Communication Practice Exam

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Text Mode

Text version of the exam.

1. A nurse is working with an alcohol-dependent client and is discussing support groups and Alcoholics Anonymous. The information that the nurse gives to this client would correspond to which of the following terms?

  1. Channel
  2. Symbolism
  3. Feedback
  4. Referent

2. When using nonverbal communication in a nurse-client relationship, the nurse must be most aware of:

  1. Ethnic background
  2. Nervous hand movements
  3. Contradictions to the client
  4. The client’s developmental level

3. The nurse formulates a diagnosis of impaired verbal communication for a client in the hospital. Related factors for this diagnosis apparent to the nurse during assessment include:

  1. Inadequate situational support
  2. Changes in life setting
  3. Cultural differences
  4. Maturational crisis

4. The client draws back when the nurse reaches over the side rails to take his blood pressure. To promote effective communication, the nurse should:

  1. Sit at the bedside and explain the reason for taking a blood pressure reading every hour
  2. Rotate the nurses who are assigned to take the client’s blood pressure
  3. Convey confidence and gentleness when performing the procedure
  4. Apologize for startling the client and explain the need for close contact

5. A staff nurse in the intensive care unit, explains to the client’s wife the types of monitoring devices they will be using for her husband, and then there is silence. The nurse uses silence as a communication technique to:

  1. Give both communicators time to relax
  2. Allow time for reorganization of thoughts
  3. Allow the client’s wife to have time for herself
  4. Build up emotional tension

6. During the assessment phase of the nursing process, the nurse may uncover data that help to identify communication problems. An example of these data might be:

  1. Extreme dyspnea or shortness of breath
  2. Urinary frequency and pain
  3. Chronic stomach pain
  4. Lack of appetite

7. A nurse tells an advanced nurse practitioner that the client is “slipping a little” in reference to hemodynamic pressures. The nurse is using:

  1. Brevity
  2. Pacing and control
  3. Connotative meaning
  4. Relevance

8. A client is admitted for a CAT scan (diagnostic test) of the cranium. As the nurse explains this diagnostic test, the client moves away from the nurse. This is an example of what influencing factor in communication?

  1. Gender
  2. Space and territoriality
  3. Sociocultural background
  4. Environment

9. Which of the following statements by a nurse best conveys empathy?

  1. “I can appreciate your desire to not use any form of blood products. “
  2. “Do you mean you would like to talk to the new family nurse practitioner?”
  3. “Good morning. How did you sleep last night?”
  4. “Can you describe what the pain in your abdomen feels like?”

10. Which of the following is the greatest barrier to effective communication?

  1. Giving an opinion when asked
  2. Being defensive
  3. Using assertiveness techniques
  4. Using too much nonverbal language

11. A parent tells the pediatric nurse practitioner, “I’ve never told anyone this information about my son. ” This is an example of:

  1. Identifying problems and goals
  2. Building trust
  3. Clarifying roles
  4. Revealing

12. Discussing the client’s follow-up dietary needs immediately prior to the client’s surgery is an error in:

  1. Denotative meaning
  2. Pacing
  3. Intonation
  4. Timing and relevance
Answers
  1. D. Referent
  2. B. Nervous hand movements
  3. C. Cultural differences
  4. D. Apologize for startling the client and explain the need for close contact
  5. B. Allow time for reorganization of thoughts
  6. A. Extreme dyspnea or shortness of breath
  7. C. Connotative meaning
  8. B. Space and territoriality
  9. A. “I can appreciate your desire to not use any form of blood products. “
  10. B. Being defensive
  11. B. Building trust
  12. D. Timing and relevance