical
changes in patients that are part of the normal aging process. Which changes
reflect this process? Select all that apply.
a. Fatty tissue is redistributed.
b. The skin is drier and wrinkles appear.
c. Cardiac output increases.
d. Muscle mass increases.
e. Hormone production increases.
f. Visual and hearing acuity diminishes.
3. A nurse caring for patients in a primary care setting refers to Erikson’s theory
that middle adults who do not achieve their developmental tasks may be
considered to be in stagnation. Which patient statement is an example of this
finding?
a. “I am helping my parents move into an assisted-living facility.”
b. “I spend all of my time going to the doctor to be sure I am not sick.”
c. “I have enough money to help my son and his wife when they need it.”
d. “I earned this gray hair and I like it!”
4. A nurse providing health services for a 55 plus community setting formulates
diagnoses for patients. Which of the following nursing diagnoses would be most
appropriate for many middle adults?
a. Risk for Imbalanced Nutrition: Less Than Body Requirements
b. Delayed Growth and Development
c. Self-Care Deficit
d. Caregiver Role Strain
5. An experienced nurse tells a less-experienced nurse who is working in a
retirement home that older adults are different and do not have the same
desires, needs, and concerns as other age groups. The nurse also comments that
most older adults have “outlived their usefulness.” What is the term for this
type of prejudice?
a. Harassment
b. Whistle blowing
c. EA
d. Ageism
6. A nurse is caring for older adults in a senior adult day services (ADS) center.
Which findings related to the normal aging process would the nurse be likely to
observe? Select all that apply.
a. Patients with wrinkles on the face and arms due to increased skin elasticity
b. A patient with skin pigmentation caused by exposure to sun over the years
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