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NSG-310 EXAM 3 TEST QUESTIONS WITH CORRECT ANSWERS
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NSG-310 EXAM 3 TEST QUESTIONS WITH CORRECT ANSWERS
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NSG-310 EXAM 3 TEST QUESTIONSWITH CORRECT ANSWERS
The nurse knocks on the patient's door and waits for the patient to answer before
entering the room. What is the nurse demonstrating? - Answer-Respect for the patient's
personal space
Conveying genuine respect for his patients assists a nurse in doing what? - Answer-
building a professional relationship
Which of the following is true about trust? - Answer-the trusting patient feels comfortable
revealing needs.
*Trust provides a non threatening interpersonal climate in which people feel comfortable
revealing their needs
What should the nurse do in order to reduce clinical bias in the nursing practice? -
Answer-develop unconditional acceptance
Which statement is true concerning communication deficits? - Answer-communication
deficits can arise from sensory deprivation
Rationale:
*example someone in ICU unit
The nurse is caring for an older adult patient who has recently withdrawn from
relationships, appears depressed, and appears reluctant to seek information from the
nurse due to a hearing loss. What assessment should the nurse focus on to help
minimize additional dysfunction? - Answer-tendency to hide hearing related deficits
When caring for the patient with macular degeneration, the nurse facilitates
communication by implementing which action? - Answer-standing to the patients side
Rationale:
*macular degeneration = when patients can't see straight on they can only see to the
side.
*you can use touch
The nurse while providing bedside care for an unconscious patient, is overheard stating,
"I wouldn't want to live in this condition." What did this nurse not realize about the
patient's capabilities? - Answer-hearing can remain acute in patients who are not fully
alert.
,The nurse has just completed a care plan on a visually impaired patient. Which
intervention is most appropriate in facilitating the client's maximum visual acuity? -
Answer-ensuring the patient's room has bright lighting with no glare.
*adaptive communication strategies for vision loss include providing bright light with no
glare, having the nurse stand in front of the patient. Considering the font and letter size
for readability when using written materials but try not to use written materials. If you
can, using upper and lower case are important, it helps for them, rather than all caps.
Solid color paper with sharp contrast writing, so black against white.
When communicating with older patients, the nurse recognizes what age-related
changes that affect hearing: - Answer-hearing problems can diminish an older person's
ability to interact with others.
Rationale:
*Hearing loss associated age of 50 not 40, they can't hear high frequencies, is the first
ones that they lose not low frequencies. Background noise is the worst thing for them.
The most effective problem-solving style for genuine resolution that creates a win-win
situation is:
a. Accommodation
b. Avoidance
c. Competition
d. Collaboration - Answer-d. Collaboration
Rationale:
Collaboration is a solution-oriented response in which individuals work together
cooperatively to problem solve.
To manage a conflict, those involved commit to finding a mutually satisfying solution.
This involves directly confronting the issue, acknowledging feelings, and using open
communication to solve the problem.
Steps for productive confrontation include: identifying concerns of each party; clarifying
assumptions; communicating honestly to identify the real issue; and working
collaboratively to find a solution that satisfies everyone.
This is considered to be the most effective style for genuine resolution. This is a win-win
situation.
Accommodation is a lose-win situation. Avoidance can turn into a lose-lose situation.
Competition can lead to a lose-lose situation.
When dealing with a conflict situation that involves a patient, what would be the nurse's
first response?
a. Understand the context of the situation
b. Impose more controls on the patient
c. Gain a clear understanding of one's own personal response
d. Encourage the patient to discount statements made by the nurse - Answer-c. Gain a
clear understanding of one's own personal response
, Rationale:
Conflicts between nurse and patient are not uncommon. The first step for the nurse is to
gain a clear understanding of one's own personal response.
No one is equally effective in all situations.
The second step is to understand the context of the situation.
Most interpersonal conflicts involve some threat to one's sense of control or self-
esteem.
Nurses have been shown to respond to the stress of not having enough time to
complete their work by imposing more controls on the patient, who then often reacts by
becoming more difficult.
Other situations, which may lead to conflict between the nurse and the patient, include
having statements discounted.
When communicating with a patient diagnosed with a serious mental disorder, it is
important for the nurse to recognize which fact about these patients?
a. They seldom have intact sensory channels.
b. Those with a "flat affect" are easier to understand.
c. Such patients are typically very talkative.
d. Social isolation is commonly demonstrated. - Answer-d. Social isolation is commonly
demonstrated.
Rationale:
Patients with serious mental disorders may have a different type of communication
deficit resulting from a malfunctioning of the neurotransmitters that normally transmit
and make sense out of messages in the brain.
Social isolation and impaired coping may accompany the patient's inability to receive or
express language signals.
Other communication problems occur with different mental disorders.
As an example, some patients with mental disorders can perhaps have intact sensory
channels, but they cannot process and respond appropriately to what they hear, see,
smell, or touch.
The nurse may notice a lack of vocal inflection and an unchanging facial expression.
A "flat affect" makes it difficult to truly understand the patient.
Some patients with mental disorders present with a poverty of speech and limited
content.
Speech appears blocked; reflecting disturbed patterns of perception, thought, emotions,
and motivation.
A patient experiences an unusually stressful life event that exceeds their resources and
coping skills. The nurse recognizes the patient is experiencing which type of crisis?
a. Developmental
b. Private
c. Adventitious
d. Situational - Answer-d. Situational
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