Nursing Communication Techniques Quiz
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Questions and Answers

What should the nurse respond when a patient's verbal expressions contradict their non-verbal behavior?

  • Where do you hurt?
  • It makes me uncomfortable when you are not honest with me.
  • What you are saying and what I am observing don't seem to match. (correct)
  • I am glad you are feeling better and have no discomfort.

What type of communication is demonstrated when the nurse reassures a patient about their surgery concern?

  • Intrusive
  • Assertive (correct)
  • Aggressive
  • Closed

How is a patient likely to feel when addressed aggressively about their needs?

  • Humiliated and unworthy (correct)
  • That his request will be granted
  • Angry
  • That his needs are met

What is the primary goal of therapeutic communication?

<p>Facilitates the formation of a positive nurse-patient relationship (A)</p> Signup and view all the answers

What communication skill is demonstrated when the nurse asks, 'What else does cocaine do for you?' after the patient shares their use of cocaine?

<p>Showing acceptance (A)</p> Signup and view all the answers

What demonstrates active listening by a nurse during patient interaction?

<p>Active listening (A)</p> Signup and view all the answers

When the nurse asks a patient, 'What about this pregnancy worries you?', which communication technique is being employed?

<p>Open-ended question (D)</p> Signup and view all the answers

Which communication technique requires significant skill and is less frequently used?

<p>Silence (A)</p> Signup and view all the answers

What is the best response from the nurse to a grieving young widow who asks, 'Why was my husband killed?'

<p>Silently placing her hand on the widow's arm. (A)</p> Signup and view all the answers

What intervention can a nurse use to comfort a patient who does not speak English during a painful procedure?

<p>Touch (C)</p> Signup and view all the answers

Which of the following is NOT a component of therapeutic communication?

<p>Creating a passive dynamic (A)</p> Signup and view all the answers

What is the minimum number of defining characteristics needed to establish a nursing diagnosis of impaired verbal communication?

<p>One (B)</p> Signup and view all the answers

When caring for an unresponsive patient, which communication technique should a nurse use?

<p>Assume verbal stimuli are heard. (D)</p> Signup and view all the answers

If a patient expresses being upset and the nurse responds, 'You're upset?', what communication approach is used?

<p>Restating (C)</p> Signup and view all the answers

One key characteristic of therapeutic communication is that it:

<p>Involves the patient as a person. (A)</p> Signup and view all the answers

Flashcards

Nurse's best response to conflicting statements

Acknowledging the discrepancy between patient's report and observed behavior by saying, "What you are saying and what I am observing don't seem to match."

Assertive communication

Expressing needs and concerns respectfully and directly without being aggressive or manipulative.

Aggressive communication

Communicating in a way that is demanding, hostile, or accusatory, potentially causing the other person to feel undermined or unworthy.

Therapeutic communication

Communication that fosters positive nurse-patient relationships by focusing on patient needs and feelings.

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Active listening

Paying close attention to what a patient is saying, both verbally and nonverbally, without interrupting or formulating a response ahead of time.

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Therapeutic technique: silence

A communication technique requiring skilled use; can be powerful in conveying support and allowing patient space to process thoughts.

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Comfort in non-verbal communication

Providing comfort for a non-English-speaking patient through actions such as touch.

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Active listening benefit

Active listening facilitates building positive nurse-patient relationships by focusing on patient needs and feelings, rather than manipulating or silencing the patient.

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Showing Acceptance (communication skill)

Responding to a patient's statement without judgment or trying to change their perspective, but acknowledging their feelings.

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Open-ended question

A question that encourages a patient to elaborate on their thoughts and feelings.

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Restating (communication technique)

Repeating the patient's statement in your own words to confirm understanding.

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Defining characteristics of a nursing diagnosis

The specific signs and symptoms that demonstrate a particular health issue.

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Impaired verbal communication

A nursing diagnosis indicating difficulty in exchanging or receiving information verbally.

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Communicating with an unresponsive patient

Assume that a patient, even if unresponsive, can hear; use a normal tone.

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Reflecting (communication technique)

Reflecting: restating the content of a patient's statements to help them understand their own feelings.

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Study Notes

Nursing Communication Techniques

  • Observational Discrepancy: If a patient denies pain but exhibits rapid breathing, clenched fists, or facial grimacing, the nurse should acknowledge the mismatch between the reported feelings and observed behavior ("What you are saying and what I am observing don't seem to match").

  • Assertive Communication: Communicating a patient's feelings and needs assertively involves acknowledging concerns and offering support ("I know you are concerned about your surgery tomorrow. How can I help you?").

  • Aggressive Communication: Aggressive communication can lead to negative patient feelings ("Why couldn't you have asked me to give you your pain medication when I was in here earlier?" can cause humiliation).

  • Therapeutic Communication: Therapeutic communication fosters a positive patient-nurse relationship, involving the patient as a person, not manipulating or directing them ("facilitates the formation of a positive nurse-patient relationship").

  • Active Listening: Active listening involves attending to the patient, leaning forward, and not interrupting, demonstrating genuine interest and support.

  • Silence: Silence is a valuable communication technique, requiring skill and not frequently used.

  • Touch: Touch can be a comforting technique when verbal communication is not possible (e.g., a nonverbal patient).

  • Showing Acceptance: Acknowledging the patient's emotions and situation respectfully ("What else does cocaine do for you?").

  • Open-Ended Questions: Asking open-ended questions allows the patient to expand on their feelings ("What about this pregnancy worries you?").

  • Responding to Grief: Empathy is crucial, and offering non-verbals of support is often best ("silently placing her hand on the widow's arm").

  • Defining Characteristics: The nursing diagnosis of "impaired verbal communication" requires only one defining characteristic.

  • Unresponsive Patients: When interacting with unresponsive patients, assume verbal stimuli are heard and speak in a clear, non-intrusive way.

  • Restating: Restating a patient's statement reflects understanding of their message ("You're upset?").

  • Therapeutic Communication Characteristics: Key to therapeutic communication is involving the patient actively as a person.

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Description

Test your knowledge on various communication techniques used in nursing. This quiz covers observational discrepancy, assertive communication, aggressive communication, and therapeutic communication. Enhance your understanding of how effective communication impacts patient care.

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