Podcast
Questions and Answers
What should the nurse respond when a patient's verbal expressions contradict their non-verbal behavior?
What should the nurse respond when a patient's verbal expressions contradict their non-verbal behavior?
What type of communication is demonstrated when the nurse reassures a patient about their surgery concern?
What type of communication is demonstrated when the nurse reassures a patient about their surgery concern?
How is a patient likely to feel when addressed aggressively about their needs?
How is a patient likely to feel when addressed aggressively about their needs?
What is the primary goal of therapeutic communication?
What is the primary goal of therapeutic communication?
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What communication skill is demonstrated when the nurse asks, 'What else does cocaine do for you?' after the patient shares their use of cocaine?
What communication skill is demonstrated when the nurse asks, 'What else does cocaine do for you?' after the patient shares their use of cocaine?
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What demonstrates active listening by a nurse during patient interaction?
What demonstrates active listening by a nurse during patient interaction?
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When the nurse asks a patient, 'What about this pregnancy worries you?', which communication technique is being employed?
When the nurse asks a patient, 'What about this pregnancy worries you?', which communication technique is being employed?
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Which communication technique requires significant skill and is less frequently used?
Which communication technique requires significant skill and is less frequently used?
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What is the best response from the nurse to a grieving young widow who asks, 'Why was my husband killed?'
What is the best response from the nurse to a grieving young widow who asks, 'Why was my husband killed?'
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What intervention can a nurse use to comfort a patient who does not speak English during a painful procedure?
What intervention can a nurse use to comfort a patient who does not speak English during a painful procedure?
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Which of the following is NOT a component of therapeutic communication?
Which of the following is NOT a component of therapeutic communication?
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What is the minimum number of defining characteristics needed to establish a nursing diagnosis of impaired verbal communication?
What is the minimum number of defining characteristics needed to establish a nursing diagnosis of impaired verbal communication?
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When caring for an unresponsive patient, which communication technique should a nurse use?
When caring for an unresponsive patient, which communication technique should a nurse use?
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If a patient expresses being upset and the nurse responds, 'You're upset?', what communication approach is used?
If a patient expresses being upset and the nurse responds, 'You're upset?', what communication approach is used?
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One key characteristic of therapeutic communication is that it:
One key characteristic of therapeutic communication is that it:
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Study Notes
Nursing Communication Techniques
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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").
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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?").
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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).
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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").
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Active Listening: Active listening involves attending to the patient, leaning forward, and not interrupting, demonstrating genuine interest and support.
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Silence: Silence is a valuable communication technique, requiring skill and not frequently used.
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Touch: Touch can be a comforting technique when verbal communication is not possible (e.g., a nonverbal patient).
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Showing Acceptance: Acknowledging the patient's emotions and situation respectfully ("What else does cocaine do for you?").
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Open-Ended Questions: Asking open-ended questions allows the patient to expand on their feelings ("What about this pregnancy worries you?").
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Responding to Grief: Empathy is crucial, and offering non-verbals of support is often best ("silently placing her hand on the widow's arm").
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Defining Characteristics: The nursing diagnosis of "impaired verbal communication" requires only one defining characteristic.
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Unresponsive Patients: When interacting with unresponsive patients, assume verbal stimuli are heard and speak in a clear, non-intrusive way.
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Restating: Restating a patient's statement reflects understanding of their message ("You're upset?").
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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.