Test Bank For Journey Across the Life Span: Human Development and Health Promotion, 6th Edition

Polan, Journey Across the Life Span, 6e Chapter 2. Communication – Test Questions 1. Communication is the: a. b. c. d. Last step in the nursing process Most vital link between diagnosis and disease Exchange of information and ideas Basis for all thinking processes Answer: 2. Part of the communication process is: a. b. c. d. Emotional Mental Physical Feedback Answer: 3. The person who interprets the message is called the: a. b. c. d. Sender Receiver Method Process Answer: 4. A form of verbal communication is: a. b. c. d. Body language Gestures Appearance Words Answer: 5. A professional appearance by the health care worker can communicate: WTB-02-1 Polan, Journey Across the Life Span, 6e a. b. c. d. WTB-02-2 Incompetence Uncaring Pride Acceptance Answer: 6. Which of the following behaviors by your patient indicates a willingness to communicate? a. b. c. d. Downcast eyes Face toward you Legs tightly crossed Slumping posture Answer: 7. Which of the following describes nonverbal behavior? Select all that apply. a. b. c. d. Gestures Spoken word Tone of voice Aggressive style Answer: 8. Periods of silence during the communication process allow the health care worker to: a. b. c. d. Redirect the patient Observe nonverbal behavior Relieve the patient’s anxiety Minimize rejection Answer: 9. The communication style that serves to empower the individual is: a. b. c. d. Assertive Unassertive Aggressive Passive Formatted: Font: Italic Polan, Journey Across the Life Span, 6e WTB-02-3 Answer: 10. Therapeutic communication: a. b. c. d. Serves the needs of both participants Involves equal sharing of thoughts and feelings Is light and superficial in nature Promotes trust and a good rapport Answer: 11. Active listening requires an active mind and: a. b. c. d. Closed posture Leaning forward toward the patient Staring intently at the patient Sitting alongside the patient Answer: 12. Being yourself as well as being open and truthful describes: a. b. c. d. Warmth Listening Genuineness Positive regard Answer: 13. Understanding the patient’s feelings and viewing the world as the patient does describe: a. b. c. d. Sympathy Empathy Positive regard Congruence Answer: 14. Agreement between spoken words and body language describes: Polan, Journey Across the Life Span, 6e a. b. c. d. WTB-02-4 Congruence Empathy Positive regard Validation Answer: 15. Gaining insight into your personal feelings is an example of: a. b. c. d. Empathy Biases Proxemics Self-awareness Answer: 16. You observe Sally communicating with 80-year-old Gerry, who is hearing impaired. The technique used is satisfactory if Sally: a. b. c. d. Speaks to Gerry from his doorway Speaks to Gerry in a loud tone Speaks with Gerry in a darkened room Asks Gerry for feedback verbally or in writing Answer: 17. You overhear Jane telling her mother that she is afraid to ride over the bridge, and Jane’s mother responds, “Don’t be silly. Let’s go.” This is an example of: a. b. c. d. Stereotyping Belittling Giving advice Giving false reassurance Answer: 18. Mary, an elderly patient in the nursing home, states, “They are not doing anything to help me.” Your best response would be: a. “Don’t worry. You will feel better soon.” b. “What do you want us to do?” Polan, Journey Across the Life Span, 6e WTB-02-5 c. “We are taking good care of you.” d. “Describe when you began feeling this way.” Answer: 19. John, age 54, is admitted for day surgery and is anxious and tense prior to the procedure. How would you respond? a. b. c. d. “Calm down. You will be fine.” “You will only need light anesthesia.” “You’re not dying. Why are you thinking this way?” “You seem to be concerned about the surgery.” Answer: 20. After completing morning care for Sarah, an 83-year-old patient in the nursing home, she states, “You are the only one who takes the time to care for me.” Your best response would be: a. b. c. d. “You are still complaining, Sarah.” “You feel others don’t take the time?” “You are such a worrier.” “Sarah, you know that’s not true.” Answer: 21. Which of the following questions is open-ended and would best help a person describe his or her pain? a. “Do you have a lot of pain?” b. “Does it hurt when you walk?” c. “Is your pain sharp?” d. “Describe what your pain is like.” Answer: 22. The caregiver notices that one of her patients is in her room crying. The caregiver’s best response is: a. “I’m sure things will get better.” b. “A good cry will make you feel better.” Polan, Journey Across the Life Span, 6e WTB-02-6 c. “It may help to talk about what is upsetting you.” d. “Crying is just a waste of time.” Answer: 23. Your patient is usually very verbal. Today, you note that she is withdrawn and quiet. The best caregiver action is to: a. b. c. d. Allow the patient to have privacy and time alone. Attempt to offer light, superficial conversation. State that “you need to talk about your problems.” Spend time with her and continue to observe her behavior. Answer: 24. The caregiver says, “I’m not sure of the answer to your question.” This response indicates that the caregiver is: a. b. c. d. Evasive Uninformed Genuine Nontherapeutic Answer: 25. Touching a client suddenly without warning may be interpreted as: a. b. c. d. Affectionate Invasive Empathic Comforting Answer: 26. Telling a client that you know exactly what the client is going through is an example of: a. b. c. d. False reassurance Giving advice Stereotyping Agreeing Polan, Journey Across the Life Span, 6e WTB-02-7 Answer: 27. When a health care worker changes the subject during a patient interaction, the result may: a. b. c. d. Foster support of the client Reduce the health care worker’s anxiety Add emphasis to the message Build trust Answer: 28. Which of the following influence(s) how a message is interpreted when a nurse is communicating with a patient? (Select all that apply.) a. Age b. Feelings c. Gender d. Attitude e. Past experience Answer: 29. Which of the following comments would be nontherapeutic? (Select all that apply.) a. b. c. d. e. “You should stop smoking.” “Why are you always complaining?” “I think you are making the right decision.” “How are you feeling about this?” “Let’s talk about happier times.” Answer: 30. A nurse promotes effective communication with patients by using principles of: a. b. c. d. Empathy Submissiveness Power Control Polan, Journey Across the Life Span, 6e WTB-02-8 Answer: 31. A nurse is utilizing the best techniques of therapeutic communication with a patient experiencing a stressful event when she: a. b. c. d. Asks her to explain why she is behaving like that Sits with the client in quiet support Asks her to be quiet and thoughtful Isolates the patient from others Answer: 32. A nurse has achieved the highest level of practice in the art of therapeutic communication when he (select all that apply): a. b. c. d. e. Supports the client’s coping skills Explores his feelings Asks family members to keep the patient calm Shares his feelings with the patient Feels his goals and needs are met Answer: 33. Touch is a powerful tool that a nurse can use in many situations; it can be used to (select all that apply): a. b. c. d. e. Complement verbal communication Demonstrate caring Show empathy Offer reassurance Restrain an anxious patient Answer: Chapter 2. Communication – Test Questions With Answers and Rationales 1. Communication is the: a. Last step in the nursing process Polan, Journey Across the Life Span, 6e WTB-02-9 b. Most vital link between diagnosis and disease c. Exchange of information and ideas d. Basis for all thinking processes Answer: c Rationale: Communication is the basic exchange of ideas and information between individuals. Nursing Process: Assessment Client Needs: Psychosocial Integrity 2. Part of the communication process is: a. b. c. d. Emotional Mental Physical Feedback Answer: d Rationale: Feedback is the part of the communication process in which a response is given to the message. Nursing Process: Planning Client Needs: Psychosocial Integrity 3. The person who interprets the message is called the: a. b. c. d. Sender Receiver Method Process Answer: b Rationale: The receiver is the person to whom the message is sent. Nursing Process: Assessment Client Needs: Psychosocial Integrity 4. A form of verbal communication is: a. Body language b. Gestures Polan, Journey Across the Life Span, 6e WTB-02-10 c. Appearance d. Words Answer: d Rationale: Verbal communication uses words in speech or in writing. Nursing Process: Assessment Client Needs: Psychosocial Integrity 5. A professional appearance by the health care worker can communicate: a. b. c. d. Incompetence Uncaring Pride Acceptance Answer: c Rationale: A person’s appearance sends a message about how one feels about oneself. Nursing Process: Planning Client Needs: Psychosocial Integrity 6. Which of the following behaviors by your patient indicates a willingness to communicate? a. b. c. d. Downcast eyes Face toward you Legs tightly crossed Slumping posture Answer: b Rationale: Facing a person when communicating with him or her indicates that you are listening and focused on the person you are speaking to. Nursing Process: Evaluation Client Needs: Psychosocial Integrity 7. Which of the following describes nonverbal behavior? a. b. c. d. Gestures Spoken word Tone of voice Aggressive style Polan, Journey Across the Life Span, 6e WTB-02-11 Answer: a, c Rationale: Nonverbal behavior uses gestures, and body language, and tone of voice to convey thoughts or feelings. Nursing Process: Evaluation Client Needs: Psychosocial Integrity 8. Periods of silence during the communication process allow the health care worker to: a. b. c. d. Redirect the patient Observe nonverbal behavior Relieve the patient’s anxiety Minimize rejection Answer: a Rationale: Periods of silence during communication can be useful, in that they allow the person to think over what was said or what he or she is feeling. Nursing Process: Implementation Client Needs: Psychosocial Integrity 9. The communication style that serves to empower the individual is: a. b. c. d. Assertive Unassertive Aggressive Passive Answer: a Rationale: Assertive individuals are able to express their feelings with confidence. Nursing Process: Planning Client Needs: Psychosocial Integrity 10. Therapeutic communication: a. b. c. d. Serves the needs of both participants Involves equal sharing of thoughts and feelings Is light and superficial in nature Promotes trust and a good rapport Polan, Journey Across the Life Span, 6e WTB-02-12 Answer: d Rationale: Therapeutic communication promotes trust by using honesty. Nursing Process: Planning Client Needs: Psychosocial Integrity 11. Active listening requires an active mind and: a. b. c. d. Closed posture Leaning forward toward the patient Staring intently at the patient Sitting alongside the patient Answer: b Rationale: Active listening requires a posture indicating that you are focused on the patient and on what he or she is saying. Nursing Process: Implementation Client Needs: Psychosocial Integrity 12. Being yourself as well as being open and truthful describes: a. b. c. d. Warmth Listening Genuineness Positive regard Answer: c Rationale: Genuineness implies that the person is honest and sincere. Nursing Process: Implementation Client Needs: Psychosocial Integrity 13. Understanding the patient’s feelings and viewing the world as the patient does describe: a. b. c. d. Sympathy Empathy Positive regard Congruence Answer: b Rationale: Empathy suggests that you can put yourself in the other person’s shoes. Polan, Journey Across the Life Span, 6e WTB-02-13 Nursing Process: Implementation Client Needs: Psychosocial Integrity 14. Agreement between spoken words and body language describes: a. b. c. d. Congruence Empathy Positive regard Validation Answer: a Rationale: Congruence occurs when the verbal and nonverbal messages are in harmony. Nursing Process: Assessment Client Needs: Psychosocial Integrity 15. Gaining insight into your personal feelings is an example of: a. b. c. d. Empathy Biases Proxemics Self-awareness Answer: d Rationale: Self-awareness, or insight, allows a person to understand the ways in which he or she feels, thinks, or acts. Nursing Process: Implementation Client Needs: Psychosocial Integrity 16. You observe Sally communicating with 80-year-old Gerry, who is hearing impaired. The technique used is satisfactory if Sally: a. b. c. d. Speaks to Gerry from his doorway Speaks to Gerry in a loud tone Speaks with Gerry in a darkened room Asks Gerry for feedback verbally or in writing Answer: d Rationale: Seeking clarification, or feedback, makes certain that the person understood what was said. Polan, Journey Across the Life Span, 6e WTB-02-14 Nursing Process: Implementation Client Needs: Psychosocial Integrity 17. You overhear Jane telling her mother that she is afraid to ride over the bridge, and Jane’s mother responds, “Don’t be silly. Let’s go.” This is an example of: a. b. c. d. Stereotyping Belittling Giving advice Giving false reassurance Answer: b Rationale: Belittling tends to make light of a person’s fears or beliefs. Nursing Process: Assessment Client Needs: Psychosocial Integrity 18. Mary, an elderly patient in the nursing home, states, “They are not doing anything to help me.” Your best response would be: a. b. c. d. “Don’t worry. You will feel better soon.” “What do you want us to do?” “We are taking good care of you.” “Describe when you began feeling this way.” Answer: d Rationale: The technique that uses clarification attempts to seek information necessary to better understand what is said. Nursing Process: Implementation Client Needs: Psychosocial Integrity 19. John, age 54, is admitted for day surgery and is anxious and tense during the procedure. How would you respond? a. b. c. d. “Calm down. You will be fine.” “You will only need light anesthesia.” “You’re not dying. Why are you thinking this way?” “You seem to be concerned about the surgery.” Answer: d Polan, Journey Across the Life Span, 6e WTB-02-15 Rationale: Using reflection, you can state your perception of the patient’s message. Nursing Process: Implementation Client Needs: Psychosocial Integrity 20. After completing morning care for Sarah, an 83-year-old patient in the nursing home, she states, “You are the only one who takes the time to care for me.” Your best response would be: a. b. c. d. “You are still complaining, Sarah.” “You feel others don’t take the time?” “You are such a worrier.” “Sarah, you know that’s not true.” Answer: b Rationale: Communication is the best when it attempts to clarify what the person is really saying. Nursing Process: Implementation Client Needs: Psychosocial Integrity 21. Which of the following questions is open-ended and would best help a person describe his or her pain? a. b. c. d. “Do you have a lot of pain?” “Does it hurt when you walk?” “Is your pain sharp?” “Describe what your pain is like.” Answer: d Rationale: Open-ended questions help individuals describe their feelings. Nursing Process: Evaluation Client Needs: Physiological Integrity 22. The caregiver notices that one of her patients is in her room crying. The caregiver’s best response is: a. b. c. d. “I’m sure things will get better.” “A good cry will make you feel better.” “It may help to talk about what is upsetting you.” “Crying is just a waste of time.” Polan, Journey Across the Life Span, 6e WTB-02-16 Answer: c Rationale: Listening is a valuable tool that helps individuals express their feelings. Nursing Process: Implementation Client Needs: Psychosocial Integrity 23. Your patient is usually very verbal. Today, you note that she is withdrawn and quiet. The best caregiver action is to: a. b. c. d. Allow the patient to have privacy and time alone. Attempt to offer light, superficial conversation. State that “you need to talk about your problems.” Spend time with her and continue to observe her behavior. Answer: d Rationale: Observation while spending time with an individual values the person. Nursing Process: Implementation Client Needs: Psychosocial Integrity 24. The caregiver says, “I’m not sure of the answer to your question.” This response indicates that the caregiver is: a. b. c. d. Evasive Uninformed Genuine Nontherapeutic Answer: c Rationale: Genuineness is being open and truthful. Nursing Process: Implementation Client Needs: Psychosocial Integrity 25. Touching a client suddenly without warning may be interpreted as: a. b. c. d. Affectionate Invasive Empathic Comforting Polan, Journey Across the Life Span, 6e WTB-02-17 Answer: b Rationale: Sudden, unexpected touch may be interpreted as invasive or aggressive. Nursing Process: Implementation Client Needs: Psychosocial Integrity 26. Telling a client that you know exactly what the client is going through is an example of: a. b. c. d. False reassurance Giving advice Stereotyping Agreeing Answer: c Rationale: Stereotyping offers an insincere, superficial statement that is based on the belief that all individuals have the same feelings. Nursing Process: Implementation Client Needs: Psychosocial Integrity 27. When a health care worker changes the subject during a patient interaction, the result may: a. b. c. d. Foster support of the client Reduce the health care worker’s anxiety Add emphasis to the message Build trust Answer: b Rationale: Changing the subject during a client interaction may block communication and reduce the caregiver’s anxiety. Nursing Process: Implementation Client Needs: Psychosocial Integrity 28. Which of the following influence(s) how a message is interpreted when a nurse is communicating with a patient? (Select all that apply.) a. Age b. Feelings c. Gender d. Attitude e. Past experience Polan, Journey Across the Life Span, 6e WTB-02-18 Answer: a, b, c, d, e Rationale: A message is best interpreted when all these factors are used. Nursing Process: Assessment Client Needs: Psychological Integrity 29. Which of the following comments would be nontherapeutic? (Select all that apply.) a. b. c. d. e. “You should stop smoking.” “Why are you always complaining?” “I think you are making the right decision.” “How are you feeling about this?” “Let’s talk about happier times.” Answer: a, b, c, e Rationale: Belittling, changing the subject, agreeing, and asking closed-ended questions are all considered blocks or nontherapeutic techniques. Nursing Process: Implementation Client Needs: Psychosocial Integrity 30. A nurse promotes effective communication with patients by using principles of: a. b. c. d. Empathy Submissiveness Power Control Answer: a Rationale: For communication to be effective, the health care worker must show warmth, empathy, and interest and be attentive to what the patient is saying and feeling. Nursing Process: Implementation Client Needs: Psychosocial Integrity 31. A nurse is utilizing the best techniques of therapeutic communication with a patient experiencing a stressful event when she: a. b. c. d. Asks her to explain why she is behaving like that Sits with the client in quiet support Asks her to be quiet and thoughtful Isolates the patient from others Polan, Journey Across the Life Span, 6e WTB-02-19 Answer: b Rationale: In a stressful event where words are not enough, a nurse supports a patient by offering themselves. Nursing Process: Evaluation Client Needs: Psychosocial Integrity 32. A nurse has achieved the highest level of practice in the art of therapeutic communication when he (select all that apply): a. b. c. d. e. Supports the client’s coping skills Explores his feelings Asks family members to keep the patient calm Shares his feelings with the patient Feels his goals and needs are met Answer: a, b Rationale: A nurse has attained the highest level of communication when they follow the six principles of therapeutic communication: Listening, attentiveness, warmth, genuineness, empathy, and positive regard. Nursing Process: Implementation Client Needs: Psychosocial Integrity 33. Touch is a powerful tool that a nurse can use in many situations; it can be used to (select all that apply): a. b. c. d. e. Complement verbal communication Demonstrate caring Show empathy Offer reassurance Restrain an anxious patient Answer: a, b, c, d Rationale: Touch can evoke positive responses and can be used to place emphasis on the verbal message, demonstrate caring, show empathy, and offer reassurance. Nursing Process: Assessment Client Needs: Psychosocial Integrity