Podcast
Questions and Answers
Which characteristic tends to make a nurse the best communicators with patients?
Which characteristic tends to make a nurse the best communicators with patients?
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?
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?
A nurse wants to present information about flu immunizations to the older adults in the community. Which type of communication should the nurse use?
A nurse wants to present information about flu immunizations to the older adults in the community. Which type of communication should the nurse use?
A nurse is engaged in therapeutic communication with a patient. Which technique will the nurse use to ensure effective communication?
A nurse is engaged in therapeutic communication with a patient. Which technique will the nurse use to ensure effective communication?
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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?
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?
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A nurse is sitting at the patient’s bedside taking a nursing history. Which zone of personal space is the nurse using?
A nurse is sitting at the patient’s bedside taking a nursing history. Which zone of personal space is the nurse using?
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A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?
A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding?
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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?
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?
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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?
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?
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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?
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?
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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?
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?
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A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the nurse in with this patient?
A nurse and a patient work on strategies to reduce weight. Which phase of the helping relationship is the nurse in with this patient?
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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?
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?
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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?
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?
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A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy?
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A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take to provide effective care?
A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take to provide effective care?
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A nurse is using SURETY to facilitate active listening. What is the focus of the letter R?
A nurse is using SURETY to facilitate active listening. What is the focus of the letter R?
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An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?
An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication?
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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?
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?
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Which situation will cause the nurse to intervene and follow up on the nursing assistive personnel’s (NAP) behavior?
Which situation will cause the nurse to intervene and follow up on the nursing assistive personnel’s (NAP) behavior?
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A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication?
A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication?
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The staff is having difficulty getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use?
The staff is having difficulty getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use?
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A nurse is implementing nursing care measures for patients’ special communication needs. Which patient will need the most nursing care measures?
A nurse is implementing nursing care measures for patients’ special communication needs. Which patient will need the most nursing care measures?
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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?
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?
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Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?
Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?
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A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most assertive?
A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most assertive?
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Which behaviors indicate the nurse is using critical thinking standards when communicating with patients? (Select all that apply.)
Which behaviors indicate the nurse is using critical thinking standards when communicating with patients? (Select all that apply.)
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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.)
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.)
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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.
