Essentials of Nursing Leadership and Management 5th Edition Whitehead Weiss TappenTest Bank
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Below you will find some free nursing test bank questions from this test bank:
- The order of the basic listening sequence is:
- A) Message, encoder, feedback, decoder, method of sending
- B) Encoder, message, method of sending, decoder, feedback
- C) Decoder, message, encoder, method of sending, feedback
- D) Feedback, decoder, message, method of sending, encoder
- The two basic channels of communication are:
- A) Verbal and interpretive
- B) Nonverbal and interpretive
- C) Nonverbal and verbal
- D) Verbal and written
- Liu Chen, an RN, is taking a client history. She is entering the information into her handheld as the client speaks to her and asks questions clearly and concisely. However, Liu asks questions regarding information the client has already given. The client says to Liu, “Are you listening to me?” Of the following, which best indicates Liu is listening to the client?
- A) Maintaining appropriate eye contact.
- B) Glancing around the room and writing a note.
- C) Asking another question immediately after receiving an answer to the first question.
- D) Typing notes on the computerized record while the client is speaking.
- The staff is discussing the confusion they have over some directions regarding a JCAHO project given by Linda, the associate nurse manager. Each staff member has a specific assignment, however, some of the tasks seem to be duplicated. Based on the five elements of communication, who is responsible for the clarity of messages?
- A) The decoder
- B) The transcriber
- C) The encoder
- D) The receiver
- Maggie is a new UAP. She has been working the 7:00 p.m. to 7:00 a.m. shift on a busy telemetry unit for 3 months. She is perpetually late to work. The other UAPs on the unit are complaining about the situation. Of the following responses, which demonstrates the best example of assertive communication?
- A) “You are always late; what are you going to do about this situation?”
- B) “Being late is unacceptable; you need to change this behavior.”
- C) “I noticed that you often arrive late; I think we need to discuss how this affects your performance.”
- D) “Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem.”
- Louis, an RN, is caring for Emil Jones, a 58-year-old newly diagnosed diabetic. Louis needs to instruct Emil regarding his insulin pump. While performing client teaching, which of the following barriers to communication can Louis eliminate?
- A) Noise from the television
- B) Language differences
- C) Educational level
- D) Jones’ lack of attentiveness
- Communication has the best chance of being interpreted accurately when:
- A) Face-to-face communication is used
- B) The message is repeated by the sender
- C) Sent electronically
- D) More than one mode is used
- While working as the charge nurse on the 7:00 p.m. to 7:00 a.m. shift, the nurse overhears the UAP speaking harshly to Mr. Hernandez, who has an expressive aphasia and a left hemiparesis from a stroke. When the UAP leaves the room, the nurse decides to speak with her. Which of the following would be the most appropriate approach?
- A) “I have decided to change your assignment from Mr. Hernandez to Mrs. Hopkins.”
- B) “I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez.”
- C) “You need to watch your tone of voice as it sounded very harsh.”
- D) “Perhaps you need to consider attending a training session on communication skills.”
- The health-care institution where Cori is a nurse manager has moved to e-mail as a method of communication. When using this communication method, it is important to remember that:
- A) Professional e-mail must use formal headings.
- B) Professional e-mail may remain informal.
- C) E-mail does not require the same level of courtesy as a formally written communication.
- D) Professional e-mail should be written in all capital letters.
- Which of the following would not be acceptable behavior in the on-line communication environment?
- A) If you were face-to-face, would you say this?
- B) Follow the same rules of behavior on-line that you follow when dealing with individuals in person
- C) Sending copies of information only to individuals with a need to know.
- D) Using a communication language style that will cause a reaction on the part of the receiver.
- David, the nurse manager, asks to see Allison, a new RN, for a few minutes after lunch. When Allison mentions this to her colleagues at lunch, they fill her with dread about the purpose of the meeting. Allison reluctantly stops by David’s office. He asks Allison to sit down and says, “I thought you should know that I heard you explaining the procedure for a cardiac catheterization today to Mrs. Young. You did a great job, and I also wanted to let you know that the unit has literature that you can give the clients regarding many of the procedures they may undergo while here.” Allison leaves the office feeling very good about herself. David provided Allison with:
- A) Negative feedback
- B) Constructive criticism
- C) Destructive criticism
- D) Positive feedback
- Billi Jo is a new UAP. She is eager and excited about her new job in health care. She is helping the nurse move a client up in bed. The nurse observes that Billi Jo is using all her back muscles and none of her leg muscles to accomplish this task. Which response best provides constructive criticism for Billi Jo?
- A) “You are not using very good body mechanics.”
- B) “I find when I move clients, it helps to use my leg muscles more and my back muscles less.”
- C) “I hope you are not considering a nursing career because you won’t last 2 months if you move clients that way.”
- D) “You were very helpful in moving the client up in the bed.”
- Madeline is working in the pediatric oncology unit as a pediatric client care technician and enjoys playing with the children. Every time the nurse needs her for something, Madeline can be found in the play area or in a child’s room. The nurse believes if Madeline would do her tasks, then she would be able to deliver better nursing care. The nurse is finally exasperated with Madeline after finding her in the playroom one more time. The nurse says, “You are lazy and never get anything of importance done for this unit!” The nurse has just provided Madeline with:
- A) Neutral criticism
- B) Positive feedback
- C) Negative feedback
- D) Constructive criticism
- Jose has switched to the night shift from the evening shift so that he has more time to spend with his family. However, he is finding it difficult to sleep during the day. His wife asks him to do numerous tasks around the house while he is at home. The lack of sleep is beginning to affect his job performance, and he has made several medication errors over the past month. His evaluation is a month away. The best approach for the nurse manager to take in this situation would be to:
- A) Wait until his evaluation in a month
- B) Ask the night supervisor to speak with him
- C) Schedule a meeting with Jose for the next morning
- D) Ignore the situation because the manager knows Jose will improve
- Which of the following is usually not part of a job evaluation?
- A) The job description
- B) Being compared with others
- C) The results of the employee’s efforts
- D) What the evaluator has seen
- When giving feedback it is important to include:
- A) Suggestions for change
- B) Only negative feedback
- C) Positive feedback followed by negative feedback
- D) A general opening statement comparing this person with others
- Which of the following is least effective when giving evaluation feedback? When it is given:
- A) Immediately
- B) Frequently
- C) Privately
- D) Negatively
- Which of the following guidelines is not appropriate when giving negative feedback?
- A) Think before you speak
- B) Allow personal feelings to guide your response
- C) Focus on behavior, not the personality
- D) Uncover hidden feelings
- Negative feedback should be given:
- A) In the nursing station
- B) During report
- C) With a yearly evaluation
- D) Privately
- A client’s husband recently died. During her doctor’s appointment, what would be the most appropriate statement by the nurse to the client at this time?
- A) “At least your husband didn’t have to suffer.”
- B) “It’s better to go quickly as your husband did.”
- C) “Your husband’s loss must be very painful for you.”
- D) “You’ll begin to feel better after you get over the shock.”
- A new nurse manager plans to give a performance evaluation to a staff nurse who has worked on the unit for 15 years. The staff nurse has had multiple complaints regarding the delivery of client care from clients and other staff. The best statement by the nurse manager in beginning the performance appraisal would be:
- A) “Tell me how you view your delivery of client care?”
- B) “I have reviewed your past evaluations and cannot believe that you are still here!”
- C) “The other day I noticed how well you taught your client about his new medications.”
- D) “I think that the acuity on this unit is too difficult for you.”
- You have used the S-BAR method of communication and your patient needs immediate attention and has not received it. Your best response would be to:
- A) Keep calling the same practitioner until you get results
- B) Hope the practitioner will act soon
- C) Go up the chain of command
- D) Ask the next shift to follow-up
Encoder, message, method of sending, decoder, feedback
Nonverbal and verbal
Maintaining appropriate eye contact.
“Lateness creates a situation that leads to a negative day; I think it is time to work out a plan to eliminate this problem.”
Noise from the television
More than one mode is used
“I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez.”
Professional e-mail may remain informal.
Using a communication language style that will cause a reaction on the part of the receiver.
“I find when I move clients, it helps to use my leg muscles more and my back muscles less.”
Schedule a meeting with Jose for the next morning
Being compared with others
Suggestions for change
Allow personal feelings to guide your response
“Your husband’s loss must be very painful for you.”
“Tell me how you view your delivery of client care?”
Go up the chain of command