ECPI VB Nur 168 Concepts 3 Final
Review Questions and Answers Fully
Solved
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." - answerD
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." - answerA
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 - answerD
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." -
answerD
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?" -
answerD
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 - answerA
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 - answerC
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?" - answerB
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 - answerA, D, E, F
,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 - answerA
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?" - answerB
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 - answerB
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 - answerA
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?" - answerD
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. - answerC, D,
E
A nurse is teaching first aid to counselors of a summer camp for children with asthma.
This is an example of what aim of health teaching?
A. Promoting health
B. Preventing illness
C. Restoring health
D. Facilitating coping - answerB
A nurse is teaching patients of all ages in a hospital setting. Which examples
demonstrate teaching that is appropriately based on the patient's developmental level?
Select all that apply.
A. The nurse plans long teaching sessions to discuss diet modifications for an older
adult diagnosed with type 2 diabetes.
B. The nurse recognizes that a female adolescent diagnosed with anorexia is still
dependent on her parents and includes them in all teaching sessions.
C. The nurse designs an exercise program for a sedentary older adult male patient
based on the activities he prefers.
D. The nurse includes an 8-year-old patient in the teaching plan for managing cystic
fibrosis.
E. The nurse demonstrates how to use an inhaler to an 11-year-old male patient and
includes his mother in the session to reinforce the teaching.
F. The nurse continues a teaching session on STIs for a sexually active male
adolescent despite his protest t - answerC, D, E
A nurse is teaching a 50-year-old male patient how to care for his new ostomy
appliance. Which teaching aid would be most appropriate to confirm that the patient has
learned the information?
A. Ask Me 3
B. Newest Vital Sign (NVS)
C. Teach-back method
D. TEACH acronym - answerC
A nurse is planning teaching strategies based on the affective domain of learning for
patients addicted to alcohol. What are examples of teaching methods and learning
activities promoting behaviors in this domain? Select all that apply.
A. The nurse prepares a lecture on the harmful long-term effects of alcohol on the body.
B. The nurse explores the reasons alcoholics drink and promotes other methods of
coping with problems.
C. The nurse asks patients for a return demonstration for using relaxation exercises to
relieve stress.
