Ch 8 Psych

The family member of a client being discharged needs information concerning a newly prescribed medication for the client and wants to ask the nurse about the medication. This would be considered which aspect of Berlo's communication model?

A stimulus, such as a need for information, comfort, or advice, stimulates communication. Media refers to the variety of ways a message can be sent. Message is the information sent or expressed. Feedback is the response of the receiver of the message to the sender. p92

Which should the nurse consider when interpreting nonverbal behaviors? Select all that apply.

Age, culture, spiritual norms, and voice tone and pitch can influence a client's nonverbal behaviors and should be considered by the nurse. Environmental factors may need to be considered, but not in relation to nonverbal behaviors.p93

Which statements accurately describe the relationship between cultural filters and communication? Select all that apply.

Cultural filters are developed through the process of socialization and determine what one notices or ignores during interactions. They are necessary to provide structure and to help interact with and interpret the world. The stronger the cultural filters, the greater the likelihood of bias. It is impossible to listen to people in an unbiased way, thus this statement does not accurately describe the relationship between cultural filters and communication. P101

A student nurse beginning a mental health rotation discusses the fact that the religion he or she practices has a firm belief that mental illness is a punishment from God. What type of factor may affect communication between this student and the clients?

Emotional factors that can affect communication include personal bias, which may occur if the student nurse's belief about mental illness predisposes the student to a certain view of these clients. Cognitive factors include knowledge, problem-solving abilities, and language use. Relationship factors refer to whether participants in the relationship are equal or unequal. Environmental factors can include physical factors or societal determinants which can impact communication. p92

Patients from which culture most likely use dramatic body language when discussing emotional problems?

Hispanic Americans may use dramatic body language when describing emotional problems. Asian, African, and British Americans are less likely to use dramatic body language when describing emotional problems. p.100

A nurse is aware of the patterns of nonverbal communication in different cultures. When assessing a group of clients from the United States, what does the nurse consider regarding eye contact?

In the United States, eye contact is linked with attentiveness and respect. In cultures other than the United States, eye contact is avoided, as it is considered rude. Some cultures consider eye contact as a sign of challenge. In some cultures, eye contact is avoided as a sign of arrogance. p100

Which is the first thing the nurse should do to prepare for communication with clients from different cultures?

It is important for the nurse to understand his or her own cultural identity and biases to provide effective, respectful care when communicating with clients who have different cultural backgrounds. Learning effective communication techniques for specific cultures is important but not the first thing the nurse needs to do. Studying the predominant cultures of the clients being cared for can be helpful but is not the first thing the nurse should do. If the nurse anticipates difficulties caring for clients from a certain culture, a discussion with the director of nursing may be helpful to work towards resolution but is not the first thing the nurse would do.p 100

Mental health issues often go unaddressed due to which factors? Select all that apply.

Many mental health issues go unaddressed due to fear of stigma, problems with transportation, and a scarcity of health care providers, particularly in rural or remote areas. Although more research can be done on mental health, lack of research does not contribute to mental health issues not being addressed. Effective treatment methods exist for many mental health disorders and are not a reason why mental health issues go unaddressed. p.101

The nurse is conducting a group therapy session for clients in the mental health unit. One of the clients angrily gestures at the client across from him. This behavior would be considered which example of nonverbal communication?

Nonverbal communication examples include physical appearance, facial expressions, body posture, eye contact, body behaviors, etc., and are often referred to as cues. Bias is a filter through which messages are sent and received. Tone and pitch refers to voice, and can vary by culture. Autonomic physiological responses include increased respirations, blushing, diaphoresis, etc. P94

When caring for clients from which cultures would the nurse need to be aware that touch practices are infrequent and may be considered inappropriate or uncomfortable? Select all that apply.

Patients from Japan, British Americans, and Chinese Americans may not like to be touched and use touch infrequently. This is less of a concern for Italian and Mexican American clients. p101

Which would be considered a cognitive factor that could impact accurate transmission or interpretation of messages?

Problem-solving abilities are considered cognitive factors which can impede accurate transmission or interpretation of messages. Response to stress and relationship misunderstandings are considered emotional factors. Cultural differences are considered social factors. p92

The nursing student is preparing to document the nonverbal body behaviors of the client being cared for. Which data would the nursing student include as body behaviors? Select all that apply.

Slouching and shuffling the feet are both examples of nonverbal body behaviors. Scowling is a nonverbal facial expression. Paleness and diaphoresis are examples of observable autonomic physiological responses. Being unshaven and appearing not to have bathed are aspects of personal appearance. p94

Which are potential advantages of telehealth for health care? Select all that apply.

Telehealth has the potential to relieve the impending nursing shortage, provide virtual access to clients, and allow clients to virtually manage their own health care. Telehealth will not eliminate the need for primary care provider involvement, and although errors can be reduced through the use of technology, technology alone cannot eliminate all errors. P101

The nurse is teaching a class concerning prevention of alcohol use by teenagers to parents at the local high school. What organization might the nurse use to find resources to most effectively support this presentation?

The Substance Abuse and Mental Health Services Administration has many resources to help address mental health and substance abuse challenges. The National Institutes of Health, Alcoholics Anonymous for Teenagers, and the U.S. Department of Health and Human Services would be less helpful to the nurse. p102

Which technology holds strong promise for treatment of mental health for psychiatric clients?

Thousands of mobile apps exist which address psychiatric conditions and according to surveys, psychiatric clients are willing to use apps to monitor their mental health. Big data, Facebook, and teleheath are less helpful in the treatment of mental health for psychiatric clients. pp.91, 101-102

Which percentage of communication is nonverbal?

Up to 90% of communication is nonverbal. The amounts 30%, 50%, and 70% are too low.

Which question asked by the nurse would be considered seeking clarification with a client who thinks that he or she are being watched by the government?

When the nurse states he or she is unclear, the nurse is using the technique of seeking clarification from the client. Repeating the main idea being expressed such as being watched is use of the technique of restating. Asking the client to describe who is watching them would be the use of the technique exploring. Providing facts the person may need such as stating the role of the nurse is the technique of giving information. P97