Communication and Therapeutic Relationships (Exam 1_Davis Advantage)

A client tells the nurse, "My injury is hurting a lot. I don't think it will ever get better." Which responses by the nurse are therapeutic? Select all that apply.

Correct: -"I'm sure you are frustrated; how would you describe your pain?" -"It's difficult having pain all of the time. Your incision will heal; it just takes time." -"Tell me about your pain." Incorrect: -"Is your pain severe? I'll get you something." -"Let's see if I can help. When did the pain begin?"

A client says to the nurse, "I feel so sick and weak, I don't think I'll ever be able to go home." Which response by the nurse is therapeutic?

Correct: -"It sounds like you are frustrated. What do you mean by 'sick and weak'?" Incorrect: -"Let's get you up and walking more; that will help." -"What can I do to help you feel better?" -"I'm sure you are frustrated; you must miss being home."

A client comes to the emergency department with severe shortness of breath and difficulty breathing. He is restless and anxious. Which response made by the nurse offers reassurance and builds trust? Select all that apply.

Correct: -"This must be a frightening situation for you." -"Tell me more about what you are doing when your breathing is most difficult." -"Would you like your family to stay here with you as I step out?" Incorrect: -"I'll give you some medication to help with your breathing." "Please try not to think about the breathing."

A client admitted in hypertensive crisis informs the nurse that he stopped taking his blood pressure medication 2 weeks ago. Which is the nurse's best response?

Correct: -"Why did you stop taking your high blood pressure medication?" Incorrect: -"Tell me more about your experience with your high blood pressure medication." -"It's very important to take your blood pressure medication." -"Did you talk to your healthcare provider about stopping it?"

Which statements about communication are correct? Select all that apply.

Correct: -Communication consists of sender, receiver, message, feedback, encoding, decoding, and channel. -Interpersonal communication occurs between two or more people. -Content is the subject matter being communicated. -Nonverbal communication is the message sent with body language. Incorrect: -Group communication is a form of public speaking.

The nurse comes into a client's room and says in a loud voice, "We need to get you up and moving today!" Which communication style is being used?

Correct: -Intonation Incorrect: -Pacing -Clarity and brevity -Timing and relevance

A nurse observes an interaction between a client and another healthcare team member. Which observations demonstrate active listening by the team member? Select all that apply.

Correct: -Recognizing nonverbal cues by the client -Eliminating intrusions and distractions in the room -Using all the senses to interpret verbal messages -Seeking clarification of unclear ideas Incorrect: -Limiting the use of direct eye contact

The nurse enters the room of a client who just received devastating news. He is visibly upset and crying. As the nurse approaches the client, which communication techniques would be best? Select all that apply.

Correct: -Remain silent until the client speaks -Sit on the edge of the bed -Gently touch his hand or back -Use a look of concern Incorrect: -Use humor to lighten the situation

An older adult client begins crying after being informed of her terminal illness. Which intervention by the nurse is best?

Correct: -Sit quietly with the client while she composes her thoughts. Incorrect: -Inform the client that a chaplain is available if she would like to speak to one. -Tell the client there are always options and suggest she not give up hope. -Remind the client that she has lived a long and happy life.

Which nonverbal behavior best enhances communication?

Correct: -Sitting down to speak with the patient Incorrect: -Keeping a neutral facial expression -Maintaining a distance of 6 to 8 inches -Asking open-ended questions