Fundamentals Nursing Active Learning 1st Edition Yoost Crawford – Test Bank
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Fundamentals Nursing Active Learning
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Fundamentals Nursing Active Learning
Fundamentals Nursing Active Learning 1st Edition Yoost Crawford – Test Bank
Sample Test
Chapter 03: Communication
MULTIPLE CHOICE
1. The nurse is caring for an adult patient with a recent below-the-knee amputation. During shift report, the nurse reports that the patient has uri...
fundamentals nursing active learning 1st edition yoost crawford – test bank sample test chapter 03 communication multiple choice 1 the nurse is caring for an adult patient with a recent belo
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Fundamentals Nursing Active Learning
1st Edition Yoost Crawford – Test Bank
Sample Test
Chapter 03: Communication
MULTIPLE CHOICE
1. The nurse is caring for an adult patient with a recent below-the-knee
amputation. During shift report, the nurse reports that the patient has urinated in the
bed multiple times since the surgery. Which defense mechanism best describes this
behavior?
a. compensation
b. denial
c. rationalization
, d. regression
ANS: D
Regression is the return to an earlier developmental stage as a means of avoiding
unpleasant or unacceptable thoughts. The adult patient recently lost a limb and
reverted to bedwetting as a coping mechanism. Compensation refers to a strategy that
uses a personal strength to counterbalance a weakness or a feeling of inadequacy.
Refusing to accept a fact or reality as truth is termed denial.
Rationalization is the act of suggesting a different explanation for one that is painful,
negative, or unacceptable.
2. A female patient is admitted to the emergency department after being raped
by a neighbor. The patient refuses to discuss the circumstances surrounding the
event with the sexual assault nurse examiner. This patient is most likely using the
defense mechanism of:
a. suppression
b. sublimation
c. displacement
d. rationalization
, ANS: A
Suppression is the conscious decision to conceal unacceptable or painful thoughts. The
patient refuses to talk about the rape possibly because of the emotional and physical
pain associated with the act. Sublimation is the rechanneling of unacceptable impulses
into socially acceptable activities. Displacement is an unconscious defense mechanism
used to avoid conflict and anxiety by transferring emotions from one object to another
object that produces less anxiety. Rationalization is the act of suggesting a different
explanation for one that is painful, negative, or unacceptable.
3. A patient calls the nurse to report the smell of cigarette smoke in the
bathroom. The event which triggers this communication process is referred to as
the:
a. channel.
b. referent.
c. message.
d. feedback.
ANS: B
The elements of the communication process include a referent (i.e., event or thought
initiating the communication), a sender (i.e., person who initiates and encodes the
communication), a receiver (i.e., person who receives and decodes, or interprets, the
communication), the message (i.e., information that is communicated), the channel
(i.e., method of communication), and feedback (i.e. response of the receiver).
4. The nurse manager sends an e-mail to the nursing staff as a reminder for a
scheduled monthly meeting. In doing so, the nurse manager understands that
e-mail:
a. is usually slower than other methods to disseminate knowledge.
b. has the potential for miscommunication.
c. cannot be used to deliver vital information.
d. is especially effective because of the use of nonverbal cues.
ANS: B
A message is the content transmitted during communication. Messages are transmitted
through all forms of communication, including spoken, written, and nonverbal
modalities. Electronic communication in the form of information referencing, e-mail,
social networking, and blogging can quickly contribute to a person’s knowledge,
providing patients and health care professionals with vital information. However, the
potential for miscommunication exists, in part because nonverbal cues are not
apparent.
Category: Psychosocial Integrity NOT: Concepts: Communication
5. The nursing student has been assigned to help feed patients at lunch time.
Which of these nursing interventions would be most effective when assisting a
blind patient to eat a meal?
a. Speak loudly to ensure that the patient understands.
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