NUR 101: Test 4 - Chapter 3 - Communication

A nurse demonstrates caring, sincerity, empathy, and trustworthiness A. Therapeutic nurse-patient interaction B. Ethical nurse-patient interaction C. Legal nurse-patient interaction D. Emotional nurse-patient interaction

A

It enhances feelings of well-being, reduces anxiety, and encourages a sense of hope. A. Use of humor B. Going home C. Feeling better D. Getting well

A

It may mean an intention to interact A. Eye contact B. When we say "aha" C. A handshake D. Silence

A

The difference between expressive aphasia and receptive aphasia? A. Expressive is not being able to talk; receptive is not being able to understand B. Expressive is not being able to feel; receptive is not being able to receive C. Expressive is not being able to have facial expression; receptive is being able to react with a facial expression D. Expressive and receptive are both psychosocial disorders

A

Which of the following is true about "JARGON"? A. It is a commonplace terminology unique to people within a specific type of work that should be avoided when talking to clients or patients B. Health care workers are expected to learn Jargon and use it daily C. It is scientific terminology that is exact and should be used with patients. D. Jargon is indicative of highly qualified and professional workers

A

While working, one of the patients looked at you and said that "You are hot!". What kind of communication is he using? A. Connotative B. Flirtatious C. Expressive D. Denotative

A

The patient says: "When I get home tomorrow, I have to clean the house. I have to do some errands. I will need to cook. There are so many things...." You say: "I understand that you have to catch up with so many things, but don't you think you need to rest a little but more? After all, you just got out of the hospital. What possible communication technique/s could this be? A. Closed and Focused B. Open and Focused C. Paraphrasing D. Restating

A.

Which of the following are consistent with an open posturing? A. Smile and direct eye contact (Missed) B. Sitting down near the bedside (Missed) C. Slight shift of body position towards individual (Missed) D. Using the word "Sir" or "Mom" even when the patient tells you not to.

A. B. C.

Which of the following are physiologic factors of communication? Select all that apply A. Age B. Altered cognition C. Pain D. Impaired hearing

A. B. C. D

Which of the following statements are true about verbal and nonverbal communication? Select all that apply. A. When they are not consistent or incongruent, the nonverbal message will most likely be the one received. B. When they are not consistent or incongruent, the verbal message will most likely be the one received. C. Nonverbal communication is as powerful as verbal communication D. Nonverbal communication is not as powerful as verbal communication

A. B. Consistency of Verbal and Nonverbal communication

Which of the following are alternative methods of communication for ventilator-dependent patients? Select all that apply. A. Communication board B. Pen and paper C. Translator and interpreter D. Signal system

A. B. D.

Which of the following are considered nonverbal cues? Select all that apply. A. Tone and rate of voice B. Eye contact and physical appearance C. Jargon D. Use of touch

A. B. D.

Which of the following are essential elements of communication? (Select all that apply) A. Sender B. Words C. Message D. Receiver

A. C. D. Words are not an essential element in communication. A message can be sent without the need for words. Pictures can contain thoughts as well

A frequent cause of misunderstanding A. Incongruence B. Loquaciousness C. Assertiveness D. Silence

A. When verbal and nonverbal communication do not convey the same message, this is called incongruence. This will cause misunderstanding

abortion is immoral

Approval or disapproval

how could your pain level be so high? You were just laughing earlier

Arguing

Why did you not go to the doctor before?

Asking for explanations

isn't that nice

Automatic response

"How are you feeling about having surgery tomorrow Mr. James?" What kind of a questioning is this? A. Closed B. Open C. Minimal encouragement D. Scope of practice question

B

"What time do you usually take your insulin?" is what kind of questioning? A. Open ended B. Closed ended C. Minimal encouragement D. Assertive

B

A blind elderly patient is in tears upon learning that her cancer is terminal. What would be the best nonverbal communication to show her some empathy? A. Silence B. Touch C. Wipe her tears D. Cry with her

B

An ability to confidently and comfortably express thoughts and feelings while still respecting the legitimate rights of the patient. A. Aggressive communication B. Assertive communication C. Non-aggressive communication D. Unassertive communication

B

It means providing a review of the main points covered in an interaction. A. Paraphrasing B. Summarizing C. Reflecting D. Restating

B

When a patient's message is incomplete, this technique takes restating and paraphrasing a step further. It is helpful when you need to assess whether a patient is following a prescribed health regimen appropriately. A. Focusing B. Clarifying C. Reflecting D. Open ended

B

When using minimal encouragement, to accept a patient's statement is to agree with the patient. A. True B. False

B

Which of the following statements is not true about touch as a nonverbal means of communication? A. Culture, age, sex, duration and intensity of contact will affect the interpretation of touch. B. It is always good to give a patient a back rub regardless of gender or age difference. C. When you are comfortable with physical contact with a patient, touch has great potential for conveying warmth D. A small child who is scared by the hospital environment will respond better to being cuddles than to a verbal explanation of what is taking place.

B

A practical nurse with a BMI of 35 teaches a patient about Cardiac diet. Besides being a nurse, she is also a nutritionist. However, the patient has doubts on what she is teaching. What could be the reason? A. Use of Jargon B. Physical Appearance C. Too academic D. The nurse has an accent

B. A BMI of 35 is indicative of obesity which could be indicative of an unhealthy lifestyle with the risk of having cardiac or metabolic problems. Physical appearance may diminish if not totally eliminate credibility.

The most effective way to discuss pain is expressed through which nonverbal cue? A.Eye contact B.Gestures C.Sound D.Posture

B. A patient is often better able to express where pain is on the body by pointing to a particular area than trying to describe it in words.

When a nurse is suffering from laryngitis, which of the following nonverbal cues could be the most effective in communicating with a patient? A. A soft voice and physical appearance B. Gestures and eye contact C. Write a note and tell the patient you are sick D. Posture and hand movements

B. Gestures and eye contact could be used to point on things and to act out a certain instruction with an intent to convey a message. A soft voice could be ineffective since the patient might not hear

A patient says that he does not feel any pain at all, but he grimaces every time you touch his arm. What technique could validate the accuracy of what you see? A. Asking questions B. Offering medication C. Stating observation D. Doing a head to toe assessment

C

A subtle therapeutic technique that communicates to the patient that you are interested and want to hear more. It indicates your acceptance of the patient as a person. It usually involves nonverbal cues such as eye contact and nodding. A. Therapeutic relationship B. Moral support C. Minimal encouragement D. Act of kindness

C

At 2:55 pm, five minutes before the end of her shift, the nurse answers a call light only to find out that an ambulatory patient wanted her to look for the remote control so that he could watch an ongoing football game. The nurse replies: "I will call the PCT right now so that you could watch the game". The patient answers, "Why don't you look for it yourself?" And the nurse responds back, "I would if I could, but I do have a meeting after work and I would not want them to wait for me". What do you call this style of communication? A. Authoritative communication B. Aggressive communication C. Assertive communication D. Delegating communication

C

Impaired verbal communication refers to: A. Expressive or receptive aphasia B. Hearing disability C. Decreased, delayed or absent ability to process and use a system of symbols D. Mental retardation

C

In establishing a therapeutic relationship, the focus of interaction is.... A. Task B. Nurse C. Patient D. Equipment

C

It empowers the patient to verbalize possible solution and at the same time places the patient in a position of control and promotes self-esteem. It allows patients to see that their ideas and thoughts are important and have worth. A. Introspecting B. Speculating C. Reflecting D. Meditating

C

Patient says: "I am afraid about what the Doctor will tell me later". You say: "I see that you are afraid on what the Doctor might tell you later". What communication technique is this? A. Closed B. Echoing C. Restating D. Open

C

Which of the following is a true definition of Communication? A. Reciprocal process in which talking and listening are agreed upon B. Reciprocal process in which one person says something and the other person hears. C. Reciprocal process in which messages are sent and received between people D. A process of sending a message without the need for an audience

C

Which of the following is not a guideline in communicating with non-English speaking patients? A.Build in time for translation and interpretation B.Use dialect specific interpreters, not translators C.Avoid same-age and same sex interpreters D.Address your questions to the patient and not the interpreter

C

Which of the following is not true in communication? A. One way communication is highly structured B. One way communication has very little place in the nurse-patient relationship C. One way communication is very important in nurse-patient relationship specially in emergency situations D. Even when a person does not respond but hears a message, communication takes place.

C.

While helping a patient for discharge, the patient says: "Thank you so much for everything you did for me. If ever I need anything, what should I do?" What would be the nurse's most appropriate response? A. "Here is my cell phone number. You can either call or text me" B. "I think you actually live two blocks away from my house. Why don't you drop by and we can chat?" C. "You can always call your doctor or call the hospital. I am sure someone can help you" D. "Don't worry. I see that you have your email address. I will send you some email

C. Be careful to maintain personal boundaries. It is not advisable to share personal information such as your address and phone number. Doing so often leads to situations that you are not prepared to handle.

When talking to an older patient with a hearing aid, what would be the most effective way to communicate? A. Direct your voice to the ear without a hearing B. Increase the volume of your voice C. Be sure your face is visible to the patient D. Just say what you want to say whatever the patient is doing

C. Life Span Considerations

A postoperative patient obtained more than 13 points in a Glasgow-Coma scale test. After the test, he was tired and partially lethargic. Which of the following elements of communication could be the most effective to convey him a message? A. Eye contact B. Gesture C. Voice D. Silence

C. Voice. A person who is lethargic will not exert an effort to look are see, but he can hear. Eye contact and gesture cannot apply. Silence, although a communication technique will not apply to a person who is partially somnolent

Let's talk about something else.

Changing the subject

allows patient to verify that message received is accurate

Clarifying

provides very specific answer

Closed questioning

"Well. I'm really busy right now, but I guess I can do it if I hurry. I just don't know how I am going to get to my other patient ready for surgery in time. Here, give me your pitcher. I will fill it up with water". What is this style of communication? A. Aggressive communication B. Assertive communication C. Unaggressive communication D. Unassertive communication

D

Patient says: "I am afraid what the Doctor will tell me later". You say: "I can see that you are a bit scared when you meet the Doctor later". What communication technique is this? A. Closed B. Echoing C. Restating D. Paraphrasing

D

When talking to a patient from another culture and with another language, the most effective way to communicate is: A. Using pictures B. Using gestures C. Using a translator D. Using an interpreter

D

You find out that the CEO of the hospital has just been admitted and happens to be your patient. Since you have worked with him before, you know that he is very authoritative and does not mingle much with others. Which of the following nonverbal cues would he expect that you observe? A. Use of gestures B. Open posture C. Extended eye contact D. Closed posture

D

I'm doing the best I can

Defensiveness

Extended, brief, absent

Eye contact

your husband is not very supportive

False assumptions

It will be okay

False reasssurance

allows nurse to gather more specific information

Focusing

movement of hands

Gestures

If I were you I would...

Giving advice or personal opinion

useful for patient teaching

Offering information

allows patient to elaborate freely

Open-ended question

verifies that the nurse's interpretation of message is correct

Paraphrasing

Dress, grooming, size

Physical appearance

Relaxed, formal, stressed, laid back

Posture

promotes independent decision making; allows patient to see that her or his ideas and thoughts are important

Reflecting

lets the patient know that the nurse heard what was said

Restating

allows for the clarification of the intended message when verbal cues do not match nonverbal cues; allows for more accurate interpretation of patient concerns

Stating observations

focuses on key issues and allows for additional information which was perhaps ommitted

Summarizing

tone, volume, pitch, rate

Voice