Chp 8 Communication

Question 1

What is verbal communication?

Answer 1

Understanding of language.

Question 2

What is nonverbal communication?

Answer 2

Facial expressions, eye contact, body language, sounds.

Has a more profound impact on people.

Question 3

What are the types of questions a nurse asks?

Answer 3

Open-ended, closed-ended, clarifying, validating, reflective, sequencing, directing.

Question 4

What is an open-ended question?

Answer 4

Encourages verbalization & more descriptive information.

Question 5

What is a closed-ended question?

Answer 5

Encourages yes or no answers to gather specific information.

Question 6

What is a clarifying question?

Answer 6

Allows nurse to gain understanding of patient comments.

Question 7

What is a validating question?

Answer 7

A question or comment to validate what the nurse heard or observed.

Question 8

What is a reflective question?

Answer 8

Repeating what the patient has said or describing the patient’s feelings.

Question 9

What is a sequencing question?

Answer 9

Used to investigate a cause-and-effect between events.

Question 10

What is a directing question?

Answer 10

Used to obtain more information about a topic.

Question 11

What are techniques for active listening?

Answer 11

Sit when communicating, be alert and relaxed, keep conversation natural, maintain eye contact, use appropriate expressions, think before responding, do not pretend to listen, listen for themes, use silence, therapeutic touch & humor appropriately.

Question 12

What is SBAR?

Answer 12

A communication tool used when something does not seem quite right with the patient.

S – situation, B – background, A – assessment, R – recommendation.

Question 13

What are the channels of communication?

Answer 13

Visual, auditory, kinesthetic.

Question 14

What is visual communication?

Answer 14

PowerPoints, videos, pictures, articles.

Question 15

What is auditory communication?

Answer 15

One-on-one conversations.

Question 16

What is kinesthetic communication?

Answer 16

Hands-on activity (role-playing or note-taking).

Question 17

What are characteristics of a nurse/patient relationship?

Answer 17

Caring, dynamic, purposeful & time-limited, professionally accountable, cooperatively defined goals.

Question 18

What communication techniques should be avoided in the nurse/patient relationship?

Answer 18

Clichés, such as ‘don’t worry everything will be fine.’

Question 19

What are the phases of the nurse-patient relationship?

Answer 19

Orientation, Working, Termination.

Question 20

What occurs during the Orientation Phase?

Answer 20

Introducing name & role, talking about the floor.

Question 21

What occurs during the Working Phase?

Answer 21

Nursing intervention, teacher and/or counselor, activities of daily living.

Question 22

What occurs during the Termination Phase?

Answer 22

Concluding relationship, presenting coworkers.

Question 23

What type of communication is a nurse using when reassuring oneself before speaking?
a. Intrapersonal
b. Interpersonal
c. Group
d. Organization

Answer 23

Intrapersonal.

Immunization is self-talk that happens with the individual.

Question 24

True or False: Touch means the same thing to all persons.

Answer 24

False.

Question 25

True or False: A guideline for communicating with a visually impaired person includes explaining the reason for touching before doing so.

Answer 25

True.

Question 26

Which activity occurs during the orientation phase of the helping relationship?
a. An agreement or contract about the relationship is established.
b. The nurse provides any assistance needed to achieve pt goals.
c. The nurse provides pt counseling and teaching.
d. The pt and nurse examine the goals of the helping relationship for indications of attainment.

Answer 26

A. An agreement or contract about the relationship is established.

Question 27

You enter a pts room and greet the pt by saying, “Good morning.” The pt does not look up or say anything. How should you best respond to the pts silence?

Answer 27

Ask appropriate questions or make observations to understand the reasons for the silence.

Question 28

The daughter of an older adult female pt is upset that no one has explained why a urine specimen was collected from her mother earlier in the morning. You have permission to speak with the daughter about the mothers care. How can you best respond to the daughter?

Answer 28

We collected a urine sample from your mother to test for a urinary tract infection.

Question 29

Which first question would be most appropriate for the nurse to ask to facilitate the assessment?
a. Do you have sharp pain?
b. Is the paid associated with meals?
c. What activities exaggerate the pain?
d. Did you try taking pain medication?

Answer 29

C. What activities exaggerate the pain?

Question 30

True or False: An open-ended question serves to validate what the nurse believes is heard.

Answer 30

False.

That represents a validating question.

Question 31

What type of communication block is represented in the scenario: ‘Client: I am scared about my procedure today. Nurse: Don’t worry, everything will be fine.’

Answer 31

Cliché.