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PN Leadership Exam 1 Ch.3,10-13 (100% verified solutions)2024/2025
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PN Leadership Exam 1 Ch.3,10-13 (100% verified solutions)2024/2025
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PN Leadership Exam 1 Ch.3,10-13A nursing student has been trying to improve her communication skills both in classroom
settings and with clients in her current clinical placement. This student should recognize that
communication is best defined as
-summarizing ideas in an effective manner.
-affecting another person's behavior.
-the exchange of information.
-the ability to evoke emotion or action. - ANSthe exchange of information.
Hannah is a nursing student who was recently reprimanded by a nurse at the hospital who
accused Hannah of not following through with the morning care of one of the nurse's patients.
Hannah attributes this unpleasant interaction to the fact that she did not communicate clearly
with the nurse and she has resolved to make constructive changes to her communication style.
How should Hannah begin this process?
-She should identify and evaluate her existing communication style.
-She should make a resolution to be assertive and clear when communicating.
-She should aim to model the behavior of nurses who are good communicators
-She should ask her nursing instructor to give her some advice around communication. -
ANSShe should identify and evaluate her existing communication style.
During his most recent performance appraisal, a nurse has been told by his supervisor that he
tends to adopt a passive-aggressive communication style when he is in particularly stressful
situations. Which of the following is typical of passive-aggressive communication?
-The nurse tends to be passive with supervisors and managers but aggressive when
communicating with coworkers.
-The nurse often makes sarcastic comments when he is under stress.
-The nurse has an inconsistent communication style that changes when he experiences job
stress.
-The nurse has a fear of conflict and tends to avoid direct confrontation whenever possible. -
ANSThe nurse often makes sarcastic comments when he is under stress.
A nursing student is providing a brief report to a colleague before going on lunch break.
According to Dr. Albert Mehrabian, what component of this communication is most significant in
determining how well the necessary information is exchanged?
-The words that the student chooses to use
-The accuracy of the student's grammar
-The sound and tone of the student's voice
,-The body language and expressions the student uses - ANSThe body language and
expressions the student uses
A nursing student has learned about the importance of nonverbal communication and has
witnessed several examples of this in the clinical setting. Which of the following events most
clearly demonstrates nonverbal communication?
-A patient is bent over in a chair, holding his side and grimacing.
-A patient rings his call light and asks for an antiemetic (anti-nausea medication).
-A patient falls while trying to transfer from her bed to a commode.
-A patient accuses the student of prioritizing other patients over her. - ANSA patient is bent over
in a chair, holding his side and grimacing.
A nursing student e-mailed an instructor to ask a question about a patient's diagnosis and
ended the e-mail by making a lighthearted comment about the patient. The instructor, however,
interpreted the comment as disrespectful, which was not the student's intention and did not
reflect that student's actual view of the patient. Why are misunderstandings and
miscommunications more common when using electronic forms of communication?
-It is not usually possible to provide adequate context and detail when communicating
electronically.
-Electronic communication is only effective between members of the same generation or age
group.
-Because electronic communication is a relatively recent development, most people have not
had sufficient time to adapt to its appropriate use.
-Electronic forms of communication usually lack the vocal and nonverbal clues that convey
meaning. - ANSElectronic forms of communication usually lack the vocal and nonverbal clues
that convey meaning.
A nursing student has asked a classmate for pointers that might help the student to
communicate more effectively when working with patients and clients. What advice should the
classmate provide?
-"Try to memorize some statements and explanations that are relevant in several clinical
situations."
-"Before you start speaking to someone, take a moment to get your thoughts clearly organized."
-"Whenever you're speaking to someone, provide as much detail as you possibly can."
-"Try to adopt the mindset that you are more knowledgeable than the person that you're talking
to." - ANS"Before you start speaking to someone, take a moment to get your thoughts clearly
organized."
Mrs. Bobb is an 84-year-old woman who has lived in the long-term care facility for the past 2
years. Cameron is a nursing student who has developed a close therapeutic relationship with
Mrs. Bobb over the past several weeks. This morning, Mrs. Bobb has confided in Cameron that
, she feels like "a burden to everyone around me." How should Cameron best respond to this
statement?
-"Not at all, sweetie. We all love and taking care of you here."
-"That's not the case, and every dark cloud has silver lining anyhow."
-"I'm sorry you feel that way, but I can assure you that I don't see you as a burden."
-"Perhaps getting more active in your care and being more involved socially would make you
feel more useful." - ANS"That's not the case, and every dark cloud has silver lining anyhow."
A nurse has given a nursing student detailed instructions on how best to safely mobilize a
particular patient. After listening carefully to the nurse's explanation, what should the student do
next?
-Briefly restate the instructions to confirm understanding
-Ask the nurse as many questions as possible about the instructions
-Leave and go and apply the instructions as quickly as possible
-Confirm with the instructor that the nurse's instructions are correct - ANSBriefly restate the
instructions to confirm understanding
A nursing student has complimented an elderly female client on her elaborate diamond ring.
The client replies, "That was a gift from my late husband. He was a wonderful man."The client
then pauses and the nursing student notices a tear in her eye. Which of the following actions
best demonstrates empathy?
-Tell the client, "I'll give you some privacy" and quietly leave the room.
-Ask the client, "Are you feeling sad because your husband died recently?"
-Stay silent for a moment and allow the client to gather her thoughts.
-Ask the client if she would like to have a visit from the chaplain or a counselor. - ANSStay silent
for a moment and allow the client to gather her thoughts.
A nursing student is conscientious in her efforts to cultivate empathy with clients and patients.
Which of the following characteristics is associated with empathy?
-Maintaining emotional distance in order to conserve emotional energy
-Experiencing the same emotions that clients and patients experience
-Providing evidence-based solutions to the problems of others
-Teaching clients and patients how to effectively distract themselves from their issues and
problems - ANSMaintaining emotional distance in order to conserve emotional energy
An elderly patient who is scheduled for a computed tomography (CT) scan of her abdomen has
admitted to the nursing student that she is deeply fearful of having this test because of her fear
of pain. Which of the following responses demonstrates a communication block?
-"What part of having a CT scan makes you most fearful?"
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