which of the following scenarios provides an example of a nurse overcoming a barrier to communication

NCLEX-RN

NCLEX RN Actual Exam Test Bank

1. Which of the following scenarios provides an example of a healthcare professional overcoming a barrier to communication?

A. A healthcare professional uses a visual aid to explain how to conduct a fingerstick glucose test to a patient with visual impairment.
B. A healthcare professional writes down instructions for a patient who is hearing impaired.
C. A healthcare professional raises their voice when speaking to a patient who does not speak English.
D. A healthcare professional uses medical jargon while conversing with a minor.

Correct answer: B

Rationale: Overcoming barriers to communication in healthcare involves utilizing methods of communication that are accessible and understandable to the recipient. In the scenario provided, writing down instructions for a patient who is hearing impaired is an effective way to ensure clear communication and overcome the obstacle of hearing impairment. This method allows the patient to visually comprehend the information provided. Choice A is incorrect because using a visual aid for a visually impaired patient, not a hearing-impaired patient, would be more appropriate. Choice C is incorrect as raising one's voice does not address the language barrier effectively and may not enhance understanding. Choice D is incorrect as using complex medical terms with a minor may lead to confusion and hinder effective communication.

2. The nurse is unable to palpate the right radial pulse on a patient. What would the nurse do next?

A. Auscultate over the area with a fetoscope.
B. Use a goniometer to measure the pulsations.
C. Use a Doppler device to check for pulsations over the area.
D. Check for the presence of pulsations with a stethoscope.

Correct answer: C

Rationale: When a nurse is unable to palpate a radial pulse, the next step is to use a Doppler device to check for pulsations over the area. Doppler devices are specifically designed to augment pulse or blood pressure measurements. Auscultating with a fetoscope is used to listen to fetal heart tones and is not relevant in this scenario. Goniometers are used to measure joint range of motion and are not used to assess pulses. Stethoscopes are primarily used to auscultate breath, bowel, and heart sounds, not to check for pulsations in peripheral pulses. Therefore, the correct course of action when unable to palpate a pulse is to utilize a Doppler device to assess for pulsations in the radial pulse area.

3. The NFPA diamond has four colors. The blue diamond:

A. indicates hazards to health.
B. designates that it is safe to use water to put out this type of fire.
C. indicates that ice is necessary to treat an injury with this type of chemical.
D. indicates that the chemical may be incinerated upon disposal.

Correct answer: A

Rationale: The National Fire Protection Agency (NFPA) uses a safety diamond to communicate the level of threat posed by a specific chemical. The blue diamond in the NFPA diamond system signifies potential health hazards associated with the use of that chemical. Choice B is incorrect because the blue diamond does not indicate anything about using water to extinguish fires. Choice C is incorrect as the NFPA diamond does not provide information on treating injuries. Choice D is also incorrect as the blue diamond does not suggest incineration upon disposal; it pertains to health hazards.

4. The healthcare provider is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope?

A. Often used to direct light into the sinuses
B. Used to examine the structures of the internal ear
C. Uses a short, broad speculum to help visualize the ear
D. Directs light into the ear canal and onto the tympanic membrane

Correct answer: D

Rationale: The otoscope is a tool used to examine the ear canal and tympanic membrane, which separates the external and middle ear. It is not intended to direct light into the sinuses or examine the internal structures of the ear. The otoscope typically uses a short, narrow speculum to aid in visualizing the ear canal and tympanic membrane, not a short, broad speculum as mentioned in choice C.

5. Which of the following is an anthropometric measurement?

A. Blood pressure
B. Temperature
C. Pulse Rate
D. Weight

Correct answer: D

Rationale: Anthropometric measurements relate to the size, weight, and proportions of the human body. Weight is a key anthropometric measurement as it directly reflects body mass, making it the correct choice. Blood pressure, temperature, and pulse rate are physiological measurements that do not specifically pertain to body size or proportion, hence making them incorrect choices in the context of anthropometric measurements.