Communication

Which form of communication is appropriate to assess understanding and clarify misinterpretations when the nurse is teaching a patient about a health concern?

Interpersonal

Which zone of personal space would the nurse be using when holding an inconsolable infant?

Intimate

Which action would the nurse avoid when working with an older adult?

Shifting quickly from subject to subject

Which skill would facilitate attentive listening while interacting with the patient?

Sit at an angle facing the patient. Maintain intermittent eye contact. Be relaxed and comfortable.

The communication tool SBAR is an acronym for which words?

Situation-Background-Assessment-Recommendation

Which term describes the type of communication involved when the nurse teaches individuals about healthy meal planning?

Small-group

Which action would the nurse take when caring for a patient facing amputation of the leg during the orientation phase of the relationship?

Talk with the patient about favorite hobbies

Which activity does the nurse carry out while maintaining a zone of personal distance?

Teaching or educating a patient

Which phase of the helping relationship is represented when the nurse recalls a funny shared experience with a patient shortly before the patient is transferred to another unit?

Termination

In the communication process, which person is the receiver of the message?

The person who decodes a message

The nurse explains to a patient that self-talk can improve self-awareness and help build a positive self-concept. To which level of communication does this refer?

Intrapersonal

Which level of communication is exhibited by the nurse performing a mental rehearsal on how to deal effectively in difficult situations with increased confidence?

Intrapersonal

Which message would the nurse who is keeping arms and legs uncrossed during a conversation portray to the patient?

Is open to what the patient says

Which message does the nurse convey to a patient when sitting at an angle facing the patient?

The nurse is interested in what the patient is saying

Which statement describes appropriate uses of focusing as a therapeutic means of communication?

This method guide the direction of the conversation to important areas Use focusing when the patient begins a vague conversation Avoid focusing if it interrupts the patient's important discussion

Which nursing intervention is appropriate for communicating with a patient who is visually impaired?

Using reading material with at least a 14-point print

Which statement would block communication?

Why do you always put so much salt on your food?

Which statement by the nurse illustrates the technique of sharing hope?

You are a fighter and I believe you can find a way to face this condition

A patient says to the nurse, "I have been drinking four glasses of whiskey daily for the past 20 years, and I never had any problems. I don't know why my health care provider has asked me to stop drinking." How would the nurse paraphrase this statement?

You are not convinced that you need to stop drinking?

Which statement by the nurse indicates a correct understanding of the elements of professional communication?

"I should introduce myself by giving my name and title." "I will avoid referring to patients by diagnosis, room number, or other attributes." "I should avoid terms such as 'honey,' 'dear,' or 'grandma' while addressing the patients."

Which statement by the nurse indicates effective learning about assertive behavior?

"It helps resist intentionally imposed guilt."

Which communicative statement indicates a defensive response?

"No one here would intentionally lie to you."

Which statement by the nurse represents "background" when using the SBAR (Situation-Background-Assessment-Recommendation) technique?

"The patient has a history of congestive heart failure."

Which minimum font size (in points) should be used for the print for a visually impaired patient?

14

Which distance of personal space is involved when giving a verbal report to a group of nurses?

9 feet (274 cm)

A patient is sitting with arms and legs crossed during an initial interview. What does this behavior indicate?

A defensive attitude

Which behavior fosters the development of trust?

Answering the nurse call system promptly Answering questions honestly Demonstrating competence when implementing treatments

Which strategy would the nurse use to communicate with patients who are cognitively impaired?

Ask one question at a time Use simple sentences avoiding long explanations Use pictures or gestures that mimic the action desired

Which approach is likely to be effective when communicating with a Spanish-speaking patient who has a hand fracture?

Assessing the patient's level of fluency in English Incorporating the patient's communication methods Providing written information in English and the primary language

The nurse states that being self-directed and independent are essential for accomplishing goals. Which element of communication is the nurse describing?

Autonomy

Which strategy maintains good interpersonal communication?

Be authentic Take initiative in communicating Respond appropriately to others

Which action would the nurse perform to practice active listening skills?

Be relaxed Avoid sitting with hands crossed Maintain intermittent eye contact

Which communication strategy would the nurse use when caring for an older patient who is visually impaired?

Checking for use of glasses Articulating in a normal tone of voice

A patient tells the nurse, "I am feeling sicker than yesterday." Which action would the nurse take before calling the rapid response team?

Clarify the patient's statement

A patient tells the nurse there is no meaning to life, and that he or she wants to see the end of it. The nurse asks the patient, "Are you talking about suicide?" Which term is this communication technique referred to as?

Clarifying

The nurse states to a patient, "When you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" Which therapeutic communication technique does this illustrate?

Clarifying

A 40-year-old patient has poorly controlled hypertension. The dietitian recommended several dietary modifications to the patient. Which technique would the nurse use during the orientation phase of this helping relationship?

Closely observe the patient's behavior Prioritize the patient's problems and identify goals Begin the conversation with warmth and empathy Work to understand the patient's behavior

A patient states that she gets anxious when she thinks about giving herself insulin. Which approach to intrapersonal communication would help in this situation?

Coach the patient to give herself positive messages about the ability to do this

Which special zone of touch requires the nurse to get permission to take a pulse at a patient`s wrist?

Consent

Which critical thinking attitude motivates the nurse to communicate and know more about a patient?

Curiosity

Which term describes the use of the word basketball in a conversation about a basketball game in which both the nurse and patient are referring to the sport?

Denotative

Which technique would the nurse use to address lateral violence?

Directly ask for the abuse to stop

Which physical sign would a patient present that would lead the nurse to conclude that the patient is depressed and angry?

Drooped shoulders and walks slowly Blunt facial expression when people offer their help Lacks eye contact while talking to any person willing to help

Which action performed by the nurse indicates the working phase of the helping relationship?

Encouraging and helping the patient set goals

Which nursing intervention helps the nurse establish a therapeutic relationship while working with a patient to solve problems and accomplish goals?

Encouraging and helping the patient set goals Taking action to meet the goals set with the patient Providing information needed to understand and change behavior

Which etiological factor may lead to difficulty articulating words?

Facial trauma Laryngeal cancer Endotracheal intubation

Which element of the communication process is the patient displaying when frequently nodding and saying, "I see" as the nurse explains the steps of a dressing change?

Feedback

Which nontherapeutic technique would the nurse avoid while communicating with a patient?

Giving false reassurance Responding aggressively Asking for explanation

Which question would be most relevant when the nurse is seeking more specific information about an area?

How has your pain affected your life at home?

Which statement by the newly hired nurse about interacting with a patient in the orientation phase indicates the charge nurse needs to intervene?

I should encourage and help the patient accomplish goals. I should achieve a smooth transition for the patient to other caregivers as needed

A patient diagnosed with terminal cancer has come to see the nurse with her daughter and husband to talk about the diagnosis. Which action would the nurse take?

Inform the patient about palliative care options

Which initial step would the nurse take if lateral violence occurs in the workplace?

Informing the manager to obtain support

Which attribute is exhibited by the nurse when a patient wants a regular diet but a regular diet would delay recovery and after a discussion both mutually agree upon a full liquid diet?

Integrity

The nurse is practicing active listening when conducting a patient interview. The nurse sits facing the patient with legs and arms crossed. The nurse leans toward the patient and maintains intermittent eye contact while listening. Which conclusion can be drawn about the nurse's active listening skills?

It is inappropriate to cross legs and arms

Which technique would the nurse use to actively listen to a patient?

Lean forward toward the patient Sit erect facing the patient with uncrossed arms Make eye contact

Which type of communication pattern would be exhibited when the nurse observes and acknowledges a patient's verbal and nonverbal indications of stress and prompts the patient to elaborate on these feelings?

Metacommunication

Which nontherapeutic communication technique is the nurse using when saying, "Don't worry; you'll be fine" to a patient?

Offering false reassurance

Which aspect of verbal communication improves effectiveness?

Pacing Intonation Vocabulary

What is an advantage of summarizing?

Promotes recall of previous discussions Participants focus on key issues Useful in the terminal phases of the patient relationship

Which action describes a therapeutic communication technique?

Provide hope to the patients Listen actively to the patients Understand the patients' feelings

Which level of communication is applicable when the registered nurse (RN) is teaching a group of nursing students about the care of patients?

Public

According to the circular transactional model, which element motivates a patient to communicate with the nurse?

Referent

While taking the patient's history, the nurse addresses the patient using the last name. Later, while reporting to the head nurse, the nurse says "the patient in room 31 has stable vitals." Which part of the nurse's communication is inappropriate?

Referring to the patient using the room number