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M.38: Testbank for The Concept of Communication (TB Exam 2) for Communication in Nursing 8th Edition Julia Balzer Riley Questions & Complete Solutions 2024/2025. $10.99
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M.38: Testbank for The Concept of Communication (TB Exam 2) for Communication in Nursing 8th Edition Julia Balzer Riley Questions & Complete Solutions 2024/2025.
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M.38: Testbank for The Concept of Communication (TB Exam 2) for Communication in Nursing 8th Edition Julia Balzer Riley Questions & Complete Solutions 2024/2025.

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  • September 28, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
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  • a nurse is providing care for a client who has vo
  • which of the following barriers to communication i
  • a home health nurse is precepting a new nurse dur

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M.38: Testbank for The Concept of
Communication (TB Exam 2)

A nurse is providing care for a client who has vocal cord damage and wants to implement
strategies that will promote communication with this client. Which interventions would be​
appropriate? Select all that apply. - ANS - Using a picture board to facilitate communication

- Having pen and paper on hand for the client

Rationale:
The client who is nonverbal would respond best to use of a picture board or pen and paper.
Because the client cannot communicate​verbally, facing the client when​talking, using an​
interpreter, or using the​client's dominant language would not address the​client's inability to
communicate.

Which of the following barriers to communication involves asking a client for information chiefly
out of curiosity rather than with the intent to assist the​client? - ANS Probing

The nurse is caring for a client who is having difficulty understanding the dressing changes that
need to be completed in the home as part of postdischarge wound care. The client asks the
nurse to demonstrate the procedure again and allow the​client's spouse to perform the
procedure while the nurse watches. What is the most likely outcome of this assertive request by
the​client? - ANS A greater likelihood that the wound will heal appropriately

Rationale:
The client used assertive communication to ensure that the dressing changes would be
performed​correctly, which will likely result in appropriate healing of the​client's wound. No
information is provided about the​nurse's response to the​request, and even if the nurse is​
irritated, these feelings should not affect the quality of care. There is no guarantee that the​
client's spouse will always perform the task​correctly, because humans make mistakes. Infection
of a wound that is dressed correctly is not the likely result of this request.

A home health nurse is precepting a new nurse during a routine wound care visit. The new
nurse is assessing the​client's wound and notes that it is showing signs and symptoms of
infection. The​client's spouse asks the new nurse how the wound looks. The new nurse
responds by​stating, "It looks​fine," but the new​nurse's face indicates a different story. When
evaluating the new​nurse, the preceptor should note a need to work on which aspect of​
communication? - ANS Congruence

Rationale:

, Congruence is adjusting​one's tone of speech and facial expression to match​one's spoken
message. If a​nurse's facial expression and words are not​congruent, the client and family will
often suspect that something is wrong. Credibility is the quality of being​truthful, trustworthy, and
reliable. Although the​nurse's words in this situation may not be completely​true, they do not
necessarily reflect a larger problem with credibility. Timing means that a message is delivered
when the client and family are capable of processing it fully and correctly. Clarity and brevity are
characteristics involving preciseness and use of few words.

Which of the following statements on the part of the nurse is an example of the communication
barrier known as​testing? - ANS ​"Do you think​you're the only client on the unit right​now?"

Rationale:
Testing involves asking questions that make the patient admit to something. These responses
permit the patient only limited answers and often meet the​nurse's need rather than the​
patient's. Of the options listed​here, "Do you think​you're the only client on the unit right​now?"
best meets this definition. Telling the client that most people have little or no pain after a
procedure is an example of stereotyping. Asking about why a client started using marijuana may
be an example of probing. Questioning how the client is still in pain after medication
administration is an example of​challenging, or making clients prove their statements or point of
view.

The nurse is caring for a client with a new colostomy. The client has been taught how to perform
colostomy care and has been successful with return demonstration to the staff. Although the
client is able to perform care independently and has asked to do​so, the charge nurse has
instructed the nursing staff to continue performing colostomy care for this client. When
addressing this issue directly with the charge​nurse, which statement by a staff nurse is the
most​appropriate? - ANS ​"The client has been trained to change the apparatus and has
expressed interest in performing this procedure​independently."

A nurse educator in a​medical-surgical unit is demonstrating the use of new equipment to the
rest of the nurses on the unit. After initial efforts at having the class gather closely around the
models were met with discomfort and​inattention, the nurse educator sets up the models in the
front of the classroom. Which level of proxemics would be ideal for this​situation? - ANS 4 to 12
feet

Rationale:
Because the nurse is communicating with a group and all members of the group must be able to
see the models​clearly, a social distance of 4 to 12 feet would be appropriate. Social distance is
characterized by a​clear, visual perception of the whole​individual, and it is expedient for
communicating with several people at the same time. In​contrast, an intimate distance of 1​1/2
feet or less would likely make the group members extremely uncomfortable and prevent them
from seeing all aspects of the demonstration. A personal distance of 1​1/2 to 4 feet might still
cause discomfort among participants and make it difficult for them to observe the models in full.​
Finally, a public distance of 12 to 15 feet would make it hard for participants to observe the​

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