Chapter 20 Communicator

Chapter 20  Communicator

Complete Chapter Questions And Answers
 

Sample Questions

1.
A group of nursing students is working together on a presentation for their clinical instructor. One student in the group participates by arguing and attempting to block each step of the process of this presentation. The student’s behavior is causing frustration for the others and slowing their progress. Which of the following best describes the role this individual student is playing in relationship to the group dynamics?
A)
Self-serving
B)
Task-oriented
C)
Maintenance
D)
Group-building
Ans:
A

Feedback:

The student’s behavior is best described as self-serving. Self-serving roles advance the needs of individual members at the group’s expense. Task-oriented roles focus on the work to be completed. Group-building or maintenance roles focus on the well-being of the people doing the work.

2.
The nurse is caring for a client who speaks Chinese, and the nurse does not speak Chinese. An appropriate approach for communication with this client includes what?
A)
Using a caring voice and repeating messages frequently
B)
Speaking directly and loudly to the client
C)
Avoiding the use of gesture or play-acting
D)
Writing messages for the client and offering him a dictionary for translation.
Ans:
A

Feedback:

Approaches to use when a client speaks a different language include speaking slowly and distinctly, and avoiding loud voices. Use a caring voice, keeping messages simple, and repeat messages frequently. The use of a language dictionary by the nurse is appropriate, but writing messages and asking the client to translate is not an appropriate approach. Gestures, pictures, and play-acting help the client understand.

3.
The daughter of an older adult female client has asked the nurse why a urine specimen was collected from her mother earlier that morning. How can the nurse best respond to the daughter’s query?
A)
“We want to test your mother’s urine to make sure she doesn’t have a urinary tract infection.”
B)
“Your mother’s doctor ordered a urine C&S to rule out a UTI.”
C)
“We want to do everything we can to get your mother healthy again.”
D)
“Sometimes sick urine can make the whole person sick, and this might be causing her fever.”
Ans:
A

Feedback:

In order to communicate effectively, the nurse needs to avoid the use of jargon or abbreviations (“C&S”) that are unfamiliar to those outside the health care system. At the same time, accuracy is important, and vague and “dumbed-down” answers (“we want to do everything we can,” “sick urine”) are inappropriate.

4.
A nurse has drafted an SBAR communication before contacting the primary care provider of a client whose condition has worsened suddenly. How should the nurse best conclude this communication?
A)
Ask the care provider to come and assess the client.
B)
Provide the client’s most recent vital signs.
C)
Ask the care provider if he or she is familiar with this client.
D)
Provide the most likely diagnosis of the problem.
Ans:
A

Feedback:

The final phase of an SBAR communication involves making a recommendation. In the case of a client whose condition is worsening, this may entail recommending that the primary care provider come to assess the client. Asking the care provider if he or she is familiar with the client should be done early in the communication. Providing assessment data and possible diagnoses are addressed in the background and assessment sections of the tool.

5.
The nurse has entered a client’s room and observes that the client is hunched over and appears to be breathing rapidly. What type of question should the nurse first implement in this interaction?
A)
A yes/no question
B)
A directing question
C)
An open-ended question
D)
A reflective question
Ans:
A

Feedback:

There are times when yes/no questions are appropriate. In this case, the nurse may want to ask, “Do you feel short of breath?” or something similar. Directing questions and reflective questions follow up on earlier communication. An open-ended question may elicit the necessary assessment data, but a yes/no question accomplishes this goal more directly.