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Communication Techniques in Nursing, Exams of Nursing

A.T. Still University of Health Sciences (ATSU)Nursing

Various communication techniques and strategies that nurses can employ when interacting with clients. It covers topics such as the importance of verbal and nonverbal communication, the use of open-ended and focused questions, the role of active listening, and the establishment of a therapeutic nurse-client relationship. Insights into how nurses can effectively communicate with clients from diverse backgrounds, including those with sensory impairments or emotional needs. It also discusses the documentation of client interactions and the use of appropriate medical terminology in the client's electronic medical record. By understanding and applying these communication techniques, nurses can enhance their ability to provide compassionate and effective care, foster trust, and support positive client outcomes.

Typology: Exams

2023/2024

Available from 08/09/2024

CarlyBlair
CarlyBlair 🇺🇸

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Communication NCLEX questions
A nurse is collecting data from a client for an admission nursing history. Which question by the
nurse is best to open the discussion?
1. "What brought you to the hospital?"
2. "Would it help to discuss your feelings?"
3. "Do you want to talk about your concerns?"
4. "Would you like to talk about why you are here?" -
1. "What brought you to the hospital?"
The nurse must conduct a focused interview to complete an admission history. Which interviewing
technique should the nurse use?
1. Probing
2. Clarification
3. Direct questions
4. Paraphrasing -
3. Direct questions
Which statement about communication should the nurse consider to be accurate?
1. Verbal communication is essential for human relationships
2. Hands are the most expressive part of the body
3. Behavior clearly reflects feelings
4. Communication is inevitable -
4. Communication is inevitable
A client is extremely upset and mentions something about a work-related issue that the nurse cannot
understand. Which is the nurse's best response?
1. "It's natural to worry about your job."
2. "Your job must be very important to you."
3. "Calm down so that I can understand what you're saying."
4. "I'm not quite sure I heard what you were saying about your work." -
4. "I'm not quite sure I heard what you were saying about your work."
Which is the purpose of the use of humor by a nurse when interacting with a client?
1. Diminish feelings of anger
2. Refocus the client's attention
3. Maintain a balanced perspective
4. Delay dealing with the inevitable -
3. Maintain a balanced perspective
A nurse is caring for a client who is blind in the left eye and visually impaired in the right eye.
Which actions should the nurse employ to promote communication with this client?
1. Touch the client's left arm before initiating a conversation
2. Ensure that the door to the client's room is on the client's left side
3. Close the window curtains and dim the lights before speaking with the client
4. Knock on the door and request permission to enter before approaching the client -
4. Knock on the door and request permission to enter before approaching the client
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Communication NCLEX questions

A nurse is collecting data from a client for an admission nursing history. Which question by the nurse is best to open the discussion?

  1. "What brought you to the hospital?"
  2. "Would it help to discuss your feelings?"
  3. "Do you want to talk about your concerns?"
  4. "Would you like to talk about why you are here?" -
    1. "What brought you to the hospital?" The nurse must conduct a focused interview to complete an admission history. Which interviewing technique should the nurse use?
  5. Probing
  6. Clarification
  7. Direct questions
  8. Paraphrasing -
    1. Direct questions Which statement about communication should the nurse consider to be accurate?
  9. Verbal communication is essential for human relationships
  10. Hands are the most expressive part of the body
  11. Behavior clearly reflects feelings
  12. Communication is inevitable -
    1. Communication is inevitable A client is extremely upset and mentions something about a work-related issue that the nurse cannot understand. Which is the nurse's best response?
  13. "It's natural to worry about your job."
  14. "Your job must be very important to you."
  15. "Calm down so that I can understand what you're saying."
  16. "I'm not quite sure I heard what you were saying about your work." -
    1. "I'm not quite sure I heard what you were saying about your work." Which is the purpose of the use of humor by a nurse when interacting with a client?
  17. Diminish feelings of anger
  18. Refocus the client's attention
  19. Maintain a balanced perspective
  20. Delay dealing with the inevitable -
    1. Maintain a balanced perspective A nurse is caring for a client who is blind in the left eye and visually impaired in the right eye. Which actions should the nurse employ to promote communication with this client?
  21. Touch the client's left arm before initiating a conversation
  22. Ensure that the door to the client's room is on the client's left side
  23. Close the window curtains and dim the lights before speaking with the client
  24. Knock on the door and request permission to enter before approaching the client -
    1. Knock on the door and request permission to enter before approaching the client

A client is admitted to the hospital with cirrhosis of the liver caused by long-term alcohol misuse. Which is the best response by the nurse when the client says, "I really don't believe that my drinking a couple of beers a day has anything to do with my liver problem"?

  1. "You find it hard to believe that beer can hurt the liver."
  2. "How long is it that you have been drinking several beers a day?"
  3. "Each beer is equivalent to one shot of liquor, so it's just as damaging to the liver as hard liquor."
  4. "Do you believe that beer is not harmful even though research shows that it is just as bad for you as hard liquor?" -
    1. "You find it hard to believe that beer can hurt the liver." Which is being communicated when the nurse leans forward during a client interview?
  5. Aggression
  6. Anxiety
  7. Interest
  8. Privacy -
    1. Interest Which statement describes the following proverb? "What you do speaks so loudly I cannot hear what you say."
  9. Hearing ability is an important factor in communicating
  10. Nonverbal messages are often more meaningful than words
  11. Listening to what people say requires attention to what is being said
  12. When people talk too loudly, it is hard understand what is being said -
    1. Nonverbal messages are often more meaningful than words A mother whose young daughter has died of leukemia is crying and is unable to talk about her feelings. Which is the best response by the nurse?
  13. "Everyone will remember her because she was so cute. She was one of our favorites."
  14. "As hard as this is, it is probably for the best because she was in a lot of pain."
  15. "She put up the good fight, but now she is out of pain and in heaven."
  16. "It must be hard to deal with such a precious loss." -
    1. "It must be hard to deal with such a precious loss." A young adult who had a leg amputated because of trauma says, "no one will ever choose to love a person with one leg." Which is the best response by the nurse?
  17. "You are a good-looking person, and you will have no trouble meeting someone who cares"
  18. "You May feel that way now, but you will feel differently as time passes"
  19. "Do you feel that no one will marry you because you have one leg?"
  20. "How do you see your situation at this point?" -
    1. "Do you feel that no one will marry you because you have one leg?" A nurse is changing a client's dressing over an abdominal wound. Which level of space around the client is entered during the dressing change?
  21. Public
  22. Social
  23. Intimate
  24. Personal -
    1. Intimate Which stage of an interview established the relationship between the nurse and the client?
  25. Preinteraction stage
  26. Orientation stage

A nurse is admitting a client to the unit who was transferred from the emergency department. Which should the nurse do to facilitate communication?

  1. Ensure that the client has an effective way to communicate with health-care team members
  2. Use interviewing techniques to control the direction of the client's communication
  3. Minimize energy spent by the client on negative feelings and concerns
  4. Refocus to the positive aspects of the client's situation and prognosis -
    1. Ensure that the client has an effective way to communicate with health-care team members A nurse is caring for a very confused client with a diagnosis of dementia of the Alzheimer's type. Which should the nurse say when assisting the client to eat?
  5. "Please eat your meat"
  6. "It's important that you eat"
  7. "What would you like to eat?"
  8. "If you don't eat, you can't have dessert" -
    1. "Please eat your meat" A client states, "Do you think I could have cancer?" The nurse responds, "What did the doctor tell you?" Which interviewing approach did the nurse use?
  9. Paraphrasing
  10. Confrontation
  11. Reflective technique
  12. Open-ended question -
    1. Open-ended question A nurse is developing a therapeutic relationship with a client with emotional needs. Which nursing intervention is essential during the working stage of the relationship?
  13. Establish a formal or informal contract that addresses the client's problems
  14. Implement nursing actions that are designed to achieve expected client outcomes
  15. Develop rapport and trust so the client feels protected and an initial plan can be identified
  16. Clearly identify the role of the nurse and establish the parameters of the professional relationship
    1. Implement nursing actions that are designed to achieve expected client outcomes A nurse uses reflective technique when communicating with an anxious client. On which does the nurse focus when using reflective technique in this situation?
  1. Feelings
  2. Content themes
  3. Clarification of information
  4. Summarization of the topics discussed -
    1. Feelings A client states, "My wife is going to be very upset that my prostate surgery probably is going to leave me impotent." Which is the best response by the nurse?
  5. "I'm sure your wife will be willing to make this sacrifice in exchange for your well-being."
  6. "The surgeons are getting great results with nerve-sparing surgery today"
  7. "Your wife may not put as much emphasis on sex as you think"
  8. "Let's talk about how you feel about this surgery" -
    1. "Let's talk about how you feel about this surgery"

A client states, "I think that I am dying." The nurse responds, "You believe that you are dying?" Which interviewing approach did the nurse use?

  1. Focusing
  2. Reflecting
  3. Validating
  4. Paraphrasing -
    1. Paraphrasing A nurse plans to foster a therapeutic relationship with a client. Which is important for the nurse to do?
  5. Sympathize with the client when the client communicates sad feelings
  6. Demonstrate respect when discussing emotionally charged subjects
  7. Use humor to defuse emotionally charged topics of discussion
  8. Work on establishing a friendship with the client -
    1. Demonstrate respect when discussing emotionally charged subjects A client appears tearful and is quiet and withdrawn. The nurse says, "you seem very sad today." Which interviewing approach did the nurse use?
  9. Examining
  10. Reflecting
  11. Clarifying
  12. Orienting -
    1. Reflecting A client is admitted to the hospital with a tentative medical diagnosis, and multiple diagnostic tests are performed. Where in the client's medical record can the nurse find documentation about the current medical diagnosis after the diagnostic test results are reviewed by the primary health-care provider?
  13. Progress Notes
  14. Admission Sheet
  15. History and Physical
  16. Social Service Record -
    1. Progress Notes Which nursing action should the nurse implement when speaking with an older adult whose hearing is impaired? Select all that apply
  17. Limit background noise
  18. Enunciate words without exaggeration
  19. Use gestures to augment communication
  20. Stand directly in front of the client when speaking
  21. Talk in a normal rate and volume when speaking with the client - All of the above A client with a newly created colostomy wants to learn how to irrigate the colostomy. The nurse provides this teaching by developing a therapeutic nurse-client relationship and implementing teaching strategies. Identify the statement that is included in the working stage of this therapeutic relationship. Select all that apply
  22. "How do you feel about doing this procedure?"
  23. "Would you like to try to insert the cone yourself today?"
  24. "You did a great job managing the instillation of fluid today"
  25. "I am here to help you learn how to irrigate your colostomy."
  26. "I'll arrange for a home-care nurse to visit you in your home when you are discharged" -
  1. "It sounds like your bowels are causing you problems" A client states, "I am surprised that I couldn't even eat half my breakfast." Which statement by the nurse uses the interviewing skill of reflection? Select all that apply
  2. "Let's talk about your inability to eat"
  3. "What part of your breakfast were you able to eat?"
  4. "You appear startled that you did not finish your tray of food"
  5. "How long haha you been unable to eat most of your breakfast?"
  6. "You seem surprised that you were unable to eat all of your breakfast." -
  7. "You appear startled that you did not finish your tray of food"
  8. "You seem surprised that you were unable to eat all of your breakfast." A nurse in a subacute unit in a skilled nursing facility is caring for a client who recently had the surgical creation of a colostomy. Place the following nursing actions in the order that reflects the nurse-client therapeutic relationship, beginning with the first stage and progressing to the last stage.
  9. Provide positive feedback to the client for successful performance of a colostomy irrigation
  10. Assist the client to learn how to perform colostomy self-care
  11. Review all the information on the client's clinical record
  12. Explore the reasons for the nurse-client interaction
  13. Summarize the goals and objectives achieved
  14. Introduce self to the client - 3, 6, 4, 2, 1, 5 Which ability of the nurse is important to achieve effective therapeutic communication? Select all that apply
  15. Using interviewing skills
  16. Remaining nonjudgmental
  17. Sending only verbal messages
  18. Being assertive when collecting data
  19. Displaying sympathy when communicating -
  20. Using interviewing skills
  21. Remaining nonjudgmental A client is to have arthroscopic surgery of the knee to repair a torn tendon. The client says, "I don't know if I'll make it through this surgery." Which response by the nurse may block further communication by the client? Select all that apply
  22. "The type of surgery you are having is minor"
  23. "Surgery often can be frightening"
  24. "Everything will be all right"
  25. "You are not going to die"
  26. "You sound scared" -
  27. "The type of surgery you are having is minor"
  28. "Everything will be all right"
  29. "You are not going to die" Which should a nurse never do when documenting information on a client's electronic medical record? Select all that apply
  30. Leave the client's medical record open on the computer screen when entering the client's room to administer a medication
  31. Share information verbally about a client with another nurse who is also caring for the client
  32. Document nursing care administered to a client immediately after it is completed
  33. Give a personal access code to another member of the health-care system
  1. Document exact quotes of a client's subjective information -
    1. Leave the client's medical record open on the computer screen when entering the client's room to administer a medication
  2. Give a personal access code to another member of the health-care system