At the beginning of a clinical interview the nurse tells a teenaged client "While I'm here with you I
will focus on the content and process of our communication as a participant observer.". The client
looks blankly at the nurse.
The nurse can make the assessment that communication was not
understood because of
a. a personal factor: the use of terms not understood by the client.
b. a social factor: the socioeconomic difference between nurse and client.
c. an environmental factor: lack of privacy.
d. incongruent verbal and nonverbal communication.
ANS: A
Various personal, environmental, and social factors may be responsible for ineffective
communication. In this case, a personal factor is involved. The nurse used a highly technical
explanation of his purpose for talking with the client. Data are not present in the scenario to support
the choice of any other option.
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At a first aid station on a marathon route, a patient after the race complains of headache, muscle cramps, weakness, nausea, and confusion. Which statement made by the patient might explain these symptoms?
a. "I was really thirsty after the race. I drank several large bottles of water." b. "I perspired quite a bit during the race so I drank sports drinks when I finished." c. "I take steroids regularly and did not stop taking them for the race." d. "I am diabetic and checked my blood sugar after the race. It was normal."
At the end of a difficult week, the nurse is experiencing physical and emotional exhaustion. This is an example of:
a. burnout c. distress b. crisis d. stress
A patient states, "I don't seem to be getting my strength back." The nurse replies, "Don't worry. You are coming along just fine." This response is an example of
a. probing. b. false reassurance. c. disagreeing. d. active listening.
One of the staff nurses was attending graduate school to learn more about critical care. The nurse manager asked the staff nurse to develop policies and procedures for the new cardiac rehabilitation program that was to be opened the next year
According to Argyris's psychological energy theory, the nurse manager was: a. Decreasing the staff nurse's productivity b. Increasing the staff nurse's morale c. Matching the staff nurse's talents with the job d. Increasing the staff nurse's motivation