PN I Final Exam Review | Rated A Guide | Latest 2021 / 2022 | Rasmussen College
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A hospitalized patient experiences a sharp, stabbing pain while visiting with his spouse. Both the patient and his wife become very concerned, and the patient's call light is activated. What referent initiated communication between the patient and the nurse?
a. Interaction between the patient and ...
pn i final exam review | rated a guide | latest 2021 2022 | rasmussen college
a hospitalized patient experiences a sharp
stabbing pain while visiting with his spouse both the patient and his wife
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PN I Final Exam Review | Rated A Guide | Latest
| Rasmussen College
A hospitalized patient experiences a sharp, stabbing pain while visiting with his
spouse. Both the patient and his wife become very concerned, and the patient's call
light is activated. What referent initiated communication between the patient and
the nurse?
a. Interaction between the patient and his wife
b. Concern on the part of the patient's spouse
c. Pain experienced by the patient
d. Activation of the call light Correct Answer: Answer: c
Pain is the referent that initiated the communication process. The interaction
between the patient and his wife was the result of the patient's pain as was the
concern of the patient's spouse. The call light could be considered a channel
through which the patient's interaction with the nurse began.
Which factor influences whether a message is effectively communicated? (Select
all that apply.)
a. Timing of the conversation
b. Educational level of participants
c. Mode of communication utilized
d. Physical environment of discussion Correct Answer: Answers: a, b, c, d
Timing of a conversation dramatically influences the receptivity of the receiver.
The educational level of those seeking to communicate has an impact on the type
of language and technical terminology that can be used in conversation. Using
more than one mode of communication can enhance the effectiveness of a
message. Making sure the environment is devoid of excess noise and distraction
can facilitate a greater understanding of shared information
If a patient is grimacing, what assessment statement or question would be most
beneficial to identifying the underlying cause of the nonverbal communication?
a. "Did you lose something?"
b. "You appear to be having pain."
c. "I will turn off the lights and let you rest."
d. "May I get you something to relieve your tension?" Correct Answer: Answer: b
Grimacing is a common nonverbal sign of pain. Sharing an observation encourages
the patient to elaborate on nonverbal communication. Asking the patient whether
something is lost indicates that the nurse has not attended to the nonverbal cues of
the patient. It is important to do an assessment of the patient before initiating any
interventions.
,What action by the nurse would most ensure accurate interpretation of patient
communication?
a. Providing feedback regarding the conveyed message
b. Writing down the patient's conversational highlights
c. Assuming significant cultural differences exist
d. Verifying the patient's emotional state Correct Answer: Answer: a
Feedback is the most effective way to avoid misinterpretation of a message. It
helps ensure that the message sent is perceived by the receiver in a way that is
consistent with the intention of the sender. Writing down conversational highlights
is a form of documentation that can still be misinterpreted unless feedback is
sought. Avoid making assumptions regarding cultural differences. Verifying a
patient's emotional state provides insight into a patient's state of mind, but it does
not ensure accurate interpretation of a conversation.
If a patient's verbal and nonverbal communications are inconsistent, which form of
communication is most likely to convey the true feelings of the patient?
a. Written notes
b. Facial expressions
c. Implied inferences
d. Spoken words Correct Answer: Answer: b
Nonverbal communication is the more accurate mode of conveying feelings. When
a patient's verbal and nonverbal cues are incongruent, it is important to explore
observations made by the nurse to discern the true feelings of the patient. Written
notes, implied inferences, and spoken words do not provide the opportunity for
observing nonverbal cues.
What strategy would be most effective in communicating with a highly anxious
adult immediately before surgery?
a. Providing specific, concise instructions
b. Detailing likely causes of their anxiety
c. Focusing on postoperative details
d. Using instructional multimedia DVDs Correct Answer: Answer: a
Only essential information supplied in short, succinct sentences can be
comprehended by adults who are extremely anxious. The source of this patient's
anxiety is already stated to be the surgery, so the nurse need not elaborate on it.
Postoperative teaching is best completed well in advance of surgery and reinforced
after completion of the procedure. Multimedia DVDs are not effective teaching
tools immediately before surgery. They may be helpful for a patient to watch at
least 24 hours before a scheduled procedure to allow time for elaboration on topics
,not totally understood by the patient. Nurses must always check with the patient to
verify that critical information is understood regardless of what form of
communication has been used.
What action should the nurse take if an alert and oriented patient asks the nurse for
personal contact information?
a. Ask the patient why the personal information is needed.
b. Report the interaction to the nursing supervisor immediately.
c. State that it would not be appropriate to share that information.
d. Change the subject, and hope that the patient does not ask again. Correct
Answer: Answer: c
It is important for the nurse to immediately communicate that sharing personal
contact information with patients is inappropriate and violates professional role
boundaries. Asking "why" questions and changing the subject are nontherapeutic.
Neither action will discourage the patient from further infringing on the nurse's
personal right to privacy. Reporting the interaction to a supervisor may be helpful
for preventing other nurses from experiencing similar requests; however, the first
action taken by the nurse should be to maintain professional role boundaries.
What would be the best therapeutic response to a patient who expresses indecision
about recommended chemotherapy treatments?
a. "Can you tell me why you are undecided?"
b. "It's always a good idea to have chemotherapy."
c. "You should follow whatever your health care provider recommends."
d. "What are you thinking about the treatments at this point?" Correct Answer:
Answer: d
Asking open-ended questions allows patients to share freely on a subject. "Why"
questions, using closed-ended questions, and giving advice are all nontherapeutic
communication techniques that limit patient reflection and sharing on topics of
concern.
Which statement is most accurate regarding symbolic expression?
a. Skills confidence can be shared most effectively by nurses through wearing
distinctive clothing.
b. Clothing choices by a hospitalized patient rarely reflects his or her economic
resources.
c. Make-up use by a patient is unnecessary for any reason during hospitalization.
d. Nondramatic make-up use and minimal accessorizing by nurses demonstrates
professionalism. Correct Answer: Answer: d
, Nurses demonstrate professionalism by adhering to institutional dress codes that
require minimal accessorizing and cosmetic use. Wearing distinctive clothing is
not linked to skills confidence. Clothing choices often reflect the economic
resources of an individual, and make-up use by a hospitalized patient is a personal
preference that should be honored.
Which defense mechanism is being exhibited when a 27-year-old patient insists on
having a parent present during routine care?
a. Denial
b. Regression
c. Repression
d. Displacement Correct Answer: Answer: b
Young adults who require their parents' presence for routine care are exhibiting
regression, which is behavior consistent with earlier stages of development.
Patients in denial refuse to see the reality of their situation. Repression is storing
painful feelings in the unconscious, causing them to be temporarily forgotten.
Displacement transfers emotional energy away from the actual source of stress to
an unrelated object or person.
The nurse receives change of shift report on the five assigned patients and reviews
prescriptions, treatments, and medications scheduled for the shift. Based on
analysis of this information, the nurse chooses which patient to assess first. Which
process of critical thinking best describes the nurse's action?
a. Problem solving
b. Decision making
c. Judgment
d. Reasoning Correct Answer: Answer: b
The nurse used decision making to guide which patient to see first, based on an
analysis of patient data and care needs. Problem solving is used when the nurse is
faced with a situation that requires analysis and a solution. Judgment is used in the
decision-making process but does not result in the actual decision. Reasoning is
logical thinking that may be used in decision making but, again, is not the actual
result. Decision making culminates in a definitive action.
In approaching a new clinical situation, the nurse uses which question to facilitate
precision in critical thinking?
a. "What do I know about this situation?"
b. "What additional details do I need to gather?"
c. "Does the clinical presentation correlate with the diagnosis?"
d. "Are the treatments appropriate for the diagnosis?" Correct Answer: Answer: b
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