ch.26 Pre-Test

Chapter 26 Pre Test
GOMEZ,ANGELICA
Submitte :10/4/2010 Grade: 21.4% Attempt 1/0 Questions 24/24
d 1:34:24 PM Number: Attempted:
1.
The nurse is involved in a self-help group on women’s health. What is one of the main
functions of the nurse’s role?
a. To buffer the stress within the group.
b. To give information to the group in order to teach about women’s health.
c. Tp participate as a member of the self-help group when appropriate.
d. To lend the group an air of professionalism.
Grade:
0
User Responses:
d.To lend the group an air of professionalism.
Feedback:
a.Rationale: A self-help group is a small, voluntary organization. Giving information is a role of
the nurse in a teaching group. Buffering stress is a nurse’s role in work-related social groups. The
“adding professionalism” choice is a random statement.
Cognitive Level: Comprehension

Nursing Process: Implementation
Client Need: Psychosocial Integrity
2. A nurse tells a client who is struggling with cancer pain, “It is normal to feel
frustrated about the discomfort.” Which of the following is most representative
of the skills associated with the working phase of the helping relationship?
a. Confrontation
b. Concreteness
c. Genuineness
d. Respect
Grade: 0
User Responses: b.Concreteness
Feedback: a.Rationale: Respect is correct because the nurse is validating
the client’s feeling. It is not genuineness because the nurse is
giving information versus making a personal statement.
Concreteness is the nurse assisting the client by giving specific
examples rather than speaking in generalities. Rather than
being confrontational by pointing out discrepancies between
thoughts, feelings, and actions that inhibit the client’s self-
understanding or exploration of specific areas, the nurse is being
supportive by respecting the client’s feelings.
Cognitive Level: Application

3. This "Ranking" question type is not supported in printed tests
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Chapter 26 Pre Test
GOMEZ,ANGELICA
4. A client expresses anxiety about a surgical procedure. What would be the most
appropriate therapeutic communication technique to use in this situation?
(Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
a. Restating or paraphrasing the comment made by the client
b. Probing and rejecting the comment made by the client
c. Using open-ended questions
d. Offering unwarranted reassurance
Grade: 0
User Responses: c.Using open-ended questions
Feedback: a.Rationale: Therapeutic communication techniques facilitate
communication and focus on the client's concerns. The other
choices are considered barriers to communication.

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Chapter 26 Pre Test
GOMEZ,ANGELICA
5. In which of the following situations would the therapeutic communication of

“touch” be appropriate?
a. When an upset spouse is alone and the client has just expired.
b. When a family member is making inappropriate comments to the nurse.
c. Touch is never appropriate in the nursing profession.
d. When a young male client asks a young student nurse for a hug.
Grade: 0
User Responses: c.Touch is never appropriate in the nursing profession.
Feedback: a.Rationale: There are situations when appropriate use of touch
reinforces caring feelings. However, the nurse must be sensitive
to the differences in attitudes and practices of clients and self.
The other answers are not acceptable uses of touch.
6. While assessing a postoperative client for pain, the nurse notices the client is
holding the surgical site and making facial grimaces. However, the client claims
not to be hurting. What part of the communication process needs to be further
clarified?
a. Sender
b. Receiver
c. Feedback
d. Message
Grade: 0
User Responses: a.Sender
Feedback: a.Rationale: The sender is a person or group who wishes to
convey a message to another. The receiver is the listener.
The next component is the message itself. Feedback is the
message that the receiver returns to the sender. When the
spoken message and the nonverbal message are incongruent, the
nurse needs more information in order to choose an intervention.

Nursing Process: Assessment
Client Need: Physiological Integrity
7. The nurse has met a new client who has had a stroke and is preparing to go
home. What phase of the relationship are they in if the client claims not to need
assistance with any aspect of personal care?
a. Preinteraction phase
b. Working phase
c. Introductory phase
d. Exploring phase
Grade: 0
User Responses: a.Preinteraction phase
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Chapter 26 Pre Test
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Feedback: a.Rationale: During the initial parts of the introductory phase,

the client may display some resistant behaviors that inhibit
involvement, cooperation, or change. It may be because of
difficulty in asking for assistance. The preinteraction phase is
similar to the planning stage before an interview. Exploring is a
stage in the working phase in which the nurse helps the client to
explore thoughts, feelings, and actions. During the working phase,
the nurse and client appreciate their uniqueness and care about
each other. Caring is sharing deep and genuine concern about the
welfare of another person.

8. A client has difficulty understanding the dressing changes for his mother while
she is at home. The client asks the nurse to work with him and demonstrate the
procedure. He then wants the nurse to watch him perform the procedure to
make sure he did it correctly. This is an example of the client being:
a. Assertive.
b. Aggressive.
c. Active.
d. Passive.
Grade: 0
User Responses: b.Aggressive.
Feedback: a.Rationale: People who use assertive communication are
honest, direct, and appropriate while being open to ideas and
respecting the rights of others.

Client Need: Safe and Effective Care Environment
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Chapter 26 Pre Test
GOMEZ,ANGELICA
9. A client is discharged to a nursing home with a colostomy. The client has been
taught how to manage the colostomy care and has returned demonstration.
The doctor has given her permission to change her own apparatus to give her
autonomy. The charge nurse does not agree with this order, and requires the
staff to care for the colostomy care. The client says nothing because she feels
that she is in a nursing home, so the staff knows what is best. This is an
example of:
a. Passiveness.
b. Aggressiveness.
c. Passive-submissive behavior.
d. Submissiveness.
Grade: 0
User Responses: b.Aggressiveness.
Feedback: a.Rationale: When people use a submissive communication
style, they meet the demands and requests of others without
regard to their own feelings and needs, as they believe their own
feelings are unimportant.
Cognitive Level: Knowledge

10. One feature of an effective group is:

a. It is open and not considered confidential.
b. It exists to help people achieve goals.
c. It has a hierarchy of power.
d. Members are relieved when it is terminated.
Grade: 0
User Responses: d.Members are relieved when it is terminated.
Feedback: a.Rationale: Groups exist to assist others to achieve goals that
would be unattainable by individual effort alone.

Client Need: Health Promotion and Maintenance
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Chapter 26 Pre Test
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11. Messages can be conveyed via several different mediums. Talking face-to-face is
always the preferred and most effective channel.
a.True b.False
Grade: 1
User Responses: b.False
Feedback: a.Rationale: It is important for the channel to be appropriate for
the message and it should help make the intent of the message
clearer. Talking face-to-face with a person may be more effective
in some instances than telephoning or writing a message.
Recording messages on tape or communicating by radio or
television may be more appropriate for larger audiences. Written
communication is often appropriate for long explanations or for a
communication that needs to be preserved. The nonverbal
channel of touch is often highly effective.

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Chapter 26 Pre Test
GOMEZ,ANGELICA
12. The nurse is using active listening skills, building rapport, and demonstrating a
nonjudgmental attitude and nonreactive behaviors. Based on this information,
with which populations is the nurse communicating?
selected.
a. Adolescents
b. Infants
c. School-age children
d. Toddlers
Grade: 0
User Responses: d.Toddlers
Feedback: a.Rationale: The ability to communicate is related to the
development of thought processes, the presence of intact sensory
and motor systems, and the extent and nature of an individual's
opportunities to practice communication skills. The nurse needs to
develop a rapport with each group in order to effectively
communicate. The nurse would communicate with infants
nonverbally and with a gentle voice that is soothing.

13. When a client is discharged from the hospital with a new diagnosis of diabetes
mellitus I, the diabetic nurse educator usually works with the client and family.
When the client gets home, the client should continue with:
a. A growth group.
b. A therapy group.
c. A self-help group.
d. A teaching group.
Grade: 0
User Responses: c.A self-help group.
Feedback: a.Rationale: The major purpose of a teaching group is to impart
information to the participants.

Nursing Process: Planning
14. Groups that work toward self-understanding, more satisfactory ways of handling
stress, and changing patterns of behavior toward health are called:
a. Therapy groups.
b. Self-help groups.
c. Growth groups.
d. Teaching groups.
Grade: 0
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User Responses: b.Self-help groups.

Feedback: a.Rationale: Therapy groups work toward self-understanding,
more satisfactory ways of handling stress, and changing patterns
of behavior toward health.

15. An example of a work-related social support group is:
a. Weight Watchers.
b. The American Nurses Association.
c. A political organization.
d. Alcoholics Anonymous.
Grade: 1
User Responses: b.The American Nurses Association.
Feedback: a.Rationale: The American Nurses Association is a type of group
that nurses would participate in that is related to their
professional career.

16. A feature of a healthy group is that it:

a. Helps people achieve goals.
b. Is open and not considered confidential.
c. Has a hierarchy.
d. Can be a relief when terminated.
Grade: 1
User Responses: a.Helps people achieve goals.
Feedback: a.Rationale: Groups exist to assist others to achieve goals that
would be unattainable by individual effort alone.

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Chapter 26 Pre Test
GOMEZ,ANGELICA
17. Which of the following is a characteristic of an effective group?

a. Disagreements are ignored.
b. Reasons for disagreements are examined.
c. Mistakes are feared rather than accepted.
d. The leader claims full credit for the achievement of goals.
Grade: 1
User Responses: b.Reasons for disagreements are examined.
Feedback: a.Rationale: In an effective group, members contribute toward
the achievement of goals and maintain cohesion. In ineffective
groups, leadership claims credit for accomplishments, members
are afraid of making mistakes, and disagreements are ignored.

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Chapter 26 Pre Test
GOMEZ,ANGELICA
18. An effective group is characterized by:

a. Communication, decision making, and power.
b. A careful examination of the reasons for disagreements, a fear of conflict, and
voluntary commitment.
c. An authoritarian style, comments focused on personal characteristics, and criticism
that may be destructive.
d. A lack of priority for feelings, being closed, and being misunderstood.
Grade: 1
User Responses: a.Communication, decision making, and power.
Feedback: a.Rationale: Effective groups have many attributes. Three
examples are communication, decision making, and power.

Nursing Process: Evaluation
19. Throughout the day, the nurse uses many styles of communication. Which of the
following are assertive in nature?
selected.
a. "I really wish that you told me about the changes you had noted with the client while
walking the client to the bathroom. It is important for me to know as soon as you
notice a change so that I can further assess the client at that point."
b. “You didn’t order a diet for the client after the client's diagnostic test.”
c. “I am concerned about the fluctuation in the client's blood pressure since the client
started taking the new medication.”
d. “You didn’t record the client's blood pressure for the past 24 hours? Why not? What
do you think could happen?”
Grade: 0
User Responses: a."I really wish that you told me about the changes you had noted
with the client while walking the client to the bathroom. It is
important for me to know as soon as you notice a change so that I
can further assess the client at that point."
Feedback: a.Rationale: The "I" statements encourage discussion. Concern is
expressed about the client's blood pressure and is correlated with
an event. Concern is also expressed about a missed opportunity
to assess the client when a change was noted by the caregiver.
Pointing out that the primary health provider did not order food
for the client may be taken as an aggressive statement, especially
if the tone is accusative. Many emotions may be expressed by the
nurse (surprise, anger, frustration, disbelief, etc.) as the nurse
aggressively questions the caregiver about the omitted blood
pressure readings.
Cognitive Level: Analysis

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Chapter 26 Pre Test
GOMEZ,ANGELICA
20. The older client asks the primary care provider if it is necessary to move into an
assisted living facility instead of living alone. The primary care provider tells the
client, "If you were my parent, I would tell you to go into the assisted living
facility because your meals would be cooked for you and you would not have to
clean anything." The primary care provider is demonstrating what type of
barrier to communication?
a. Challenging
b. Stereotyping
c. Being defensive
d. Giving common advice
Grade: 0
User Responses: b.Stereotyping
Feedback: a.Rationale: Giving common advice is telling the client what to
do. Such responses deny the client’s right to be an equal partner.
Stereotyping negates the uniqueness of an individual. Being
defensive prevents the client from expressing true concerns.
Challenging responses indicate that the physician is not
considering the client’s feelings.

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Chapter 26 Pre Test
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21. The nurse is communicating with a primary care provider about medical
interventions prescribed for a client. Which of the following statements is most
representative of a collaborative nurse-physician relationship?
a. “Excuse me. I think we need to talk about the client's blood pressure.”
b. “That new medication you prescribed for the client is ineffective.”
c. “I am worried about the client's blood pressure. It is not decreasing even with the new
antihypertensive medication.”
d. “Can we talk about the client?”
Grade: 0
User Responses: b.“That new medication you prescribed for the client is
ineffective.”
Feedback: a.Rationale: “I am worried about the client's blood pressure. It is
not decreasing even with the new antihypertensive medication”
uses an “I” statement, which is assertive communication and is
clear and direct. The message includes only the necessary
information. “That new medication you prescribed for the client is
ineffective” contains inflammatory language (“ineffective” and
“you prescribed”). “Can we talk about the client?” and “Excuse
me. I think we need to talk about the client's blood pressure” do
not provide the health care provider with specific information and
could stimulate defensive behaviors.

22. A 19-year-old student has had a breast biopsy and is nervous about the results.
The resident physician peeks into her room and says, “The biopsy is negative.”
The nurse finds the student in her room sobbing. What is the nurse’s best
response to this situation?
a. “What did the physician tell you?”
b. “You seem upset. Do you want to talk to me about the test results?”
c. “Why are you crying with such good news?”
d. “The term ‘negative’ in this case is good!”
Grade: 1
User Responses: b.“You seem upset. Do you want to talk to me about the test
results?”
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Chapter 26 Pre Test
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Feedback: a.Rationale: The physician, in delivering important news to the

client, should have taken time to sit with her to discuss the results
of the test. In telling the client that the test was “negative,” the
physician did not clarify what “negative” actually meant. Using
medical jargon without an explanation can lead to
misinterpretation of the message by the client. The nurse does
not know specifically what the client is sobbing about and asks
the client an open-ended question so the client can talk.

23. The nurse is administering an enema to a client with a questionable

gastrointestinal blockage. The nurse is in what type of the client's personal
space?
a. Intimate
b. Personal
c. Public
d. Social
Grade: 0
User Responses: d.Social
Feedback: a.Rationale: Intimate-distance communication is characterized
by body contact and heightened sensations of body heat and
smell. Personal space is less overwhelming than intimate space.
Social-distance and public-distance communication take place
within personal space greater than 4 feet.

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Chapter 26 Pre Test
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24. The nurse is starting preoperative teaching when the client receives a phone
call from work. When the nurse resumes teaching, the client is visibly upset. The
most therapeutic initial approach is to:
a. Encourage the client to verbalize concerns and feelings, and then do health teaching
when the client is able to listen.
b. Tell the client that it is important to focus on the preoperative teaching so that
recovery will be faster.
c. Reassure the client that whatever is happening at work can be dealt with in the
workplace.
d. Encourage the client to do problem solving.
Grade: 0
User Responses: b.Tell the client that it is important to focus on the preoperative
teaching so that recovery will be faster.
Feedback: a.Rationale: When clients are anxious and upset, they have
difficulty focusing, especially on new information. The nurse
needs to prioritize the client’s presenting need to express
concerns and then engage in teaching at a later time, when the
client is able to comprehend. Telling the client to focus will not
relieve the anxiety of the imminent issue. Since the nurse is
unaware of the issue and is not knowledgeable of the client’s
work situation, it is false reassurance to tell the client that the
matter can be handled at work. This also belittles the client’s
independence and self-efficacy, as does recommending problem
solving.

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Activity Name: Chapter 26 Pre Test
1. c. Tp participate as a member of the self-help group when appropriate.

Learning Objective:
26-3. Describe four phases of the helping relationship.
Feedback:
Correct: Rationale: A self-help group is a small, voluntary organization. Giving information is a role
of the nurse in a teaching group. Buffering stress is a nurse’s role in work-related social groups. The

Incorrect: Rationale: A self-help group is a small, voluntary organization. Giving information is a role



Hints:
2. d. Respect
Learning Objective:
26-3. Describe four phases of the helping relationship.
Feedback:
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Chapter 26 Pre Test
GOMEZ,ANGELICA
Correct: Rationale: Respect is correct because the nurse is validating the client’s feeling. It is not
genuineness because the nurse is giving information versus making a personal statement.
Concreteness is the nurse assisting the client by giving specific examples rather than speaking in
generalities. Rather than being confrontational by pointing out discrepancies between thoughts,
feelings, and actions that inhibit the client’s self-understanding or exploration of specific areas, the
nurse is being supportive by respecting the client’s feelings.

Incorrect: Rationale: Respect is correct because the nurse is validating the client’s feeling. It is not



Hints:
3. This "Ranking" question type is not supported in printed tests

Learning Objective:
Feedback:
Hints:
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Chapter 26 Pre Test
GOMEZ,ANGELICA
4. c. Using open-ended questions and a.Restating or paraphrasing the comment made by the client
Learning Objective:
26-6. Discuss how nurses use communication skills in each phase of the nursing process.
Feedback:
Correct: Rationale: Therapeutic communication techniques facilitate communication and focus on
the client's concerns. The other choices are considered barriers to communication.

Hints:
5. a. When an upset spouse is alone and the client has just expired.
Learning Objective:
Feedback:
Incorrect: Rationale: There are situations when appropriate use of touch reinforces caring feelings.
However, the nurse must be sensitive to the differences in attitudes and practices of clients and self.

Correct: Rationale: There are situations when appropriate use of touch reinforces caring feelings.


Hints:
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Chapter 26 Pre Test
GOMEZ,ANGELICA
6. d. Message
Learning Objective:
Feedback:
Incorrect: Rationale: The sender is a person or group who wishes to convey a message to another.
The receiver is the listener. The next component is the message itself. Feedback is the message that
the receiver returns to the sender. When the spoken message and the nonverbal message are
incongruent, the nurse needs more information in order to choose an intervention.


Correct: Rationale: The sender is a person or group who wishes to convey a message to another.


Hints:
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Chapter 26 Pre Test
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7. c. Introductory phase
Learning Objective:
26-8. Differentiate major characteristics between assertive and nonassertive communication.
Feedback:
Correct: Rationale: During the initial parts of the introductory phase, the client may display some
resistant behaviors that inhibit involvement, cooperation, or change. It may be because of difficulty in
asking for assistance. The preinteraction phase is similar to the planning stage before an interview.
Exploring is a stage in the working phase in which the nurse helps the client to explore thoughts,
feelings, and actions. During the working phase, the nurse and client appreciate their uniqueness and
care about each other. Caring is sharing deep and genuine concern about the welfare of another
person.

Incorrect: Rationale: During the initial parts of the introductory phase, the client may display some
person.

person.

person.

Hints:
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Chapter 26 Pre Test
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8. a. Assertive.
Learning Objective:
Feedback:
Correct: Rationale: People who use assertive communication are honest, direct, and appropriate
while being open to ideas and respecting the rights of others.

Incorrect: Rationale: People who use assertive communication are honest, direct, and appropriate



Hints:
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Chapter 26 Pre Test
GOMEZ,ANGELICA
9. d. Submissiveness.
Learning Objective:
Feedback:
Correct: Rationale: When people use a submissive communication style, they meet the demands
and requests of others without regard to their own feelings and needs, as they believe their own

Incorrect: Rationale: When people use a submissive communication style, they meet the demands



Hints:
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Chapter 26 Pre Test
GOMEZ,ANGELICA
10. b. It exists to help people achieve goals.

Learning Objective:
26-2. Discuss nurse–client communication as a dynamic process.
Feedback:
Correct: Rationale: Groups exist to assist others to achieve goals that would be unattainable by
individual effort alone.

Incorrect: Rationale: Groups exist to assist others to achieve goals that would be unattainable by



Hints:
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Chapter 26 Pre Test
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11. b. False
Learning Objective:
Feedback:
Incorrect: Rationale: It is important for the channel to be appropriate for the message and it should
help make the intent of the message clearer. Talking face-to-face with a person may be more
effective in some instances than telephoning or writing a message. Recording messages on tape or
communicating by radio or television may be more appropriate for larger audiences. Written
communication is often appropriate for long explanations or for a communication that needs to be
preserved. The nonverbal channel of touch is often highly effective.

Correct: Rationale: It is important for the channel to be appropriate for the message and it should
help make the intent of the message clearer. Talking face-to-face with a person may be more
effective in some instances than telephoning or writing a message. Recording messages on tape or
communicating by radio or television may be more appropriate for larger audiences. Written
communication is often appropriate for long explanations or for a communication that needs to be
preserved. The nonverbal channel of touch is often highly effective.

Hints:
12. c. School-age children and a.Adolescents and d.Toddlers

Learning Objective:
Feedback:
Correct: Rationale: The ability to communicate is related to the development of thought processes,
the presence of intact sensory and motor systems, and the extent and nature of an individual's
opportunities to practice communication skills. The nurse needs to develop a rapport with each group
in order to effectively communicate. The nurse would communicate with infants nonverbally and with
a gentle voice that is soothing.

Hints:
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13. d. A teaching group.

Learning Objective:
26-5. Identify types of groups helpful in promoting health and comfort.
Feedback:
Incorrect: Rationale: The major purpose of a teaching group is to impart information to the
participants.

Correct: Rationale: The major purpose of a teaching group is to impart information to the
participants.

participants.

participants.

Hints:
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14. a. Therapy groups.

Learning Objective:
Feedback:
Incorrect: Rationale: Therapy groups work toward self-understanding, more satisfactory ways of
handling stress, and changing patterns of behavior toward health.


Correct: Rationale: Therapy groups work toward self-understanding, more satisfactory ways of


Hints:
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15. b. The American Nurses Association.

Learning Objective:
Feedback:
Incorrect: Rationale: Social support for Alcoholics Anonymous is best given outside of the work
environment.

Incorrect: Rationale: Social support for groups such as Weight Watchers is best given outside of the
work environment.

Correct: Rationale: The American Nurses Association is a type of group that nurses would participate
in that is related to their professional career.

Incorrect: Rationale: Social support for a political organization is best given outside of the work
environment.

Hints:
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16. a. Helps people achieve goals.

Learning Objective:
26-4. Identify features of effective groups.
Feedback:
Correct: Rationale: Groups exist to assist others to achieve goals that would be unattainable by


Client Need: Health Promotion and Maintenance.


Hints:
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17. b. Reasons for disagreements are examined.

Learning Objective:
Feedback:
Correct: Rationale: In an effective group, members contribute toward the achievement of goals and
maintain cohesion. In ineffective groups, leadership claims credit for accomplishments, members are
afraid of making mistakes, and disagreements are ignored.

Incorrect: Rationale: In an effective group, members contribute toward the achievement of goals
and maintain cohesion. In ineffective groups, leadership claims credit for accomplishments, members



Hints:
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18. a. Communication, decision making, and power.

Learning Objective:
Feedback:
Correct: Rationale: Effective groups have many attributes. Three examples are communication,
decision making, and power.

Incorrect: Rationale: Effective groups have many attributes. Three examples are communication,



Hints:
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Chapter 26 Pre Test
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19. c. “I am concerned about the fluctuation in the client's blood pressure since the client started taking
the new medication.” and a."I really wish that you told me about the changes you had noted with
the client while walking the client to the bathroom. It is important for me to know as soon as you
notice a change so that I can further assess the client at that point."
Learning Objective:
26-7. State why effective communication is imperative among health professionals.
Feedback:
Correct: Rationale: The "I" statements encourage discussion. Concern is expressed about the
client's blood pressure and is correlated with an event. Concern is also expressed about a missed
opportunity to assess the client when a change was noted by the caregiver. Pointing out that the
primary health provider did not order food for the client may be taken as an aggressive statement,
especially if the tone is accusative. Many emotions may be expressed by the nurse (surprise, anger,
frustration, disbelief, etc.) as the nurse aggressively questions the caregiver about the omitted blood
pressure readings.

Hints:
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20. d. Giving common advice

Learning Objective:
Feedback:
Incorrect: Rationale: Giving common advice is telling the client what to do. Such responses deny the
client’s right to be an equal partner. Stereotyping negates the uniqueness of an individual. Being
defensive prevents the client from expressing true concerns. Challenging responses indicate that the
physician is not considering the client’s feelings.



Correct: Rationale: Giving common advice is telling the client what to do. Such responses deny the

Hints:
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21. c. “I am worried about the client's blood pressure. It is not decreasing even with the new
antihypertensive medication.”
Learning Objective:
Feedback:
Incorrect: Rationale: “I am worried about the client's blood pressure. It is not decreasing even with
the new antihypertensive medication” uses an “I” statement, which is assertive communication and
is clear and direct. The message includes only the necessary information. “That new medication you
prescribed for the client is ineffective” contains inflammatory language (“ineffective” and “you
prescribed”). “Can we talk about the client?” and “Excuse me. I think we need to talk about the
client's blood pressure” do not provide the health care provider with specific information and could
stimulate defensive behaviors.

Correct: Rationale: “I am worried about the client's blood pressure. It is not decreasing even with



Hints:
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22. b. “You seem upset. Do you want to talk to me about the test results?”
Learning Objective:
26-1. Describe factors influencing the communication process.
Feedback:
Incorrect: Rationale: The physician, in delivering important news to the client, should have taken
time to sit with her to discuss the results of the test. In telling the client that the test was “negative,”
the physician did not clarify what “negative” actually meant. Using medical jargon without an
explanation can lead to misinterpretation of the message by the client. The nurse does not know
specifically what the client is sobbing about and asks the client an open-ended question so the client
can talk.

can talk.

Correct: Rationale: The physician, in delivering important news to the client, should have taken time
to sit with her to discuss the results of the test. In telling the client that the test was “negative,” the
physician did not clarify what “negative” actually meant. Using medical jargon without an
can talk.

can talk.

Hints:
33
Chapter 26 Pre Test
GOMEZ,ANGELICA
23. a. Intimate
Learning Objective:
Feedback:
Correct: Rationale: Intimate-distance communication is characterized by body contact and
heightened sensations of body heat and smell. Personal space is less overwhelming than intimate
space. Social-distance and public-distance communication take place within personal space greater
than 4 feet.

Incorrect: Rationale: Intimate-distance communication is characterized by body contact and
than 4 feet.

than 4 feet.

than 4 feet.

Hints:
34
Chapter 26 Pre Test
GOMEZ,ANGELICA
24. a. Encourage the client to verbalize concerns and feelings, and then do health teaching when the
client is able to listen.
Learning Objective:
Feedback:
Correct: Rationale: When clients are anxious and upset, they have difficulty focusing, especially on
new information. The nurse needs to prioritize the client’s presenting need to express concerns and
then engage in teaching at a later time, when the client is able to comprehend. Telling the client to
focus will not relieve the anxiety of the imminent issue. Since the nurse is unaware of the issue and is
not knowledgeable of the client’s work situation, it is false reassurance to tell the client that the
matter can be handled at work. This also belittles the client’s independence and self-efficacy, as does
recommending problem solving.

Incorrect: Rationale: When clients are anxious and upset, they have difficulty focusing, especially on



Hints:
35
Chapter 26 Pre Test
GOMEZ,ANGELICA
36

ch.26 Pre-Test

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Chapter 26 Pre Test

Cognitive Level: Comprehension

Cognitive Level: Application

3. This "Ranking" question type is not supported in printed tests

Cognitive Level: Application

5. In which of the following situations would the therapeutic communication of

Cognitive Level: Comprehension

Feedback: a.Rationale: During the initial parts of the introductory phase,

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Knowledge

10. One feature of an effective group is:

Cognitive Level: Knowledge

Cognitive Level: Knowledge

Cognitive Level: Comprehension

Cognitive Level: Knowledge

User Responses: b.Self-help groups.

Cognitive Level: Knowledge

Cognitive Level: Knowledge

16. A feature of a healthy group is that it:

Cognitive Level: Knowledge

17. Which of the following is a characteristic of an effective group?

Cognitive Level: Application

18. An effective group is characterized by:

Cognitive Level: Knowledge

Cognitive Level: Analysis

Cognitive Level: Application

Cognitive Level: Analysis

Feedback: a.Rationale: The physician, in delivering important news to the

Cognitive Level: Comprehension

23. The nurse is administering an enema to a client with a questionable

Cognitive Level: Comprehension

Cognitive Level: Application

Activity Name: Chapter 26 Pre Test

1. c. Tp participate as a member of the self-help group when appropriate.

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Application

Cognitive Level: Application

Cognitive Level: Application

Cognitive Level: Application

3. This "Ranking" question type is not supported in printed tests

Cognitive Level: Application

Cognitive Level: Application

Cognitive Level: Application

Cognitive Level: Application

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Comprehension

Cognitive Level: Knowledge

Cognitive Level: Knowledge

Cognitive Level: Knowledge