3. Structuring and formulating the contract
4. Planning before the interview
5. Understanding thoughts and feelings
Question 14
Type: MCSA
During an interaction between a nurse and client, the nurse conveys respect and an attitude that shows the nurse
takes the client’s opinions seriously. In which stage of the working relationship are the nurse and client engaged?
1. Exploring and understanding thoughts and feelings
2. Facilitating and taking action
3. Confrontation
4. Concreteness
Question 15
Type: MCSA
Several nurses have been assigned to develop a rotation schedule that provides adequate staffing of all shifts. In
which type of group are these nurses functioning?
1. Self-help group
2. Task group
3. Teaching group
4. Therapy group
Question 16
Type: MCSA
The nurse is identifying communication strategies for a client unable to speak. What would be appropriate for the
client in this situation?
1. Using a picture board to facilitate communication
2. Facing the client when speaking
3. Employing an interpreter
4. Making sure that the language spoken is the client’s dominant language
Question 17
Type: MCSA
A nurse needs to evaluate the effectiveness of a teaching session with a client. Which approach would provide the
best feedback?
1. Client communication
2. Process recording
3. Therapeutic communication
4. Verbal communication
New Question 18
Question 18
Type: MCMA
During a health history, a client admits to taking nutritional supplements instead of prescribed medication. Which
responses by the nurse indicate effective communication?
Standard Text: Select all that apply.
1. “What you did was wrong.”
2. “Who do you think you are?”
3. “You shouldn’t have done that.”
4. “Tell me more about the supplements.”
5. “Explain the reasoning behind your decision.”
Question 19
Type: MCSA
The nurse needs to communicate information about a client’s status to a physician. Which approach demonstrates
assertive communication by the nurse?
1. “You need to check the laboratory results of the client in room 423.”
2. “You should visit with the client’s family about the upcoming procedure.”
3. “We need to be more aware of the situation among the client and the client’s family.”
4. “I am concerned that the client does not have adequate pain management.”
Question 20
Type: MCSA
The nurse wants to gain information about a client’s situation. Which question should the nurse use to maximize
communication with this patient?
1. “What brings you to the hospital?”
2. “Are you having pain?”
3. “Does your pain feel better or worse today?”
4. “Is there anything I can do for you?”
Question 21
Type: MCMA
The nurse is communicating with an older client. Which actions demonstrate that the nurse understands the best
approaches to communicate with this client?
Standard Text: Select all that apply.
1. Asking, “What can I do to make you feel safe?”
2. Observed intently listening to the client describe how being alone makes her feel
3. Offering to take the client “out for a walk”
4. Consistently arranging for the client to have her hair done
5. Managing to get a copy of the client’s favorite magazine
Question 22
Type: MCMA
The nurse is beginning a helping relationship with a newly admitted client. Which behaviors should the nurse
demonstrate that support this type of relationship?
Standard Text: Select all that apply.
1. Becoming familiar with the client’s social history by reading the admission interview
2. Orienting the client to the physical layout of the facility as well as to the facility’s policies
3. Gaining the client’s trust by consistently keeping promises to return and “visit”
4. Respecting the client’s wish to be alone after hearing about the loss of a family friend
5. Asking to remain with the client when he is experiencing symptoms of the flu
Question 23
Type: MCMA
The graduate nurse is thinking about leaving a new job because of actions demonstrated by the nurse manager.
Which actions should the graduate nurse identify as bullying?
Standard Text: Select all that apply.
1. Pairing the graduate with a seasoned nurse to assist with learning new skills
2. Asking the graduate to participate in client rounds with the new interns on the care area
3. Confronting the graduate by stating that refusing an assignment is grounds for dismissal
4. Stating that requests for vacation time will be denied because the nurse asks too many questions
5. Assigning the graduate nurse a complicated client with needs that the graduate is not comfortable performing
