Culture and communication
therapeutic
AN EXCHANGE OF INFORMATION THAT FACILITATES THE FORMATION OF POSITIVE NURSE -PATIENT RELATIONSHIP
When caring for a patient who speaks a foreign language the patient problem statement compromised verbal communication would be inappropriate for what reason?
An inability to understand each other is the problem not impaired verbal communication
The nurse works in community with many Mexican American families. What is the best method for the nurse to learn about the Mexican American culture?
Answer: Conduct a library study or internet search of information on the culture.
The nurse is providing discharge instructions to a patient. Which action provides the most accurate assessment of understanding by the patient?
Asking the patient to repeat the instructions.
A nurse is using an interpreter to communicate with a client. Which of the following actions should the nurse use when communicating with a client and family members? (Select all that apply.) Answer
B. CORRECT: Determining client understanding throughout the conversation ensures the client comprehends the information and the nurse will know how to direct the conversation. C. Looking at the interpreter instead of the family while the family is in the room would hinder communication between the family and the nurse/interpreter. D. CORRECT: Using lay terms will promote effective communication between the family and the nurse/interpreter. E. CORRECT: Not interrupting will promote effective communication between the family and the nurse/interpreter.
therapeutic
BEST WAYS ARE PEFECT IT BACK AT THEM ADDING TELL ME MORE ABOUT THAT STAND BACK AND STAY SILENT
A nurse is caring for a schoolage child who is sitting in a chair. To facilitate effective communication, which of the following actions should the nurse take
Be at the same eye level as the child to facilitate communication.
The nurse is admitting a patient with long -standing type 1 diabetes. Which is communication technique is most efficient in ascertaining the number of units of insulin the patient usually takes?
Closed Question
Which method is the most appropriate for communication with an alert patient on a ventilator with an endotracheal tube in place?
Communication Board
A patient, who speaks a language different from the nurse ask that her daughter remain with her while the nurse performs a history and physical examination. What action by the nurse is most Appropriate
Consider that the daughter may be there serve as an interpreter for her mother
The patient is admitted to the hospital with reports of diffuse symptoms such as nausea vomiting weight loss headaches insomnia and chest pain which she describes by saying my heart aches which interventions is appropriate for the patient whose culture beliefs may differ from the nurse beliefs about the physical illness
Contact an adviser who is familiar with the cultural beliefs of the patient.
An elderly patient been diagnosed with type 2 diabetes and hypertension. The student nurse tells the patient that her vegetables should be steamed and served plain. The patient responds. "I always cook my green beans with ham and salt and pepper. How can I eat them plain? Which response by the nurse is most culturally sensitive?
Could try to be cooking the beans with half as much ham and not add salt
Means the nurse is aware of his or her own cultural beliefs and practice and how they relate to those of others.
Cultural Competence
What term describes a nurse who is aware of her or his own cultural beliefs and the beliefs and practices of other cultures and who can interact effectively with people from other cultures?
Culturally Competent
Which nurse -patient interaction usually occurs in the personal zone of space surrounding the patient?
Discharge instructions Admission Interview
Which statement by the student nurse is an example of assertive communication select all that apply) It's time for your morning care.
Do you prefer to use the shower chair, or do you think you are strong enough to stand during your shower today? Since you will be going to physical therapy soon, it's important we get your morning care completed. Do you want to take a sponge bath or a shower?
The student nurse tells her instructor that she does not understand why a chinse American family is not grieving for their dying father. What behaviors are being demonstrated by the student nurse?
Ethnocentric
During his admission interview an older patient states I can't hear you very well, after determining that the patients does not have hearing aid, which action assist with communicating with his patients. Select all that apply.
Face the patient ad speaks slowly and distinctly. Be sure to get the patients attention before speaking.
During an admission interview the patient refers several times to all the problems I had last time. What is the most appropriate communication technique for the nurse to use in this situation?
Focusing
The patient explains to the nurse that he became ill because the natural balance in his body was upset when he moved into a new apartment. He has been taking herbs and rearranging objects to change the environment. The patient is most demonstrating what health belief system
Folk
Which of the following actions should the nurse take when demonstrating an empathic presence to a client? (Select all that apply.
Having an open posture, facing the client, and leaning forward are ways that can demonstrate an empathic presence. Establishing and maintaining eye contact are ways that can demonstrate an empathic presence. Sitting while facing the client directly can demonstrate an empathic presence. It also helps clients who have a hearing loss understand verbal communication
A Muslim patient is visiting the health care providers office was told she had to remove her clothes and put on a gown the patient said she preferred to remain in her own clothes why should the nurse allow the patient to remain in her clothes
Her beliefs may require her to keep as much of her body covered as possible during the examination.
Which question is an example of clarification select all that apply?
In other words, you feel that your stomach aches are associated with stress at work. Do I understand you correctly that you are saying that you don't understand why the doctor prescribed this medication for you?
A nurse is caring for a client who tells the nurse that based on religious values and mandates, a blood transfusion is not an acceptable treatment option. Which of the following responses should the nurse make?
Involving the client's religious and spiritual leaders is a culturally responsive action at this point. Alternative forms of blood products can be discussed, and a plan reasonable to all can be reached.
A nurse is discussing the plan of care for a client who reports following Islamic practices. Which of the following statements by the nurse indicates culturally responsive care to the client?
Islamic practices include praying five times per day. Work with the client to establish a schedule for the day, noting which times the client prefers to pray, and scheduling treatments around those times when possible.
A Mexican American is pregnant with her second child. When the nurse is reviewing her diet, the patient states that she never drinks milk, what culturally related factor may explain this?
Lactose intolerance occurs often among Mexican Americans.
The patient is being seen in the clinic for a follow visit after fracturing her ankle. The nurse notes that she is not using her crutches correctly. Which statement by the nurse is most appropriate?
Let me show you some ways to make crutches walking easier for you.
Which communication technique is considered appropriate in all interactions?
Listening
A nurse is caring for two clients who report following the same religion. Which of the following information should the nurse consider when planning care for these clients
Members of any particular religion should be assessed for individual feelings and ideas
Non-therapeutic communication
PREVENTS A PATIENT FRIM BECOMING A MUTAL PARTHER IN THE RELATIONSHIPS AND MAY PLACE THE PATIENT IN A PASSIVE ROLE.
Before implementation of any newly prescribed procedure, the nurse notices that family of an older adult patient always consults the eldest son. What is the social organization of the family? Select all that apply?
Patriarchal, Male dominated
A nurse is caring for a client who is concerned about being discharged to home with a new colostomy because of being an avid swimmer. Which of the following statements should the nurse make? (Select all that apply.)
Presenting reality is an effective communication technique that can help the client focus on what will really happen after the changes the surgery has made. D. CORRECT: Asking openended questions and offering general leads and broad opening statements are effective communication techniques that encourage the client to express feelings through dialogue and offer additional information. E. CORRECT: Focusing is an effective communication technique that clearly directs the interaction to the relevant point.
A nurse enters the room of a client who is crying while reading from a religious book and asks to be left alone. Which of the following actions should the nurse take? Answer:
Providing privacy and time for the reading of religious materials supports the client's spiritual health.
The nurse is talking with a patient about her husband death 2 years ago. Tears form in the patient eyes and she stops talking. What is the most appropriate therapeutic response by the nurse?
Remain silent and hold the patients' hand
The newly admitted Vietnamese patient speaks almost no English. The nurse needs to obtain from the patient a urine specimen for culture and sensitivity. An interpreter is not readily available, what is the best nursing action to assist in obtaining the specimen?
Show the patient the equipment illustrations of the process.
The nurse caring for Chinese American woman after an appendectomy can anticipate which intervention?
Sitting side-by-side to communicate
Which statement about the communication is most accurate?
Some form of communication takes place each time there is an interaction between individuals
The patient is fearful concerning his upcoming surgery which statement by the nurse is most therapeutic
Sometimes anxiety is not easy to deal with. Can you tell me what is bothering you the most about your comping surgery.
The patient is in coma after motor vehicle accident. Which statement regarding communication with the patient is most appropriate? Select all that apply?
Speak to the patient as if he can hear what Is being said. Encourage family members to read a book or newspaper to the patient.
ESTABISHING A THERAPEUTIC RELATIONSHIP
TIPS FOR BULDING RAPPORT WITHYOUR PATIENT USE SELF DISCLOUSRE.
The patient tells the nurse that he is frightened about having cancer. Which response by the nurse is most effective in getting the patient to vent his concerns?
Tell me more about being frightened by having cancer
The nurse is planning to a culture assessment of an elderly chinses American patient. What position of the nurse is most therapeutic
The nurse positions the chair so that nurse sits at right angle to the patient
The nurse should not
The nurse should not make assumptions about a patient's beliefs or practices based on the person's name, skin color, or language.
Upon entering the patient room, the nurse realizes that the patient is praying what action by the nurse is most appropriate?
The nurse should quietly leave the room and give the patient privacy to pray
A female nurse who is black is assigned to care for a new 86-year- old resident in a long-term care facility. When she enters his room, he makes several racially offensive remarks. What is an appropriate response?
The nurse should understand that he is possibly less tolerant of other races because of his own cultural experiences or he perhaps has disturbed cognitive functions.
A male nurse is assigned to care for a female patient. The patient husband tells the nurse that he cannot care for his wife due to religious reasons. Which statement best describes the patient spouse position?
The patient religion requires that woman should be assigned to care for her.
Which of the following strategies should a nurse use to establish a helping relationship with a client?
Therapeutic communication facilitates a helping relationship that maximizes the client's ability to express their thoughts and feelings openly.
Jargon
UNDER YOU AUDIENCE (COMMONPLACE(LANUAGE) UNQUIE TO A PERSON IN A PARTICULAR WORK SETTING (THE NURSE IS JARGON) THIS WILL BE ON THE TEST
Which approach is the most appropriate for effective communication with the patient with cognitive impairment?
Using simple sentences and avoiding detailed explanations.
Abdominal Surgery has revealed that the patient a young mother, has advanced metastatic colon cancer. While the nurse is changing her dressing, the patient begins to cry and states, if I had just gone to the doctor sooner, my kids wouldn't have to grow up without a mother. Which response by the nurse is most therapeutic?
You feel that if you had been diagnosed earlier the situation might be different
The patient has a long history of smoking and has just been diagnosed with lung cancer. He states to the nurse. "there's no point in trying to stop smoking now. I might as well enjoy the time I have left." Which is the best response by the nurse?
You feel that is no reason to stop smoking now?
The patient states. "I'm so nervous about being hospitalized." Which statement is the nurse best response to get the patient to elaborate?
You're feeling especially nervous?
A nurse is caring for a client who states, "I have to check with my partner and see if they think I am ready to go home." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client?
reflecting) directs the focus of the conversation back to the client so that they can further explore their own feelings.