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NUR 3294 Essentials Exam 2 Review Questions and Answers Latest,100% CORRECT

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NUR 3294 Essentials Exam 2 Review Questions and Answers Latest

Essentials Exam 2 Summer Chapters 24, 15, 16, 17, 6, 7, 10, 11, 12, 13, 14, 36, 37, 38
Chapter 24
1. When working with an older adult who is hearing-impaired, the use of which techniques
would improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient
lip read. 3. Give the patient time to respond to
questions.
4. Keep communication short and to the point.
5. Communicate only through written information.
2. Nurses must communicate effectively with the health care team for which of the
following reasons? (Select all that apply.)
1. Improve the nurse's status with the health team
members 2. Reduce the risk of errors to the patient
3. Provide optimum level of
patient care 4. Improve patient
outcomes
5. Prevent issues that need to be reported to outside agencies
3. A new nurse complains to her preceptor that she has no time for therapeutic
communication with her patients. Which of the following is the best strategy to help the nurse
find more time for this communication?
1. Include communication while performing tasks such as changing dressings and checking
vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up remaining time for
communication.
4. Motivational interviewing (MI) is a technique that applies understanding a patient's
values and goals in helping the patient make behavior changes. What are other benefits of
using MI techniques? (Select all that apply.)
1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to
promote change 5. Identifying differences in patient's health goals
and current behaviors
5. 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 is an example of which element of the transactional communication process?
1. Message
2. Obtaining feedback
1

, 3. Channel
4. Referent
6. A patient who is Spanish-speaking does not appear to understand the nurse's information
on wound care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the procedure
2. Ask a fellow Spanish-speaking patient to help explain the procedure
3. Use a professional interpreter to provide wound care education in Spanish
4. Ask the patient to write down questions that he or she has for the nurse
7. 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.
B 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.”
A 2. “The patient reported feeling very nauseated after her dose of Levaquin an hour ago.”
R 3. “Would you like to make a change in antibiotics, or could we give her a nutritional
supplement before her medication?”

2

, S 4. “The patient started complaining of nausea yesterday evening and has vomited several
times during the night.”

8. A nurse is assigned to care for a patient for the first time and states, “I don't know a lot
about your culture and want to learn how to better meet your health care needs.” Which
therapeutic communication technique did the nurse use in this situation?
1. Validation
2. Empathy
3. Sarcas
m 4.
Humility
9. A new nurse is experiencing lateral violence at work. Which steps could the nurse take
to address this problem?
1. Challenge the nurses in a public forum to embarrass them and change their behavior
2. Talk with the department secretary and ask if this has been a problem for
other nurses 3. Talk with the preceptor or manager and ask for assistance in
handling this issue
4. Say nothing and hope things get better
10. A nurse has been gathering physical assessment data on a patient and is now listening to
the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to
make treatment decisions. This is an example of the nurse engaged in which phase of the
nurse-patient relationship?
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase
11.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?
1. “Why did you drive after you had been drinking?”
2. “We have multiple patients to see tonight as a result of this accident.”
3. “Tell me what happened before, during, and after the automobile accident tonight.”
4. “It will be okay. No one was seriously hurt in the accident.”
12. 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?
1. Planning
2. Assessment
3. Interventi
on 4.
3

, Evaluation
13. Which strategies should a nurse use to facilitate a safe transition of care during a
patient's transfer fromthe hospital to a skilled nursing facility? (Select all that apply.)
1. Collaboration between staff members from sending and receiving departments
2. Requiring that the patient visit the facility before a transfer
is arranged 3. Using a standardized transfer policy and transfer
tool
4. Arranging all patient transfers during the same time each day
5. Relying on family members to share information with the new facility
15. The nurse uses silence as a therapeutic communication technique. What is the
purpose of the nurse's silence? (Select all that apply.)
1. Prevent the nurse from saying the wrong thing
2. Prompt the patient to talk when he or she
is ready 3. Allow the patient time to think
and gain insight

4

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