Mock-Chapter 24: Communication
28 Questions
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Mock-Chapter 24: Communication

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@ExultantHummingbird

Questions and Answers

Which characteristic tends to make a nurse the best communicators with patients?

Developed critical thinking skills

A nurse believes that the nurse-patient relationship is a partnership and that both are equal participants. Which term should the nurse use to describe this belief?

Mutuality

A nurse wants to present information about flu immunizations to the older adults in the community. Which type of communication should the nurse use?

Public

A nurse is engaged in therapeutic communication with a patient. Which technique will the nurse use to ensure effective communication?

<p>Electronic communication to communicate with the health care provider</p> Signup and view all the answers

A nurse is standing beside the patient’s bed and the following exchange occurs. Nurse: How are you doing? Patient: I don’t feel good. Which element will be identified as feedback?

<p>I don’t feel good.</p> Signup and view all the answers

A nurse is sitting at the patient’s bedside taking a nursing history. Which zone of personal space is the nurse using?

<p>Personal</p> Signup and view all the answers

A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?

<p>The patient’s affect is inappropriate.</p> Signup and view all the answers

The nurse asks a patient where their pain is located, and the patient responds by pointing to the area of pain. Which form of communication did the patient use?

<p>Nonverbal</p> Signup and view all the answers

A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care they received. Which interaction is the nurse using?

<p>Narrative</p> Signup and view all the answers

Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient?

<p>Preinteraction</p> Signup and view all the answers

During the initial home visit, a home health nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient?

<p>Orientation</p> Signup and view all the answers

A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the nurse in with this patient?

<p>Working</p> Signup and view all the answers

A nurse uses Situation, Background, Assessment, and Recommendation (SBAR) when providing a hands-off report to the oncoming shift. What is the rationale for the nurse’s action?

<p>To standardize communication</p> Signup and view all the answers

A patient was admitted 2 days ago with a diagnosis of pneumonia and a history of angina. The patient is now having chest pain with a pulse rate of 108. Which piece of data will the nurse use for "B" when using SBAR?

<p>History of angina</p> Signup and view all the answers

A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?

<p>&quot;This must be hard news to hear.&quot;</p> Signup and view all the answers

A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take to provide effective care?

<p>Obtain an interpreter.</p> Signup and view all the answers

A nurse is using SURETY to facilitate active listening. What is the focus of the letter R?

<p>Projection of a sense of relaxation</p> Signup and view all the answers

An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?

<p>Turn off the television.</p> Signup and view all the answers

When making rounds, the nurse finds a patient who is not able to sleep; they state “I’m concerned about my surgery in the morning.” Which therapeutic response is most appropriate?

<p>&quot;It must be difficult not to know what the surgeon will find. What can I do to help?&quot;</p> Signup and view all the answers

Which situation will cause the nurse to intervene and follow up on the nursing assistive personnel’s (NAP) behavior?

<p>The nursing assistive personnel is calling the older-adult patient &quot;honey&quot;.</p> Signup and view all the answers

A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication?

<p>Allow time for the patient to respond.</p> Signup and view all the answers

The staff is having difficulty getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use?

<p>Allow the patient to reminisce.</p> Signup and view all the answers

A nurse is implementing nursing care measures for patients’ special communication needs. Which patient will need the most nursing care measures?

<p>The patient who is dyspneic, anxious, and has a tracheostomy</p> Signup and view all the answers

A patient is aphasic. The nurse notices that an aphasic patient demonstrates with intermittent hand tremors. Which nursing action is most appropriate to facilitate communication?

<p>Use a picture board.</p> Signup and view all the answers

Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?

<p>Self-examines personal communication habits.</p> Signup and view all the answers

A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most assertive?

<p>&quot;I feel uncomfortable hearing that statement.&quot;</p> Signup and view all the answers

Which behaviors indicate the nurse is using critical thinking standards when communicating with patients? (Select all that apply.)

<p>Uses humility.</p> Signup and view all the answers

A nurse is implementing nursing care measures for patients with challenging communication issues. Which types of patients will need these nursing care measures? (Select all that apply.)

<p>A child who is developmentally delayed.</p> Signup and view all the answers

Study Notes

Nurse-Patient Communication

  • A nurse's belief in a partnership with the patient, where both are equal participants, is described as mutualism.
  • When presenting information about flu immunizations to older adults, the nurse should use developmental communication.

Therapeutic Communication

  • To ensure effective communication, the nurse will use active listening.
  • In a therapeutic exchange, the patient's response ("I don't feel good") is an example of feedback.

Personal Space and Communication

  • When sitting at the patient's bedside, the nurse is using the intimate zone of personal space.
  • A smiling patient's angry statement can be interpreted as incongruence, where nonverbal and verbal cues conflict.

Forms of Communication

  • When a patient responds to a question by pointing to the area of pain, they are using nonverbal communication.
  • A nurse asking a patient to share a personal story about their care is an example of empathic interaction.

Phases of the Helping Relationship

  • Before meeting the patient, a nurse discussing the patient with other caregivers is in the orientation phase.
  • During the initial home visit, letting the patient know that visits will end in about a month is part of the working phase.
  • A nurse and patient working on strategies to reduce weight is an example of the working phase.

SBAR and Communication

  • The nurse uses SBAR (Situation, Background, Assessment, and Recommendation) when providing a hands-off report to ensure effective communication.
  • When using SBAR, the nurse would use the patient's chest pain with a pulse rate of 108 as the "B" (Background) data.

Empathy and Communication

  • A nurse demonstrating empathy might say, "I'm so sorry you're dealing with a cancer diagnosis."
  • When taking a history on a patient who cannot speak English, the nurse should use an interpreter to provide effective care.

Active Listening and Communication

  • The focus of the letter R in SURETY is reflecting, which facilitates active listening.
  • When communicating with an older-adult patient wearing a hearing aid, the nurse should face the patient and speak clearly.

Therapeutic Response and Communication

  • When a patient expresses concern about surgery, the nurse's response should be empathic and reassuring.

Interventions and Communication

  • A confused older-adult patient wearing thick glasses and a hearing aid requires simplified communication as a priority intervention.
  • The staff should use validation when communicating with an older-adult patient who is difficult to engage.

Nursing Care and Communication

  • A patient with aphasia will require the most nursing care measures for special communication needs.
  • When an aphasic patient demonstrates intermittent hand tremors, the nurse should use nonverbal cues to facilitate communication.

Process Recording and Communication

  • A nurse using a process recording correctly to enhance communication with patients will focus on the patient's responses and concerns.

Assertive Response and Communication

  • When a patient makes a negative comment, the nurse's response should be non-defensive and empathic.

Critical Thinking and Communication

  • A nurse using critical thinking standards when communicating with patients will focus on the patient's concerns, clarify information, and use active listening.
  • Patients with challenging communication issues, such as those with AIDS, dementia, or intellectual disabilities, require special nursing care measures.

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Description

Test your understanding of the key characteristics that make a nurse an excellent communicator with patients. Identify the trait that enables nurses to provide empathetic care and build strong relationships with their patients.

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