Foundations of Nursing 7th Edition By Kim Cooper- Kelly Gosnell – Test Bank
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Sample Test
Chapter 3: Documentation
Cooper and Gosnell: Foundations of Nursing, 7th Edition
MULTIPLE CHOICE
1. What
does documentation of type of care, time of care, and signature of the person
prove?
|
a. |
The person who signed the
documentation did all the work noted. |
|
b. |
No litigation can be
brought against the person who signed. |
|
c. |
Interventions were
implemented to meet the patient’s needs. |
|
d. |
The patient’s response to
the intervention was positive. |
ANS: C
Documenting type of care, time of care, and signature of the
person results in recording the interventions that are implemented to meet the
patient’s needs. Many charting entries include doctor’s visits, presence of
family, or interventions by other departments. Patient response to some
interventions is not always positive.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 1
TOP: Documentation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
2. Why
is documentation especially significant in managed care?
|
a. |
The hospital needs to show
that employees care for patients. |
|
b. |
Institutions are reimbursed
only for patient care that is documented. |
|
c. |
Patients might bring
lawsuits if care was not given. |
|
d. |
Documents may become part
of a lawsuit. |
ANS: B
Cost reimbursement rates by government plans (Medicare,
Medicaid) are based on the prospective payment system of diagnosis-related
groups (DRGs); a system that classifies patients by age, diagnosis, surgical
procedure, and other information with hundreds of different categories to
predict the use of hospital resources, including length of stay, resulting in a
fixed payment amount.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 1
TOP:
Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. The
nurse charts only additional treatments done, changes in patient condition, and
new concerns. What is this system of documentation?
|
a. |
SOAP |
|
b. |
Block |
|
c. |
CBE |
|
d. |
Focus |
ANS: C
Charting additional treatments done, changes in a patient’s
condition, and new concerns during the shift is charting by exception (CBE).
DIF: Cognitive Level:
Comprehension REF: Page
145 OBJ: 1| 5| 7
TOP:
Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
4. What
form explains the lapse when events are not consistent with facility or
national standards of expected care?
|
a. |
Subjective data |
|
b. |
Focus chart |
|
c. |
Incident report |
|
d. |
Nursing assessment |
ANS: C
An incident report is completed when patient care was not
consistent with facility or national standards. The form explains the event,
time, extent of injury, and who was notified.
DIF: Cognitive Level:
Knowledge
REF:
Page
OBJ: 1| 7
TOP:
Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. The
staff from all disciplines is developing integrated care plans for a projected
length of stay for patients of a specific case type. This is known as a:
|
a. |
nursing order. |
|
b. |
Kardex. |
|
c. |
nursing care plan. |
|
d. |
critical pathway. |
ANS: D
Critical pathways allow staff from all disciplines to develop
integrated care plans for a projected length of stay for patients of a specific
case type.
DIF: Cognitive Level:
Knowledge
REF:
Pages
OBJ: 8
TOP:
Documentation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: N/A
6. What
makes home health care documentation unique?
|
a. |
Some charting is retained
at the hospital. |
|
b. |
The physician’s office
needs separate charting. |
|
c. |
Different health care
providers need access. |
|
d. |
The physician is the
pivotal person in the charting. |
ANS: C
Home health care documentation has unique problems because of
the need for different health care workers to access the medical record.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 9
TOP: Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
7. What
regulates standards for long-term care documentation?
|
a. |
OBRA |
|
b. |
Title XXII |
|
c. |
Nursing diagnoses |
|
d. |
The care plan |
ANS: A
OBRA (Omnibus Budget Reconciliation Act) was a significant
Medicare and Medicaid legislation for long-term health care documentation.
DIF: Cognitive Level:
Knowledge
REF: Page 152
OBJ: 10
TOP:
Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
8. What
is the nurse required to do to adhere to the concept of confidentiality for the
patient’s medical record?
|
a. |
Provide information only to
another nurse |
|
b. |
Provide information only to
an attorney |
|
c. |
Share information only with
the family |
|
d. |
Have a clinical reason for
reading the record |
ANS: D
The nurse should not read the patient’s medical record unless
there is a clinical reason for doing so.
DIF: Cognitive Level:
Comprehension REF: Page
152 OBJ: 4
TOP:
Confidentiality
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
9. Documentation
is necessary for the evaluation of patient care. Of which phase of the nursing
process is this an integral part?
|
a. |
Assessment |
|
b. |
Planning |
|
c. |
Implementation |
|
d. |
Evaluation |
ANS: C
Documentation is part of the implementation phase of the nursing
process.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 1| 4
TOP: Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
10. What
does the nurse use as a basis for documentation in focus charting?
|
a. |
Problem list |
|
b. |
Nursing orders |
|
c. |
Nursing diagnoses |
|
d. |
Evaluation |
ANS: C
In focus charting, instead of using the problem list, modified
nursing diagnoses are used as an index for nursing documentation.
DIF: Cognitive Level:
Knowledge
REF: Page 144
OBJ: 7
TOP:
Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
11. What
is the purpose of QA (quality assurance)?
|
a. |
To screen employment
applications |
|
b. |
To evaluate care results
against accepted standards |
|
c. |
To conduct in-services for
“quality documentation” |
|
d. |
To report deviation from
standards to the state health department |
ANS: B
QA is an in-house department that evaluates care services and
results against accepted standards.
DIF: Cognitive Level:
Comprehension REF: Page
OBJ: 1
TOP:
Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
12. What
is the process used to appraise the practice of an individual nurse known as?
|
a. |
Quality assurance |
|
b. |
Incident reporting |
|
c. |
OBRA |
|
d. |
Peer review |
ANS: D
Peer review is an in-house department study that may appraise
the nursing practice of individual nurses.
DIF: Cognitive Level:
Knowledge
REF: Page 139
OBJ: 4
TOP: Peer review KEY: Nursing
Process Step:
N/A
MSC: NCLEX: N/A
13. What
is the documentation format that uses the acronym SOAPE?
|
a. |
Problem-oriented |
|
b. |
Focused |
|
c. |
Traditional |
|
d. |
Crisis |
ANS: A
The problem-oriented medical record uses the acronym SOAPE to format
and for focus charting on a list of patient problems/nursing diagnoses.
DIF: Cognitive Level:
Comprehension REF:
Pages
OBJ: 7
TOP: Problem-oriented medical record (POMR)
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
14. Who
is the legal owner of the patient’s medical record?
|
a. |
Patient |
|
b. |
Physician |
|
c. |
Institution |
|
d. |
State |
ANS: C
Ownership of a medical record belongs to the institution in the
case of a hospitalized patient, or the physician in the case of private office
visits.
DIF: Cognitive Level:
Knowledge
REF:
Page
OBJ: 4
TOP: Legal
ownership
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
15. When
using electronic (or computerized) documentation, which process should the
nurse use to ensure that no one alters the information the nurse has entered?
|
a. |
Charting in code |
|
b. |
Logging off |
|
c. |
Charting in privacy |
|
d. |
Signing on with a password |
ANS: B
Logging off closes the computer file that was opened with the
nurse’s password. Any other data entry will require that person to sign on with
their password.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 2
TOP: Computer
documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
16. What
is the system that classifies patients by age, diagnosis, and surgical
procedure and produces 300 different categories used for predicting the use of
hospital resources?
|
a. |
Quality assurance |
|
b. |
Resource assessment |
|
c. |
Quality improvement |
|
d. |
Diagnosis-related groups |
ANS: D
Cost reimbursement rates under government plans are based on diagnosis-related
groups (DRGs), which is a system that classifies patients by age, diagnosis,
and surgical procedure, producing 300 different categories used in predicting
the use of hospital resources, including length of stay.
DIF: Cognitive Level:
Knowledge
REF:
Page
OBJ: 5
TOP: Diagnostic-related
groups
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
17. A
nurse is using the data, action, response, education (DARE) system of charting,
and is completing the data portion. What data are the nurse’s focus?
|
a. |
Planning |
|
b. |
Assessment |
|
c. |
Implementation |
|
d. |
Patient teaching |
ANS: B
DARE is the acronym for four different aspects of charting using
the focus format. Data (D) is both subjective and objective and is equivalent
to the assessment step of the nursing process. Action (A) is a combination of
planning and implementation. Response (R) of the patient is the same as
evaluation of effectiveness. Some facilities include education/patient teaching
(E).
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 7
TOP:
Charting KEY: Nursing
Process Step: Assessment MSC: NCLEX: N/A
18. A new
patient is being admitted to a long-term care facility. Who has primary
responsibility for each patient’s initial admission nursing history, physical
assessment, and development of the care plan based on the nursing diagnoses
identified?
|
a. |
Physician |
|
b. |
Registered nurse |
|
c. |
Nursing assistant |
|
d. |
Licensed practical
nurse/licensed vocational nurse |
ANS: B
The registered nurse (RN) has primary responsibility for each
patient’s initial admission nursing history, physical assessment, and
development of the care plan based on the nursing diagnoses identified.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 4| 10
TOP: Scope of
practice
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
19. What
will the nurse implement when an error is made when documenting in a patient’s
chart?
|
a. |
Scratch out the error |
|
b. |
Apply correction fluid |
|
c. |
Erase the error completely |
|
d. |
Draw a single line through
the error |
ANS: D
A nurse should not erase, apply correction fluid, or scratch out
errors made while recording in a patient’s chart. Instead, the nurse should
draw a single line through the error, write the word “error” above it, and sign
her name or initials.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 6
TOP: Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
20. What
should the nurse be sure to do when documenting in a patient’s chart?
|
a. |
Include speculation |
|
b. |
Chart consecutively |
|
c. |
Leave blank spaces |
|
d. |
Include retaliatory
comments |
ANS: B
A nurse should not write retaliatory or critical comments about
a patient or care by other health care professionals. The nurse should not
leave blank spaces in the nurse’s notes. The nurse should be certain the entry
is factual and not speculate or guess. The nurse should chart consecutively,
line by line.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 6
TOP: Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
MULTIPLE RESPONSE
21. What
are categories of inadequate documentation that may lead to a malpractice
claim? (Select all that apply.)
|
a. |
Incorrectly recording the time
of an event |
|
b. |
Failing to record verbal
orders |
|
c. |
Charting events in advance |
|
d. |
Documenting an incorrect
date |
|
e. |
Marking out and initialing
charting errors |
ANS: A, B, C, D
Marking out with a single line and initialing is an acceptable
method to indicate a charting error.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 4
TOP: Inadequate
documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
22. When
documenting an incident in the nurse’s notes, what should the nurse include?
(Select all that apply.)
|
a. |
Description of injury,
including diagrams of injury placement |
|
b. |
Date, time, and location of
incident |
|
c. |
Name of physician and
family members notified |
|
d. |
Chronologic order of events
of the incident |
|
e. |
Confirmation that an
incident report was initiated |
ANS: A, B, C, D
The documentation of the initiation of an incident report should
not be included in the nurse’s notes. Nurse’s notes are part of the legal
medical record; the incident report is not. To note that an incident report was
initiated is a red flag that a problem has occurred.
DIF: Cognitive Level:
Application
REF:
Pages
OBJ: 4| 6
TOP: Documenting incident reports
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
23. What
are some problems associated with electronic (or computerized) charting?
(Select all that apply.)
|
a. |
Security |
|
b. |
Expense of training staff |
|
c. |
Legibility |
|
d. |
Easy retrieval |
|
e. |
New terminology |
ANS: A, B, E
Security, expensive staff training, and learning new terminology
are all problems of electronic charting. Legibility and easy retrieval are
advantages.
DIF: Cognitive Level:
Comprehension REF: Pages
OBJ: 1
TOP: Computer
charting
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
24. What
are the basic purposes of written patient records? (Select all that apply.)
|
a. |
Teaching |
|
b. |
Legal record of care |
|
c. |
Written communication |
|
d. |
Research and data
collection |
|
e. |
Permanent record for
accountability |
|
f. |
Temporary record of
hospitalization |
ANS: A, B, C, D, E
There are five basic purposes for written patient records: (1)
written communication, (2) permanent record for accountability, (3) legal
record of care, (4) teaching, and (5) research and data collection.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 1
TOP: Medical
record
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
25. What
should a medical record provide for all health care providers? (Select all that
apply.)
|
a. |
Care given to the patient |
|
b. |
Care planned for the
patient |
|
c. |
A patient’s nursing
problems |
|
d. |
A patient’s medical
problems |
|
e. |
Details about any incident
reports |
|
f. |
The patient’s response to
treatment |
ANS: A, B, C, D, F
A medical record should furnish all health care providers with a
concise, accurate, written picture of a patient’s medical and nursing problems,
care planned and given, and the patient’s response to treatments.
DIF: Cognitive Level:
Comprehension REF:
Pages
OBJ: 1
TOP: Medical
record
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
COMPLETION
26. The
best defense against malpractice claims associated with nursing care is
accurate _____________.
ANS:
documentation
Accurate documentation can guard against malpractice claims
because it should describe when, what, and how events occurred.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 4
TOP:
Documentation
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
27. Twenty-four–hour
charting is designed to establish __________ levels to help determine staffing
needs.
ANS:
acuity
Patient acuity, which is reflected in 24-hour charting
compilation, can dictate staffing needs.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 7
TOP: 24-hour
charting
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
28. Documentation
using the DARE format (Data, Action, Response, Education) includes elements of
the __________ charting system.
ANS:
focused
Focused charting uses the acronym DARE to direct and formalize
charting.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 7
TOP: Focused
charting
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
29. A
health care audit that evaluates services provided and the results achieved
compared with accepted standards is known as ____________ ________________.
ANS:
quality assurance, quality assessment, quality improvement
Quality assurance/assessment/improvement is an audit in health
care that evaluates services provided and the results achieved compared with
accepted standards.
DIF: Cognitive Level:
Knowledge
REF:
Page
OBJ: 1
TOP: Quality
assurance/assessment/improvement
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
OTHER
30. A
nurse is receiving a telephone order from a physician. The nurse uses a safety
measure of preventing errors that is recognized by The Joint Commission as one
method of meeting National Patient Safety Goals. What is the correct order of
this method?
1. Read
back
2. Background
3. Recommendation
4. Situation
5. Assessment
ANS:
D, B, E, C, A
SBAR (Situation, Background, Assessment, and Recommendation) is
a method of communication among health care workers and a part of documentation
(Kaiser Permanente, 2007). SBAR is considered a safety measure in preventing
errors from poor communication during “hand-off” or “handover” interactions,
the communication that occurs from one shift to the next or when a nurse phones
a health care provider with information about a patient. An additional “R” is
added. The additional “R” (SBARR) represents “read back” when the nurse reads
back the order for clarification.
DIF: Cognitive Level: Application
REF:
Page
OBJ: 3
TOP:
SBARR KEY: Nursing
Process Step:
N/A
MSC: NCLEX: N/A
Chapter 4: Communication
Cooper and Gosnell: Foundations of Nursing, 7th Edition
MULTIPLE CHOICE
1. Although
the patient denies pain, the nurse observes the patient breathing rapidly with
clenched fists and facial grimacing. What is the nurse’s best response to these
observations?
|
a. |
“I am glad you are feeling
better and have no discomfort.” |
|
b. |
“Where do you hurt?” |
|
c. |
“What you are saying and
what I am observing don’t seem to match.” |
|
d. |
“It makes me uncomfortable
when you are not honest with me.” |
ANS: C
The nonverbal communication should be clarified to prevent
miscommunication.
DIF: Cognitive Level: Application
REF:
Page
OBJ: 2| 3
TOP:
Communication
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
2. The
nurse considers the feelings and needs of a patient by stating, “I know you are
concerned about your surgery tomorrow. How can I help you?” What type of
communication is this?
|
a. |
Intrusive |
|
b. |
Aggressive |
|
c. |
Closed |
|
d. |
Assertive |
ANS: D
Assertive communication takes a patient’s feelings and needs
into account, yet honors the patient’s rights as an individual.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 4
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
3. If
the nurse aggressively says to a patient, “Why couldn’t you have asked me to
give you your pain medication when I was in here earlier?” what feeling is the
patient most likely to demonstrate?
|
a. |
Anger |
|
b. |
Satisfaction that his needs
are met |
|
c. |
Humiliation and
worthlessness |
|
d. |
Confidence that his request
will be granted |
ANS: C
Aggressive communication is highly destructive. Although anger
may eventually come, the patient most likely feels humiliated first.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 7
TOP:
Communication
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
4. What
does therapeutic communication accomplish?
|
a. |
Facilitates the formation
of a positive nurse-patient relationship |
|
b. |
Manipulates the patient |
|
c. |
Assigns the patient a
passive role |
|
d. |
Requires the patient to
accept what the nurse says |
ANS: A
A positive nurse-patient relationship is facilitated by
therapeutic communication.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 10
TOP:
Communication
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
5. The
nurse is sitting in a chair near the patient’s bed, leaning forward to hear
what the patient is saying, and does not interrupt. What is the nurse
demonstrating?
|
a. |
Support |
|
b. |
Caring |
|
c. |
Active listening |
|
d. |
Interest |
ANS: C
When demonstrating active listening, the nurse must give his or
her full attention and make an effort to understand both the verbal and
nonverbal message.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 5
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
6. What
therapeutic communication technique requires a great deal of skill and is not
used as frequently as other communication techniques?
|
a. |
Touch |
|
b. |
Silence |
|
c. |
Listening |
|
d. |
Summarizing |
ANS: B
Silence is an extremely effective therapeutic communication
skill that is frequently underused because the nurse feels uncomfortable
applying it.
DIF: Cognitive Level:
Comprehension REF: Page
OBJ: 5
TOP:
Communication
KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
7. A
patient does not speak English; therefore, the nurse cannot use words to
provide comfort during a painful procedure. What is another intervention that
may provide comfort to this patient?
|
a. |
Silence |
|
b. |
Listening |
|
c. |
Touch |
|
d. |
Restating |
ANS: C
Holding the hand of a non–English-speaking patient is effective
and comforting.
DIF: Cognitive Level: Application
REF:
Page
OBJ: 9
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
8. A
patient states, “I do cocaine when I feel things are out of my control.” The
nurse responds by asking, “What else does cocaine do for you?” What
communication skill does this exemplify?
|
a. |
Summarization |
|
b. |
Restating |
|
c. |
Showing acceptance |
|
d. |
Stating observations |
ANS: C
Acceptance is the willingness to listen and respond to what the
patient is saying without passing judgment.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 5
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
9. A
patient states, “I’m really strung out about this pregnancy.” The nurse
responds by asking, “What about this pregnancy worries you?” What communication
technique is this?
|
a. |
Closed inquiry |
|
b. |
Restating |
|
c. |
Open-ended question |
|
d. |
Minimal encouraging |
ANS: C
Open-ended questions convey interest and do not require a
specific response.
DIF: Cognitive Level:
Application
REF:
Pages
OBJ: 5
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
10. A
grieving young widow cries out, “Why was my husband killed? Why wasn’t it me?”
What is the nurse’s best response?
|
a. |
Stating “You need to be
strong for your children.” |
|
b. |
Silently placing her hand
on the widow’s arm. |
|
c. |
Asking if there is anyone
the widow needs to have notified. |
|
d. |
Stating “You are feeling
overwhelmed about your husband’s death.” |
ANS: B
The ability to listen and assist those who are newly grieving
through the use of silence and a quiet presence is very effective. Stating “You
need to be strong for your children” is a cliché. Asking if there is anyone the
widow needs to have notified and stating “You are feeling overwhelmed about your
husband’s death” are not therapeutic in this immediate grieving time.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 5
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
11. A
nurse is assessing a patient with a nursing diagnosis of impaired verbal
communication. What is the lowest number of defining characteristics for this
diagnosis?
|
a. |
One |
|
b. |
Two |
|
c. |
Three |
|
d. |
Four |
ANS: A
If one or more of the defining characteristics is present, a
nursing diagnosis of impaired verbal communication can be determined.
DIF: Cognitive Level:
Comprehension REF:
Page
OBJ: 9
TOP: Communication
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity
12. What
communication technique should the nurse use when communicating with an
unresponsive patient?
|
a. |
Avoid speaking directly to
the patient |
|
b. |
Assume verbal stimuli are
heard |
|
c. |
Speak in a loud voice |
|
d. |
Use simple words |
ANS: B
A person interacting with an unresponsive patient should assume
all sounds and verbal stimuli have the potential of being heard by the patient.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 10
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
13. If in
response to the patient statement, “I am upset about all this lab work” the
nurse responds, “You’re upset?” What is this is an example of?
|
a. |
An open-ended question |
|
b. |
Reflecting |
|
c. |
Restating |
|
d. |
Paraphrasing |
ANS: C
Restating is one of the most effective methods of therapeutic
communication to encourage the patient to offer more information.
DIF: Cognitive Level:
Application
REF:
Page
OBJ: 5
TOP:
Communication
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity
14. What
is one of the main characteristics of therapeutic communication?
|
a. |
It allows the patient a
passive role. |
|
b. |
It uses only verbal
communication. |
|
c. |
It involves the patient as
a person. |
|
d. |
It is directive. |
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