Test Bank - Chapter 01
Overview Incorrect Correct
Question 1 ofl2
A client has high blood pressure and needs to learn about a low-sodium diet.
... [Show More] Which question if asked by the client would be an indirect request for information?
"What foods should I avoid that are high in sodium*"
Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better*" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet.
DIF: Application
TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort
“How should I prepare food without adding salt*"
Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better?" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet.
DIF: Application
TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort
"What diet changes are needed to control my blood pressure*”
Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better?" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet.
DIF: Application
TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort
"What will I do to moke food toste better?“
Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better*" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet.
DIF: Application
TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort
Question 3 ofl2
The nurse manager asks the staff nurse to work on extra shiR. Which response by the staff nurse is assertive and based on rational beliefs?
"Why do I olwoys hnve to cover extro shifts?"
The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs. Irrational beliefs occur os a result of being anxious about assertiveness or focusing on possible negative outcomes.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“I don't want you upset, so I will work extra.”
The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on possible negative outcomes.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“If you can't find anyone else, I will do it."
The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on possible negative outcomes.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“I am not able to work an extra shift."
The statt nurse may turn down even a reasonable request; an assertive response avoids irrational beliets. Irrational befiets occur os a result of being anxious about assertiveness or focusing on possible negative outcomes.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
Queston 4ofl2
The charge nurse informs a staff nurse that 1t is her turn to float to another unit. Which response by the staff nurse is aggressive?
“I will not survive on the other unit. The staff are always too busy to help me.”
An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“I had such a bad experience last time. Please send another nurse instead of me.”
An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“I will miss working with you today, but I understand that it is my turn to float."
An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“I will float, but you'll be sorry. You cannot handle emergencies without me.”
An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
Question S of 12
A nurse manager offers a staff nurse a choice between working 8- or 12-hour shiRs. Which statement, if mode by the staff nurse, is nonassertive and may result in a frustrated response from the nurse manager?
“I want to decide the shifts for all of the other staff nurses.”
A statement that allows others to make decisions for a person is an example ofa nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutual respect.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“Thank you for offering me a choice. I prefer 12-hour shifts.”
A statement thot allows others to make decisions for a person is an example ofa nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutual respect.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
“You will never be able to give me what I really wont to work.”
A statement that allows others to make decisions for a person is an example ofa nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliotion. A statement that ollows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutual respect.
DIF: Analysis
TOP Integrated Process Communication and Documentation
ivies: date ono I-trective care environment: Ivlanagement of care
“Do whatever you wont. It doesn't really matter to me."
A statement that allows others to make decisions for a person is an example of a nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutuaI respect.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care
Question 6ofl2
The nurse is providing core to a patient who was admitted with heart failure. The patient has not been following the prescribed diet or taking the prescribed medications. Which type of communication approach is most important for the nurse to use with this patient to facilitate a change in self- core behavior?
Assertive, responslble, and caring communication
Communication must be technically responsible, assertive, and caring to facilitate a change in behavior.
DIF: Knowledge/Comprehension
TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity [Show Less]