CNE Communication & Client Relations 2 — Questions and Answers
Question 1: A nursing educator is teaching students about SBAR communication. Which component of SBAR includes the patient's current vital signs and assessment findings?
- Situation
- Background
- Assessment (Correct answer)
- Recommendation
Correct answer: Assessment
The Assessment component of SBAR is where the nurse provides objective data such as current vital signs, lab values, and clinical findings.
Question 2: When teaching motivational interviewing techniques, a CNE emphasizes the concept of 'rolling with resistance.' This strategy is best described as:
- Confronting the client directly about their denial
- Avoiding arguments and redirecting resistance without direct opposition (Correct answer)
- Repeating the same message until the client agrees
- Documenting non-compliance in the medical record
Correct answer: Avoiding arguments and redirecting resistance without direct opposition
Rolling with resistance means not opposing the client's pushback but instead reframing it or shifting focus to reduce defensiveness and promote autonomy.
Question 3: A nurse educator is demonstrating teach-back with a diabetic patient. The MOST appropriate way to initiate teach-back is:
- 'Do you understand how to inject insulin?'
- 'Can you show me how you would draw up and inject your insulin?' (Correct answer)
- 'I explained insulin injection—let me know if you have questions.'
- 'Please read this pamphlet and tell me if anything is unclear.'
Correct answer: 'Can you show me how you would draw up and inject your insulin?'
Teach-back is most effective when the patient is asked to demonstrate or explain the skill in their own words, revealing true comprehension.
Question 4: During a clinical simulation debrief, an educator notices a student interrupted a patient mid-sentence during history-taking. This behavior violates which communication principle?
- Empathy
- Active listening (Correct answer)
- Assertiveness
- Congruence
Correct answer: Active listening
Active listening requires allowing the patient to fully express themselves without interruption, demonstrating respect and gathering complete information.
Question 5: A CNE is preparing students to work with patients who have low health literacy. Which written patient education material characteristic is MOST important?
- Written at a 10th-grade reading level
- Uses medical terminology to maintain accuracy
- Written at a 5th-grade reading level or below with plain language (Correct answer)
- Contains detailed anatomical diagrams
Correct answer: Written at a 5th-grade reading level or below with plain language
Materials for low-health-literacy patients should use plain language at a 5th-grade reading level or below to maximize comprehension and adherence.
Question 6: When a patient with limited English proficiency requires informed consent, the nurse educator should teach students that the BEST resource is:
- A bilingual family member who volunteers to translate
- A certified medical interpreter (Correct answer)
- A bilingual nursing staff member who speaks the language informally
- Written consent forms translated by online software
Correct answer: A certified medical interpreter
Certified medical interpreters are trained in medical terminology and ethical standards, ensuring accurate and unbiased informed consent communication.
Question 7: A nursing educator teaches that proxemics, or the use of physical space in communication, is MOST relevant when:
- Selecting the correct tone of voice for telephone communication
- Determining how close to stand when delivering sensitive news to a patient (Correct answer)
- Choosing written versus verbal instruction methods
- Establishing eye contact with a patient during assessment
Correct answer: Determining how close to stand when delivering sensitive news to a patient
Proxemics involves the use of personal space in communication, and maintaining appropriate distance is especially important during sensitive or emotionally charged interactions.
CNE Communication & Client Relations 2
A nursing educator is teaching students about SBAR communication.
Which component of SBAR includes the patient's current vital signs and assessment findings?