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Exam 38: Communication

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Question 31

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What is the first phase in the therapeutic nurse-client relationship?

A) Introductory phase
B) Working phase
C) Preinteraction phase
D) Anticipatory phase

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Question 32

Multiple Choice

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A female nurse is caring for a 21-year-old male client with a questionable gastrointestinal blockage.The healthcare provider prescribes an enema.Which reaction by the client would the nurse anticipate when planning care?

A) "May I have a visitor in the room with me for support during the procedure?"
B) "I would rather have my doctor perform this procedure."
C) "I don't know what an enema is."
D) "I am afraid of having an enema."

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Question 33

Multiple Choice

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Which of the following statements by the nurse is an example of the therapeutic communication technique of offering self?

The nurse completes a teaching session on wound care for a client who will require dressing changes after discharge.The nurse then evaluates the effectiveness of the teaching session and determines that more education is required.Which statement by the nurse is appropriate in this situation?

The nurse is providing care to a client who is newly diagnosed with human immunodeficiency virus (HIV) .Which statements by the nurse could inhibit the development of therapeutic communication with this client? Select all that apply.

The nurse is caring for a client with a new colostomy.The client has been taught how to perform colostomy care and has been successful with return demonstration to the staff.Although the client is able to perform care independently and has asked to do so,the charge nurse has instructed the nursing staff to continue performing colostomy care for this client.When addressing this issue directly with the charge nurse,which statement by a staff nurse is the most appropriate?

The nurse is caring for a school-age client who is scheduled to have major heart surgery the next morning.The nurse enters the room to administer a medication and finds the client crying.Which response by the nurse is most therapeutic?

A novice nurse asks the preceptor why the staff spends time talking about clients between shifts when the oncoming nurses can read the clients' charts instead.Which is the best response by the preceptor?

A nurse is providing care for a client who has vocal cord damage and wants to implement strategies that will promote communication with this client.Which interventions would be appropriate? Select all that apply.

The nurse is providing care for a client who is about to be discharged.The nurse is discussing the discharge orders with the client's primary healthcare provider.Which statement by the nurse is an appropriate example of using assertive communication?

A nurse has just been hired as a medical information system (MIS) trainer at a hospital where an electronic medical record system is being installed.The nurse has been asked to assess the security of clients' medical records.According to HIPAA's Security Rule,which recommendations by the nurse will enhance security? Select all that apply.

A nurse is teaching a client about a dressing change that should be done three times per day.The client is from a culture that is "present oriented." Based on this data,at which times should the nurse tell the client to perform the dressing changes?

A nurse is developing objectives for a charter group of nurses from a national association.Which characteristics should the nurse expect to encounter when working with this semiformal group?

When the nurse receives a telephone order from the healthcare provider's office,which guidelines should the nurse use to ensure the order is correct? Select all that apply.