WorksheetsIMPRINT 3
Total questions: 116
Worksheet time: 1hrs 10mins
Is a human, interactive process that sends some meaning, information, message, emotions, and/or beliefs from one human being to another person or to a group of people.
Documentation
Communication
Reporting
Recommendation
A powerful form of communication that you use as a professional nurse. Also known as "self-talk".
Intrapersonal communication
Interpersonal communication
Small-group communication
Public communication
Is a one-on-one type of communication between a nurse and another person that often occurs face to face.
Intrapersonal communication
Interpersonal communication
Public communication
Small-group communication
Is a type of communication that is usually goal directed and requires an understanding of group dynamics.
Intrapersonal communication
Interpersonal communication
Small-group communication
Public communication
Which of the following is not an element of communication?
Referent
Message
Channel
Radar
It is an element of communication in which it contains the verbal and nonverbal expressions of thoughts and feelings.
Referent
Message
Channel
Feedback
An element of communication in which it motivates one person to communicate with another.
Referent
Message
Channel
Feedback
It is the message a sender receives from the receiver.
Referent
Message
Channel
Feedback
It is a manner or pattern of walking.
Posture
Gait
Affect
Block
It is the need to gain, maintain, and defend one's right to space.
Circumstantiality
Tangentiality
Territoriality
Visibility
Which is not an aspect of verbal communication?
Vocabulary
Pacing
Intonation
Space
It is a type of communication that involves interaction with audience.
Intrapersonal communication
Interpersonal communication
Small-group communication
Public communication
A type of communication that uses technology to create ongoing relationships with patients and their health care team.
Intrapersonal communication
Electronic communication
Interpersonal communication
Small-group communication
Is the one decodes the message.
Sender
Receiver
Encoder
Talker
Is the one who delivers the message.
Sender
Receiver
Decoder
Listener
These are means of sending and receiving messages through visual, auditory, and tactile senses.
Message
Channels
Environment
Referent
It is an element of communication that indicates if the receiver understood the meaning of the sender's message.
Referent
Feedback
Message
Channel
An aspect of verbal communication that talks about the appropriate speed or pace in a conversation.
Vocabulary
Denotative meaning
Pacing
Intonation
A type of communication that involves the five senses and everything that does not involve spoken or written word.
Verbal communication
Nonverbal communication
Therapeutic communication
Non-therapeutic communication
Is the ability to understand and accept another person's reality, accurately perceive feelings, and communicate this understanding to the other.
Sympathy
Empathy
Affect
Hope
A client is struggling to explore and solve a problem. Which nursing statement would verbalize the implication of the client’s actions?
You seem to be motivated to change your behavior.
The team recommends that you make only one behavioral change at a time.
Why don't you make a list of the behaviors you need to change.
How will these changes affect your family relationships?
The nurse asks a newly admitted client, “What can we do to help you?” What is the purpose of this therapeutic communication technique?
To communicate that the nurse is listening to the conversation
To explore a subject, idea, experience, or relationship
To reframe the client’s thoughts about mental health treatment
To put the client at ease
A student nurse tells the instructor, “I’m concerned that when a client asks me for advice I won’t have a good solution.” Which should be the nursing instructor’s best response?
“Remember, clients, not nurses, are responsible for their own choices and decisions.”
“Just keep the client’s best interests in mind and do the best that you can.”
“It’s scary to feel put on the spot by a client. Nurses don't always have the answer.”
“Set a goal to continue to work on this aspect of your practice.”
Which nursing statement is a good example of the therapeutic communication technique of focusing?
“I’m having a difficult time understanding what you mean.”
“Describe one of the best things that happened to you this week.”
“You mentioned your relationship with your father. Let’s discuss that further.”
“Your counseling session is in 30 minutes. I’ll stay with you until then.”
After fasting from 10 p.m. the previous evening, a client finds out that the blood test has been canceled. The client swears at the nurse and states, “You are incompetent!” Which is the nurse’s best response?
“Do you believe that I was the cause of your blood test being canceled?”
“I see that you are upset, but I feel uncomfortable when you swear at me.”
“I'll give you some space. Let me know if you need anything.”
“Have you ever thought about ways to express anger appropriately?”
During a nurse-client interaction, which nursing statement may belittle the client’s feelings and concerns?
“Don’t worry. Everything will be alright.”
“You appear uptight.”
“I notice you have bitten your nails to the quick.”
“You are jumping to conclusions.”
A client on an inpatient psychiatric unit tells the nurse, “I should have died because I am totally worthless.” In order to encourage the client to continue talking about feelings, which should be the nurse’s initial response?
“You've been feeling sad and alone for some time now?”
“You feel worthless now, but that can change with time.”
“How would your family feel if you died?”
“It is great that you have come in for help.”
Which nursing response is an example of the nontherapeutic communication block of requesting an explanation?
“Are you not understanding the explanation I provided?”
“There is always an explanation for both good and bad behaviors.”
“Can you tell me why you said that?”
“Keep your chin up. I’ll explain the procedure to you.”
A client states, “You won’t believe what my husband said to me during visiting hours. He has no right treating me that way.” Which nursing response would best assess the situation that occurred?
“Describe what happened during your time with your husband.”
“Why do you think he behaved like that?”
“What do you think is your role in this relationship?”
“Does your husband treat you like this very often?”
Which therapeutic communication technique should the nurse use when communicating with a client who is experiencing auditory hallucinations?
“I wouldn't worry about these voices. The medication will make them disappear.”
“My sister has the same diagnosis as you and she also hears voices.”
“I understand that the voices seem real to you, but I do not hear any voices.”
“Why not turn up the radio so that the voices are muted.”
1. "Please Go on."
Offering Self
Active Listening
Providing Silence
General Leads
"There's no ticking bomb. That sound was coming from your alarm clock."
General Leads
Reflecting
Presenting Reality
Active Listening
Sitting and listening intently and silently with your patient.
Offering Self
Providing Silence
General Leads
Reflecting
Patient: "I am angry!"
Caregiver: "What makes you angry?"
Reflecting
Offering Self
Presenting Reality
Providing Broad Opening
"I did not understand what you mean by that. Can you say it again?"
Giving Information
Presenting Reality
Seeking Information
General Leads
"Let me sit with you for 30 minutes, I'll keep you company."
Offering Self
Providing Silence
Reflecting
Presenting Reality
"What are the things that you need to improve in able to meet your goal?"
Seeking information
Encouraging Goal Setting
Giving Information
Providing Broad Opening
"Good evening! How was your day?"
Providing a Broad Opening
General Leads
Providing Silence
Offering Self
"These are the programs prepared for your treatment, I will explain everything that you have to know."
Offering Self
Active Listening
Giving Information
Presenting Reality
Upon hearing gunshots from the TV.
Client: "The rebels are gonna get me!"
Caregiver: "It's only a sound from the TV scene, sir. Nobody is gonna get you."
Presenting Reality
Offering Self
Reflecting
Seeking Information
The Nurse is interviewing a client during admission to the hospital and the client gives information that is unclear to the nurse. What statement made by the nurse best demonstrates "seeking clarification"?
"I don't know what you are talking about."
"What did you say?"
"We can move on to something else."
"Would you please explain what you meant?"
The nurse is caring for a young child who appears frightened. What activity can the nurse perform with the child to determine what the child is feeling?
play dominoes
draw pictures
read a story
watch a movie
The nurse is assessing a client at the healthcare facility. Which therapeutic communication technique helps to communicate to the client that the nurse has understood the client's problem?
clarification
reflection
summarization
paraphrasing
What are the verbal barriers to communication?
Select all that apply
offering empty reassurances
changing the subject
disapproving of or judging the client
voicing personal experiences
When conducting a preliminary assessment of the client, what action ensures that the nurse has understood all relevant information provided by the client?
Echo the client's words
Record all information on tape
Document all the information
Paraphrase the information
What is the capital of France?
(a)
Direct eye contact means looking directly into the eyes of the other person.
(a)
Nontherapeutic communication is that which stops the communication process or is perceived as a threat by the client.
(a)
Aphasia is the inability to communicate verbally, usually resulting from a neurologic disorder or injury or a psychiatric disorder.
(a)
Facial expressions convey messages of many emotions, such as joy, sadness, anger, and fear.
True
False
" i get what you're saying" is an example of what kind of Therapeutic communication skills?
accepting
clarifying
exploring
focusing
" I'm not sure i'm following that" is an example of what kind of therapeutic communication skills
accepting
clarifying
exploring
focusing
"tell me when you are getting more anxious" is an example of what kind of therapeutic communication skills
accepting
clarifying
encouraging communication
exploring
"Would you tell me a little more about that?" is an example of therapeutic communication skills
accepting
clarifying
exploring
focusing
"I'm enjoying hearing your thoughts about your upcoming vacation, but let's get back to what to do if this keeps bleeding after you leave."
focusing
giving a broad opening
giving recognition
making observations
"What do you need to know about what we're doing today?" is an example of what kind of therapeutic communication skills
Accepting
giving a broad opening
giving recognition
making observation
"let's get started as soon as you're ready Mr. Ellis." is an example of what type of therapeutic communication skills
giving recognition
making observations
Mirroring
offering self
"you seem a bit nervous today" this is an example of what therapeutic communication skill
making observations
mirroring
offering self
accepting
"I'm here for you. Tell me what you need" is an example of what therapeutic communications skills
Mirroring
offering self
offering general leads
reflecting
"please continue" this is an example of what kind of therapeutic communication
offering general leads
reflecting
remaining silent
summarizing
patient: "i cant always understand what the doctor is telling me."
Phlebotomist: " you're having difficulty understanding the doctor?"
making observation
mirroring
summarizing
remaining silent
Patient: "i dont think this test is going to tell me anything i dont already know."
Phlebotomist: " what do you already know about your cholesterol levels?"
reflecting
mirroring
focusing
summarizing
" i get what you're saying" is an example of what kind of Therapeutic communication skills?
accepting
clarifying
exploring
focusing
" I'm not sure i'm following that" is an example of what kind of therapeutic communication skills
accepting
clarifying
exploring
focusing
"tell me when you are getting more anxious" is an example of what kind of therapeutic communication skills
accepting
clarifying
encouraging communication
exploring
"Would you tell me a little more about that?" is an example of therapeutic communication skills
accepting
clarifying
exploring
focusing
"I'm enjoying hearing your thoughts about your upcoming vacation, but let's get back to what to do if this keeps bleeding after you leave."
focusing
giving a broad opening
giving recognition
making observations
"What do you need to know about what we're doing today?" is an example of what kind of therapeutic communication skills
Accepting
giving a broad opening
giving recognition
making observation
"let's get started as soon as you're ready Mr. Ellis." is an example of what type of therapeutic communication skills
giving recognition
making observations
Mirroring
offering self
"you seem a bit nervous today" this is an example of what therapeutic communication skill
making observations
mirroring
offering self
accepting
"I'm here for you. Tell me what you need" is an example of what therapeutic communications skills
Mirroring
offering self
offering general leads
reflecting
"please continue" this is an example of what kind of therapeutic communication
offering general leads
reflecting
remaining silent
summarizing
patient: "i cant always understand what the doctor is telling me."
Phlebotomist: " you're having difficulty understanding the doctor?"
making observation
mirroring
summarizing
remaining silent
Patient: "i dont think this test is going to tell me anything i dont already know."
Phlebotomist: " what do you already know about your cholesterol levels?"
reflecting
mirroring
focusing
summarizing
Which of the following behaviors would indicate that the nurse was utilizing the assessment phase of the nursing process to provide nursing care?
Proposes hypotheses
Generates desired outcomes
Review results of laboratory tests
Documents care
Which of the following is the purpose of assessing?
Establish a database of client responses to his or her health status
Identify client strengths and problems
Develop an individualized plan of care
Implement care, prevent illness, and promote wellness
The nurse is conducting the diagnosing phase (nursing diagnosis) of the nursing process for a client with a seizure disorder. Which step exists between data analysis and formulating the diagnostic statement?
Assess the client’s needs
Delineate the client’s problems and strengths
Determine which interventions are most likely to succeed.
Estimate the cost of several different approaches
Which of the following nursing diagnoses contains the proper components?
Risk for Caregiver Role Strain related to unpredictable illness course
Risk for Falls related to tendency to collapse when having difficulty breathing
Impaired Communication related to stroke
Sleep Deprivation secondary to fatigue and a noisy environment
Which of the following is likely to occur if a goal statement is poorly written?
There is no standard against which to compare outcomes.
The nursing diagnoses cannot be prioritized.
Only dependent nursing interventions can be used
It is difficult to determine which nursing interventions can be delegated.
Which of the following principles does the nurse use in selecting interventions for the care plan?
Actions should address the etiology of the nursing diagnosis
Always select independent interventions when possible
There is one best intervention for each goal/outcome.
Interventions should be “doing,” not just “monitoring.”
When initiating the implementation phase of the nursing process, the nurse performs which of the following phases first?
Carrying out nursing interventions
Determining the need for assistance
Reassessing the client
Documenting interventions
Which of the following is true regarding the relationship of implementing to the other phases of the nursing process?
The findings from the assessing phase are reconfirmed in the implementing phase.
After implementing, the nurse moves to the diagnosing phase
The nurse’s need for involvement of other health care team members in implementing occurs during the planning phase
Once all interventions have been completed, evaluating can begin.
The primary purpose of the evaluation phase of the care planning process is to determine whether
Desired outcomes have been met
Nursing activities were carried out.
Nursing activities were effective
Client’s condition has changed
Which of the following represents application of the components of evaluating?
Goal achievement must be written as either completely met or unmet.
Data related to expected outcomes must be collected
If the outcome was achieved, conclude that the plan was effective
After determining that the outcome was not met, start over with a new nursing care plan.
Name the steps of the nursing process
assessment, diagnosis, planning, intervention, evaluation
assessment, diagnosis, planning, implementation, evaluation
acknowledge, decision-making, planning, implementation, evaluation
assessment, decision-making, planning, intervention, evaluation
What are two types of nursing diagnosis?
direct and indirect
independent and collaborative
actual and potential
independent and dependent
Which of the following are valid sources for patient assessment data?
patient's family
medical record/chart
healthcare team
All of the above
What are the parts of the nursing diagnosis statement.
assessment, diagnosis, plan, implementation, evaluation
actual and potential
cause and effect
problem, etiology, symptoms
Which of the following is objective data?
client reports a fever
itching
headache
temp of 99.1
The purpose of the Nursing Process is to:
Cure illness
Guide written documentation
Achieve care that is person centered and holistic
help plan your day
Although all sections of the nursing process (APIE) are important, which step provided the foundations of the process?
Assessment
Planning
Implementation
Evaluation
Each phase Of nursing process affects the others ▪ Overlapping, continuing processes
TRUE
FALSE
What phase of Nursing process involves Collecting, organizing, validating, and documenting client data
ASSESSMENT
DIAGNOSIS
PLANNING
IMPLEMENTATION
EVALUATION
What phase of Nursing process involves Analyzing and synthesizing data
ASSESSING
DIAGNOSING
PLANNING
IMPLEMENTING
EVALUATING
The following are examples of Objective Data, EXCEPT:
RBS: 180mg/dl
Grade 1, slight pitting Edema on lower extremities
Anosmia
Skin is warm to touch
A patient comes to the clinic with a 1st degree burn on his left dorsal hand. Which among these are considered a priority nursing diagnosis.
Risk for ineffective airway clearance
Acute pain
Risk for infection
Impaired skin integrity
A good nursing plan objective must be SMART, which stands for:
Specific, measurable, attainable, realistic, timely
Specific, manageable, achievable, relative, timely
Sustainable, meaningful, admirable, retainable, true
Specific, measurable, alternative, risky, transferrable
Which among these interventions is considered a direct care intervention?
Wound cleaning
Telephone consultation
Documentation
Shift endorsement
A good nursing intervention must have the following characteristics, EXCEPT for:
Acceptability
Evidence base
Feasibility
Communication
You noticed that your evaluation did not align with your expected outcome from your planning phase, hence your goal was not met. What would be your next step?
Revise your goal to meet your evaluation
Reassess the situation and make another nursing care plan
Notify your supervisor and document your findings
Change your evaluation no one will notice anyway
Your client requires a PRN Nebulizer treatment, using the Nursing Process what nursing interventions are appropriate?
Assess lungs before administration of the treatment, and document findings.
Assess lungs before administration of treatment, reassess post treatment and document findings.
Call MD and family
Administer treatment and document in the medication record.
At the beginning and end of your shift, what elements should be included in your Nurses Notes?
At the end of shift, "Client left in bath tub" or Client left in bed". This nurse reporting off.
Who gave you report?
Who did you receive or give report to? What was reported? What were your observation findings of the client?
Reporting that, "upon arrival the shift nurse let the dogs out."
How should the Home Care Nurse structure their Nurses Notes?
Documentation should be short, quick and precise.
Documentation should be in a summary format to reflect the tasks and care performed during the shift.
Documentation should be in a range to reflect the tasks provided every 1-2 hours.
Documentation should be in chronical logical time ever 1-2 hours or as task happens.
0900- Administer scheduled Nebulizer treatment per MD order. Rhonchi noted at the bases bilaterally prior to treatment. 0920- Reassessed Lungs post Nebulizer treatment lungs clear at bases bilaterally. Secretion noted in upper airway. Suction client. What is missing in this statement?
(a)
When describing your client's status which statement is correct?
Client appeared to be resting comfortably.
Client is observed to be resting comfortably as evidence by....
Client is sleeping
Client laying in bed and is in pain.
This Act shall be known as the "Philippine Nursing Act of 2002."
RA 9173
RA 9713
RA 9317
RA 9137
In this role the nurse may represent the client’s needs and wishes to other health professionals, such as relaying the client’s request for information to the physician. They also assist clients in exercising their rights and help them speak up for themselves.
Change Agent
Client Advocate
Caregiver
Counselor
Determine this therapeutic communication technique—“Suggesting one’s presence, interest, or wish to understand the client without making any demands or attaching conditions that the client must comply with to receive the nurse’s attention”.
Providing general leads
Offering self
Acknowledging
Focusing
Determine this therapeutic communication technique—“Directing ideas, feelings, questions, or content back to clients to enable them to explore their own ideas and feelings about a situation”.
Summarizing and planning
Presenting Reality
Reflecting
Being specific and Tentative
Which of the following are valid sources for patient assessment data?
patient's family
medical record/chart
healthcare team
All of the above
Which of the following are valid sources for patient assessment data?
patient's family
medical record/chart
healthcare team
All of the above
What are the parts of the nursing diagnosis statement.
assessment, diagnosis, plan, implementation, evaluation
actual and potential
cause and effect
problem, etiology, symptoms
Although all sections of the nursing process (APIE) are important, which step provided the foundations of the process?
Assessment
Planning
Implementation
Evaluation
All of the following are specific functionality that is basic to Electronic Health Records, Except.
Point-of Care Support for clinical documentation
Structured terminologies
Clinical decision support
One way delivery of patient information
What is the law which states the protection of individual's personal information in information and communication systems in the government and the private sector?
Data Privacy Act of 2014
Personal Protection of 2012
Data Privacy Act of 2012
Security Protection of 2012
This Act shall be known as the "Philippine Nursing Act of 2002."
RA 9173
RA 9713
RA 9317
RA 9137
