Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 3, Exam Questions & Answers (Explained)

Nursing 101 Fundamentals of Nursing Practice Exam 1, Part 3, Exam Questions & Answers (Explained)

• 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?

• Public
• Intrapersonal
• Interpersonal
• Transpersonal - 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:

• Agreeing with the client
• Repeating everything the client says to clarify
• Assuming a relaxed posture and leaning toward the client
• Smiling and nodding continuously throughout the interview - 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)

• Discuss the cards and flowers in the room.
• Work together with the client to establish goals.
• Review the client's history to identify possible health concerns.
• Use therapeutic communication to manage the client's confusion. - 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:

• Ask open-ended questions.
• Speak loudly and use simple sentences.
• Allow extra time for the client to respond.
• Encourage a family member to answer for the client. - 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:

• Consults the physician for direction in establishing goals for clients
• Depends on the latest literature to complete an excellent plan of care for clients
• Works independently to plan and deliver care and does not depend on other staff for

assistance

• Works with colleagues and clients' families to take advantage of combined expertise

in planning care - 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:

• Focusing
• Clarifying
• Paraphrasing
• Providing information - 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:

• Focusing
• Clarifying
• Paraphrasing
• Providing information - 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:

• Touching the client
• Shifting from subject to subject
• Allowing the client to reminisce
• Asking the client how he or she feels - 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:

• Sit next to the client
• Be 4 to 12 feet from the client

• Be 18 inches to 4 feet from the client
• Be 12 inches to 3 feet from the client - 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:

• Metacommunication
• Intrapersonal communication
• Interpersonal communication
• Transpersonal communication - 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:

• Using words that can have several meanings
• Using medical terminology to ensure accuracy
• Using short sentences that express an idea simply and directly
• Speaking slowly and deliberately and allowing long pauses in the conversation - 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.