FUNDAMENTALS OF
NURSING [NURS 2032]
NURS 2032 EXAM 3 COMPLETE TEST BANK/ ANSWERED
WITH RATIONALES KOZIER & EBR’S FUNDAMENTALS OF
NURSING 2024/2025 LATEST
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NUR 2032 EXAM 3 COMPLETE TEST BANK/ ANSWERED WITH RATIONALES KOZIER &
ERB’S FUNDAMENTALS OF NURSING {Chapters 26, 27, 28, 34, 47, 48, 49}
Chapter 26
Kozier & Erb’s Fundamentals of Nursing
Chapter 26
Question 1
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
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.
Question 2
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
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.
Question 3
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.”
Rationale 2: Clarity and brevity provide a message that is simple and clear.
Question 4
The nurse enters a client’s room and finds that the telephone is lying in the client’s lap, tissues are wadded up
on the bed, and the client’s eyes are red and watery. What is the best response by the nurse?
1. “Can I hang that phone up for you?”
2. “Well, it’s a beautiful day outside. Let’s open the blinds.”
3. “Has your doctor been in to talk to you yet?”
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NUR 2032 EXAM 3 COMPLETE TEST BANK/ ANSWERED WITH RATIONALES KOZIER &
ERB’S FUNDAMENTALS OF NURSING {Chapters 26, 27, 28, 34, 47, 48, 49}
4. “You look upset. Is there anything you’d like to talk about?”
Rationale 4: Nonverbal communication, or body language, often tells the nurse more about what a person is
feeling than what is actually said. The interpretation of such observations requires validation with the client.
Question 5
A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters
the room, the client asks for assistance with a shower. Which comment by the nurse is the most appropriate?
1. “If you look better, you might feel better.”
2. “Taking a shower might wash away some of that gloom and doom.”
3. “This is a positive sign. I’ll be right back with your supplies.”
4. “Your spouse will be glad to see that you’re feeling better.”
Rationale 3: How a person dresses or looks may be an indicator of how the person feels. A change in
grooming habits may signal that the client is feeling better.
Question 6
A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child.
Which approach should the nurse use?
1. Give the child’s parent a full explanation, but make sure the child hears what is said.
2. Let the child handle the equipment first, then demonstrate on the child’s doll.
3. Start the treatment, but make sure that the parent is there to comfort the child if she becomes afraid.
4. Make sure that the physician is available for questions.
Rationale 2: The knowledge of the client’s developmental stage will allow the nurse to modify the message
accordingly. The use of dolls and games with simple language may help explain a procedure to a child.
Question 7
A nurse is giving a demonstration of new equipment to the rest of the nursing unit. Which level of proxemics
should the nurse use?
1. Intimate
2. Personal
3. Social
4. Public
Rationale 3: Social distance is characterized by a clear, visual perception of the whole person and generally 4
to 12 feet in distance. Social distance is important in accomplishing the business of the day. It is expedient in
communicating with several people at the same time or within a short time, which would be the case in this
situation.
Question 8
A nurse must perform a catheterization on a male client. Which zone of proximity should the nurse use for
this intervention? 1. Personal distance
2. Intimate distance
3. Social distance
4. Public distance
Rationale 2: Intimate distance is characterized by body contact and used frequently by nurses when they are
required to perform a procedure. Distance in this category is touching to 11/2 feet.
Question 9
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NUR 2032 EXAM 3 COMPLETE TEST BANK/ ANSWERED WITH RATIONALES KOZIER &
ERB’S FUNDAMENTALS OF NURSING {Chapters 26, 27, 28, 34, 47, 48, 49}
A nurse enters a client’s room and asks about his level of pain. The client, grimacing, says “It’s fine.” Which
communication factor is the client struggling with?
1. Territoriality
2. Environment
3. Congruence
4. Attitude
Rationale 3: In congruent communication, the verbal and nonverbal aspects of the message match.
Saying his pain level is “fine,” but then showing with facial grimacing that it is not, would be in conflict.
Question 10
A nurse is working with an elderly male client on a medical unit. Which statement demonstrates elderspeak
by the nurse?
1. “It’s time for us to go to physical therapy.”
2. “I think it would be better if you were planning to go to a nursing home after discharge.”
3. “Your children must really love their dad.”
4. “Your wife must be having trouble adjusting to your illness.”
Rationale 1: Elderspeak is a speech style, similar to baby, talk that gives a message of dependence and
incompetence to older adults. Characteristics of elderspeak include inappropriate terms of endearment,
inappropriate plural pronoun use (it’s time for us to go to physical therapy), tag questions, and slow, loud
speech.
Question 11
A client has just lost her second baby to preterm complications. Which statement demonstrates the best
therapeutic response for the nurse to make?
1. “Don’t be so sad. You can always try again.”
2. “Didn’t your doctor advise you about genetic counseling?”
3. “I know how you feel. I have children of my own.”
4. “I am so sad for you. I’ll stay with you for a while if you need to talk.”
Rationale 4: Therapeutic communication promotes understanding and is client directed. Nurses need to
respond to the feelings expressed by the client. Sometimes clients need time to deal with their feelings and
the best thing the nurse can provide is presence and listening.
Question 12
The nurse is conducting an admission interview. Which response indicates that the nurse is
attentively listening to the client’s explanations? 1. “Can you explain what your symptoms are
like?”
2. “When was the last time you saw a doctor for this?”
3. “Uh-huh,” while nodding the head
4. “I’m sorry, say that again?”
Rationale 3: A nurse can convey attentiveness in listening to clients in various ways. Common responses are
nodding the head, uttering “uh-huh” or “mmm,” repeating the words the client has used, or saying “I see
what you mean.”
Question 13
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