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Nursing 101 Exam 1 Questions and Answers Complete Solutions
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Nursing 101 Exam 1 Questions andAnswers Complete Solutions
1. A nursing student gives herself positive messages regarding her ability to do well on
a test. This is an example of what level of communication?
A) Public
B) Intrapersonal
C) Interpersonal
D) Transpersonal - Answer-B) Intrapersonal
Intrapersonal communication is a powerful form of communication that occurs within an
individual. Interpersonal communication takes place between people. Transpersonal
communication occurs within a person's spiritual domain. Public communication is
interaction with an audience.
The nurse demonstrates active listening by:
A) Agreeing with the client
B) Repeating everything the client says to clarify
C) Assuming a relaxed posture and leaning toward the client
D) Smiling and nodding continuously throughout the interview - Answer-C) Assuming a
relaxed posture and leaning toward the client
Active listening means being attentive to what the client is saying both verbally and
nonverbally. Assuming a relaxed posture and leaning toward the client facilitates
listening. Agreeing with the client does not facilitate communication. Repeating
everything the client says can become distracting. Smiling and nodding continuously is
not responding to what the client says at all times.
During the orientation phase of the helping relationship, the nurse might do which of the
following? (Sellect all that apply)
A) Discuss the cards and flowers in the room.
B) Work together with the client to establish goals.
C) Review the client's history to identify possible health concerns.
D) Use therapeutic communication to manage the client's confusion. - Answer-A, B, and
C
In the orientation phase of the helping relationship, the nurse and client meet and get to
know each other. The nurse reviews the history to identify possible health concerns
before meeting the client. During the working phase, the nurse and client work together
to solve problems and accomplish goals. Therapeutic communication would be used in
all stages of the relationship.
If the nurse is working with a client who has expressive aphasia, it would be most
helpful for the nurse to:
,A) Ask open-ended questions.
B) Speak loudly and use simple sentences.
C) Allow extra time for the client to respond.
D) Encourage a family member to answer for the client. - Answer-C) Allow extra time for
the client to respond.
For clients with aphasia, the nurse should be sure to allow extra time for the client to
respond. Asking open-ended questions is important, but these questions need to be
developed based on the client's personal communication ability. Speaking loudly is not
necessary for a client with a diagnosis of aphasia. The client should be encouraged to
answer questions himself or herself and not expect others to answer for the client, even
if it takes longer for the client to do so.
The professional nurse can best be said to be engaging in collaboration with others to
develop the client's plan of care when the nurse:
A) Consults the physician for direction in establishing goals for clients
B) Depends on the latest literature to complete an excellent plan of care for clients
C) Works independently to plan and deliver care and does not depend on other staff for
assistance
D) Works with colleagues and clients' families to take advantage of combined expertise
in planning care - Answer-D) Works with colleagues and clients' families to take
advantage of combined expertise in planning care
Collaboration is teamwork in which individuals in multiple disciplines work together,
each contributing his or her expertise to the client's care. The physician will provide
medical direction, but teamwork and collaboration require more than just medical
direction. Consulting the latest literature can help in planning care, but this is not
collaboration. The collaborative team works together to provide care for the client.
The nurse tells the client, "I'm not sure I understand what you mean by 'sicker than
usual.' What is different now?" The nurse is using the therapeutic technique of:
A) Focusing
B) Clarifying
C) Paraphrasing
D) Providing information - Answer-B) Clarifying
Clarifying gives the client a chance to be more specific or give more information.
Paraphrasing means restating another's message briefly in one's own words. The nurse
is not providing information in the remarks given. Focusing is used to bring attention to
key concepts or elements in a message.
The nurse says to the client, "We've talked a lot about your medications, but let's look
more closely at the trouble you're having in taking them on time." The nurse is using the
therapeutic technique of:
A) Focusing
B) Clarifying
,C) Paraphrasing
D) Providing information - Answer-A) Focusing
Focusing is used to center attention on key concepts or elements in a message.
Clarifying gives the client a chance to be more specific or provide more information.
Paraphrasing means restating another's message briefly in one's own words. The nurse
is not providing information here.
When working with an older adult, the nurse should remember to avoid:
A) Touching the client
B) Shifting from subject to subject
C) Allowing the client to reminisce
D) Asking the client how he or she feels - Answer-B) Shifting from subject to subject
The nurse should avoid shifting from subject to subject, because it can create
confusion. All individuals require touch. Allowing older adults to reminisce can be helpful
and therapeutic. Asking a client how he or she feels is a method of opening
communication.
A nurse should consider zones of personal space and touch when caring for clients. If
the nurse is taking the client's nursing history, she should:
A) Sit next to the client
B) Be 4 to 12 feet from the client
C) Be 18 inches to 4 feet from the client
D) Be 12 inches to 3 feet from the client - Answer-C) Be 18 inches to 4 feet from the
client
The personal zone is 18 inches to 4 feet and is best when the nurse is taking a client's
history. The intimate zone is 0 to 18 inches, and the nurse is in this zone when
performing assessment. The social zone is 9 to 12 feet and is used when making
rounds with a physician. The public zone is 12 feet or more.
A pregnant client mentally rehearses giving birth in her mind. This is an example of:
A) Metacommunication
B) Intrapersonal communication
C) Interpersonal communication
D) Transpersonal communication - Answer-B) Intrapersonal communication
Intrapersonal communication is also called self-talk, self-instruction, and inner thought.
Self-instruction can provide mental rehearsal for difficult tasks, such as labor and
delivery, so individuals can deal with them more effectively. Interpersonal
communication is one-to-one interaction that often occurs face to face. Transpersonal
communication is interaction that occurs in a person's spiritual domain, such as through
prayer or meditation. Metacommunication is looking at the deeper meaning of what is
being said.
, 11. The nurse may facilitate verbal communication with clients by:
A) Using words that can have several meanings
B) Using medical terminology to ensure accuracy
C) Using short sentences that express an idea simply and directly
D) Speaking slowly and deliberately and allowing long pauses in the conversation -
Answer-C) Using short sentences that express an idea simply and directly
Verbal communication should be clear and brief. Fewer words result in less confusion.
Communication that is simple, brief, and direct is more effective. Medical jargon may
sound like a foreign language to clients unfamiliar with the health care setting and
should be used only with other health team members. Nurses should carefully select
words that cannot be easily misinterpreted, especially when explaining a client's medical
condition or therapy. Speaking slowly and deliberately can convey an unintended
message. Long pauses and rapid shifts to another subject may give the impression that
the nurse is hiding the truth.
A nurse feels frustrated because she is behind in administering her clients' medications.
She comes to the client's bedside hurriedly with a frown on her face and sighs while she
is waiting for the client to swallow the medication. The nurse then says brightly, "Isn't it a
relaxing day?" The nurse should remember that:
A) The client may respond defensively if his or her personal space is threatened.
B) Maintaining eye contact during conversation shows respect and willingness to listen.
C) Most meaning in conversation is transmitted by spoken words rather than by
nonverbal communication.
D) When there is incongruity between verbal and nonverbal communication, the
receiver usually "hears" the nonverbal message as the true message. - Answer-D)
When there is incongruity between verbal and nonverbal communication, the receiver
usually "hears" the nonverbal message as the true message.
It has been estimated that approximately 7% of meaning is transmitted by words, 38%
is transmitted by vocal cues, and 55% is transmitted by body cues. Nonverbal
communication is unconsciously motivated and may more accurately indicate a person's
intended meaning than the spoken words. This is what the receiver "hears." Although
options 1 and 2 are true, they are not the best statements for explaining incongruity
between verbal and nonverbal communication as depicted in the question.
A client's family member wipes her eyes as she cries at the loss of a loved one and
says, "It's no big deal. I mean, we all have to die sometime, right?" The nurse is
engaging in metacommunication when the nurse responds:
A) "You are taking this really well."
B) "You are exactly right. Dying is inevitable."
C) "Losing a loved one can be really difficult. It looks like you're pretty upset. I'd like to
help."
D) "Let's not talk about it. That will help you feel better. After all, God won't give you
more than you can handle." - Answer-C) "Losing a loved one can be really difficult. It
looks like you're pretty upset. I'd like to help."
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