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NUR 336 Exam 1 | NUR 336 Actual Exam 2024 Questions and Correct Answers Rated A+
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NUR 336 Exam 1 | NUR 336 Actual Exam 2024 Questions and Correct Answers Rated A+
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NUR 336 Exam 1 | NUR 336 Actual Exam2024 Questions and Correct Answers
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In which nurse interaction may SBAR be used?
a. Nurse to social worker
b. Nurse to doctor
c. Nurse to nurse
d. All of the above -ANSWER-D
A nurse tells a doctor a patient has diabetes. Which part of the SBAR
model is this statement?
a. Situation
b. Background
c. Assessment
d. Recommendation -ANSWER-B (Parts of a patient's background
include what they were admitted for, their background history, labs
and tests pertinent to the reason for the call, their current therapy, and
their current vital signs.)
The nurse tells the doctor a patient felt warm when she checked him
for a fever. What part of the SBAR model is this statement?
a. Situation
b. Background
c. Assessment
d. Recommendation -ANSWER-A (Parts of situation: Briefly state the
issue, when it happened or began, how severe the patient's response
is--for example: changes in heart rate/rhythm, changes in vital signs,
intake and output, change in assessment, uncontrolled pain, or
change in level of consciousness.)
,Your interpretation of what is happening to the patient would fall in
what category of SBAR?
a. Situation
b. Background
c. Assessment
d. Recommendation -ANSWER-C (The assessment part of SBAR
includes telling the health care provider what you think the problem is.)
A nurse calls the health care provider for their patient and suggests
that an EKG be ordered for the patient. Which part of SBAR does this
represent?
a. Situation
b. Background
c. Assessment
d. Recommendation -ANSWER-D (Recommendation involves
suggesting/requesting that the HCP order certain tests, a change in
the patient's treatment, a higher level of care is needed (Ex. referral to
a specialist) and asking the HCP is they have any questions for you or
if they need any other information.)
The nurse asks a newly admitted client, "What can we do to help
you?" What is the purpose of this therapeutic communication
technique?
a. To reframe the client's thoughts about mental health treatment
b. To put the client at ease
c. To explore a subject, idea, experience, or relationship
d. To communicate that the nurse is listening to the conversation -
ANSWER-C (This is an example of the therapeutic communication
technique of exploring. The purpose of using exploring is to delve
further into the subject, idea, experience, or relationship. This
technique is especially helpful with clients who tend to remain on a
superficial level of communication.)
,Which nursing statement is a good example of the therapeutic
communication technique of focusing?
a. "Describe one of the best things that happened to you this week."
b. "I'm having a difficult time understanding what you mean."
c. "Your counseling session is in 30 minutes. I'll stay with you until
then."
d. "You mentioned your relationship with your father. Let's discuss that
further." -ANSWER-D (This is an example of the therapeutic
communication technique of focusing. Focusing takes notice of a
single idea or even a single word and works especially well with a
client who is moving rapidly from one thought to another.)
During a nurse-client interaction, which nursing statement may belittle
the client's feelings and concerns?
a. "Don't worry. Everything will be alright."
b. "You appear uptight."
c. "I notice you have bitten your nails to the quick."
d. "You are jumping to conclusions." -ANSWER-A (This nursing
statement is an example of the nontherapeutic communication block
of belittling feelings. Belittling feelings occur when the nurse misjudges
the degree of the client's discomfort, thus a lack of empathy and
understanding may be conveyed.)
A client on an inpatient psychiatric unit tells the nurse, "I should have
died because I am totally worthless." In order to encourage the client
to continue talking about feelings, which should be the nurse's initial
response?
a. "How would your family feel if you died?"
b. "You feel worthless now, but that can change with time."
c. "You've been feeling sad and alone for some time now?"
d. "It is great that you have come in for help." -ANSWER-C (This
nursing statement is an example of the therapeutic communication
technique of reflection. When reflection is used, questions and
, feelings are referred back to the client so that they may be recognized
and accepted.)
Which therapeutic communication technique should the nurse use
when communicating with a client who is experiencing auditory
hallucinations?
a. "My sister has the same diagnosis as you and she also hears
voices."
b. "I understand that the voices seem real to you, but I do not hear any
voices."
c. "Why not turn up the radio so that the voices are muted."
d. "I wouldn't worry about these voices. The medication will make
them disappear." -ANSWER-B (This is an example of the therapeutic
communication technique of presenting reality. Presenting reality is
when the client has a misperception of the environment. The nurse
defines reality or indicates his or her perception of the situation for the
client.)
A mother rescues two of her four children from a house fire. In the
emergency department, she cries, "I should have gone back in to get
them. I should have died, not them." What is the nurse's best
response?
a. "The smoke was too thick. You couldn't have gone back in."
b. "You're feeling guilty because you weren't able to save your
children."
c. "Focus on the fact that you could have lost all four of your children."
d. "It's best if you try not to think about what happened. Try to move
on." -ANSWER-B (The best response by the nurse is, "You're
experiencing feelings of guilt because you weren't able to save your
children." This response utilizes the therapeutic communication
technique of reflection which identifies a client's emotional response
and reflects these feelings back to the client so that they may be
recognized and accepted.)
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