Nursing 101 Exam 1 Questions And Answers With Verified Solutions
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Course
Nursing 101
Institution
Nursing 101
Nursing 101 Exam 1 Questions And Answers With Verified Solutions
A nursing student gives herself positive messages regarding her ability to do well on a test. This is an example of what level of communication?
A) Public
B) Intrapersonal
C) Interpersonal
D) Transpersonal ANS B) Intrapersonal
...
Nursing 101 Exam 1 Questions And Answers With
Verified Solutions
1. A nursing student gives herself positive messages regarding her ability to do well on a test. This is an example of
what level of communication?
A) Public
B) Intrapersonal
C) Interpersonal
D) Transpersonal ANS B) Intrapersonal
Intrapersonal communication is a powerful form of communication that occurs within an individual. Interpersonal
communication takes place between people. Transpersonal communication occurs within a person's spiritual
domain. Public communication is interaction with an audience.
The nurse demonstrates active listening by:
A) Agreeing with the client
B) Repeating everything the client says to clarify
C) Assuming a relaxed posture and leaning toward the client
D) Smiling and nodding continuously throughout the interview ANS C) Assuming a relaxed posture and leaning
toward the client
Active listening means being attentive to what the client is saying both verbally and nonverbally. Assuming a
relaxed posture and leaning toward the client facilitates listening. Agreeing with the client does not facilitate
communication. Repeating everything the client says can become distracting. Smiling and nodding continuously is
not responding to what the client says at all times.
During the orientation phase of the helping relationship, the nurse might do which of the following? (Sellect all that
apply)
A) Discuss the cards and flowers in the room.
B) Work together with the client to establish goals.
C) Review the client's history to identify possible health concerns.
D) Use therapeutic communication to manage the client's confusion. ANS A, B, and C
In the orientation phase of the helping relationship, the nurse and client meet and get to know each other. The nurse
reviews the history to identify possible health concerns before meeting the client. During the working phase, the
,nurse and client work together to solve problems and accomplish goals. Therapeutic communication would be used
in all stages of the relationship.
If the nurse is working with a client who has expressive aphasia, it would be most helpful for the nurse to:
A) Ask open-ended questions.
B) Speak loudly and use simple sentences.
C) Allow extra time for the client to respond.
D) Encourage a family member to answer for the client. ANS C) Allow extra time for the client to respond.
For clients with aphasia, the nurse should be sure to allow extra time for the client to respond. Asking open-ended
questions is important, but these questions need to be developed based on the client's personal communication
ability. Speaking loudly is not necessary for a client with a diagnosis of aphasia. The client should be encouraged to
answer questions himself or herself and not expect others to answer for the client, even if it takes longer for the
client to do so.
The professional nurse can best be said to be engaging in collaboration with others to develop the client's plan of
care when the nurse:
A) Consults the physician for direction in establishing goals for clients
B) Depends on the latest literature to complete an excellent plan of care for clients
C) Works independently to plan and deliver care and does not depend on other staff for assistance
D) Works with colleagues and clients' families to take advantage of combined expertise in planning care ANS D)
Works with colleagues and clients' families to take advantage of combined expertise in planning care
Collaboration is teamwork in which individuals in multiple disciplines work together, each contributing his or her
expertise to the client's care. The physician will provide medical direction, but teamwork and collaboration require
more than just medical direction. Consulting the latest literature can help in planning care, but this is not
collaboration. The collaborative team works together to provide care for the client.
The nurse tells the client, "I'm not sure I understand what you mean by 'sicker than usual.' What is different now?"
The nurse is using the therapeutic technique of:
A) Focusing
B) Clarifying
C) Paraphrasing
D) Providing information ANS B) Clarifying
,Clarifying gives the client a chance to be more specific or give more information. Paraphrasing means restating
another's message briefly in one's own words. The nurse is not providing information in the remarks given. Focusing
is used to bring attention to key concepts or elements in a message.
The nurse says to the client, "We've talked a lot about your medications, but let's look more closely at the trouble
you're having in taking them on time." The nurse is using the therapeutic technique of:
A) Focusing
B) Clarifying
C) Paraphrasing
D) Providing information ANS A) Focusing
Focusing is used to center attention on key concepts or elements in a message. Clarifying gives the client a chance to
be more specific or provide more information. Paraphrasing means restating another's message briefly in one's own
words. The nurse is not providing information here.
When working with an older adult, the nurse should remember to avoid:
A) Touching the client
B) Shifting from subject to subject
C) Allowing the client to reminisce
D) Asking the client how he or she feels ANS B) Shifting from subject to subject
The nurse should avoid shifting from subject to subject, because it can create confusion. All individuals require
touch. Allowing older adults to reminisce can be helpful and therapeutic. Asking a client how he or she feels is a
method of opening communication.
A nurse should consider zones of personal space and touch when caring for clients. If the nurse is taking the client's
nursing history, she should:
A) Sit next to the client
B) Be 4 to 12 feet from the client
C) Be 18 inches to 4 feet from the client
D) Be 12 inches to 3 feet from the client ANS C) Be 18 inches to 4 feet from the client
The personal zone is 18 inches to 4 feet and is best when the nurse is taking a client's history. The intimate zone is 0
to 18 inches, and the nurse is in this zone when performing assessment. The social zone is 9 to 12 feet and is used
when making rounds with a physician. The public zone is 12 feet or more.
, A pregnant client mentally rehearses giving birth in her mind. This is an example of:
A) Metacommunication
B) Intrapersonal communication
C) Interpersonal communication
D) Transpersonal communication ANS B) Intrapersonal communication
Intrapersonal communication is also called self-talk, self-instruction, and inner thought. Self-instruction can provide
mental rehearsal for difficult tasks, such as labor and delivery, so individuals can deal with them more effectively.
Interpersonal communication is one-to-one interaction that often occurs face to face. Transpersonal communication
is interaction that occurs in a person's spiritual domain, such as through prayer or meditation. Metacommunication is
looking at the deeper meaning of what is being said.
11. The nurse may facilitate verbal communication with clients by:
A) Using words that can have several meanings
B) Using medical terminology to ensure accuracy
C) Using short sentences that express an idea simply and directly
D) Speaking slowly and deliberately and allowing long pauses in the conversation ANS C) Using short
sentences that express an idea simply and directly
Verbal communication should be clear and brief. Fewer words result in less confusion. Communication that is
simple, brief, and direct is more effective. Medical jargon may sound like a foreign language to clients unfamiliar
with the health care setting and should be used only with other health team members. Nurses should carefully select
words that cannot be easily misinterpreted, especially when explaining a client's medical condition or therapy.
Speaking slowly and deliberately can convey an unintended message. Long pauses and rapid shifts to another
subject may give the impression that the nurse is hiding the truth.
A nurse feels frustrated because she is behind in administering her clients' medications. She comes to the client's
bedside hurriedly with a frown on her face and sighs while she is waiting for the client to swallow the medication.
The nurse then says brightly, "Isn't it a relaxing day?" The nurse should remember that:
A) The client may respond defensively if his or her personal space is threatened.
B) Maintaining eye contact during conversation shows respect and willingness to listen.
C) Most meaning in conversation is transmitted by spoken words rather than by nonverbal communication.
D) When there is incongruity between verbal and nonverbal communication, the receiver usually "hears" the
nonverbal message as the true message. ANS D) When there is incongruity between verbal and nonverbal
communication, the receiver usually "hears" the nonverbal message as the true message.
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