60 Questions
Which of the following is an example of nonverbal communication?
Using offensive body odor
Which of the following is NOT a barrier to a nurse-client relationship?
Being inattentive to the client's requests
What is the stronger component in any interaction?
Nonverbal communication
Which of the following is NOT a therapeutic use of silence mentioned in the text?
Camouflaging fears
What percentage of communication is believed to come from spoken words?
7%
Which of the following is NOT a technique of nonverbal communication mentioned in the text?
Syntax
What is the purpose of affective touch mentioned in the text?
To demonstrate concern or affection
Which of the following factors can affect the ability to communicate verbally or in writing?
Motor functions involving the throat, tongue, and teeth
What is the purpose of therapeutic verbal communication in the nurse-client relationship?
To explore problems with the client
What is an important aspect of active listening in communication?
Positioning oneself at the client's level and making frequent eye contact
What is the role of silence in communication?
To encourage the client to participate in verbal discussions
Which of the following is a therapeutic use of affective touch?
To assist with sensory deprivation
What is one approach that can prevent misinterpretation of physical nearness and touching?
Explaining the nursing procedure beforehand
What is an effective way to communicate with verbally impaired clients?
Providing a paper tablet and pencil
What technique can facilitate communication with a client who has Alzheimer disease?
Smiling to convey friendliness
Which of the following is a barrier to a nurse-client relationship?
Using the client's first name without permission
What is the purpose of verbal communication?
To exchange information
Which level of communication represents the stronger component in any interaction?
Nonverbal level
What is an example of nonverbal communication?
Body odor
What can nurses do to enhance their therapeutic interactions with clients?
Develop verbal communication skills
What is a technique that can prevent misinterpretation of physical nearness and touching?
Asking for permission
What is the purpose of feedback in communication?
To indicate that information was understood or requires further clarification
What is the term used to describe the exchange of information without using spoken or written words?
Nonverbal communication
Which of the following is NOT a form of nonverbal communication mentioned in the text?
Semantics
What percentage of communication is believed to come from body language according to the text?
55%
What is the term used to describe the use and relationship of space to communication?
Proxemics
Which of the following is NOT one of the four zones of communication identified by Edward T. Hall?
Public space
What is the term used to describe a tactile stimulus produced by making personal contact with another person or object?
Touch
Which of the following is NOT a type of touch mentioned in the text?
Nonverbal touch
Which of the following is an example of social communication mentioned in the text?
Exchanging common courtesies
What is the best nursing response when a client is angry or crying?
Remain nonjudgmental and allow the client to express emotions
What is an important aspect of active listening mentioned in the text?
Positioning oneself at the client's level and making frequent eye contact
What is the purpose of silence in communication mentioned in the text?
To encourage the client to participate in verbal discussions
Which of the following factors can affect the ability to communicate verbally or in writing?
All of the above
What is the purpose of therapeutic verbal communication in the nurse-client relationship mentioned in the text?
To explore problems with the client
What is an effective way to communicate with older adults with diminished hearing?
Reduce noise in the immediate environment and speak at a normal volume
Which of the following is NOT a technique that may facilitate communicating with a client who has Alzheimer disease?
Maintaining eye contact to evaluate the client's attention and comprehension
What is an effective way to communicate with deaf clients who can read and write?
Using a webcam for video interpreting
Which of the following is NOT a factor that can affect the ability to communicate verbally or in writing?
Expressive aphasia
What is one approach that may prevent misinterpretation of physical nearness and touching as having sexual connotations?
All of the above
Which of the following is NOT a challenge for communication with clients who are verbally impaired, deaf, or have cognitive deficits?
Using American Sign Language (ASL)
What is the classic symptom of Alzheimer disease?
Memory loss
Which of the following is NOT a technique that may facilitate communication with a client who is visually impaired?
Maintaining eye contact to evaluate the client's attention and comprehension
Which of the following is NOT a therapeutic use of affective touch?
Disfigurement
What is an effective way to communicate with clients who are sensory-deprived?
Writing on a paper tablet or 'magic slate'
Which of the following is NOT a barrier to a nurse-client relationship?
Using crude or distasteful language
What is an important aspect of active listening in communication?
Maintaining eye contact
What is the purpose of therapeutic verbal communication in the nurse-client relationship?
To establish trust and understanding
Which of the following is NOT a factor that can affect the ability to communicate verbally or in writing?
Physical appearance
What is an important aspect of active listening in communication?
Making frequent eye contact
What is the purpose of silence in communication mentioned in the text?
To encourage the client to participate in verbal discussions
What percentage of communication is believed to come from body language, according to the text?
55%
Which of the following is NOT a technique of nonverbal communication mentioned in the text?
Touch
What is the term used to describe the exchange of information without using spoken or written words?
Nonverbal communication
Which of the following is a technique that may facilitate communication with a verbally impaired client who cannot use a writing device?
Using a webcam for video interpreting
What is an example of a cognitive deficit that may pose unique challenges for communication?
Alzheimer disease
Which of the following is a technique that may facilitate communication with a deaf client who can read and write?
Providing a paper tablet and pencil
What is the classic symptom of Alzheimer disease?
Memory loss
Which of the following is NOT a factor that can affect the ability to communicate verbally or in writing?
Loneliness
Which of the following is a technique that may prevent misinterpretation of physical nearness and touching as having sexual connotations?
All of the above
Study Notes
Barriers to a Nurse-Client Relationship and Effective Communication
- Barriers to a nurse-client relationship include appearing unkempt, failing to identify oneself, mispronouncing or avoiding the client's name, showing disinterest in the client's personal history, sharing personal or work-related problems, using crude or distasteful language, revealing confidential information, focusing on nursing tasks rather than the client's responses, being inattentive to the client's requests, abandoning the client at stressful times, and failing to keep promises or inform the client of temporary absences.
- Communication involves sending and receiving messages between two or more people, and it takes place simultaneously on verbal and nonverbal levels.
- Verbal communication includes speaking, reading, and writing, and factors such as attention, language compatibility, verbal skills, hearing and visual acuity, motor functions, sensory distractions, interpersonal attitudes, literacy, and cultural similarities can affect communication.
- Older clients may appreciate if the nurse identifies themselves by name and title before each interaction or posts it on a dry erase board in the room.
- Active listening is as important as speaking during communication, and it involves attending to and becoming fully involved in what the client says.
- Silence plays an important role in communication, as it can encourage the client to participate in discussions, relieve anxiety, provide a period for clients to process information, express contentment, and engage in introspection.
- Nonverbal communication involves body language, tone of voice, and spoken words, with body language being the most significant component.
- Kinesics (body language) includes facial expressions, posture, gestures, body movements, clothing style, and accessories, which can affect the context of communication.
- Paralanguage refers to vocal sounds that are not actual words and can communicate messages, such as drawing in a deep breath to indicate surprise or whistling to get someone's attention.
- Proxemics refers to the use and relationship of space to communication, with different cultural backgrounds having varying comfort zones for personal space.
- Touch occurs frequently in nurse-client relationships and can be task-oriented or affective.
- Task-oriented touch involves personal contact required for nursing tasks, while affective touch is more expressive and can convey comfort, support, or reassurance.
Test your knowledge of the barriers to a nurse-client relationship and effective communication in healthcare. Explore topics such as verbal and nonverbal communication, active listening, body language, touch in nurse-client relationships, and cultural influences on communication.
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