40 Questions
How should a nurse address an older adult initially?
By using their proper title and name and clarifying their preferred form of address
What is the primary impact of a differing rate of speech and movement on communication?
Pace or speed of communication
What is the recommended method of communication for a patient with aphasia?
Structured communication
What is the purpose of confrontation in communication?
To clarify inconsistencies in information
What is the outcome of establishing an atmosphere of mutual respect and understanding in nurse-patient communication?
Trust and rapport
What is the most expressive part of the human body in terms of communication?
Face
What intervention would a nurse most likely use when communicating with a patient with aphasia?
Praising and avoiding corrections
What type of communication involves sending and receiving messages using words?
Verbal communication
According to Nurse Lester, what behavior is characteristic of the searching and yearning stage of grief?
shows renewed interest in social activities
What stage of grief does Nurse Lester recognize in Thelma's behavior?
stage of searching
What is characteristic of dysfunctional grieving in Lucio?
a sense of depression and despair for 12 months
How does Paul help Anna to start grief resolution?
encouraging Anna to verbalize her grief
When are stress-associated physical, behavioral, and cognitive changes more likely to show?
When a stress has a sudden onset
How does the body respond physically when stressed?
Increased in blood pressure
What is the physical response of Analou's body in the emergency department?
Rapid breathing and dizziness
What type of grief resolution group would be beneficial for Thelma?
Support group for widowed individuals
What type of communication is facilitated by a nurse's uniform and name tag?
non verbal communication
What is the term for the analysis of personal space in communication?
Proxemics
What is an example of 'elder speak' in communication with older adults?
Calling the patient 'sweetie' or 'honey'
What is the primary benefit of using open-ended communication techniques?
Establishes a more empathetic climate
What are some common barriers to effective communication?
All of the above
What is the best response by Nurse Lester in the given scenario?
Mrs. Antonia, take your time; it looks like you want to say something?
What type of communication technique involves reflective statements and paraphrasing?
Open-ended communication
What is a conscious and intentional process used to gather information and respond to a patient's overall health status?
Patient-centered communication
What type of medication can Nurse Lester crush for a patient?
plain antihypertensive medication
What is excluded from Nurse Paul's self-medication program for Marian?
payment for medication
What information is not included in Nurse Lorraine's nursing care plan for Sofia?
patient's medical history
What is an unlikely action for older adults to take due to the high cost of prescription drugs?
fill all prescriptions at once to get a discount
What is not a factor that increases the risk of medication-related problems in older adults?
drug-testing methodology
What is a potential hazard of self-medication with OTC drugs in older adults?
increase the effect of a prescribed drug
What is the term for illness developed due to medical treatment?
Iatrogenic complications
What is the term for the actual amount of an individual's existence?
Chronologic age
What does Santos still perceive himself as?
An educator
Who is most likely to experience problems with role changes?
A 68-year-old grandfather
Why is Mario's plan to retire, sell his home, and move to a retirement village risky?
He is giving up significant supports to his self-image and grief resolution process
What does the term 'roleless role' refer to?
Persons who perceive that the roles that gave life meaning are gone
What is Santos trying to support?
His self-image
What is Mario trying to do after his wife's death?
Retire and move to a retirement village
What is common among the older adults mentioned in the passage?
They are all experiencing role changes
What is the profession of the 79-year-old retired private school administrator?
Private school administrator
Study Notes
Communication in Healthcare
- Structural communication involves the use of signs, symbols, and characters to convey meaning.
- Verbal communication involves the use of language to convey meaning.
- Non-verbal communication involves the use of facial expressions, body language, and tone of voice to convey meaning.
Effective Communication Techniques
- Open-ended communication allows patients more leeway and establishes an empathetic climate.
- Reflective statements, clarifying statements, and paraphrasing are effective communication techniques.
Barriers to Communication
- Physical problems, pain, or extreme fatigue can be barriers to communication.
- Disease processes, diverse social and cultural backgrounds can also be barriers to communication.
Ageism in Communication
- Using terms like "sweetie" or "honey" when communicating with older adults is a form of ageism.
Nurse-Patient Communication
- Nurses should use a conscious and intentional process to gather information and respond to patients' needs.
- Nurses should use verbal and nonverbal approaches to encourage patients' well-being or improve their understanding of ongoing care.
Medication Management
- Nurses should ensure the provision of adequate supply of medication, payment for medication, and medication administration record.
- Nurses should include information in the nursing care plan pertinent to the patient's needs as they relate to drug administration.
Medication-Related Problems in Older Adults
- Older adults are more at risk for medication-related problems due to age-related changes, cognitive and sensory changes, and lack of adequate medical follow-up.
- Polypharmacy, drug interactions, and medication non-adherence are common medication-related problems in older adults.
Iatrogenic Complications
- Iatrogenic complications are illnesses developed due to medical treatment, commonly seen in older adults.
Assessing Age
- Chronologic age refers to the actual age of an individual.
- Physiologic age is the actual age of an individual's body, which can be different from their chronologic age.
Communication in Older Adults
- The pace or speed of communication is important when communicating with older adults.
- Using the patient's title and name and clarifying their preferred form of address helps build trust and rapport.
Communication in Aphasia
- Using body language and structured communication is recommended for patients with aphasia.
Confrontation in Communication
- Confrontation is used when there are inconsistencies in information or when verbal and nonverbal messages appear incompatible.
This quiz assesses the knowledge of nurses in communicating with older adults, including addressing them properly and adapting to their communication needs.
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