lpn-rn Chapter 8 Communication

A 36 year old patient who underwent a hysterectomy 4 days ago says to the nurse, "I wonder if I'll still feel like a woman." Which response would most likely encourage the patient to expand on this and express her concerns in more specific terms?

"Feel like a women"

Nurses on a hospital burn unit meet as a group to discuss procedures. Which statements accurately describe the functions of group dynamics? Select all that apply

- Effective groups possess members who elicit mutually respectful relationships - If a group member dominates or thwarts the group process, the leader or other group members must confront him or her to promote the needed collegial relationship - In an effective group, members support, praise, and critique one another.

4. A nurse is using the SBAR technique for hand-off communication when transferring a patient. What are examples of the use of this process? Select all that apply

- S: The nurse handling the transfer describes the patient's situation to the new nurse - B: The nurse gives the background of the patient by explaining the patients history -A: The nurse presents an assessment of the patient to the new nurse - R: The nurse gives recommendations for future care to the new nurse in charge

Nurses develop helping relationships with patients when caring for them. Which statements describe qualities of a helping relationships? Select all that apply

- The helping relationship is built on the patients needs, not on those of the helping person - A helping relationship is dynamic - A helping relationship is purposeful and time limited

Which nursing actions would most likely help improve communications with patients and achieve a more effective helping relationship? Select all that apply

- The nurse controls the tone of his or her voice so that it conveys exactly what is meant - The nurse makes statements that are as simple as possible, gearing conversation to the patient's level. - The nurse takes advantage of any available opportunities to communicate information to patients in routine caregiving situations

A nurse is communicating the care plan for a patient who is unconscious. Which nursing actions best facilitate this process? Select all that apply

- The nurse is careful about what is said in the patient presence since hearing is the last sense to go - The nurse assumes the patient can hear and discusses things that would ordinarily be discussed - The nurse speaks with the patient before touching him or her.

A nurse is communicating the care plan to a patient who is cognitively impaired. Which nursing actions facilitate this process? Select all that apply

- The nurse maintains eye contact with the patient - The nurse is patient and gives the patient time to respond - The nurse keeps communication simple and concrete

Which nursing actions help improve listening skills when conversing with patients? Select all that apply

-The nurses uses appropriate facial expressions and body gestures to indicate that he or she is paying attention to what the patient is saying - The nurse thinks before responding to the patient, even if this creates a lull in the conversation - The nurse listens for themes in the patient's comments

Nurses use social media to share ideas, develop professional connections, access educational offerings and forums, receive support, and investigate evidence-based practices. Which is an example of the proper use of social media by a nurse?

A nurse uses a disclaimer to verify that any views expressed on Facebook are his or hers alone and not the employer's

A nurse states the following to another nurse who is constantly forgetting to wash her hands between patients: "It looks like you keep forgetting to wash your hands between patients. It's really not safe for your patients. Let's think of some type of reminder we can use to help you remember." This communication is an example of what type of speech?

Assertive

" You expressed concern about your children at home..." a. Validating question/comment b. Clarifying question/comment c. Reflective question/comment d. Sequencing question/comment e. Directing question/comment

Clarifying question/comment

" You've been on your present medication for 3 years. Did you experience any side effects?" a. Validating question/comment b. Clarifying question/comment c. Reflective question/comment d. Sequencing question/comment e. Directing question/comment

Directing question/comment

In a helping relationship, the nurse would most likely perform which of the following activities?

Establish communication that is continuous and reciprocal

A home care nurse discusses with a patient when visits will occur and how long they will last. In what phase of the helping relationship is this type of agreement established?

Orientation phase

A patient with anorexia will establish an agreement with his or her health care professional to return gradually to a normal eating pattern. a. Orientation phase b. Working phase c. Termination

Orientation phase

The patient will establish an agreement with the home health care worker about the frequency and length of contacts. a. Orientation phase b. Working phase c. Termination

Orientation phase

The patient will learn the name of the physical therapist and address him or her name: a. Orientation phase b. Working phase c. Termination

Orientation phase

" You've been upset about taking medication..." a. Validating question/comment b. Clarifying question/comment c. Reflective question/comment d. Sequencing question/comment e. Directing question/comment

Reflective question/comment

"You say you've always been healthy and active; is this the first time you've been hospitalized?" a. Validating question/comment b. Clarifying question/comment c. Reflective question/comment d. Sequencing question/comment e. Directing question/comment

Reflective question/comment

" Your chest pain began after exercising on a bicycle?" a. Validating question/comment b. Clarifying question/comment c. Reflective question/comment d. Sequencing question/comment e. Directing question/comment

Sequencing question/comment

When attending a staff meeting, a nurse is participating in which of the following types of communication?

Small-group communication

A nurse is attempting to communicate with a patient who speaks a different language and does not understand what is being communicated. Which nursing action would best facilitate the communication process?

Speaking slowly and distinctly but not loudly

The patient will acknowledge the goals he or she has accomplished in physical therapy. a. Orientation phase b. Working phase c. Termination

Termination

The patient will express a desire to go home despite the excellent care he or she received at the facility. a. Orientation phase b. Working phase c. Termination

Termination

The patient will verbalize the goals set forth in his or her transition to a home health care setting. a. Orientation phase b. Working phase c. Termination

Termination

A nurse who is caring for newborn infants delivers care by using the sense that is most highly developed at birth. Which example of nursing care achieves this goal?

The nurse gently strokes the baby's cheek to facilitate breastfeeding

Which technique would a nurse employ when using listening skills appropriately?

The nurse would listen to the themes in the patient's comments

A nurse who "unblocks" and "clears" congested areas of energy in a patient's body is applying the phenomenon known as: a. "Unruffling" touch b. Interpersonal touch c. Tactile manipulation d. Therapeutic Touch

Therapeutic touch

"At home you've been treating your ulcer with an antacid. Did you take any today?" a. Validating question/comment b. Clarifying question/comment c. Reflective question/comment d. Sequencing question/comment e. Directing question/comment

Validating question/comment

The patient will attend a counseling session dealing with smoking. a. Orientation phase b. Working phase c. Termination

Working phase

The patient will demonstrate ability to maneuver on crutches a. Orientation phase b. Working phase c. Termination

Working phase

The patient will express his or her concerns about pending surgery to the nurse. a. Orientation phase b. Working phase c. Termination

Working phase

5.The medium selected to convey the product

channel

When a doctor communicates with a nurse by telephone to prescribe pain medication for a patient, the telephone is considered to be the _______________of this communication.

channel

A patient who verbally acknowledges understanding of discharge instruction is providing _____________ to the caregiver.

feedback

Verbal and non-verbal evidence that the patient received and understood the product

feedback

When a nurse helps a patient achieve goals that allow his or her human needs to be satisfied, the nurse and patient are involved in a (n) ________-relationship.

helping

Anger and aggressive behavior between nurse's, or nurse to nurse hostility, has been labeled ____________________

horizontal violence

The actual product of the encoder

message

Factors that distort the quality of the product

noise

A patient who expresses anger at a diagnosis by slamming a food tray on the table is using __________communication.

nonverbal

When a nurse and patient meet and learn to identify each other by name and clarify their roles, they are in the ________ phase of the helping relationship.

orientation

He or she must translate and make a decision about the product

receiver

He or she prepares and send the product

source

A nurse initiates the communication process by addressing a patient need. This patient need becomes a(n) ________ for conversation.

stimulus

A nurse is using a(n) ____________ comment/question when she says to her patient, " You have been following a diet high in fiber at home. Are you continuing to get enough fiber in the foods you've been eating since you've been here?

validating