Exam (elaborations)
Chapter 6. Communication and Relationships
- Course
- Fundamentals of Nursing Care
- Institution
- Allegany College Of Maryland Somerset Campus
Chapter 6. Communication and Relationships
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Chapter 6. Communication and RelationshipsMultiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse recognizes that to effectively meet the goal of shared meaning in communication, verbal
and nonverbal language should be
1. Absent.
2. Congruent.
3. Equally direct.
4. Incongruent.
2. While bathing a patient, a nurse recognizes that the personal space-distance zone that he or she is in when
physically touching the patient is
1. Public.
2. Intimate.
3. Casual-personal.
4. Social-consultative.
3. While obtaining a patient health history, a nurse recognizes that the personal space-distance zone that he
or she is in when standing within 3 feet of the patient is
1. Public.
2. Intimate.
3. Casual-personal.
4. Social-consultative.
4. When interacting with a physician, a nurse recognizes that the personal space-distance zone that he or she is
in when standing within 5 feet of the physician is
1. Public.
2. Intimate.
3. Casual-personal.
4. Social-consultative.
5. When teaching, a nursing instructor stands 15 feet from the class of nursing students. The personal space-
distance zone that the nursing instructor is in is
1. Public.
2. Intimate.
3. Casual-personal.
4. Social-consultative.
6. When interacting with patients, a nurse demonstrates a willingness to communicate by
1. Standing over seated patients.
2. Slumping while talking to patients.
3. Folding arms while talking to patients.
4. Leaning slightly forward toward patients.
7. A patient who appears to be in pain does not ask the nurse for pain medication because he feels it would upset
the nurse. The style of communication that the patient is demonstrating is
1. Passive.
2. Assertive.
3. Aggressive.
4. Demeaning.
, 8. A patient throws his urinal at the nurse and tells the nurse that he thinks she is terrible at her job. The nurse
informs the patient that his behavior is inappropriate. The style of communication that the nurse is
demonstrating is
1. Passive.
2. Assertive.
3. Aggressive.
4. Demeaning.
9. When a nurse educates a patient about his medications, the patient tells the nurse that he should go back to
nursing school because he does not know very much about medications. The style of communication that
the patient is demonstrating is
1. Passive.
2. Avoidant.
3. Assertive.
4. Aggressive.
10. A nursing instructor teaches a class of student nurses that the most effective communication style for nurses to
practice is
1. Passive.
2. Avoidant.
3. Assertive.
4. Aggressive.
11. A nurse is caring for a patient who has end-stage renal disease and will require dialysis three times per week.
The patient states, “I’m upset that I didn’t visit all the places I’d like to see. Now that I’m on dialysis, I
won’t be able to.” The most therapeutic response by the nurse is:
1. “You are upset that it’s too late to visit places that you would like to see?”
2. “There are many people who feel exactly the same as you do.”
3. “Don’t worry. You can still visit all of the places that you would like to see.”
4. “I think you should visit the places you would like to see before it’s too late.”
12. A nurse is caring for a patient who has just been diagnosed with a brain tumor. The patient asks the nurse if
she should choose to have surgery. The nurse’s most therapeutic response is:
1. “Tell me what you know about the surgery.”
2. “I would never decide against having surgery.”
3. “If I were you, I would definitely have the surgery.”
4. “Don’t worry. You will be fine if you don’t have surgery.”
13. A nurse is caring for a patient who develops dyspnea that does not improve with oxygen therapy and
nebulizer treatment. The nurse immediately calls the patient’s primary health-care provider. This type
of communication is called
1. Upward.
2. Bilateral.
3. Horizontal.
4. Downward.
14. A nurse is caring for a patient who requires assistance with feeding. The nurse delegates this task to the
certified nursing assistant (CNA). This type of communication is called
1. Upward.
2. Bilateral.
3. Horizontal.
4. Downward.
, 15. A nurse observes a student nurse caring for a hearing-impaired patient. The nurse will intervene if the student
nurse
1. Speaks clearly without shouting.
2. Speaks directly to the patient’s interpreter.
3. Positions himself or herself in front of the patient when speaking.
4. Turns down the radio volume when speaking to the patient.
16. A nurse is caring for a patient who was admitted to the hospital for a cerebrovascular accident (CVA)
resulting in difficulty understanding speech. The nurse recognizes that the patient is experiencing
1. Receptive aphasia.
2. Expressive aphasia.
3. Receptive dysphagia.
4. Expressive dysphagia.
17. A nurse uses the DESC (Describe, Explain, State, Consequences) communication method to promote the
1. Passive style.
2. Aggressive style.
3. Assertive style.
4. Avoidant style.
18. An instructor is teaching students about anger and hostility in communication. The instructor explains that the
by-product of anger projected outward toward others is
1. Guilt.
2. Conflict.
3. Sarcasm.
4. Resentment.
19. For nurses to be able to give care to patients, they must quickly establish a trusting relationship with them.
Nurses can establish a trusting relationship with their patients by
1. Conveying that they are confident and competent when providing care.
2. Communicating that they are approachable and ready to listen.
3. Communicating empathy to their patients.
4. All of the above.
20. A nurse is conducting a type of interview that is structured and conducted to find out specific information by
using close-ended questions to request specific data from a patient. This type of interview is known as a
1. Directive interview.
2. Passive interview.
3. Nondirective interview.
4. Aggressive interview.
21. A nurse is caring for a patient from Germany. The nurse must keep in mind to respect the comfort levels of
people from different cultures regarding
1. Touch.
2. Body position.
3. Personal space.
4. Both 1. and 3.
22. A nurse is caring for a patient who is having trouble communicating because of involuntary muscle
movements. The nurse suspects the condition may be caused by a problem or malfunction in the
patient’s
1. Left frontal lobe.
2. Occipital lobe.
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