Chapter 7

The whole person has ____________, _____________, ______________, and ______________ parts

physical; social; psychological; spiritual

Which is an open-ended question? A. "What hobbies do you enjoy?" B. "Do you want to wear your red sweater?" C. "Would you like eggs and toast for breakfast?" D. "Do you want to sit in your chair?"

"What hobbies do you enjoy?"

Which promotes communication? A. "Don't worry." B. "Everything will be fine." C. "This is a good nursing center." D. "Why are you crying?"

"Why are you crying?"

You ask: "What is your name?" This is A. A communication barrier B. A direct question C. Paraphrasing D. An open-ended question

A direct question

Body language sends messages through

A. Facial expression B. Gestures C. Posture D. Hand and body movements E. Gait F. Eye contact G. Appearance

List the basic needs for life as described by Abraham Maslow (from the lowest level to the highest level

A. Physical needs B. Safety and security needs C. Love and belonging needs D. Self-esteem needs E. Self-actualization needs

Which action shows respect for the whole person? A. Addressing the person using his or her title B. Addressing the person using his or her first name C. Calling an older person Grandma or Grandpa D. Calling a person Honey or Sweetheart

Addressing the person using his or her title

The meaning of touch depends on _____________, _______________, ________________, and ______________.

Age; gender (male or female); experiences; culture

You ask a person: "How do you feel about being here?" Which communication method have you used? A. A direct question B. Clarifying C. Silence D. An open-ended question

An open-ended question

A patient for whom you are caring is comatose. When giving care do the following except A. Explain care measures step-by-step as you do them B. Tell the person when you are finishing care C. Avoid touching the person when possible D. Tell the person when you are leaving the room

Avoid touching the person when possible

To communicate with the person you should A. Use medical words and phrases B. Change the subject often C. Give your opinions D. Be quiet when the person is silent

Be quiet when the person is silent

A person's culture influences health ____________ and ______________

Beliefs, practices

Messages sent through facial expressions, gestures, posture, hand and body movements, gait, eye contact, and appearance

Body language

Being unable to respond to stimuli

Comatose

Which means being unable to respond to verbal stimuli? A. Comatose B. Disability C. Nonverbal D. Holism

Comatose

Which statement about culture and religion is true? A. Cultural and religious practices are not allowed in nursing centers B. A person must follow all beliefs and practices of his or her culture or religion C. Culture and religion influence health and illness practices D. Culture and religion do not influence food choices

Culture and religion influence health and illness practices

Which communication method focuses on certain information? A. Listening B. Open-ended questions C. Clarifying D. Direct questions

Direct questions

Any lost, absent, or impaired physical or mental function

Disability

A person wants care given at a certain time and in a certain way. Nothing seems to please the person. The person is most likely demonstrating A. Angry behavior B. Withdrawn behavior C. Demanding behavior D. Aggressive behavior

Demanding behavior

You are giving a patient a complete bed bath. She complains about how you are giving the bath. She also tells you that her breakfast was terrible. She tells you: "Nobody knows what they are doing and nobody cares about me." Which action is not helpful? A. Explaining that you are giving her a bath in the right way and you do know what you are doing B. Listening and using silence; letting her express her feelings C. Staying calm and professional D. Discussing the situation with the nurse

Explaining that you are giving her a bath in the right way and you do know what you are doing

Inappropriate sexual behavior is always on purpose. A. True B. False

False

You give visitors support by answering their questions about the person's condition. A. True B. False

False

You must never control your body language. A. True B. False

False

A person for whom you are caring cannot speak or read. How should you communicate with the person? A. Use gestures B. Use nods and blinks C. Follow the care plan D. Use touch

Follow the care plan

You may use touch to communicate. Touch should be ___________, not ____________, _________ not _________.

Gentle; hurried; rough; sexual

A concept that considers the whole person

Holism

Where will you find information about the person's cultural and religious practices?

In the person's care plan

Failure to listen is a communication barrier because

It shows lack of interest and caring. You miss complaints or symptoms that you must report to the nurse.

Giving opinions is a communication barrier. Opinions involve

Judging values, behavior, or feelings

Something necessary or desired for maintaining life and mental well-being

Need

A person with aggressive behavior A. Is critical of others B. May swear, bite, hit, pinch, scratch, or kick C. Has little or no contact with others D. Has dementia

May swear, bite, hit, pinch, scratch, or kick

________________ communication does not use words.

Nonverbal

The ____________ or _____________ is the most important person in the agency.

patient; resident

Which needs are the most important for survival? A. Self-esteem B. Safety and security C. Physical D. Love and belonging

Physical

Which is a barrier to communication? A. Focusing B. Asking questions C. Pretending to listen D. Using familiar language

Pretending to listen

A patient has visitors. You need to give care. What should you do?

Protect the person's right to privacy. Do not expose the person's body in front ofvisitors. Politely ask them to leave the room. Show them where to wait. Promptly tell visitors when they can return. (If the person consents, you may allow a visitor to stay.

A person is demonstrating problem behavior. You should A. Put yourself in the person's situation B. Ignore the behavior C. Ask the person to be nicer D. Avoid the person

Put yourself in the person's situation

Spiritual beliefs, needs, and practices

Religion

You observe that a patient's visitor is upsetting him. Which action is correct? A. Ask the visitor to leave B. Report your observation to the nurse C. Ask the person if you can help D. Do nothing. It is none of your business

Report your observation to the nurse

Which is ethical behavior? A. Insulting a person's health care beliefs B. Arguing with a person about religious beliefs C. Trying to force your views on another person D. Respecting a person's cultural practices

Respecting a person's cultural practices

Which needs relate to feelings safe from harm, danger, and fear? A. Physical B. Safety and security C. Love and belonging D. Self-esteem

Safety and security

A person says: "I'm falling!" Which needs are most important at the time? A. Self-actualization needs B. Safety and security needs C. Love and belonging needs D. Self-esteem needs

Safety and security needs

A person uses a wheelchair. For effective communication, you should A. Lean on the wheelchair B. Pat the person on the head C. Direct questions to the companion D. Sit or squat next to the person

Sit or squat next to the person

Define a need

Something necessary or desired for maintaining life and mental well-being

Which is correct, when using verbal communication? A. Look away from the person B. Speak clearly, slowly, and distinctly C. Use slang or vulgar words D. Shout to be heard

Speak clearly, slowly, and distinctly

When communicating with foreign-speaking persons, which is not helpful? A. Speaking loudly B. Speaking distinctly C. Keeping messages short and simple D. Using gestures and pictures

Speaking loudly

How might illness and disability affect communication?

Speech, hearing, vision, cognitive function, and body movements are often affected.

Religion relates to

Spiritual beliefs, needs, and practices

A visitor seems to tire a person. What should you do? A. Ask the person to leave B. Tell the nurse C. Stay in the room to observe the person and visitor D. Find out the visitor's relationship to the person

Tell the nurse

Which action will not promote effective communication? A. Respecting the person's religion and culture B. Giving the person time to process information C. Telling the person that you are repeating information D. Asking questions to see if the person understood you

Telling the person that you are repeating information

Which basic need is the most essential? A. The need to feel safe B. The need to feel valued C. The need for affection D. The need for food

The need for food

You apply holism when you focus on A. The person's care plan B. The person's physical, safety and security, and self-esteem needs C. The person as a physical, psychological, social, and spiritual being D. The person's cultural and spiritual needs

The person as a physical, psychological, social, and spiritual being

Which is true? A. Nonverbal communication uses the written or spoken word B. Verbal communication is the truest reflection of a person's feelings C. Body language cannot be controlled D. Touch means different things to different people

Touch means different things to different people

A person may acquire a disability any time from birth through old age. A. True B. False

True

Many people find comfort and strength from religion during illness A. True B. False

True

Nonverbal messages more truly reflect a person's feelings than words do. A. True B. False

True

Often the person who is comatose can hear and can feel touch and pain. A. True B. False

True

The presence or absence of family or friends affects the person's quality of life. A. True B. False

True

Which is not a communication barrier? A. Using touch B. Giving opinions C. Giving pat answers D. Changing the subject

Using touch

______________ communication involves the spoken word.

Verbal

Communication that uses written or spoken words is A. Holism B. Verbal communication C. Body language D. A direct question

Verbal communication

A nursing center resident stays in his room most of the day. He does not attend activities. He does not talk to his family when they visit. This behavior is A. Self-centered behavior B. Demanding behavior C. Withdrawal D. Anger

Withdrawal

Using silence shows the person that A. You are uncomfortable B. You care and respect the person's feelings C. You are being rude D. You are not listening

You care and respect the person's feelings

A person is comatose. Which action is correct? A. You assume that the person cannot hear B. You explain what you are going to do C. You use listening and silence to communicate D. You enter the room without knocking

You explain what you are going to do

Which shows that you are listening? A. You sit with your arms crossed B. You have eye contact with the person C. You avoid asking questions D. You use communication barriers

You have eye contact with the person

A nursing center resident has difficulty hearing. The person also has poor vision. The nurse tells you to write messages to communicate. When writing messages, you need to:

• Be brief and concise • Use a black felt tip pen on white paper • Print in large letters.

Listening requires that you care and have interest. You need to follow these guidelines.

• Face the person • Have good eye contact with the person • Lean toward the person • Respond to the person • Avoid the communication barriers.

List 5 causes of anger.

• Fear • Pain • Dying and death • Loss of function • Loss of control over health and life • Long waits for care • It is a symptom of some diseases • Some people are generally angry

Causes of demanding behaviors include:

• Loss of independence • Loss of health • Loss of control • Unmet needs

List six nonverbal signs of anger.

• Rapid movements • Pacing • Clenching fists • A red face • Glaring • Getting close to you when speaking

Persons in hospitals and nursing centers feel safer and more secure if they know what will happen. For every task, the person should know:

• Why it is needed • Who will do it • How it will be done • What sensations or feelings to expect