1. A nurse is talking with a young-adult patient about the purpose of a new medication. The
nurse says, "I want to be clear. Can you tell me in your words the purpose of this
medicine?" This exchange 334is an example of which element of the transactional
communication process?
2. 1. Message
3. 2. Obtaining feedback
4. 3. Channel
5. 4. Referent - ANS-Obtaining feedback
6. \A nurse prepares to contact a patient's physician about a change in the patient's
condition. Put the following statements in the correct order using SBAR (Situation,
Background, Assessment, and Recommendation) communication.
7. 1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was
started on Levaquin at 5 PM yesterday. She complains of a poor appetite."
8. 2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago."
9. 3. "Would you like to make a change in antibiotics, or could we give her a nutritional
supplement before her medication?"
10. 4. "The patient started complaining of nausea yesterday evening and has vomited
several times during the night." - ANS-4S, 1B, 2A, 3R
11.
12. (4)The patient started complaining of nausea yesterday evening and has vomited
several times during the night. (1) She is a 53 year-old female who was admitted 2 days
ago with pneumonia and was started on Levaquin at 5pm yesterday, She complains of a
poor appetite. (2) The patient reported feeling very nauseated after her dose of Levaquin
about an hour ago. (3) Would you like to make a change of antibiotics, or could we give
her a nutritional supplement before her medication?
13. \A nursing student is reviewing a process recording with the instructor. The student
engaged the patient in a discussion about availability of family members to provide
support at home once the patient is discharged. The student reviews with the instructor
whether the comments used encouraged openness and allowed the patient to "tell his
story." This is an example of which step of the nursing process?
14. 1. Planning
15. 2. Assessment
16. 3. Intervention
17. 4. Evaluation - ANS-4. Evaulation
18. \A patient is evaluated in the emergency department after causing an automobile
accident while being under the influence of alcohol. While assessing the patient, which
statement would be the most therapeutic?
19. 1. "Why did you drive after you had been drinking?"
20. 2. "We have multiple patients to see tonight as a result of this accident."
, 21. 3. "Tell me what happened before, during, and after the automobile accident tonight."
22. 4. "It will be okay. No one was seriously hurt in the accident." - ANS-3. "Tell me what
happened before, during, and after the automobile accident tonight."
23. \A patient is getting ready for surgery and seems very nervous. What would the best
response from the nurse be?
24. 1. You are in great hands
25. 2. How are you feeling
26. 3. Don't worry everything will be fine?
27. 4. Are you nervous? - ANS-"How are you feeling?"
28. \A patient needs to learn to use a walker. Which domain is required for learning this skill?
29. 1. Affective domain
30. 2. Cognitive domain
31. 3. Attentional domain
32. 4. Psychomotor domain - ANS-4. Psychomotor domain
33. \A patient newly diagnosed with cervical cancer is going home. The patient is avoiding
discussion of her illness and postoperative orders. What is the nurse's best plan in
teaching this patient?
34. 1. Teach the patient's spouse
35. 2. Focus on knowledge the patient will need in a few weeks
36. 3. Provide only the information that the patient needs to go home
37. 4. Convince the patient that learning about her health is necessary - ANS-3. Provide only
the information that the patient needs to go home
38. \Affective learning - ANS-Deals with expression of feelings and development of attitudes,
opinions, or values
39. -Role play
40. -Group discussions
41. -Helps patient learn from others
42. \Alternative family - ANS-relationships include multi-adult households "skip generation"
families, communal groups of children
43. \Applying the nursing process to communication
44.
45. Assessment - ANS-Through the patient's eyes
46. Gather info, synthesize, and apply critical thinking
47. Physical, emotional, and developmental factors, gender.
48. \Applying the nursing process to communication
49.
50. Diagnosis - ANS-Patient's may experience difficulty with communication. Address the
problems that contribute to communication problems such as lacking skills in attending,
listening, responding or self-expression.
51. Avoid inappropriate verbalization
52. \Applying the nursing process to communication
53.
54. Evaluation - ANS-Through the patient's eyes
55. Nurse & patient need to understand how and why plan of care was unsuccessful if it was
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