Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 26
Question 1
Type: MCSA
A nurse explains to a client that he will need to have a bowel prep before going to his esophagogastroscopy. On
what should the nurse focus to improve communication skills?
1. Pace
2. Intonation
3. Simplicity
4. Clarity
Question 2
Type: MCSA
The nurse observes during a dressing change that the client’s wound has become infected. When asked by the
client how the wound looks, the nurse says “it looks fine” but the nurse’s facial expression doesn’t support the
response. Which aspect of communication should this nurse improve?
1. Adaptability
2. Credibility
3. Timing and relevance
4. Clarity and brevity
Question 3
Type: MCSA
A nurse is working on a telemetry unit when one of the clients has a cardiac arrest. The client’s spouse is in the
room when the code team arrives. Which statement by the nurse to the spouse is the best in this situation?
1. “I know you’re worried about your loved one. I’m sure this is a difficult situation for you. Do you have any
questions right now?”
2. “Your spouse’s heart stopped. All these people are here to help get it started.”
3. “Your spouse’s physician will be here shortly and explain all of the medication and treatment that your spouse
is receiving right now.”
4. “Is there someone you would like to call? I’m sure this is a scary situation and you may feel more comfortable if
someone were with you during this time.”
Question 4
Type: MCSA
The nurse enters a client’s room and finds that the telephone is lying in the client’s lap, tissues are wadded up on
the bed, and the client’s eyes are red and watery. What is the best response by the nurse?
1. “Can I hang that phone up for you?”
2. “Well, it’s a beautiful day outside. Let’s open the blinds.”
3. “Has your doctor been in to talk to you yet?”
4. “You look upset. Is there anything you’d like to talk about?”
Question 5
Type: MCSA
A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the
room, the client asks for assistance with a shower. Which comment by the nurse is the most appropriate?
1. “If you look better, you might feel better.”
2. “Taking a shower might wash away some of that gloom and doom.”
3. “This is a positive sign. I’ll be right back with your supplies.”
4. “Your spouse will be glad to see that you’re feeling better.”
Question 6
Type: MCSA
A nurse is working in a pediatric clinic and has to explain a nebulizer treatment to a child. Which approach should
the nurse use?
1. Give the child’s parent a full explanation, but make sure the child hears what is said.
2. Let the child handle the equipment first, then demonstrate on the child’s doll.
3. Start the treatment, but make sure that the parent is there to comfort the child if she becomes afraid.
4. Make sure that the physician is available for questions.
Question 7
Type: MCSA
A nurse is giving a demonstration of new equipment to the rest of the nursing unit. Which level of proxemics
should the nurse use?
1. Intimate
2. Personal
3. Social
4. Public
Question 8
Type: MCSA
A nurse must perform a catheterization on a male client. Which zone of proximity should the nurse use for this
intervention?
1. Personal distance
2. Intimate distance
3. Social distance
4. Public distance
Question 9
Type: MCSA
A nurse enters a client’s room and asks about his level of pain. The client, grimacing, says “It’s fine.” Which
communication factor is the client struggling with?
1. Territoriality
2. Environment
3. Congruence
4. Attitude
Question 10
Type: MCSA
A nurse is working with an elderly male client on a medical unit. Which statement demonstrates elderspeak by the
nurse?
1. “It’s time for us to go to physical therapy.”
2. “I think it would be better if you were planning to go to a nursing home after discharge.”
3. “Your children must really love their dad.”
4. “Your wife must be having trouble adjusting to your illness.”
Question 11
Type: MCSA
A client has just lost her second baby to preterm complications. Which statement demonstrates the best
therapeutic response for the nurse to make?
1. “Don’t be so sad. You can always try again.”
2. “Didn’t your doctor advise you about genetic counseling?”
3. “I know how you feel. I have children of my own.”
4. “I am so sad for you. I’ll stay with you for a while if you need to talk.”
Question 12
Type: MCSA
The nurse is conducting an admission interview. Which response indicates that the nurse is attentively listening to
the client’s explanations?
1. “Can you explain what your symptoms are like?”
2. “When was the last time you saw a doctor for this?”
3. “Uh-huh,” while nodding the head
4. “I’m sorry, say that again?”
Question 13
Type: MCMA
The nurse is engaging a client in the introductory phase of the helping relationship. Which stages will be
completed during this phase?
Standard Text: Select all that apply.
1. Opening the relationship
2. Clarifying the problem