In order to develop communication skills that promote culturally diverse settings, a nurse would _________
a. teach others how to communicate using the accepted methods of communication
b. seek out and participate in learning opportunities that include a focus on communication and diversity
c. ask yes/no questions when communication is not effective
d. identify colleagues who are best suited to working with clients who are culturally diverse and suggest they care for that patient population
b
a. Incorrect: Nurses should seek feedback from clients and colleagues, and participate in communication validation exercises (e.g., role-playing exercises; case studies).
b. Correct: According to the RNAO Best Practice Guidelines, one recommendation for developing communication skills that promote culturally diverse settings is to seek and participate in learning opportunities that include a focus on communication and diversity.
c. Incorrect: Nurses should use a range of communication skills (not only yes/no questions) to effectively communicate with clients and colleagues (including empathetic listening, reflecting, non-judgemental open-ended questioning).
d. Incorrect: All nurses should develop an awareness of different communication styles and the influence of culture on communication.
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The quality assurance officer notes that one particular nursing unit has received a higher-than-usual number of negative client responses about aspects of the nursing care during the previous quarter
Based on this data, which benchmarking issue should the quality assurance officer pay particular attention during the review process? A) Structure B) Process C) Outcome D) Competency
The family of a client who experienced severe head trauma asks the nurse how the client can be dead if the heart is still beating and a ventilator is helping the client breathe. How should the nurse respond to this family?
1. As long as the heart is beating, the client is alive. 2. Brain death occurs when there is a flat encephalogram. 3. The client is considered to have died because he is not breathing on his own. 4. The physician most likely has made an error.
How have the practice settings for nurses changed since 1980?
1. There has been little or no change in these settings. 2. The settings have shifted from the community to the hospital. 3. There has been a shift from the hospital to long-term care settings. 4. They have shifted from acute-care to community or primary care settings.
The nurse is caring for an 80-year-old client who is receiving a unit of whole blood. The nurse understands that he must monitor this client for:
1. Fluid overload. 2. Infection. 3. Liver failure. 4. Thrombosis.