Communication - EAL

8.Which statement by the LPN is an example of using assertiveness? 1. "It is time for you to go to physical therapy (PT). Do you want to walk part way or do you think you are strong enough to walk all the way?" 2."You need to go to PT sometime today; just let me know when you want to go." 3. "It would be best for you to go to PT now, but later is okay also." 4. "Going to PT will help you get stronger, so let's go to PT now please."

"It is time for you to go to physical therapy (PT). Do you want to walk part way or do you think you are strong enough to walk all the way?" the nurse is confidently expressing thoughts and feelings while still respecting the rights of the patient. The other statements allow the patient to make the choice to participate in PT. The patient might refuse; therefore, the statements do not provide the best care possible for the patient.

9.Therapeutic communication is a key to providing the best care possible to your patients. Choose those factors that negatively affect therapeutic communication. (Select all that apply.) 1. Language barrier 2. Caring environment 3. Lack of trust 4. Cultural differences 5. Use of active listening

1. Language barrier 3. Lack of trust 4. Cultural differences

7.You are caring for a patient who has had a CVA (cerebral vascular accident/stroke) and is experiencing aphasia as a result. What would the LPN/LVN do to promote communication? 1. Use visual cues, such as pictures and gestures. 2. Speak louder so the patient can hear you. 3. Refer the patient to the speech therapist in order to communicate with your patient. 4. Ask more questions to get more information.

1. Use visual cues, such as pictures and gestures.

2.Which example would best represent a nonverbal form of communication? 1.Moaning 2.Speaking 3.Singing 4.Reading

1.Moaning

5.Every individual has his or her own set of boundaries for personal space. Which example best explains personal space? 1. The insertion of a Foley catheter using sterile technique 2. Sitting in a chair beside the patient's bed with good eye contact 3. Standing at the door and asking the patient what he or she had for breakfast 4 Talking to a group of patients from the front of a classroom

2. Sitting in a chair beside the patient's bed with good eye contact

1. Which nonverbal communication technique is very therapeutic and effective but requires a conscious effort by the nurse to practice and acquire skill in the use of this technique? 1.Listening 2.Silence 3.touch 4.Conveying acceptance

2.Silence Silence is an extremely effective technique, but is underused because it requires skill and timing. Listening, touch, and conveying acceptance are nonverbal therapeutic communications, but they do not always require a conscious effort for use.

4.Giving a bed bath, assisting a patient on and off the bedpan, or inserting a catheter are all examples of which nonverbal therapeutic communication? 1. Listening 2. Silence 3. Touch 4. Conveying acceptance

3. Touch

3.Which statement is an example of the clarifying communication technique? 1. "How do you feel about having surgery tomorrow?" 2."You are concerned that you might have complications from the spinal anesthetic?" 3."Will you please tell me as accurately as you can, what you experienced the last time you were given morphine?" 4"Let me make sure I understand this correctly. The cost of the medication is keeping you from being able to take it each day?"

4"Let me make sure I understand this correctly. The cost of the medication is keeping you from being able to take it each day?"

6. While talking with your female patient, you notice that she is frowning. What is the best way to find out her concerns? 1. Ask your patient why she is unhappy. 2. Tell your patient that everything will be okay. 3. Ask your patient if she is angry about the care being given. 4.Identify that you notice the patient is frowning.

4.Identify that you notice the patient is frowning.

10.The nurse understands that building a trusting relationship with patients is essential in providing care. Which are examples of the verbal therapeutic communication techniques? (Select all that apply.) 1.Giving advice 2.Conveying acceptance 3.Clarifying 4.Stating observations 5.Restating

Clarifying Stating observations Restating