Question 1

The area 12 feet from a person and beyond is known as _____ space.

Accepted Answer

A)   public
B)   social
C)   personal
D)   intimate

Question 2

The area between 4 and 12 feet of a person is commonly referred to as which of the following?

Accepted Answer

A)   Public space
B)   Social space
C)   Personal space
D)   Intimate space

Question 3

When the nurse is inquiring about the patient's level of pain, which of the following statements would best support the patient?

Accepted Answer

A)   "Does your stomach hurt now?"
B)   "How would you describe your pain?"
C)   "When the pain occurs, does the medicine help?"
D)   "Do you use more than one pain remedy?"

Question 4

The patient denies smoking, although the smell of tobacco is strong in his hospital room. Which of the following statements by the nurse would be the most effective?

Accepted Answer

A)   "Don't bother to lie to me. I know you've been smoking."
B)   "It is very dangerous to smoke in bed."
C)   "The hospital has policies against smoking."
D)   "I can smell the tobacco, and I see your lighter on the bedside table."

Question 5

Which of the following examples represent "elderspeak?" (Select all that apply.)

Accepted Answer

A)   "Ok, honey, let's get a bath now."
B)   "Oh, dear! We better get you a clean diaper."
C)   "Today is Tuesday, Mr. Brown. It's your dialysis day."
D)   "My gracious, Mary! What in the world are you doing out here in the hall?"
E)   "You naughty girl! Just look at the front of your dress." A,B,D,E

Question 6

What percent of communication is transmitted by verbal methods?

Accepted Answer

A)   7
B)   18
C)   22
D)   36 A

Question 7

The nurse is engaging the patient in social conversation. What is the benefit of social conversation in the health care setting?

Accepted Answer

A)   It lets the patient know that he or she is considered to be a person, not just a patient.
B)   It encourages sharing of intimate details.
C)   It establishes the nurse's role as a health care provider.
D)   It blocks more meaningful therapeutic communication.

Question 8

What is true of direct questions?

Accepted Answer

A)   They can get a lot of information quickly.
B)   They can help the patients organize their thoughts.
C)   They get minimum response answers of "yes" and "no."
D)   They make patients think that they are contributing to their health care.

Question 9

What is the correct terminology for the area within 18 inches of a person?

Accepted Answer

A)   Public space
B)   Social space
C)   Personal space
D)   Intimate space

Question 10

What is the correct term for the area between 18 inches and 4 feet of a person?

Accepted Answer

A)   Public space
B)   Social space
C)   Personal space
D)   Intimate space

Question 11

When the nurse answers the call light after a delay of 5 minutes, the angry patient says, "You made me wait an hour. I'm in pain and no one's willing to help me." What is the best response by the nurse?

Accepted Answer

A)   "It's only been 5 minutes. What do you want?"
B)   "Well, I'm here now. What is your problem?"
C)   "I know it must have seemed like an hour. I'll bring your medication."
D)   "I was attending to another patient who's really ill. I'll help you now."

Question 12

The nurse must tell a 94-year-old resident of a nursing home that his wife has fallen and has been hospitalized with a broken hip. What is the most effective method for the nurse to deliver the news?

Accepted Answer

A)   Hurry through the conversation to spare the resident.
B)   Conserve time by delaying plans for follow-up.
C)   Use social conversation before the delivery of the information.
D)   Gather all pertinent information that is accurate.

Question 13

When using an interpreter to speak with an 84-year-old Chinese patient, on what should the nurse focus?

Accepted Answer

A)   The patient, not the interpreter
B)   Encouraging the interpreter to paraphrase
C)   Limiting questions from the patient
D)   Listening to the words, not emotional tone

Question 14

What should the nurse base her communication approach on for the most effective communication? (Select all that apply.)

Accepted Answer

A)   Culture
B)   Ethnicity
C)   Income level
D)   Perspective
E)   Level of education

Question 15

Which of the following best defines therapeutic communication?

Accepted Answer

A)   Has a specific intent or purpose
B)   Is the only form of professional communication
C)   Should never be used in a social setting
D)   Requires no special skills, just a willingness to listen

Question 16

Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, "I'm fine." What would be an appropriate response of the nurse?

Accepted Answer

A)   Sit down next to the bed and say, "You don't act fine."
B)   Pat him on the shoulder and continue on rounds.
C)   Say, from the doorway, "If you need anything, just call me."
D)   Assist the patient to sit up and say, "Now, that's much better, isn't it?"

Question 17

What is the best method of communication for a patient with aphasia?

Accepted Answer

A)   A notepad
B)   Speaking slowly
C)   Worded flash cards
D)   Gestures

Question 18

The nurse is informing a patient about an upcoming diagnostic procedure. What statement by the nurse would demonstrate effective communication?

Accepted Answer

A)   "Mr. Brown, your leg is to be x-rayed in the x-ray department in an hour."
B)   "X-ray is coming to get you for an AP and lateral of your chest."
C)   "You can't eat anything after supper because of some lab work."
D)   "Mrs. Smith, the OR has notified us that they're running behind."

Question 19

In what respect do Baby Boombers differ from young adults? (Select all that apply.)

Accepted Answer

A)   Experience with technology
B)   Attitude about lifestyles
C)   Value of money
D)   Methods of communication
E)   Perceptions of gender roles

Question 20

The white female nurse is concerned that the 80-year-old African-American male patient is not being truthful with her because of his

Accepted Answer

A)   lack of eye contact.
B)   smiling facial expression.
C)   tone of voice.
D)   body language. A

Exam 5: Communicating with Older Adults

The area 12 feet from a person and beyond is known as _____ space.

Correct AnswerverifiedShow Answer

The area between 4 and 12 feet of a person is commonly referred to as which of the following?

Correct AnswerverifiedShow Answer

When the nurse is inquiring about the patient's level of pain, which of the following statements would best support the patient?

Correct AnswerverifiedShow Answer

The patient denies smoking, although the smell of tobacco is strong in his hospital room. Which of the following statements by the nurse would be the most effective?

Correct AnswerverifiedShow Answer

Which of the following examples represent "elderspeak?" (Select all that apply.)

Correct AnswerverifiedA,B,D,E

What percent of communication is transmitted by verbal methods?

Correct AnswerverifiedA

The nurse is engaging the patient in social conversation. What is the benefit of social conversation in the health care setting?

Correct AnswerverifiedShow Answer

What is true of direct questions?

Correct AnswerverifiedShow Answer

What is the correct terminology for the area within 18 inches of a person?

Correct AnswerverifiedShow Answer

What is the correct term for the area between 18 inches and 4 feet of a person?

Correct AnswerverifiedShow Answer

When the nurse answers the call light after a delay of 5 minutes, the angry patient says, "You made me wait an hour. I'm in pain and no one's willing to help me." What is the best response by the nurse?

Correct AnswerverifiedShow Answer

The nurse must tell a 94-year-old resident of a nursing home that his wife has fallen and has been hospitalized with a broken hip. What is the most effective method for the nurse to deliver the news?

Correct AnswerverifiedShow Answer

When using an interpreter to speak with an 84-year-old Chinese patient, on what should the nurse focus?

Correct AnswerverifiedShow Answer

What should the nurse base her communication approach on for the most effective communication? (Select all that apply.)

Correct AnswerverifiedShow Answer

Which of the following best defines therapeutic communication?

Correct AnswerverifiedShow Answer

Seeing a patient with his head in his arms resting on the over-the-bed table, the nurse steps into the room and asks if the patient feels ill. The patient, without raising his head, says, "I'm fine." What would be an appropriate response of the nurse?

Correct AnswerverifiedShow Answer

What is the best method of communication for a patient with aphasia?

Correct AnswerverifiedShow Answer

The nurse is informing a patient about an upcoming diagnostic procedure. What statement by the nurse would demonstrate effective communication?

Correct AnswerverifiedShow Answer

In what respect do Baby Boombers differ from young adults? (Select all that apply.)

Correct AnswerverifiedShow Answer

The white female nurse is concerned that the 80-year-old African-American male patient is not being truthful with her because of his

Correct AnswerverifiedA

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A,B,D,E

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A

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A