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