NUR313 Ch. 14 Communication in the Nurse-Patient Relationship

When clients are angry or crying, the best nursing response is

- to remain nonjudgmental - allow them to express their emotions - return later with a follow-up regarding their legitimate complaints - Therefore, staying silent and allowing the client to continue speaking when ready is the most appropriate response in this scenario.

Positive regard refers to

- warmth, caring, interest and respect for the person, - seeing the person unconditionally or nonjudgmentally - It does not depend on the client's behavior; instead, the person is regarded as worthwhile simply for being human.

A communication channel

is the medium, the carrier of the message.

the working phase

during which the nurse and client work together to meet the client's physical and psychosocial needs. -the nurse tries not to hamper the client's independence, because doing too much for the client is as harmful as doing too little

In which manner can the nurse ensure health disparities are reduced and the client receives equitable care?

Adapt care to encourage a collaborative, client-centered relationship that ensures safe practice.

Which is a skill appropriate to use in therapeutic communication?

Control the tone of the voice to avoid hidden messages. -Periods of silence have an important role in conversations because they allow for reflection. - The nurse should avoid using cliches, and the conversation should be flexible.

When assessing a client's nonverbal communication, the nurse should assess which aspect as being the most expressive?

Facial expressions

A nurse administers pain medication to a client. Which action should the nurse take to facilitate trust?

Return in 30 minutes for follow-up per previous communication with the client.

A nurse who has been caring for a client for the past few days is preparing the client for discharge and termination of the nurse-client relationship. Which activity would the nurse be carrying out during this phase of the relationship?

Reviewing health changes

A nurse and client are in the working phase of the helping relationship. What outcome statement developed by the nurse and client correlates with this phase?

The client will express feelings and concerns to the nurse.

What is the goal of the nurse in a helping relationship with a client?

To assist the client to identify and achieve goals

There are three phases of a helping relationship

the orientation phase, the working phase, and the termination phase.

A nurse is caring for an older adult client. Which strategy should the nurse utilize to confirm the client's understanding of instructions?

Ask the client to repeat the instructions.

The termination phase occurs when

the nurse and client acknolwedge that they have met the goals of the the initial agreement or that the client would be better served by another nurse or health care provider

During the orientation phase

the nurse and client establish the tone and guidelines for the relationship .