Communication Basics H&W

Julian returns to the client's room 30 minutes later to find that the client is tearful and states, "I am worried about having this surgery. What if something bad happens? Who will take care of my children?" Which response by Julian is therapeutic?​​

"This must be difficult time for you. Would you like to talk more about this?"

Passive

-"I am pretty busy today, but I can do the project for you."​​ -"It is OK that you were late. I cared for clients until you got here."

Agressive

-"I cannot help you today. You always ask for favors at the last minute." -"You are always late. What is the problem?"

Assertive

-As much as I would love to help, unfortunately, I have a lot of work to get through today. -"I disagree with you. This is how I see the situation." -"I feel offended by your statement." -"Next time, I would appreciate it if you were on time for the report."​

Which clients may benefit from motivational interviewing? Select all that apply.

-Client who has asthma and does not want to rehome their cat to prevent an attack -client who is obese and does not think they have time to exercise -client who recently had a heart attack and does not want to reduce fat intake

When caring for a client who is hearing-impaired, which techniques may improve communication? Select all that apply.​

-Keep communication short, simple, and direct. ​-Assess the need for adaptive equipment, such as a hearing device. ​-Allow the client time to process the information and respond.​

Not empathy

-The nurse is caring for a client who is hospitalized on Thanksgiving Day. The client is tearful and missing their family on the holiday. The nurse responds, "Why are you crying? It's Thanksgiving Day!"​ -At the end of the shift, the nurse is caring for a client who has experienced stool incontinence. The nurse frowns when they realize this will delay leaving on time. ​

Empathy

-The nurse is caring for a client who recently experienced the loss of a newborn baby. The nurse sits at the bedside and holds the client's hand while the client quietly cries. ​ -The nurse is caring for an injured client who is far from home with no support system. The nurse arranges for transportation home and grocery delivery to relieve the client's anxiety. ​

Upon entering the exam room, Prisha states, "Hello, Mr. Lang. I saw that today is your birthday. Do you have any plans to celebrate?" This statement begins the orientation phase of the therapeutic relationship. This phase should include _____ communication that is _____

-informal -friendly

Rearrange the stages of the therapeutic relationship into the correct order.

1. Preinteraction: planning and starting the process before the purposeful interaction with the client begins 2. Orientation: meeting, creating rapport, and establishing trust through honesty and empathy 3. Working: mutual problem solving to accomplish therapeutic goals 4. Termination: separating from the formal therapeutic relationship

John is talking to Tim and states, "Tim, you should quit your job if you are so unhappy."​ This is an example of giving

A personal opinion

What is the evidence of effective communication between Julian and the client?​​

As the client leaves the preoperative area to go into the operative room, Julian thanks the client for her trust and cooperation

Review the following interaction, then answer the question. ​ Client: Yes, I've actually had to turn away customers. My schedule is so overbooked. ​ Nurse: Thank you for making time to see us today. Tell me how it makes you feel to turn away customers. ​ ​What therapeutic communication technique is Iryna using with this client?

Asking relevant questions

Nurses use communication throughout the nursing process. Place the communication statements in the correct order based on the nursing process. ​

Assessment: The nurse asks the client if they have had any past surgeries. Diagnosis/Analysis: The nurse analyzes the client's responses and determines that the client is afraid to have surgery. Planning: The nurse talks with the client to establish mutual goals. Implementation: The nurse teaches the client about the pain management plan after surgery. Evaluation: The nurse asks the client if they have any questions.

"Ms. Smith, this morning I accidently gave you the wrong medication. I have notified your provider and will monitor you closely."

Autonomy

Nurses are self-directed and independent in accomplishing goals and advocating for others.

Autonomy

Working

Begins as the nurse and client collaborate as partners in promoting the clients health

Orientation

Begins when the nurse and client meet for the first time

Perinteraction

Begins when the nurse starts preparation for the initial interaction

Stacy phones the healthcare provider. Which statement represents the recommendation?​

Can I have a prescription for a stronger pain medication

Review the following interaction, then answer the question. ​ Nurse: How are you today?​ Client: I'm doing good, but it has been very busy at work lately. ​ Nurse: You've been busy at work?​ ​What therapeutic communication technique is Iryna using with this client?

Clarifying

The nurse is educating a client and at the end of each sentence asks, "Okay?" The nurse's speech is rapid and explanations are lengthy. Which aspect of verbal communication is the nurse breaching?​

Clarity

What are elements of professional appearance? Select all that apply

Clean and well-groomed Follow uniform requirements Avoid Strong smelling perfumes

What are elements of professional demeanor? Select all that apply

Confident Clear voice warm and friendly good listening skills

"Hello, Ms. Smith. My name is Jessica and I will be your nurse today. How are you feeling?"

Courtesy

Nurses say hello and goodbye to clients and knock on doors before entering.

Courtesy

Review the following interaction, then answer the question. ​ Client: Seriously! I need the TV fixed.​ Nurse: What did you do to it?​ Client: I did not do anything to it.​ Nurse: You did not do anything to it. ​ Client: Why do you not believe me?​ Nurse: Of course, I believe you. Why wouldn't I believe you? What non-therapeutic communication techniques is Jeffery using with this client? Select all that apply. ​

Defensive response asking for explanation parroting

The nurse decides to _____ the teaching session. Rachel is aware that _____ is important in this situation

Delay Timing

A father is playing catch with his son. His son throws the ball high. The father says, "Come on son, that was a terrible throw." This is an example of

Disapproval

Non-therapeutic communication techniques _______ conversation and expression of feeling and causes ______ responses or behaviors in others

Discourage Negative

Prisha remembers her late grandfather who refused to take his medication and how her grandmother struggled to watch his health decline. She notices that Mr. Lang's partner is very concerned, so Prisha provides reassurance by touching Mr. Lang's partner's hand. Which characteristic of the therapeutic relationship is Prisha displaying?​

Empathy

Rachel finishes the teaching session and asks Ms. Simpson to repeat back how to care for her surgical site. Which part of the nursing process is Rachel performing?​​

Evaluation Rachael is evaluating the clients understand of discharge teaching

Review the following interaction, then answer the question. ​ Client: I need it fixed now. I can't watch the news.​ Nurse: I'm sure it is just the batteries in the remote. Don't worry about it. ​ ​What non-therapeutic communication technique is Jeffery using with this client?​

False reassurance

Which communication techniques are considered non-therapeutic? Select all that apply.

False reassurance disapproving

After receiving the report, Stacy begins to assess the client, who states that pain is 9/10. The client requests additional pain medication, but there are no medications available at this time. Who should Stacy contact for assistance?

Healthcare provider

Which are appropriate to share with the client? Select all that apply

Hope observations information humor empathy

A standardized communication tool used in healthcare to enhance quality care and client safety uses the acronym ISBAR. What does ISBAR stand for?

Identify, Situation, Background, Assessment, and Recommendation.`

In which phase of the therapeutic relationship, does the nurse encourage the client through self-exploration and use therapeutic communication to facilitate successful interactions?​

In the working phase of the therapeutic relationship, the nurse encourages the client through self-exploration and uses therapeutic communication to facilitate successful interactions. ​

The nurse is assisting the client with toileting. The nurse is feeding the client who has had a stroke.

Intimate distance

Which statement best describes therapeutic communication?

It is a skill used to meet a client's expressed or unexpressed needs in a timely and respectful manner.

How does interprofessional collaboration improve health and wellness?

Leverages knowledge from multiple disciplines to improve care of an individual

Termination

Marks the end of the relationship as it exists for the predefined

As Rachel prepares to provide discharge teaching, which level of communication is most appropriate?​

One-on-one

In which phase of the therapeutic relationship does building rapport occur?

Orientation

Which communication technique involves repeating the client's exact statements word for word?​

Parroting

In this interaction b/w julian and the charge nurse, julian is using ______ responses. The charge nurse is using _____ responses

Passive aggressive

The nurse is teaching a client how to choose low-sodium foods from a menu. The nurse is sitting in a chair at the client's bedside.

Personal distance

Before assuming care, Julian receives a report of information from the nurse who is leaving the unit. Which phase of the therapeutic relationship is Julian entering with the client?​

Preinteraction

Clara reviews the client's medical record. Clara specifically wants to review the client's ethnicity and family form to determine any cultural needs to be addressed as part of dietary teaching. Additionally, Clara consults with the facility dietician for strategies to encourage family diet change.​ Which phase of the therapeutic relationship do Clara's actions demonstrate?

Preinteraction

Prisha speaks to the healthcare provider and learns that Mr. Lang was recently diagnosed with a heart condition that requires daily medication. The provider explains that Mr. Lang was hesitant to take the drug and did not want to return to the clinic for monthly laboratory testing. Which phase of the therapeutic relationship does this represent?​

Preinteraction

What are the characteristics of a therapeutic nurse-client relationship? Select all that apply.​

Purposeful Goal-Directed Boundaries

Ms. Simpson's daughter arrives and Rachel prepares to begin teaching. How should Rachel prepare for the education session?​​

Secure an authorized translator who can also perform sign language

Xavier Jones is talking with a family whose grandfather has just passed away. While answering questions and providing information, Xavier shares a story about his experience of losing his grandmother last year. What communication technique is Xavier using?​

Self disclosure

Review the following interaction, then answer the question. ​ Nurse: What exactly do you do for work?​ Client: I cut and style hair, mostly for brides and bridesmaids. ​ Nurse: That sounds fun!​ Client: It is fun. I love my job, but yesterday I worked from 6 a.m. until 6 p.m. Nurse: That must have been an exhausting day. What therapeutic communication technique is Iryna using with this client?​

Sharing empathy

The nurse is talking to the client's daughter about the diagnosis. The nurse is giving report to the oncoming shift.

Social distance

Click to Select all the cues that alert the nurse to be aware of communication

Speaks polish Understands some English but speaks very little been deaf since childhood vision has deteriorated

A student says to another student, "I'm sorry that you did poorly on the exam. I'm so worried that you won't pass this class."​ This is an example of

Sympathy

Select the cues that Prisha may need to establish a therapeutic relationship with Mr. Lang

Taking his medication inconsistently

While Stacy is receiving the hand-off report, the physical therapist enters the room. What role does the physical therapist play in the client's recovery?​

Teaching the client how to use a mobility device

Which family may benefit from motivational interviewing?​

The family of a child recently diagnosed with diabetes mellitus and the family is concerned about changing their eating habits.

Which strategies implemented by the nurse would facilitate safe client transfer from the medical-surgical unit to the intensive care unit (ICU)? Select all that apply. ​

The nurse from both departments should meet face-to-face to discuss the clients transition The nurse should allow time to answer any question the ICU nurse has before transitioning the client The nurse should use standardized communication tool to provide information to ICU nurse

How do the phases of the nurse-client relationship compare to the nursing process?

The nurse is performing assessment during the preinteraction phase (chart review) and the orientation phase (learning more about the client). ​

Julian enters the client's room to find a nursing assistant helping the older client. Which action by the nursing assistant appears unprofessional?​

The nursing assistant is calling the client "honey" instead of by name

After providing education about medication compliance, Prisha thanks Mr. Lang and makes an appointment for him to return to the clinic in one month. What has Prisha accomplished?​

The therapeutic relationship has terminated and a plan for the futures was est.

What is the purpose of active listening

To convey trust and respect to the client

"Ms. Smith, we have received your laboratory results. It seems that you are not healing well from your surgery."

Trustworthy

Nurses display consistency, reliability, honesty, competence, and respect.

Trustworthy

The nurse is caring for a client who only speaks and reads Spanish. What action should the nurse take when communicating with this client?​

Use an authorized interpreter

Click to identify whether each component of communication is verbal or nonverbal:

Verbal: Clarity and brevity Pacing Intonation Meaning Nonverbal: Posture and gait Gestures Personal space Eye contact Appearance

A nurse is caring for a client who reports difficulty sleeping. Which response by the nurse is most appropriate?

You are having difficulty sleeping?

When Stacy returns to the nurses' station, she overhears the night shift nurse mention that Stacy is a new graduate and probably not capable of caring for such a complicated client. When the nurse sees that Stacy has overheard the comment, the nurse groans and walks away. What action should Stacy take first?​

approach the nurse privately and ask to speak about the comment

A nurse is counseling a client about weight loss and suggests eliminating certain foods from the diet. The client refuses this advice stating, "But those are some of my favorite foods. I will not cut out those foods!" The nurse responds with, "You must cut out those foods or your health will continue to decline."​ This is an example of

arguing

How can you say that you are in pain? You are texting on your phone.

arguing

Review the following interaction, then answer the question. ​ Nurse: What is wrong with you today?​ Client: I messed up the TV in my room. ​ What non-therapeutic communication technique is Jeffrey using with this client?​

asking for an explanation

It's time for your medications. We can talking about your concerns about discharge later

changing the subject

Review the following interaction, then answer the question. ​ Client: Can you call someone to fix my TV?​ Nurse: Let's go and see what the cafeteria is serving for lunch. ​ ​What non-therapeutic communication technique(s) is/are Jeffrey using with this client? Select all that apply. ​

changing the subject

We would never intentionally withhold your medication

defensive response

You should not stop your cancer treatments

disapproval

Which are aspects of nonverbal communication? Select all that apply. ​

eye contact​ personal space​ posture and gait​ appearance​ facial expression​ gestures​ sounds ​

I'm sure your results will be normal

false reassurance

If I were you, I would take a leave of absence from work

giving advice

Where is the best location for the hand-off report to occur?

in the clients rooms

What is the most important characteristic of small group communication? ​

organized and concise

Tom says to Sally, "I'm not angry with you." Then Tom ignores Sally for the rest of the night. This is an example of

passive response

I'm so sorry for the loss of your father. You must be devastated

sympathy

Review the following interaction, then answer the question. ​ (Nurse makes eye contact with the client.) Nurse: Your hair looks very pretty today. ​ Client: Thank you! I just got it cut last week. ​ (A few minutes of silence passes while the client looks at herself in the mirror.) Client: I would love to do your hair for you one day. ​ Nurse: If my hair gets any grayer, I may take you up on that offer. ​ ​What therapeutic communication technique is Iryna using with this client? Select all that apply.

using silence sharing observations sharing humor active listening

In which phase of the therapeutic relationship does this occur?

working